The Content Validity of the Cultural Formulation Interview (CFI).

Behnam Shariati,Amir-Abbas Keshavarz-Akhlaghi,Arash Mohammadzadeh,Ruohollah Seddigh

doi:10.1155/2018/3082823

Behnam Shariati, Amir-Abbas Keshavarz-Akhlaghi + Show 2 more

Open Access

https://doi.org/10.1155/2018/3082823

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Journal: Psychiatry journal	Publication Date: Dec 2, 2018
Citations: 3	License type: CC BY 4.0

Affiliation: Iran University of Medical Sciences

Abstract

Aims The present study investigates content validity of the open-ended items in Cultural Formulation Interview in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Methods After translating into Persian and assessing the content validity of the items and their modification by psychiatrists, the questionnaire was translated back into English by two translators and then retranslated into Persian. The final Persian version and its back-translation were submitted for approval to the DSM-5 design workshop in the United States. After obtaining the group's approval on the back-translation and permission to use the questionnaire, samples were distributed among panel members and the content validity of the questionnaire was thus examined. Results The content validity index (CVI) of cultural formulation interview was 0.51 and all the items were acceptable although some, especially those on the cultural perception of the context and the cultural factors affecting current help-seeking, had lower content validity ratios (CVR). Conclusion The cultural formulation interview seems to have an overall acceptable content validity although it is weak and thus needs further studies in relation to the two domains of the cultural perception of the context and the cultural factors affecting help-seeking in the Iranian population.

Highlights

The cultural formulation of psychiatric disorders is important in many different ways, including the prevention of misdiagnoses as discussed by Adeponle and elsewhere [1, 2], obtaining crucial clinical information [3,4,5], improving the patient rapport and interaction [6], improving therapeutic effectiveness [7], and serving as a guide to clinical studies [8] and cultural epidemiological studies [9] on psychiatric disorders
After introducing the outline for cultural formulation, a lot of studies were conducted on the concept and an openended questionnaire was proposed in the DSM-5 on cultural evaluation within different dimensions, namely, the Cultural Formulation Inventory (CFI) [10]
The CFI assesses four cultural components pertaining to psychiatric disorders, including the cultural definition of the problem, the cultural perception of the cause, context and support, the cultural factors affecting self-coping and past help-seeking, and the cultural factors affecting current helpseeking

Summary

Introduction

The cultural formulation of psychiatric disorders is important in many different ways, including the prevention of misdiagnoses as discussed by Adeponle and elsewhere [1, 2], obtaining crucial clinical information [3,4,5], improving the patient rapport and interaction [6], improving therapeutic effectiveness [7], and serving as a guide to clinical studies [8] and cultural epidemiological studies [9] on psychiatric disorders. After introducing the outline for cultural formulation, a lot of studies were conducted on the concept and an openended questionnaire was proposed in the DSM-5 on cultural evaluation within different dimensions, namely, the Cultural Formulation Inventory (CFI) [10]. This inventory investigates four cultural components pertaining to psychiatric disorders, including the cultural definition of the problem, the cultural perception of the cause, the cultural factors affecting selfcoping, and the cultural factors affecting current help-seeking [10]. The cultural differences within the country add to the importance of assessing the content validity of the inventory prior to its use in clinical settings

Methods

Results

Conclusion