ArticleCulture, medicine and psychiatry2013
Barriers to implementing the DSM-5 cultural formulation interview: a qualitative study.
Article in Culture, medicine and psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03499600 (Improving Satisfaction, Engagement and Clinical Outcomes Among Traditionally Underserved Children Through Cultural Formulation), which is not on this map. Cited by 29 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Improving Satisfaction, Engagement and Clinical Outcomes Among Traditionally Underserved Children Through Cultural Formulation
Who cites it
29 citing papers in PubMed, 151 citations in OpenAlex.
- Culture hidden in plain sight: a framework-based secondary qualitative analysis of clinicians' experiences with the cultural formulation interview.Frontiers in psychiatry · 2026Review
- Article
- Exploring the experiences and perceptions of mental illness among family caregivers of persons with mental illness in the Bolgatanga Municipality, Upper East region, Ghana.Discover mental health · 2025Article
- Training on the Cultural Formulation Interview and self-assessed cultural competence in practitioners working in student counseling services.Transcultural psychiatry · 2025Article
- Multiraciality and mental health: the Cultural Formulation Interview as an instrument for exploring in-between identities and third spaces.Frontiers in psychiatry · 2025Article
- Efficacy pilot study of the DSM-5 Cultural Formulation Interview in a specialized mental healthcare inpatient unit for adolescents in Norway.Frontiers in psychiatry · 2025Article
- The effect of the cultural formulation interview on therapeutic working alliance: a study protocol.Frontiers in psychiatry · 2024Article
- Patient identity narratives through the cultural formulation interview in a New York City outpatient clinic.Medical anthropology quarterly · 2023Article
- The Evolving Culture Concept in Psychiatric Cultural Formulation: Implications for Anthropological Theory and Psychiatric Practice.Culture, medicine and psychiatry · 2023Review
- Elements of cultural scripts of trauma sequelae among trauma victims in East Africa.Frontiers in psychology · 2023Article
- Unlocking asylum seekers' voices: protocol of a mixed-method clinical study on the use of the cultural formulation interview with asylum seekers in Belgium.Frontiers in psychiatry · 2023Article
- Could the DSM-5 Cultural Formulation Interview Hold Therapeutic Potential? Suggestions for Further Exploration and Adaptation Within a Framework of Therapeutic Assessment.Culture, medicine and psychiatry · 2022Article
- Cultivating cultural awareness among medical educators by integrating cultural anthropology in faculty development: an action research study.BMC medical education · 2022Article
- Negotiating Engagement, Worthiness of Care and Cultural Identities Through Intersubjective Recognition: Migrant Patient Perspectives on the Cultural Formulation Interview in Danish Mental Healthcare.Culture, medicine and psychiatry · 2021Article
- Beyond theFocus (American Psychiatric Publishing) · 2021Article
- Reconsidering Internet Gaming Disorder During the COVID-19 Pandemic.Journal of technology in behavioral science · 2021Article
- Patient and clinician communication practices during the DSM-5 cultural formulation interview field trial.Anthropology & medicine · 2020Article
- Cultural formulation interview: Awareness and attitudes of South African psychiatrists and psychiatry registrars.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2020Article
- Update on the Cultural Formulation Interview.Focus (American Psychiatric Publishing) · 2020Article
- An Online Training Module on the Cultural Formulation Interview: The Case of New York State.Psychiatric services (Washington, D.C.) · 2018Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
The Outline for Cultural Formulation (OCF) in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) marked an attempt to apply anthropological concepts within psychiatry. The OCF has been criticized for not providing guidelines to clinicians. The DSM-5 Cultural Issues Subgroup has since converted the OCF into the Cultural Formulation Interview (CFI) for use by any clinician with any patient in any clinical setting. This paper presents perceived barriers to CFI implementation in clinical practice reported by patients (n = 32) and clinicians (n = 7) at the New York site within the DSM-5 international field trial. We used an implementation fidelity paradigm to code debriefing interviews after each CFI session through deductive content analysis. The most frequent patient threats were lack of differentiation from other treatments, lack of buy-in, ambiguity of design, over-standardization of the CFI, and severity of illness. The most frequent clinician threats were lack of conceptual relevance between intervention and problem, drift from the format, repetition, severity of patient illness, and lack of clinician buy-in. The Subgroup has revised the CFI based on these barriers for final publication in DSM-5. Our findings expand knowledge on the cultural formulation by reporting the CFI's reception among patients and clinicians.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.