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Revising psychiatric diagnostic categorisation of immigrant patients after using the Cultural Formulation in DSM-IV

Dados Bibliográficos

ID2395033
AutoresSofie Bäärnhielm (0000-0002-5303-9166, Transcultural Centre, Stockholm County Council, autor correspondente), Anna Åberg Wistedt (Karolinska Institutet), Marco Scarpinati Rosso (Uppsala University Hospital & Karolinska Institutet)
Ano2015
Volume52
Fascículo3
Páginas287-310
Data de publicação2015-06-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoTranscultural Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1363-4615 • E-ISSN: 1461-7471
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/1363461514560657
PMID25492265
OpenAlexW2136946226
IdiomaEN
Citações recebidas15
Referências citadas43

This study evaluated the use of the Outline for Cultural Formulation (OCF) from the DSM-IV in the diagnosis of immigrants and refugee patients at an outpatient psychiatric clinic in Sweden. Using the OCF in conjunction with standard diagnostic procedures led to major revisions of diagnoses for 56.5% of patients. Anxiety disorders, especially PTSD, constitute the disorder group in which the most changes were made. In order to understand how information from the OCF interview led clinicians to revise diagnoses, data from clinical discussions were analysed through qualitative content analysis. This revealed four major themes related to the reevaluation, and at times confirmation, of given clinical psychiatric diagnoses: new information; expression of distress in emotional language; expression of distress in relation to life experiences; and improved understanding of the patient's suffering. The findings suggest that the OCF may be useful for: (a) formulating culture in relation to illness experiences, (b) contextualising diagnostic categorisation, and (c) improving overall understanding of the patient that may facilitate individualised planning of treatment and therapy

Anxiety · Cognition · Distress · Medical diagnosis · Psychiatric diagnosis · Psychiatry · Qualitative research · Refugee · Clinical Psychology · Medicine · Mental Health Treatment and Access · Migration, Health and Trauma · Psychiatric care and mental health services · Psychology

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Obras citantes distintas15
Citações por ano2,5
Intervalo de citações2020 - 2025 (6)
Velocidade de citaçãorecent
Altamente citadoNão
Tipos de citaçãoNeutras: 15
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