Cultural validation of the structured clinical interview for diagnostic and statistical manual of mental disorders in Indigenous Australians

Maree Toombs; Bushra Nasir; Steve Kisely; Geetha Ranmuthugala; Neeraj S. Gill; Gavin Beccaria; Noel Hayman; Srinivas N. Kondalsamy-Chennakesavan; Geoffrey C. Nicholson

doi:10.1177/1039856219852289

Cultural validation of the structured clinical interview for diagnostic and statistical manual of mental disorders in Indigenous Australians

Maree Toombs, Bushra Nasir, Steve Kisely, Geetha Ranmuthugala, Neeraj S. Gill, Gavin Beccaria, Noel Hayman, Srinivas N. Kondalsamy-Chennakesavan, Geoffrey C. Nicholson

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

Objective: This study determined the cultural appropriateness of the Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I) as an acceptable tool for diagnosing mental illness among Indigenous people. Methods: De-identified qualitative feedback from participants and psychologists regarding the cultural appropriateness of the SCID-I for Indigenous people using open-ended anonymous questionnaires was gathered. Aboriginal Medial Service staff and Indigenous Support Workers participated in a focus group. Results: A total of 95.6% of participants felt comfortable during the 498 questionnaires completed. Psychologists also provided qualitative feedback for 502 (92.3%) interviews, of whom 40.4% established a good rapport with participants. Of the participants, 77.7% understood the SCID-I questions well, while 72.5% did not require any cultural allowances to reach a clinical diagnosis. Conclusion: When administered by a culturally safe trained psychologist, SCID-I is well tolerated in this group.

Original language	English
Pages (from-to)	362-365
Number of pages	4
Journal	Australasian Psychiatry
Volume	27
Issue number	4
DOIs	https://doi.org/10.1177/1039856219852289
Publication status	Published - 1 Aug 2019
Externally published	Yes

Bibliographical note

Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by a National Health and Medical Research Council grant #APP1061963.

Publisher Copyright:
© The Royal Australian and New Zealand College of Psychiatrists 2019.

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Toombs, M., Nasir, B., Kisely, S., Ranmuthugala, G., Gill, N. S., Beccaria, G., Hayman, N., Kondalsamy-Chennakesavan, S. N., & Nicholson, G. C. (2019). Cultural validation of the structured clinical interview for diagnostic and statistical manual of mental disorders in Indigenous Australians. Australasian Psychiatry, 27(4), 362-365. https://doi.org/10.1177/1039856219852289

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abstract = "Objective: This study determined the cultural appropriateness of the Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I) as an acceptable tool for diagnosing mental illness among Indigenous people. Methods: De-identified qualitative feedback from participants and psychologists regarding the cultural appropriateness of the SCID-I for Indigenous people using open-ended anonymous questionnaires was gathered. Aboriginal Medial Service staff and Indigenous Support Workers participated in a focus group. Results: A total of 95.6% of participants felt comfortable during the 498 questionnaires completed. Psychologists also provided qualitative feedback for 502 (92.3%) interviews, of whom 40.4% established a good rapport with participants. Of the participants, 77.7% understood the SCID-I questions well, while 72.5% did not require any cultural allowances to reach a clinical diagnosis. Conclusion: When administered by a culturally safe trained psychologist, SCID-I is well tolerated in this group.",

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author = "Maree Toombs and Bushra Nasir and Steve Kisely and Geetha Ranmuthugala and Gill, {Neeraj S.} and Gavin Beccaria and Noel Hayman and Kondalsamy-Chennakesavan, {Srinivas N.} and Nicholson, {Geoffrey C.}",

note = "Funding Information: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by a National Health and Medical Research Council grant #APP1061963. Publisher Copyright: {\textcopyright} The Royal Australian and New Zealand College of Psychiatrists 2019.",

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Toombs, M, Nasir, B, Kisely, S, Ranmuthugala, G, Gill, NS, Beccaria, G, Hayman, N, Kondalsamy-Chennakesavan, SN & Nicholson, GC 2019, 'Cultural validation of the structured clinical interview for diagnostic and statistical manual of mental disorders in Indigenous Australians', Australasian Psychiatry, vol. 27, no. 4, pp. 362-365. https://doi.org/10.1177/1039856219852289

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AU - Nasir, Bushra

AU - Kisely, Steve

AU - Ranmuthugala, Geetha

AU - Gill, Neeraj S.

AU - Beccaria, Gavin

AU - Hayman, Noel

AU - Kondalsamy-Chennakesavan, Srinivas N.

AU - Nicholson, Geoffrey C.

N1 - Funding Information: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by a National Health and Medical Research Council grant #APP1061963. Publisher Copyright: © The Royal Australian and New Zealand College of Psychiatrists 2019.

PY - 2019/8/1

Y1 - 2019/8/1

N2 - Objective: This study determined the cultural appropriateness of the Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I) as an acceptable tool for diagnosing mental illness among Indigenous people. Methods: De-identified qualitative feedback from participants and psychologists regarding the cultural appropriateness of the SCID-I for Indigenous people using open-ended anonymous questionnaires was gathered. Aboriginal Medial Service staff and Indigenous Support Workers participated in a focus group. Results: A total of 95.6% of participants felt comfortable during the 498 questionnaires completed. Psychologists also provided qualitative feedback for 502 (92.3%) interviews, of whom 40.4% established a good rapport with participants. Of the participants, 77.7% understood the SCID-I questions well, while 72.5% did not require any cultural allowances to reach a clinical diagnosis. Conclusion: When administered by a culturally safe trained psychologist, SCID-I is well tolerated in this group.

AB - Objective: This study determined the cultural appropriateness of the Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I) as an acceptable tool for diagnosing mental illness among Indigenous people. Methods: De-identified qualitative feedback from participants and psychologists regarding the cultural appropriateness of the SCID-I for Indigenous people using open-ended anonymous questionnaires was gathered. Aboriginal Medial Service staff and Indigenous Support Workers participated in a focus group. Results: A total of 95.6% of participants felt comfortable during the 498 questionnaires completed. Psychologists also provided qualitative feedback for 502 (92.3%) interviews, of whom 40.4% established a good rapport with participants. Of the participants, 77.7% understood the SCID-I questions well, while 72.5% did not require any cultural allowances to reach a clinical diagnosis. Conclusion: When administered by a culturally safe trained psychologist, SCID-I is well tolerated in this group.

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Cultural validation of the structured clinical interview for diagnostic and statistical manual of mental disorders in Indigenous Australians

Abstract

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