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

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.

Keywords

indigenous SCID-I mental health cultural appropriateness validation

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References

Jorm

Bourchier

Cvetkovski

et al . Mental health of Indigenous Australians: a review of findings from community surveys. Med J Aus 2012; 196: 118–121.

First

Spitzer

Gibbon

et al . Structured Clinical Interview for DSM-IV-TR Axis I Disorders- Non-Patient Edition (SCID-I/NP, 1/2010 revision). New York: Biometrics Research Department, New York State Psychiatric Institute, 2010.

Nasir

Toombs

Kondalsamy

et al . Common mental disorders among Indigenous people living in regional, remote and metropolitan Australia: a cross sectional study. BMJ Open 2018; 8.

Skre

Onstad

Torgersen

et al . High interrater reliability for the Structured Clinical Interview for DSM-III-R Axis I (SCID-I). Acta Psychiatr Scand 1991; 84: 167–173.

Lobbestael

Leurgans

Arntz

Inter-rater reliability of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I) and Axis II Disorders (SCID II). Clin Psychol Psychother 2011; 18: 75–79.

Black

Ranmuthugala

Kondalsamy-Chennakesavan

et al . A systematic review: Identifying the prevalence rates of psychiatric disorder in Australia’s Indigenous populations. Aust N Z J Psychiatry 2015; 49: 412–429.

Kashner

Rush

Suris

et al . Impact of structured clinical interviews on physicians’ practices in community mental health settings. Psych Serv 2003; 54: 712–718.

Haggarty

Cernovsky

Kermeen

et al . Psychiatric disorders in an arctic community. Can J Psychiatry 2000; 45: 357–362.

Beals

Novins

Spicer

et al . Challenges in operationalizing the DSM-IV clinical significance criterion. Arch Gen Psychiatry 2004; 61: 1197–1207.

10.

Adams

Drew

Walker

Principles of practice in mental health assessment with Aboriginal Australians. In: Dudgeon

Milroy

Walker

(eds). Working Together: Aboriginal and Torres Strait Islander mental health and wellbeing principles and practice. Canberra: Commonwealth of Australia, 2014.

11.

Drew

Adams

Walker

Issues in mental health assessment with Indigenous Australians. In: Purdie

Dudgeon

P R W

(eds) Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice. Canberra: Commonwealth of Australia, 2010.