Claus Lukas, Schouler-Ocak Meryam, Braakman Mario H, Sabbe Bernard, Van Beuren Godfried, van den Ameele Seline
Collaborative Antwerp Psychiatric Research Institute (CAPRI), Universiteit Antwerpen (UA), Antwerp, Belgium.
Department of Psychiatry, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.
Front Psychiatry. 2023 May 4;14:1156803. doi: 10.3389/fpsyt.2023.1156803. eCollection 2023.
Despite a high prevalence of mental disorders among asylum seekers, many barriers to mental healthcare exist. Cultural and contextual factors strongly influence the experience and expression of psychological distress, putting asylum seekers at greater risk of misdiagnosis and inappropriate treatment. The Cultural Formulation Interview (CFI) is a useful tool to map out cultural and contextual factors of mental disorders; however, to the best of our knowledge, it has not yet been investigated in asylum seekers specifically. The primary aim of this study is to evaluate the value of the CFI in the psychiatric assessment of asylum seekers. Second, we will describe the themes relevant to psychiatric distress in asylum seekers that are identified by the CFI. In addition, asylum seekers' experience of the CFI will be evaluated.
This cross-sectional, mixed-method clinical study aims to recruit a group of 60-80 asylum seekers (age 15-29) with mental health symptoms. Data will be collected using structured (MINI, PCL-5, HDRS-17, WHOQoL-BREF & BSI) and semi-structured (CFI & CFI-debriefing) questionnaires to assess cultural background, contextual factors, and illness severity. Multidisciplinary case discussions will be held after the completion of interviews, following a methodological stepped approach. Combining qualitative and quantitative research techniques, this study aims to generate reliable knowledge on working with the CFI in asylum seekers. Based on the findings, recommendations for clinicians will be developed.
This study addresses the knowledge gap on using the CFI in asylum seekers. Compared to prior studies, it will provide new insights into the use of the CFI in the specific context of working with asylum seekers.
Prior research on the CFI in asylum seekers is limited, partly because of their high vulnerability and low access to care. The study protocol has been tailored in close collaboration with several stakeholders and validated after piloting. Ethical approval has already been obtained. Together with the stakeholders, the results will be translated into guidelines and training materials. Recommendations to policymakers will also be provided.
尽管寻求庇护者中精神障碍的患病率很高，但精神卫生保健仍存在许多障碍。文化和背景因素强烈影响心理困扰的体验和表达，使寻求庇护者面临更高的误诊和不适当治疗风险。文化定式访谈（CFI）是一种用于梳理精神障碍文化和背景因素的有用工具；然而，据我们所知，尚未专门针对寻求庇护者进行过研究。本研究的主要目的是评估CFI在寻求庇护者精神病学评估中的价值。其次，我们将描述CFI所识别的与寻求庇护者精神困扰相关的主题。此外，还将评估寻求庇护者对CFI的体验。
这项横断面、混合方法的临床研究旨在招募一组60 - 80名有心理健康症状的寻求庇护者（年龄在15 - 29岁之间）。将使用结构化问卷（MINI、PCL - 5、HDRS - 17、WHOQoL - BREF和BSI）和半结构化问卷（CFI及CFI汇报）收集数据，以评估文化背景、背景因素和疾病严重程度。访谈完成后，将采用方法学上的逐步推进方式进行多学科病例讨论。本研究结合定性和定量研究技术，旨在生成关于在寻求庇护者中使用CFI的可靠知识。基于研究结果，将为临床医生制定建议。
本研究解决了在寻求庇护者中使用CFI方面的知识空白。与先前的研究相比，它将为在与寻求庇护者合作的特定背景下使用CFI提供新的见解。
先前关于在寻求庇护者中使用CFI的研究有限，部分原因是他们高度脆弱且难以获得医疗服务。研究方案已与多个利益相关者密切合作进行了调整，并在试点后进行了验证。已经获得了伦理批准。研究结果将与利益相关者一起转化为指南和培训材料。还将向政策制定者提供建议。
