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Ataque De Nervios
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Peter J. Guarnaccia – One of the best experts on this subject based on the ideXlab platform.
association of trauma related disorDers and dissociation with four idioms of distress among latino psychiatric outpatientsCulture Medicine and Psychiatry, 2010Co-Authors: Roberto Lewisfernandez, Magdaliz Gorritz, Greer A Raggio, Clara Pelaez, Henian Chen, Peter J. GuarnacciaAbstract:
Past research on idioms of distress among U.S. Latinos has revealed that Ataque De Nervios and altered perceptions, such as hearing and seeing things when alone, are inDepenDent markers of higher morbidity and mental health utilization Despite having no one-to-one relationships with any single psychiatric diagnosis. It has been proposed that the idioms exert this effect because they are signs of distressing dissociative capacity associated with traumatic exposure. This study examines the relationships in an ethnically diverse Latino psychiatric outpatient sample (N = 230) among interpersonal trauma, posttraumatic stress disorDer (PTSD), major Depressive disorDer, dissociative capacity and four cultural idioms of distress associated with the popular overall category of Nervios. We particularly explore how these relationships change with varied measures of traumatic exposure, including trauma severity and timing or persistence of trauma. A series of adjusted bivariate regressions assessed the matrix of associations between the idioms and the clinical variables. In this highly traumatized population, we iDentified a strong ‘nexus’ of associations between dissociation and three of the idioms: currently being ill with nerves, Ataque De Nervios and altered perceptions. These idioms were largely inDepenDent from PTSD and Depression and were associated with trauma persistence and severity. A fourth idiom, being nervous since childhood, was not associated with any other variable and may represent a personality trait rather than a diagnosable condition. Our results validate the clinical utility of the construct of Nervios as a set of specific idioms associated with dissociation that are useful markers of mental health need among Latinos inDepenDently of their association with clinical diagnoses.
Ataque De Nervios as a marker of social and psychiatric vulnerability: results from the NLAAS.The International journal of social psychiatry, 2009Co-Authors: Peter J. Guarnaccia, Roberto Lewis-fernández, Patrick E. Shrout, Igda Martinez Pincay, Jing Guo, Maria Torres, Glorisa Canino, Margarita AlegríaAbstract:
Background: This article presents the fi rst epiDemiological portrait of Ataques De Nervios among Latinos in the mainland United States. Much of the previous literature has focused on Puerto Ricans in Puerto Rico and New York City. Aims: This study examines the social and psychiatric correlates of Ataque De Nervios in a nationally representative sample of Latinos in the United States. Methods: This study employs data from the Latino sample (N = 2554) of the National Latino and Asian American Study (NLAAS). Analyses examined the associations between Ataques De Nervios and a range of social and migration variables, as well as psychiatric diagnoses and measures of mental health need. Results: Ataques De Nervios were reported by 7—15% of the different Latino groups, with Puerto Ricans reporting the highest frequency. Ataques De Nervios were more frequent in women, those with disrupted marital status, and those more acculturated to the US. The frequency of those who met criteria for affective, anxiety and substance abuse disorDers was higher among those reporting an Ataque De Nervios. Conclusion: Ataque De Nervios can serve as an important indicator of social and psychiatric vulnerability in future epiDemiological and clinical studies with Latino populations.
A Quantitative Analysis of Ataque De Nervios in Puerto Rico: Further Examination of a Cultural SyndromeHispanic Journal of Behavioral Sciences, 2006Co-Authors: Vivian E. Febo San Miguel, Peter J. Guarnaccia, Roberto Lewis-fernández, Patrick E. Shrout, G. J. Canino, Rafael RamírezAbstract:
The authors present a quantitative analysis and assessment of the symptoms of Ataque De Nervios. A sample of 121 individuals living in Puerto Rico proviDed qualitative and structured data on Ataques De Nervios and psychiatric correlates. A total of 77 participants reported having an Ataque De Nervios during their lifetimes. Their reports of symptoms associated with the Ataque-episoDe were analyzed using factor analysis. Two dimensions emerged from the analysis, representing respectively internalizing and externalizing experiences. Results sustained the heterogeneity of Ataque De Nervios with a marked anxiety component. The authors discuss results in the context of classification and unDerstanding of Ataques De Nervios and a moDel for studying cultural variance among cultural syndromes.
Matthew Hodes – One of the best experts on this subject based on the ideXlab platform.
Cross-cultural study of idioms of distress among Spanish nationals and Hispanic American migrants: susto, Nervios and Ataque De Nervios
Social Psychiatry and Psychiatric Epidemiology, 2012Co-Authors: Glòria Durà-vilà, Matthew HodesAbstract:
Purpose Susto (fright), Nervios (nerves) and Ataque De Nervios (attack of nerves) are idioms of distress wiDely experienced amongst Hispanic Americans, often associated with psychiatric disorDers. This study explores unDerstanding of these idioms of distress and attituDes to help seeking amongst indigenous Spanish and Hispanic American resiDents in Spain. Methods A population survey was unDertaken in four adult education centres in Spain. Hypothetical case vignettes of individuals suffering from the idioms of distress were used to investigate unDerstanding and help seeking by a Spanish sample compared with Hispanic American migrants to Spain. 350 questionnaires were obtained (94.6% response rate). Results The idioms Ataque De Nervios and Nervios were recognised by the majority of the Spanish group but by significantly more of the Hispanic American migrants. However, susto was infrequently recognised by the Spanish group but it was recognised by half of the Hispanic Americans. Hispanic Americans were also more likely to recommend consultation with a psychiatrist/psychologist than Spanish responDents for Ataque De Nervios and Nervios . The Spanish group were more likely to recommend non-medical sources of support such as relatives and priest than Hispanic Americans. Hispanic Americans, more recently arrived, did not show greater recognition of the three idioms than those who have been in Spain longer. Regression analysis showed that being Hispanic American and having lower educational attainment was associated with greater use of susto . Conclusions The study suggests that people hold multiple moDels of distress and disorDer. This may influence clinical presentations and help seeking behaviour in Spanish as well as Hispanic American populations .
cross cultural study of idioms of distress among spanish nationals and hispanic american migrants susto Nervios and Ataque De NerviosSocial Psychiatry and Psychiatric Epidemiology, 2012Co-Authors: Gloria Duravila, Matthew HodesAbstract:
Susto (fright), Nervios (nerves) and Ataque De Nervios (attack of nerves) are idioms of distress wiDely experienced amongst Hispanic Americans, often associated with psychiatric disorDers. This study explores unDerstanding of these idioms of distress and attituDes to help seeking amongst indigenous Spanish and Hispanic American resiDents in Spain.
Michael R. Liebowitz – One of the best experts on this subject based on the ideXlab platform.
Ataque De Nervios and History of Childhood TraumaJournal of Traumatic Stress, 2000Co-Authors: Daniel S. Schechter, Ester Salmán, Randall Marshall, Deborah Goetz, Sharon Davies, Michael R. LiebowitzAbstract:
Objective: Ataque De Nervios is a common, self-labeled Hispanic folk diagnosis. It typically Describes episodic, dramatic outbursts of negative emotion in response to a stressor, sometimes involving Destructive behavior. Dissociation and affective dysregulation during such episoDes suggested a link to childhood trauma. We therefore assessed psychiatric diagnoses, history of Ataque , and childhood trauma in treatment-seeking Hispanic outpatients ( N = 70). Significantly more subjects with an anxiety or affective disorDer plus Ataque reported a history of physical abuse, sexual abuse, and/or or a substance-abusing caretaker than those with psychiatric disorDer but no Ataque . In some Hispanic individuals, Ataque may represent a culturally sanctioned expression of extreme affect dysregulation associated with childhood trauma. Patients with Ataque De Nervios should receive a thorough traumatic history assessment.
Subtypes of Ataques De Nervios: The Influence of Coexisting Psychiatric DiagnosisCulture Medicine and Psychiatry, 1998Co-Authors: Ester Salmán, Peter J. Guarnaccia, Michael R. Liebowitz, Carlos M. Jusino, Robin Garfinkel, Dora L. Cárdenas, Abby J. Fyer, Linda Street, João Silverstre, Jose L. CarrascoAbstract:
The current study assesses the relationship between presenting symptomatology of the self-labeled Hispanic popular diagnosis of Ataques De Nervios and the specific co-morbid psychiatric diagnoses. Hispanic subjects seeking treatment at an anxiety disorDers clinic (n = 156) were assessed with a specially Designed self-report instrument for both traditional Ataque De Nervios and panic symptoms, and with structured or semi-structured psychiatric interviews for Axis-I disorDers. This report focuses on 102 subjects with Ataque De Nervios who also met criteria for panic disorDer, other anxiety disorDers, or an affective disorDer. Distinct Ataque symptom patterns correlated with co-existing panic disorDer, affective disorDers, or other anxiety disorDers. Individuals with both Ataque and panic disorDer reported the most asphyxia, fear of dying, and increased fear during their Ataques. People with Ataques who also met criteria for affective disorDer reported the most anger, screaming, becoming aggressive, and breaking things during Ataques. Ataque positive subjects with other anxiety disorDers were less salient for both panic-like and emotional-anger symptoms. The findings suggest that (a) Ataque De Nervios is a popular label referring to several distinct patterns of loss of emotional control, (b) the type of loss of emotional control is influenced by the associated psychiatric disorDer, and (c) Ataque symptom patterns may be a useful clinical marker for Detecting psychiatric disorDers. Further study is neeDed to examine the relationship between Ataque De Nervios and psychiatric disorDers, as well as the relationship to cultural, Demographic, environmental, and personality factors.
Ataque De Nervios and panic disorDer.The American journal of psychiatry, 1994Co-Authors: Michael R. Liebowitz, Ester Salmán, Carlos M. Jusino, Robin Garfinkel, Linda L. Street, Dora L. Cárdenas, Joao Silvestre, Abby J. Fyer, Jose L. Carrasco, Sharon O. DaviesAbstract:
Objective: Ataque De Nervios (“attack of nerves”) is an illness category used frequently by Hispanic individuals to Describe one or more particular symptom complexes. A review of the literature on Ataque suggested some overlap with panic disorDer. This study investigated the overlap with panic disorDer as well as other DSM-III-R axis I disorDers.
Method: Hispanic subjects seeking treatment at an anxiety disorDers clinic (N = 156) were assessed with a specially Designed questionnaire for self-report of Ataque De Nervios and panic symptoms and with structured or semistructured psychiatric interviews for axis I disorDers.
Results: Seventy percent of the subjects reported at least one Ataque De Nervios; 80% of these were female, whereas 57% of the group without these attacks were female. There were no differences in DSM-III-R diagnoses between the groups with and without Ataque De Nervios. Ataque was frequently associated with one or more anxiety and affective disorDers, including panic disorDer, generalized anxiety disorDer, recurrent major Depression, and anxiety not otherwise specified. Of the 45 subjects with both Ataque De Nervios and primary panic disorDer, 80% appeared to have labeled panic disorDer as Ataque. Ataque De Nervios was associated with panic symptoms even in subjects without panic disorDer, but the self-reporting of Ataque conveyed additional clinical information about the subjects with panic disorDer. Ataque De Nervios was similar in frequency and symptoms among subjects of Dominican and Puerto Rican origin.
Conclusions: Ataque De Nervios overlaps with panic disorDer but is a more inclusive construct. Further study of its interrelation with axis I disorDers is neeDed.