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 outpatients
    Culture Medicine and Psychiatry, 2010
    Co-Authors: Roberto Lewisfernandez, Magdaliz Gorritz, Greer A Raggio, Clara Pelaez, Henian Chen, Peter J. Guarnaccia
    Abstract:

    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, 2009
    Co-Authors: Peter J. Guarnaccia, Roberto Lewis-fernández, Patrick E. Shrout, Igda Martinez Pincay, Jing Guo, Maria Torres, Glorisa Canino, Margarita Alegría
    Abstract:

    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 Syndrome
    Hispanic Journal of Behavioral Sciences, 2006
    Co-Authors: Vivian E. Febo San Miguel, Peter J. Guarnaccia, Roberto Lewis-fernández, Patrick E. Shrout, G. J. Canino, Rafael Ramírez
    Abstract:

    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.

  • The relationship between Ataque De Nervios and unexplained neurological symptoms: a preliminary analysis.
    The Journal of nervous and mental disease, 2005
    Co-Authors: Alejandro Interian, Peter J. Guarnaccia, William A. Vega, Michael A. Gara, Robert C. Like, Javier I. Escobar, Angélica M. Díaz-martínez
    Abstract:

    Within somatization, unexplained neurological symptoms (UNSs) have been shown to mark a distinct subgroup with greater clinical severity. However, some UNSs resemble Ataque De Nervios somatic symptoms. This raises questions about cultural factors related to Hispanics with somatization characterized by UNSs. To examine cultural factors, preliminary analyses examined the relationship between Hispanic ethnicity, UNSs, and Ataque De Nervios. Data were obtained from 127 primary care patients (95 Hispanic, 32 European American) with somatization. The Composite International Diagnostic Interview proviDed somatization data, whereas the Primary Care Evaluation of Mental DisorDers was used for data on Axis I disorDers. Ataque De Nervios was assessed via a proxy measure. Within each ethnic group, cross-tabs examined the relationship between Ataque De Nervios and multiple UNSs, and Ataque De Nervios and selected Axis I disorDers. Only among Hispanics, a significant overlap was found between Ataque De Nervios and having four or more UNSs (p < .001), and Ataque De Nervios and a diagnosis of panic disorDer (p = .05). Although equal percentages of European Americans and Hispanics experience multiple UNSs, these results show that the presentation of UNSs among some Hispanics may be qualitatively different, because it may involve features related to Ataque De Nervios. A diagnosis of panic disorDer also appears to interact with cultural factors.

  • Are Ataques De Nervios in Puerto Rican children associated with psychiatric disorDer
    Journal of the American Academy of Child and Adolescent Psychiatry, 2005
    Co-Authors: Peter J. Guarnaccia, Rafael Ramírez, Igda Martinez, Glorisa Canino
    Abstract:

    ABSTRACT Objective To proviDe the first empirical analysis of a cultural syndrome in children by examining the prevalence and psychiatric correlates of Ataques De Nervios in an epiDemiological study of the mental health of children in Puerto Rico. Method Probability samples of caretakers of children 4-17 years old in the community ( N = 1,892; response rate: 90%) and in clinical services ( N = 761; response rate 72%) were administered structured interviews to assess the presence and correlates of Ataques De Nervios . Results Nine percent of children in the community sample and 26% of children in the clinical sample had a reported history of an Ataque De Nervios . In contrast to the overall community and clinical samples, which had more boys in them, the Ataque De Nervios groups in both samples had more girls in them. Family history of Ataques De Nervios was associated with Ataques De Nervios in children in both samples. Across a wiDe range of Depression, anxiety, and disruptive disorDers, children who reported an Ataque De Nervios were more likely to meet research criteria for psychiatric disorDer in both samples. Conclusions Ataques De Nervios are a frequently reported cultural syndrome among children in Puerto Rico. Adolescent girls are more likely to report this experience. Ataques De Nervios have a significant relationship with psychiatric disorDer and impairment in Puerto Rican children.

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, 2012
    Co-Authors: Glòria Durà-vilà, Matthew Hodes
    Abstract:

    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 Nervios
    Social Psychiatry and Psychiatric Epidemiology, 2012
    Co-Authors: Gloria Duravila, Matthew Hodes
    Abstract:

    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.

Michael R. Liebowitz - One of the best experts on this subject based on the ideXlab platform.

  • Ataque De Nervios and History of Childhood Trauma
    Journal of Traumatic Stress, 2000
    Co-Authors: Daniel S. Schechter, Ester Salmán, Randall Marshall, Deborah Goetz, Sharon Davies, Michael R. Liebowitz
    Abstract:

    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 Diagnosis
    Culture Medicine and Psychiatry, 1998
    Co-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. Carrasco
    Abstract:

    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, 1994
    Co-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. Davies
    Abstract:

    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.

Lomeña Galiano María - One of the best experts on this subject based on the ideXlab platform.

  • Variación lingüística y traducción para el doblaje: mujeres al borDe De un Ataque De Nervios
    Universidad de Málaga (UMA): Departamento de Traducción e Interpretacion, 2009
    Co-Authors: Lomeña Galiano María
    Abstract:

    This study is intenDed to approximate the study of language variation and translation for dubbing based on a comparative study in which similarities, differences, changes, etc. in director Pedro Almodovar�s film �Mujeres al borDe De un Ataque De Nervios�, in its original version in Spanish and in its versions dubbed in French and Italian, are analysed and Described.Traducción audiovisual, doblaje, variación lingüística, referentes culturales, referentes lingüísticos

  • Variación lingüística y traducción para el doblaje: "Mujeres al borDe De un Ataque De Nervios"
    Editorial Comares, 2009
    Co-Authors: Lomeña Galiano María
    Abstract:

    En este estudio pretenDemos realizar una aproximación al estudio De la variación lingüística y la traducción para el doblaje basándonos en un estudio comparativo en el que se analizan y Describen similituDes, diferencias, cambios, etc. en la película Mujeres al borDe De un Ataque De Nervios Del director Pedro Almodóvar en su versión original (en español) y en sus versiones dobladas al francés y al italiano.G.I. HUM 767 (ayudas a Grupos De Investigación De la Junta De Andalucía) / Editorial Comares (colección interlingua

Roberto Lewis-fernández - One of the best experts on this subject based on the ideXlab platform.

  • Examination of Ataque De Nervios and Ataque De Nervios like events in a diverse sample of adults with anxiety disorDers.
    Depression and anxiety, 2018
    Co-Authors: Ethan Moitra, Roberto Lewis-fernández, Yovanska Duarté-vélez, Risa B. Weisberg, Martin B. Keller
    Abstract:

    BACKGROUND Ataque De Nervios (Ataque) represents a cultural syndrome of paroxysmic symptoms that is Described as an expression of distress among Latinx (genDer-inclusive term for people of Latin-American Descent). Some Ataques are symptomatically similar to DSM-5-Defined panic attacks, but also may incluDe acute anger, grief, suicidal/violent behavior, or dissociation, and can last for hours or even days. Ataques usually occur after stressors and can trigger the mobilization of social support networks. Although Described as a cultural syndrome, two studies showed that Ataque-like events can occur in non-Latinx individuals. However, neither of the previous studies examined these events in psychiatric samples and both were hinDered by methodological shortcomings. METHODS The present study examined lifetime prevalence of Ataques and Ataque-like events in an ethnically/racially diverse sample of 245 adults with anxiety disorDers to better unDerstand acute reactions to stressors across cultures. RESULTS Controlling for previously established correlates of Ataque, results showed that Latinx were significantly more likely to report ever having an Ataque (B = 1.41; P = 0.001; OR = 4.10 [95% CI: 1.72-9.80]), but events were reported by some non-Latinx African Americans and Whites. Anxiety sensitivity was also a significant predictor. Across the three groups, minor differences were found in symptoms, severity, or precipitants of attacks. CONCLUSIONS Findings suggest that Latinx are more likely to experience Ataques but that stressors can trigger similar symptoms in non-Latinx. However, more research is neeDed to unDerstand the meaning of these attacks within non-Latinx groups as the explanations, connotations, and help-seeking expectations regarding Ataque are connected to Latinx cultures.

  • Ataque De Nervios as a marker of social and psychiatric vulnerability: results from the NLAAS.
    The International journal of social psychiatry, 2009
    Co-Authors: Peter J. Guarnaccia, Roberto Lewis-fernández, Patrick E. Shrout, Igda Martinez Pincay, Jing Guo, Maria Torres, Glorisa Canino, Margarita Alegría
    Abstract:

    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 moDel of the generation of Ataque De Nervios: the role of fear of negative affect and fear of arousal symptoms.
    CNS neuroscience & therapeutics, 2009
    Co-Authors: Devon E Hinton, Roberto Lewis-fernández, Mark H Pollack
    Abstract:

    This article examines a moDel of the generation of Ataque De Nervios, according to which both fear of negative affectivity and fear of arousal symptoms are associated with the emergence of Ataques. We examine the relationship of fear of negative affectivity and fear of arousal to the severity of Ataque De Nervios during the last month and the last 6 months among Caribbean Latinos residing in the United States. The measures incluDe a Fear of Anger Scale and the Anxiety Sensitivity InDex (ASI), the ASI augmented with two items that assess fear of arousal symptoms common in Ataques: chest tightness and a sense of inner heat. In keeping with the moDel of Ataque generation, one-way analysis of variances (ANOVAs) and discriminant function analyses illustrated that items assessing “fear of negative affect” and “fear of somatic and psychological symptoms of arousal” both differentiated well among the levels of Ataque severity. In addition, key Ataque symptoms—mental incapacitation fears, shakiness, chest tightness, palpitations, and a sense of inner heat—were the best discriminators among levels of Ataque severity. In patients with severe Ataques, the scores of “fear of negative affect” and “fear of Ataque-De-Nervios-type somatic and psychological symptoms” were extremely elevated. This further suggests that both these types of fears are associated with this idiom of distress and that the specific content of the fears is linked to the symptom picture of the idiom. This suggests specific therapeutic targets for the treatment of Ataque, namely, the reduction of anxiety sensitivity (and more generally negative-emotion and arousal sensitivity) using cognitive behavioral therapy (CBT), relaxation, and mindfulness techniques.

  • A Quantitative Analysis of Ataque De Nervios in Puerto Rico: Further Examination of a Cultural Syndrome
    Hispanic Journal of Behavioral Sciences, 2006
    Co-Authors: Vivian E. Febo San Miguel, Peter J. Guarnaccia, Roberto Lewis-fernández, Patrick E. Shrout, G. J. Canino, Rafael Ramírez
    Abstract:

    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.

  • Toward a Puerto Rican Popular Nosology: Nervios and Ataque De Nervios
    Culture Medicine and Psychiatry, 2003
    Co-Authors: Peter J. Guarnaccia, Roberto Lewis-fernández, Melissa Rivera Marano
    Abstract:

    This paper is about naming illnesses—about who Determines what categories are used and the implications of these Determinations. The central concerns of medical/psychiatric anthropology have been to unDerstand popular categories of and systems for classification of illness, to examine the relationship of illness categories to cultural unDerstandings of the body, and to interpret the role of categories of illness in mediating between the personal and social spheres. At the same time, the paper also discusses the interplay of popular categories and psychiatric diagnoses. This paper examines the multiple experiences of Nervios among Puerto Ricans in Puerto Rico and New York City. Our contention is that Nervios is more than a diffuse idiom of distress, and that there are different categories and experiences of Nervios which proviDe insights into how distress is experienced and expressed by Puerto Ricans and point to different social sources of suffering. The data in this paper come from the responses to a series of open-enDed questions which tapped into people's general conceptions of Nervios and Ataques De Nervios . These questions were incorporated into follow-up interviews to an epiDemiological study of the mental health of adults in Puerto Rico. The results suggest ways to incorporate these different categories of Nervios into future research and clinical work with different Latino groups in the United States and in their home countries.