ATAQUE DE NERVIOS AS A MARKER OF SOCIAL AND PSYCHIATRIC VULNERABILITY: RESULTS FROM THE NLAAS

被引:44
作者
Guarnaccia, Peter J. [1 ]
Lewis-Fernandez, Roberto [2 ,3 ]
Pincay, Igda Martinez [1 ]
Shrout, Patrick [4 ]
Guo, Jing [5 ,6 ]
Torres, Maria [7 ]
Canino, Glorisa [8 ]
Alegria, Margarita [5 ,6 ]
机构
[1] Rutgers State Univ, Inst Hlth Hlth Care Policy & Aging Res, New Brunswick, NJ 08903 USA
[2] Columbia Univ, Dept Psychiat, New York, NY USA
[3] New York State Psychiat Inst & Hosp, Hispan Treatment Program, New York, NY 10032 USA
[4] NYU, Dept Psychol, New York, NY 10003 USA
[5] Cambridge Hlth Alliance, Ctr Multicultural Mental Hlth Res, Cambridge, MA USA
[6] Harvard Univ, Sch Med, Cambridge, MA 02138 USA
[7] Brandeis Univ, Heller Sch Social Policy & Management, Waltham, MA 02254 USA
[8] Univ Puerto Rico Med Sci Campus, Behav Sci Res Inst, Puerto Real, Spain
关键词
ataques de nervios; cultural syndromes; Latinos; NLAAS; social and psychiatric vulnerability; NATIONAL LATINO; PREVALENCE; DISORDERS; CULTURE; EPIDEMIOLOGY;
D O I
10.1177/0020764008101636
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: This article presents the first 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.
引用
收藏
页码:298 / 309
页数:12
相关论文
共 22 条
[1]   Considering context, place and culture: the National Latino and Asian American Study [J].
Alegria, M ;
Takeuchi, D ;
Canino, G ;
Duan, NH ;
Shrout, P ;
Meng, XL ;
Vega, W ;
Zane, N ;
Vila, D ;
Woo, M ;
Vera, M ;
Guarnaccia, P ;
Aguilar-Gaxiola, S ;
Sue, S ;
Escobar, J ;
Lin, KM ;
Gong, F .
INTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH, 2004, 13 (04) :208-220
[2]   Cultural relevance and equivalence in the NLAAS instrument: integrating etic and emic in the development of cross-cultural measures for a psychiatric epidemiology and services study of Latinos [J].
Alegria, M ;
Vila, D ;
Woo, M ;
Canino, G ;
Takeuchi, D ;
Vera, M ;
Febo, V ;
Guarnaccia, P ;
Aguilar-Gaxiola, S ;
Shrout, P .
INTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH, 2004, 13 (04) :270-288
[3]   Prevalence of psychiatric disorders across Latino subgroups in the United States [J].
Alegria, Margarita ;
Mulvaney-Day, Norah ;
Torres, Maria ;
Polo, Antonio ;
Cao, Zhun ;
Canino, Glorisa .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2007, 97 (01) :68-75
[4]   Racial/ethnic differences in social vulnerability among women with co-occurring mental health and substance abuse disorders: Implications for treatment services [J].
Amaro, H ;
Larson, MJ ;
Gampel, J ;
Richardson, E ;
Savage, A ;
Wagler, D .
JOURNAL OF COMMUNITY PSYCHOLOGY, 2005, 33 (04) :495-511
[5]  
[Anonymous], STAT STAT SOFTW REL
[6]  
[Anonymous], 1999, Who counts? The Politics of Census-Taking in Contemporary America
[7]   The experiences of Ataques de nervios: Towards an anthropology of emotions in Puerto Rico [J].
Guarnaccia, PJ ;
Rivera, M ;
Franco, F ;
Neighbors, C .
CULTURE MEDICINE AND PSYCHIATRY, 1996, 20 (03) :343-367
[8]   Are ataques de nervios in Puerto Rican children associated with psychiatric disorder? [J].
Guarnaccia, PJ ;
Martinez, I ;
Ramirez, R ;
Canino, G .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2005, 44 (11) :1184-1192
[9]  
Guarnaccia PJ, 1999, AM J PSYCHIAT, V156, P1322
[10]   THE PREVALENCE OF ATAQUES-DE-NERVIOS IN THE PUERTO-RICO DISASTER STUDY - THE ROLE OF CULTURE IN PSYCHIATRIC EPIDEMIOLOGY [J].
GUARNACCIA, PJ ;
CANINO, G ;
RUBIOSTIPEC, M ;
BRAVO, M .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1993, 181 (03) :157-165