Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

SAGETRACK

Sign In to gain access to subscriptions and/or personal tools.
Journal of Cross-Cultural Psychology
This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Tolin, D. F.
Right arrow Articles by Blank, K.
Right arrow Search for Related Content
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Ataques de Nervios and Psychiatric Disorders in Older Puerto Rican Primary Care Patients

David F. Tolin

The Institute of Living

Julie T. Robison

University of Connecticut School of Medicine

Sonia Gaztambide

The Institute of Living

Sheryl Horowitz

Hartford Hospital

Karen Blank

The Institute of Living

The present study aimed to examine the phenomenon of ataques de nervios (ataques) among a primary care sample of Puerto Ricans age 50 years and older living in the mainland United States. The sample included 303 participants who were asked whether they had ever experienced an ataque and to describe the episode and the situation that provoked it. Participants were administered a Spanish-language version of the Composite International Diagnostic Interview—Short Form. Ataques occurred in 26% of participants and were a strong risk factor for current psychiatric disorders. Of participants with ataques, 84% met criteria for at least one anxiety, mood, suicidal, psychotic, or substance use problem. Ataques were most commonly elicited by interpersonal conflict. Factor analysis suggested three possible constellations of ataques symptoms that appeared to map onto anxious, angry, and depressive symptomatology. Ataques were associated with poorer subjective health status but not with other proposed vulnerability factors.

Key Words: ataques de nervios • Hispanics • elderly

References

  • Beekman, A.T., Bremmer, M.A., Deeg, D.J., van Balkom, A.J., Smit, J.H., de Beurs, E., et al. (1998). Anxiety disorders in later life: A report from the Longitudinal Aging Study Amsterdam. International Journal of Geriatric Psychiatry, 13, 717-726.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Escobar, J.I., Rubio-Stipec, M., Canino, G., & Karno, M. (1989). Somatic Symptom Index (SSI): A new and abridged somatization construct. Prevalence and epidemiological correlates in two large community samples. Journal of Nervous and Mental Disease, 177, 140-146.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). Mini-mental state: A practical method for grading the cognitive state of patients for clinicians. Journal of Psychiatric Research, 12, 189-198.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Gallo, J.J., Marino, S., Ford, D., & Anthony, J.C. (1995). Filters on the pathway to mental health care: II. Sociodemographic factors. Psychological Medicine, 25, S79-S83.
  • Ginzberg, E. (1991). Access to health care for Hispanics. Journal of the American Medical Association, 265, 238-241.[Abstract/Free Full Text]
  • Guarnaccia, P.J. (1993). Ataques de nervios in Puerto Rico: Culture-bound syndrome or popular illness? Medical Anthropology, 15, 157-170.[Medline] [Order article via Infotrieve]
  • Guarnaccia, P.J., De La Cancela, V., & Carrillo, E. (1989). The multiple meanings of ataques de nervios in the Latino community. Medical Anthropology, 11, 47-62.[Medline] [Order article via Infotrieve]
  • Guarnaccia, P.J., Rubio-Stipec, M., & Canino, G. (1989). Ataques de nervios in the Puerto Rican Diagnostic Interview Schedule: The impact of cultural categories on psychiatric epidemiology. Culture, Medicine, and Psychiatry, 13, 275-295.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Katz, S., Ford, A.B., Moskowitz, R.W., Jackson, B.A., & Jaffe, M.W. (1963). Studies of illness in the aged: The Index of ADL. A standardized measure of biological and physiological function. Journal of the American Medical Association, 185, 914.
  • Kessler, R.C., Andrews, G., Mroczek, D., Ustun, B., & Wittchen, H.U. (1998). The World Health Organization composite international diagnostic interview short-term (CIDI-SF). International Journal of Methods in Psychiatric Research, 7, 171-185.[CrossRef]
  • Kessler, R.C., McGonagle, K.A., Zhao, S., Nelson, C.B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8-19.[Abstract/Free Full Text]
  • Kirmayer, L.J. (2001). Cultural variations in the clinical presentation of depression and anxiety: Implications for diagnosis and treatment. Journal of Clinical Psychiatry, 62, 22-28.
  • Lawton, M.P., & Brody, E.M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist, 9, 179-188.[Web of Science][Medline] [Order article via Infotrieve]
  • Liebowitz, M.R., Salmán, E., Jusino, C.M., Garfinkel, R., Street, L., Cárdenas, D.L., et al. (1994). Ataque de nervios and panic disorder. American Journal of Psychiatry, 151, 871-875.[Abstract/Free Full Text]
  • Lyness, J.M., Noel, T.K., Cox, C., King, D.A., Conwell, Y., & Caine, E.D. (1997). Screening for depression in elderly primary care patients. Archives of Internal Medicine, 157, 449-454.[CrossRef]
  • Marin, G. (1992). Issues in the management of acculturation among Hispanics. In K. F. Geisinger (Ed.), Psychological testing of Hispanics (pp. 235-251). Washington, DC: American Psychological Association.
  • Markides, K.S., Rudkin, L., Angel, R.J., & Espino, D. (1997). Health status of Hispanic elderly. In B. J. Soldo (Ed.), Racial and ethnic differences in the health of older Americans. Washington, DC: National Academy Press.
  • Mehlman, R.D. (1961). The Puerto Rican Syndrome. American Journal of Psychiatry, 118, 328-332.[Free Full Text]
  • Miller, M.D., Paradis, C.F., Houck, P.R., Mazumdar, S., & Rifai, A.H. (1992). Rating chronic medical illness burden in geropsychiatric practice and research: Application of the Cumulative Illness Rating Scale. Psychiatry Research, 41, 237-248.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Oquendo, M.A. (1994). Differential diagnosis of ataque de nervios. American Journal of Orthopsychiatry, 65, 60-65.[Web of Science]
  • Regier, D.A., Boyd, J.H., Burke, J.D., Rae, D.S., Myers, J.K., Kramer, M., et al. (1988). One-month prevalence of mental disorders in the United States: Based on five Epidemiologic Catchment Area sites. Archives of General Psychiatry, 45, 977-986.[Abstract/Free Full Text]
  • Robison, J., Gruman, C., Gaztambide, S., & Blank, K. (2002). Screening for depression in middle-aged and older Puerto Rican primary care patients. Journal of Gerontology: Medical Sciences, 57A, M1-M7.
  • Rubio-Stipec, M., Bravo, M., & Canino, G. (1991). The Composite International Diagnostic Interview (CIDI): An epidemiologic instrument suitable for using in conjunction with different diagnostic systems in different cultures. Acta Psiquiatrica Psicologica America Latina, 37, 191-204.
  • Salmán, E., Liebowitz, M.R., Guarnaccia, P.J., Jusino, C.M., Garfinkel, R., Street, L., et al. (1998). Subtypes of ataques de nervios: The influence of coexisting psychiatric diagnosis. Culture, Medicine, and Psychiatry, 22, 231-244.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Stanley, M.A., Roberts, R.E., Bourland, S.L., & Novy, D.M. (2001). Anxiety disorders among older primary care patients. Journal of Clinical Geropsychology, 7, 105-116.[CrossRef]
  • Tolin, D.F., Robison, J.T., Gaztambide, S., & Blank, K. (2005). Anxiety disorders in older Puerto Rican primary care patients. American Journal of Geriatric Psychiatry, 13, 150-156.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Tucker, K.L., Falcon, L.M., Bianchi, L.A., Cacho, E., & Bermudez, O.I. (2000). Self-reported prevalence and health correlates of functional limitation among Massachusetts elderly Puerto Ricans, Dominicans, and non-Hispanic White neighborhood comparison group. Journal of Gerontology Series A: Biological Sciences and Medical Sciences, 55, M90-M97.
  • U.S. Department of Health and Human Services. ( 2001). Mental health: Culture, race, and ethnicity—a supplement to mental health: A report of the Surgeon General. Rockville, MD: Author.
  • World Health Organization. (1990). Composite international diagnostic interview, Version 1.0. Geneva, Switzerland: World Health Organization.
  • Zinbarg, R.E., Barlow, D.H., Liebowitz, M., Street, L., Broadhead, E., Katon, W., et al. (1994). The DSM-IV field trial for mixed anxiety-depression. American Journal of Psychiatry, 151, 1153-1162.[Abstract/Free Full Text]

Journal of Cross-Cultural Psychology, Vol. 38, No. 6, 659-669 (2007)
DOI: 10.1177/0022022107308578


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?



This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Tolin, D. F.
Right arrow Articles by Blank, K.
Right arrow Search for Related Content
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?