Ataques de Nervios and Somatic Complaints Among Island and Mainland Puerto Rican Children

CNS Neuroscience and Therapeutics

Volumn 17, Issue 3, 2011, Pages 158-166

  Lopez, Irene ^a   Ramirez, Rafael ^b   Guarnaccia, Peter ^c   Canino, Glorisa ^b   Bird, Hector ^d  

^a KENYON COLLEGE   (United States)

^b UNIVERSITY OF PUERTO RICO MEDICAL SCIENCES CAMPUS   (Puerto Rico)

^c RUTGERS UNIVERSITY   (United States)

^d Och Spine at New York Presbyterian Hospitals   (United States)

Author keywords

Anxiety disorders; Children; Latino; Migraine; Somatic complaints

Indexed keywords

ADOLESCENT; ANXIETY; ARTICLE; ASTHMA; ATAQUES DE NERVIOS; CHILD; CONTROLLED STUDY; EPILEPSY; GEOGRAPHIC DISTRIBUTION; HEADACHE; HUMAN; INJURY; MAJOR CLINICAL STUDY; PRESCHOOL CHILD; PREVALENCE; PUERTO RICO; RISK ASSESSMENT; SCHOOL CHILD; SEIZURE; SOMATOFORM DISORDER;

ADOLESCENT; ANXIETY; ASTHMA; CHILD; CHILD, PRESCHOOL; FEMALE; HEADACHE; HISPANIC AMERICANS; HUMANS; MALE; NERVOUS SYSTEM DISEASES; NEW YORK CITY; PSYCHOPHYSIOLOGIC DISORDERS; PUERTO RICO; STOMACH DISEASES;

EID: 79955723955     PISSN: 17555930     EISSN: 17555949     Source Type: Journal    
DOI: 10.1111/j.1755-5949.2010.00137.x     Document Type: Article

References (47)

1. López SR, Guarnaccia PJ. Cultural dimensions of psychopathology: The social world's impact on mental illness. In: Maddux JE, Winstead BA, editors. Psychopathology: Foundations for a contemporary understanding. Mahway, NJ Erlbaum. 2005;19-38.
2. Guarnaccia PJ, Rogler LH. Research on culture bound syndromes: New directions. Am J Psychiatry 1999;156:1322-1327.
3. Kirmayer LJ, Young A. Culture and somatization: Clinical, epidemiological, and ethnographic perspectives. Psychosom Med 1998;60:420-430.
4. Alarcón RD, Alegria M, Bell CC, et al. Beyond the funhouse mirrors: Research agenda on culture and psychiatric diagnosis. In: Kupfer DJ, First MB, Reiger DA, editors. Research Agenda for DSM-V. Washington, DC American Psychiatric Publishing, 2002;219-290.
5. Canino I, Canino G, Arroyo W. Cultural considerations for childhood disorders: How much of it was included in DSM-IV? Trans Psychiatry 1998;35:343-355.
6. U.S. Census Bureau. In U.S. Interim projections by age, sex, race, and Hispanic origin. 2004. Available from: [Accessed 18 February 2010.
7. Cintrón JA, Carter MM, Sbrocco T. Ataques de nervios in relation to anxiety sensitivity among Island Puerto Ricans. Cult Med Psychiatr 2005;29:415-431.
8. Febo San Miguel VE, Guarnaccia PJ, Shrout PE, Lewis-Fernández R, Canino G, Ramírez R. A quantitative analysis of ataques de nervios in Puerto Rico: Further examination of a cultural syndrome. Hisp J Behav Sci 2006;28:313-330.
9. Guarnaccia PJ, DeLaCancela V, Carrillo E. The multiple meanings of ataques de nervios in the Latino community. Med Anthropol 1989;11:47-62.
10. Guarnaccia PJ, Rivera M, Franco F, Neighbors C. The experiences of ataques de nervios: Towards an anthropology of emotion in Puerto Rico. Cult Med Psychiatr 1996;20:343-367.
11. Guarnaccia PJ, Canino G, Rubio-Stipec M, Bravo M. The prevalence of ataques de nervios in the Puerto Rico Disaster Study: The role of culture in psychiatric epidemiology. J Nerv Ment Dis 1993;181:159-167.
12. Guarnaccia PJ, Martinez I, Ramírez R, Canino C. Are ataques de nervios in Puerto Rican children associated with psychiatric disorder? J Am Acad Child Adolesc Psychiatr 2005;44:1184-1192.
13. López I, Rivera F, Ramirez R, Guarnaccia P, Canino G, Bird H. Ataques de Nervios and its psychiatric correlates in Puerto Rican children from two different contexts. J Ner Ment Dis 2009;iii-x:923-929.
14. Guarnaccia PJ, Lewis-Fernández R, Rivera Marano R. Toward a Puerto Rican popular nosology: Nervios and ataques de nervios. Cult Med Psychiatr 2003;27:339-366.
15. Lewis-Fernández R, Guarnaccia PJ, Martinez IE, Salman E, Schmidt A, Liebowitz M. Comparative phenomenology of ataques de nervios, panic attacks, and panic disorder. Cult Med Psychiatr 2002;26:199-223.
16. Liebowitz MR, Salmán E, Jusino CM, et al. Ataques de nervios and panic disorder. Am J Psychiatry 1994;151:871-875.
17. Hinton DE, Chong R, Pollack MH, Barlow DH, McNally RJ. Ataques de nervios: Relationship to anxiety sensitivity and dissociation predisposition. Dep Anx 2008;25:489-495.
18. Hinton DE, Hinton L, Tran M, et al. Orthostatic panic attacks among Vietnamese refugees. Trans Psychiatr 2007;44:515-544.
19. Angel R, Guarnaccia PJ. Mind, body, and culture: Somatization among Hispanics. Soc Sci Med 1989;28:1229-1238.
20. Canino IA, Rubio-Stipec M, Canino G, Escobar JI. Functional somatic complaints: A cross-ethnic comparison. Am J Orthopsychiat 1992;62:605-612.
21. Escobar JI, Canino G. Unexplained physical complaints: Psychopathology and epidemiological correlates. Br J Psychiatr 1989;154:24-27.
22. Interian A, Guarnaccia PJ, Vega WA, et al. The relationship between ataque de nervios and unexplained neurological symptoms: A preliminary analysis. J Ner Men Dis 2005;193:32-39.
23. Pina AA, Silverman WK. Clinical phenomenology, somatic symptoms, and distress in Hispanic/Latino and European American youths with anxiety disorders. J Clin Child Adolesc Psychiatr 2004;33:227-236.
24. Oelkers-Ax R, Resch F. Headache and comorbid psychiatric problems in children. Headache Pain: Diagnost Chall Curr Therap 2007;18:150-153.
25. Linna S, Moilanen I, Keisitinen H, Ernvall ML. Prevalence of psychosomatic symptoms in children. Psychother Psychomat 1991;56:85-87.
26. Masi G, Letizia F, Millepiedi S, Mucci M. Somatic symptoms in children and adolescents referred for emotional and behavioral disorders. Psychiatr: Interpersonal Bio Proc 2000;63:140-149.
27. Santalahti P, Aromaa M, Sourander A, Helenius H, Piha J. Have there been changes in children's psychomatic symptoms? A 10-year comparison from Finland. Pediatrics 2005;115:434-442.
28. Lara M, Akinbami L, Flores G, Morgenstern H. Heterogeneity of childhood asthma among Hispanic children: Puerto Rican children bear a disproportionate burden. Pediatrics 2006;117:43-53.
29. Ledogar RJ, Penchaszadeh A, Garden CC, Iglesias G. Asthma and Latino cultures: Different prevalence reported among groups sharing the same environment. Am J Pub Health 2000;90:929-935.
30. Ortega AN, Goodwin RD, McQuaid EL, Canino G. Parental mental health, childhood psychiatric disorders, and asthma attacks in island Puerto Rican youth. Amb Ped 2004;4:55-62.
31. Ekinci OE, Titus JB, Arman Rodopman A, Berkem M, Trevathan E. Depression and anxiety in children and adolescents with epilepsy: Prevalence, risk factors, and treatment. Epilepsy Behav 2009;14:8-18.
32. Bird HR, Canino G, Davies M, et al. A study of disruptive behavior disorders in Puerto Rican youth: I. Background, design and survey methods. J Am Acad Child Adolesc Psychiatr 2006;45:1032-1041.
33. Bird HR, Davies M, Duarte CS, Shen S, Loeber R, Canino G. A study of disruptive behavior disorders in Puerto Rican youth: II. Baseline prevalence, comorbidity and correlates in two sites. J Am Acad Child Adolesc Psychiatr 2006;45:1042-1053.
34. Bird HR, Shrout PE, Davies M, et al. Longitudinal development of antisocial behaviors in young and early adolescent Puerto Rican children at two sites. J Am Acad Child Adolesc Psychiatr 2007;46:5-14.
35. Canino G, Bravo M. The adaptation and testing of diagnostic and outcome measures for cross-cultural research. Int Rev Psychiatr 1994;32:281-286.
36. Bird HR, Gould M, Staghezza B. Aggregating data from multiple informants in child psychiatry epidemiological research. J Am Acad Child Adolesc Psychiatr 1992;31:78-85.
37. Research Triangle Institute. SUDAAN User's Manual, Release 9.1. 2004; Research Triangle Park, NC Research Triangle Institute.
38. Binder DA. On the variances of asymptotically normal estimators from complex surveys. Int Stat Rev 1983;15:279-292.
39. Egger HK, Costello JE, Allaattin E, Angold A. Somatic complaints and psychopathology in children and adolescents: Stomach aches, musculoskeletal pains, and headaches. J Am Acad Child Adolesc Psychiatr 1999;38:852-860.
40. Canino G. Are somatic symptoms and related distress more prevalent in Hispanic/Latino youth? Some methodological considerations. J Clin Child Adolesc Psychiatr 2004;33:272-275.
41. Alegria M, Canino G, Lai S, et al. Understanding caregivers' help-seeking for Latino children's mental health care use. Med Car 2004;42:447-455.
42. Zayas LH, Lester RJ, Cabassa LJ, Fortuna LR. Why do so many Latina teens attempt suicide? A conceptual model for research. Am J Ortho Psychiatr 2005;75:275-287.
43. Breslau N, Davis GC, Andreski P. Migraine, psychiatric disorders and suicide attempts: An epidemiological study of young adults. Psychiatr Res 1991;37:11-23.
44. Merikangas KR, Angst J, Isler H. Migraine and psychopathology: Result of the Zurich cohort study of young adults. J Ped Psychiatr 1999;47:849-853.
45. Hinton DE, Lewis-Fernández R, Pollack MH. A model of the generation of ataque de nervios: The role of fear of negative affect and fear of arousal symptoms. CNS Neurosci Ther 2009;15:264-275.
46. Hinton D, Um K, Ba P. Kyol goeu ('wind overload') part II: Prevalence, characteristics and mechanisms of kyol goeu and near-kyol goeu episodes of Khmer patients attending a psychiatric clinic. Trans Psychiatry 2001;38:433-460.
47. Egger HL, Angold A, Costello JE. Headaches and psychopathology in children and adolescents. J Am Acad Child Adolesc Psychiatr 1998;37:951-958.