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Ataque de nervios and panic disorder

M R Liebowitz1, E Salmán, C M Jusino

  • 1Hispanic Anxiety Disorders Clinic, New York State Psychiatric Institute, NY 10032.

The American Journal of Psychiatry
|June 1, 1994
PubMed
Summary
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Ataque de nervios, a cultural syndrome, overlaps with panic disorder but is broader. It is often associated with various anxiety and mood disorders in Hispanic individuals.

Area of Science:

  • Psychiatry
  • Cultural Psychiatry
  • Anxiety Disorders

Background:

  • Ataque de nervios is a culturally recognized syndrome among Hispanic populations.
  • Previous literature suggests potential overlap between ataque de nervios and panic disorder.
  • This study aimed to explore the relationship between ataque de nervios and other DSM-III-R Axis I disorders.

Purpose of the Study:

  • To investigate the diagnostic overlap between ataque de nervios and panic disorder.
  • To examine the association of ataque de nervios with other DSM-III-R Axis I disorders.
  • To understand the clinical presentation and diagnostic implications of ataque de nervios.

Main Methods:

  • 156 Hispanic subjects from an anxiety disorders clinic participated.
  • Assessment included a self-report questionnaire for ataque de nervios and panic symptoms.

Related Experiment Videos

  • Structured or semistructured psychiatric interviews were used for Axis I disorder diagnoses.

    • Main Results:

    • 70% of subjects reported ataque de nervios, predominantly females (80%).
    • Ataque de nervios was frequently linked to anxiety disorders (panic, GAD) and affective disorders (depression).
    • Many with panic disorder identified their symptoms as ataque de nervios, indicating a broader construct.

    Conclusions:

    • Ataque de nervios is a more inclusive concept than panic disorder.
    • Further research is necessary to clarify the interrelation between ataque de nervios and other Axis I disorders.
    • Cultural syndromes like ataque de nervios provide valuable clinical information beyond Western diagnostic categories.