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Comparative phenomenology of ataques de nervios, panic attacks, and panic disorder.
- Source :
- Culture, Medicine & Psychiatry; Jun2002, Vol. 26 Issue 2, p199-223, 25p
- Publication Year :
- 2002
-
Abstract
- This article examines a clinical sample of 66 Dominican and Puerto Rican subjects who reported ataques de nervios and also psychiatric disorder, and disentangles the phenomenological experiences of ataque de nervios, panic attacks, and panic disorder. In-depth cultural interviews assessed the symptomatic phenomenology of ataque episodes from the local perspective as well as in terms of key panic features, such as recurrence, rapid peaking of symptoms, and lack of provocation. Independent diagnostic assessments of panic attacks and disorder were also used to establish the phenomenological overlap between ataque and panic. Our findings indicate that 36 percent of ataques de nervios fulfill criteria for panic attacks and between 17 percent and 33 percent for panic disorder, depending on the overlap method used. The main features distinguishing ataques that fulfill panic criteria from ataques that do not include whether the episodes were provoked by an upsetting event in the person's life and the rapidity of crescendo of the actual attack. A key finding is that ataques often share individual phenomenological features with panic episodes, but that these features usually do not "run together" during the ataque experience. This confirms previous findings that ataque is a more inclusive construct than panic disorder. The importance of these findings for the clinical diagnosis and treatment of persons with ataques is discussed. [ABSTRACT FROM AUTHOR]
- Subjects :
- PHENOMENOLOGY
PANIC attacks
PANIC disorders
CULTURAL psychiatry
HISPANIC Americans
PANIC disorder diagnosis
COMPARATIVE studies
CULTURE
DIFFERENTIAL diagnosis
PSYCHOLOGY of Hispanic Americans
INTERVIEWING
RESEARCH methodology
MEDICAL cooperation
MENTAL status examination
PSYCHIATRIC hospitals
PSYCHIATRY
RESEARCH
RESEARCH funding
SOCIOLOGY
COMORBIDITY
EVALUATION research
ANXIETY disorders
DIAGNOSIS
Subjects
Details
- Language :
- English
- ISSN :
- 0165005X
- Volume :
- 26
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Culture, Medicine & Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 11305929