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The current study assesses the relationship between presenting symptomatology of the self-labeled Hispanic popular diagnosis of ataques de nervios and the specific co-morbid psychiatric diagnoses. SalmÃ¡n, E Liebowitz, M R Guarnaccia, P J Jusino, C M Garfinkel, R Street, L CÃ¡rdenas, D L Silvestre, J Fyer, A J Carrasco, J L Davies, S O Klein, D F Subtypes of ataques de nervios: the influence of coexisting psychiatric diagnosis. Patients with ataque de nervios should receive a thorough traumatic history assessment. In some Hispanic individuals, ataque may represent a culturally sanctioned expression of extreme affect dysregulation associated with childhood trauma.

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Significantly more subjects with an anxiety or affective disorder plus ataque reported a history of physical abuse, sexual abuse, and/or or a substance-abusing caretaker than those with psychiatric disorder but no ataque. We therefore assessed psychiatric diagnoses, history of ataque, and childhood trauma in treatment-seeking Hispanic outpatients (N = 70). Dissociation and affective dysregulation during such episodes suggested a link to childhood trauma. It typically describes episodic, dramatic outbursts of negative emotion in response to a stressor, sometimes involving destructive behavior. Schechter, D S Marshall, R SalmÃ¡n, E Goetz, D Davies, S Liebowitz, M RĪtaque de nervios is a common, self-labeled Hispanic folk diagnosis. Further study of its interrelation with axis I disorders is needed.Ītaque de nervios and history of childhood trauma. Ataque de nervios overlaps with panic disorder but is a more inclusive construct. Ataque de nervios was similar in frequency and symptoms among subjects of Dominican and Puerto Rican origin. Ataque de nervios was associated with panic symptoms even in subjects without panic disorder, but the self-reporting of ataque conveyed additional clinical information about the subjects with panic disorder.

Of the 45 subjects with both ataque de nervios and primary panic disorder, 80% appeared to have labeled panic disorder as ataque. Ataque was frequently associated with one or more anxiety and affective disorders, including panic disorder, generalized anxiety disorder, recurrent major depression, and anxiety not otherwise specified. There were no differences in DSM-III-R diagnoses between the groups with and without ataque de nervios.

Seventy percent of the subjects reported at least one ataque de nervios 80% of these were female, whereas 57% of the group without these attacks were female. Hispanic subjects seeking treatment at an anxiety disorders clinic (N = 156) were assessed with a specially designed questionnaire for self-report of ataque de nervios and panic symptoms and with structured or semistructured psychiatric interviews for axis I disorders.

This study investigated the overlap with panic disorder as well as other DSM-III-R axis I disorders. A review of the literature on ataque suggested some overlap with panic disorder. Liebowitz, M R SalmÃ¡n, E Jusino, C M Garfinkel, R Street, L CÃ¡rdenas, D L Silvestre, J Fyer, A J Carrasco, J L Davies, SĪtaque de nervios ('attack of nerves') is an illness category used frequently by Hispanic individuals to describe one or more particular symptom complexes.