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Hispanic Journal of Behavioral Sciences
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A Quantitative Analysis of Ataque de Nervios in Puerto Rico

Further Examination of a Cultural Syndrome

Vivian E. Febo San Miguel

University of Puerto Rico, San Juan

Peter J. Guarnaccia

Rutgers, The State University of New Jersey, New Brunswick

Patrick E. Shrout

New York University, New York City

Roberto Lewis-Fernández

Columbia University, New York City

Glorisa J. Canino

Rafael R. Ramírez

University of Puerto Rico, San Juan

The authors present a quantitative analysis and assessment of the symptoms of ataque de nervios. A sample of 121 individuals living in Puerto Rico provided qualitative and structured data on ataques de nervios and psychiatric correlates. A total of 77 participants reported having an ataque de nervios during their lifetimes. Their reports of symptoms associated with the ataque-episode were analyzed using factor analysis. Two dimensions emerged from the analysis, representing respectively internalizing and externalizing experiences. Results sustained the heterogeneity of ataque de nervios with a marked anxiety component. The authors discuss results in the context of classification and understanding of ataques de nervios and a model for studying cultural variance among cultural syndromes.

Key Words: ataques de nervios • cultural syndrome • factor analysis • idiom of distress

Hispanic Journal of Behavioral Sciences, Vol. 28, No. 3, 313-330 (2006)
DOI: 10.1177/0739986306291441
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