Evaluating the impact of ataques de nervios on cognitive functioning in Puerto Ricans with anxiety disorders
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Publicado
Dec 23, 2019
Resumen
Ataques de nervios (ADN) is a cultural syndrome among Latinos characterized by emotional reactions triggered by upsetting interpersonal situations. ADN is highly comorbid with anxiety and trauma-related disorders. To date, it is unclear if ADN comorbidity brings additional difficulties in regulation and cognitive abilities. We compared if performance in cognitive tests differed among groups with anxiety disorders and group with co-morbid ADN using a Puerto Rican sample and how this related to associated psychological constructs. Methods: Participants were 19 subjects (12 with ADN) with an anxiety disorder. Spanish versions of the WAIS-III subscales, the WCST-IV, TMT, Stroop test, and RCFT assessed cognitive functions. Performance was then related to psychological constructs assessed by different self-report questionnaires, in both groups. Results: Subjects experiencing ADN showed decreased attention, concentration, and immediate memory. These differences were observed in their performance on the WAIS-III-Symbol Search sub-test (p=0.02) and the Rey-Complex Figure-Immediate Recall test (p=0.02). Conclusions: Individuals with co-morbid ADN showed worsened ability to concentrate, attend and retrieve information. Psychological constructs associated to the presence of ADN were correlated with worsened cognitive functioning. Further studies should be directed towards examining if this effect negatively impacts prognosis and treatment outcomes.
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Keywords
References
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Angel, R. & Guarnaccia, P. (1989). Mind, body, and culture: Somatization among Hispanics. Soc Sci Med., 28(12): 1229-38.
Arango-Lasprilla, J.C., Rivera, D., Aguayo, A., Rodríguez, W., Garza, M.T., Saracho, C.P., Rodríguez-Agudelo, Y., Aliaga, A., Weiler, G., Luna, M., Longoni, M., Ocampo-Barba, N., Galarza-del-Angel, J., Panyavin, I., Guerra, A., Esenarro, L., García de la Cadena, P., Martínez, C., & Perrin, P.B. (2015). Trail Making Test: Normative data for the Latin American Spanish speaking adult population. NeuroRehabilitation, 37, 639-661. doi: 10.3233/NRE-151284.
Baxter, A.J., Patton, G., Scott, K.M., Degenhardt, L., & Whiteford, H.A. (2013). Global epidemiology of mental disorders: What are we missing? PLOS One, 8(6): 1-9. doi:10.1371/journal.pone.0065514
Diefenbach, G.J., Robison, J.T., Tolin, D.F., & Blank, K. (2004). Late-life anxiety disorders among Puerto Rican primary care patients: Impact on well-being, functioning, and service utilization. Anxiety Disorders, 18: 841-858. doi:10.1016/j.janxdis.2003.10.005
González-Barrios, P., Morales-Rodríguez, C.M., Merced-Morales, K., Lampón, A., González, R., Martínez, K. (2016). Dimensional assessment of anxiety in Puerto Rican patients: Evaluating applicability of psychological questionnaires. PR Health Sci J, 35(3):134-41.
González, H.M., Tarraf, W., Gouskova, N., Gallo, L.C., Penedo, F.J., Davis, S.M., Lipton, R.B., Arguelles, W., Choca, J.P., Catellier, & Mosley, T.H. (2015). Neurocognitive function among middle-aged and older Hispanic/Latinos: Results from the Hispanic community health study/study of Latinos. Archives of Clinical Neuropsychology, 30: 68-77. doi:10.1093/arclin/acu066
Guarnaccia, P.J. (1993). Ataques de nervios in Puerto Rico: Culture‐bound syndrome or popular illness? Medical Anthropology, 15(2): 157-170. doi: 10.1080/01459740.1993.9966087
Guarnaccia, P.J., Lewis-Fernandez, R., Martinez Pincay, I, Shrout, P., Guo, J., Torres, M., Canino, G., & Alegria, M. (2010). Ataque de nervios as a marker of social and psychiatric vulnerability: Results from the NLAAS. Int Soc Psychiatry, 56(3): 298-309. doi: 10.1177/0020764008101636
Hedden, T., Ketay, S., Aron, A., Markus, H.R., & Gabrieli, J.D.E. (2008). Cultural influences on neural substrates of attentional control. Psychological Science, 19(1): 12-17. doi: 10.1111/j.1467-9280.2008.02038.x
Hofmann, S.G. & Hinton, D.E. (2014). Cross-cultural aspects of anxiety disorders. Curr Psychiatry Rep, 16(6): 450. doi:10.1007/s11920-014-0450-3
Keough, M.E., Timpano, K.R., & Schmidt, N.B. (2009). Ataques de nervios: Culturally bound and distinct from panic attacks? Depression and Anxiety, 26: 16-21. doi: 10.1002/da.20498
Kuwubara, M. & Smith, L.B. (2012). Cross-cultural differences in cognitive development: Attention to relations and objects. J Exp Child Psychol., 113(1): 20-35. doi:10.1016/j.jecp.2012.04.009
Kuwubara, M., Son, J.Y., & Smith, L.B. (2011). Attention to context: U.S. and Japanese children’s emotional judgements. Journal of Cognition and Development, 12(4): 502-
517. doi: 10.1080/15248372.2011.554927
Lewis-Fernández, R., Gorritz, M., Raggio, G.A., Peláez, C., Chen, H., & Guarnaccia, P.J. (2010). Association of trauma-related disorders and dissociation with four idioms of distress among Latino psychiatric outpatients. Cult Med Psychiatry, 34(2): 219–243. doi:10.1007/s11013-010-9177-8
Martínez, K.G., Franco-Chaves, J.A., Milad, M. R., & Quirk, G.J. (2014). Ethnic differences in physiological responses to fear conditioned stimuli. PLoS ONE 9(12): e114977. doi:10.1371/journal.pone.0114977
McCrae, R.R., & Terracciano, A. (2005). Universal features of personality traits from the observer’s perspective: Data from 50 cultures. Journal of Personality and Social Psychology, 88(3): 547–561. doi: 10.1037/0022-3514.88.3.547
Nisbett, R.E. & Miyamoto, Y. (2005). The influence of culture: Holistic versus analytic perception. TRENDS in Cognitive Sciences, 9(10): 467-473. doi:10.1016/j.tics.2005.08.004
Novy, D.M., Stanley, M.A., & Averill, P. (2001). Psychometric comparability of english- and spanish-language measures of anxiety and related affective symptoms. Psychological Assessment, 13(3): 347-355. doi: 10.1037//1040-3590.13.3.347
Pons, J.I., Matías-Carrelo, L., Rodríguez, M., Rodríguez, J.M., Herrans, L.L., Jiménez, M.E., Negrón, A., Flores, L., Mañón, S., Jiménez, K., Medina, G., Rosario, E., Ortiz Nolasco, N., & Yang, J. (2008). Estudios de validez de la escala de inteligencia wechsler para adultos versión III, Puerto Rico (EIWA-III). [Validity studies of the wechsler adult intelligence scale version III, Puerto Rico (WAIS-III)]. Revista Puertorriqueña de Psicología, 19: 75-111.
Rule, N.O., Freeman, J.B., & Ambady, N. (2013). Culture in social neuroscience: A review. Social Neuroscience, 8(1): 3-10.
Sandin, B., Chorot, P., & McNally, R.J. (1996). Validation of the spanish version of the Anxiety Sensitivity Index in a clinical sample. Behavior Research and Therapy, 34(3): 283-290.
Sandin, B., Chorot, P., Lostao, L., Joiner, T.E., Santed, M.A., & Valiente, R.M. (1999). Escalas PANAS de afecto positivo y negativo: Validación factorial y convergencia transcultural. Psicothema, 11(1): 37-51.
Shin, M.S., Park, S.Y., Park, S.R., Seol, S.H., & Kwon, J.S. (2006). Clinical and empirical applications of the Rey-Osterrieth Complex Figure Test. Nature Protocols, 1(2):892-899. doi:10.1038/nprot.2006.115
Telzer, E.H., Masten, C.L., Berkman, E.T., Lieberman, M.D., & Fuligni, A.J. (2010). Gaining while giving: An fMRI study of the rewards of family assistance among White and Latino youth. Social Neuroscience, 5(5-6): 508-518. doi: 10.1080/17470911003687913
Tofoli, L.F., Andrade, L.H., & Fortes, S. (2011). Somatization in Latin America: A review on the classification of somatoform disorders, functional syndromes, and medically unexplained symptoms. Revista Brasileira de Psiquiatria, 33(1): 70-80.
Virella, B., Arbona, C., & Novy, D.M. (1994). Psychometric properties and factor structure of the spanish version of the State-Trait Anxiety Inventory. Journal of Personality Assessment, 63(3): 401-412. doi: 10.1207/s15327752jpa6303_1
Angel, R. & Guarnaccia, P. (1989). Mind, body, and culture: Somatization among Hispanics. Soc Sci Med., 28(12): 1229-38.
Arango-Lasprilla, J.C., Rivera, D., Aguayo, A., Rodríguez, W., Garza, M.T., Saracho, C.P., Rodríguez-Agudelo, Y., Aliaga, A., Weiler, G., Luna, M., Longoni, M., Ocampo-Barba, N., Galarza-del-Angel, J., Panyavin, I., Guerra, A., Esenarro, L., García de la Cadena, P., Martínez, C., & Perrin, P.B. (2015). Trail Making Test: Normative data for the Latin American Spanish speaking adult population. NeuroRehabilitation, 37, 639-661. doi: 10.3233/NRE-151284.
Baxter, A.J., Patton, G., Scott, K.M., Degenhardt, L., & Whiteford, H.A. (2013). Global epidemiology of mental disorders: What are we missing? PLOS One, 8(6): 1-9. doi:10.1371/journal.pone.0065514
Diefenbach, G.J., Robison, J.T., Tolin, D.F., & Blank, K. (2004). Late-life anxiety disorders among Puerto Rican primary care patients: Impact on well-being, functioning, and service utilization. Anxiety Disorders, 18: 841-858. doi:10.1016/j.janxdis.2003.10.005
González-Barrios, P., Morales-Rodríguez, C.M., Merced-Morales, K., Lampón, A., González, R., Martínez, K. (2016). Dimensional assessment of anxiety in Puerto Rican patients: Evaluating applicability of psychological questionnaires. PR Health Sci J, 35(3):134-41.
González, H.M., Tarraf, W., Gouskova, N., Gallo, L.C., Penedo, F.J., Davis, S.M., Lipton, R.B., Arguelles, W., Choca, J.P., Catellier, & Mosley, T.H. (2015). Neurocognitive function among middle-aged and older Hispanic/Latinos: Results from the Hispanic community health study/study of Latinos. Archives of Clinical Neuropsychology, 30: 68-77. doi:10.1093/arclin/acu066
Guarnaccia, P.J. (1993). Ataques de nervios in Puerto Rico: Culture‐bound syndrome or popular illness? Medical Anthropology, 15(2): 157-170. doi: 10.1080/01459740.1993.9966087
Guarnaccia, P.J., Lewis-Fernandez, R., Martinez Pincay, I, Shrout, P., Guo, J., Torres, M., Canino, G., & Alegria, M. (2010). Ataque de nervios as a marker of social and psychiatric vulnerability: Results from the NLAAS. Int Soc Psychiatry, 56(3): 298-309. doi: 10.1177/0020764008101636
Hedden, T., Ketay, S., Aron, A., Markus, H.R., & Gabrieli, J.D.E. (2008). Cultural influences on neural substrates of attentional control. Psychological Science, 19(1): 12-17. doi: 10.1111/j.1467-9280.2008.02038.x
Hofmann, S.G. & Hinton, D.E. (2014). Cross-cultural aspects of anxiety disorders. Curr Psychiatry Rep, 16(6): 450. doi:10.1007/s11920-014-0450-3
Keough, M.E., Timpano, K.R., & Schmidt, N.B. (2009). Ataques de nervios: Culturally bound and distinct from panic attacks? Depression and Anxiety, 26: 16-21. doi: 10.1002/da.20498
Kuwubara, M. & Smith, L.B. (2012). Cross-cultural differences in cognitive development: Attention to relations and objects. J Exp Child Psychol., 113(1): 20-35. doi:10.1016/j.jecp.2012.04.009
Kuwubara, M., Son, J.Y., & Smith, L.B. (2011). Attention to context: U.S. and Japanese children’s emotional judgements. Journal of Cognition and Development, 12(4): 502-
517. doi: 10.1080/15248372.2011.554927
Lewis-Fernández, R., Gorritz, M., Raggio, G.A., Peláez, C., Chen, H., & Guarnaccia, P.J. (2010). Association of trauma-related disorders and dissociation with four idioms of distress among Latino psychiatric outpatients. Cult Med Psychiatry, 34(2): 219–243. doi:10.1007/s11013-010-9177-8
Martínez, K.G., Franco-Chaves, J.A., Milad, M. R., & Quirk, G.J. (2014). Ethnic differences in physiological responses to fear conditioned stimuli. PLoS ONE 9(12): e114977. doi:10.1371/journal.pone.0114977
McCrae, R.R., & Terracciano, A. (2005). Universal features of personality traits from the observer’s perspective: Data from 50 cultures. Journal of Personality and Social Psychology, 88(3): 547–561. doi: 10.1037/0022-3514.88.3.547
Nisbett, R.E. & Miyamoto, Y. (2005). The influence of culture: Holistic versus analytic perception. TRENDS in Cognitive Sciences, 9(10): 467-473. doi:10.1016/j.tics.2005.08.004
Novy, D.M., Stanley, M.A., & Averill, P. (2001). Psychometric comparability of english- and spanish-language measures of anxiety and related affective symptoms. Psychological Assessment, 13(3): 347-355. doi: 10.1037//1040-3590.13.3.347
Pons, J.I., Matías-Carrelo, L., Rodríguez, M., Rodríguez, J.M., Herrans, L.L., Jiménez, M.E., Negrón, A., Flores, L., Mañón, S., Jiménez, K., Medina, G., Rosario, E., Ortiz Nolasco, N., & Yang, J. (2008). Estudios de validez de la escala de inteligencia wechsler para adultos versión III, Puerto Rico (EIWA-III). [Validity studies of the wechsler adult intelligence scale version III, Puerto Rico (WAIS-III)]. Revista Puertorriqueña de Psicología, 19: 75-111.
Rule, N.O., Freeman, J.B., & Ambady, N. (2013). Culture in social neuroscience: A review. Social Neuroscience, 8(1): 3-10.
Sandin, B., Chorot, P., & McNally, R.J. (1996). Validation of the spanish version of the Anxiety Sensitivity Index in a clinical sample. Behavior Research and Therapy, 34(3): 283-290.
Sandin, B., Chorot, P., Lostao, L., Joiner, T.E., Santed, M.A., & Valiente, R.M. (1999). Escalas PANAS de afecto positivo y negativo: Validación factorial y convergencia transcultural. Psicothema, 11(1): 37-51.
Shin, M.S., Park, S.Y., Park, S.R., Seol, S.H., & Kwon, J.S. (2006). Clinical and empirical applications of the Rey-Osterrieth Complex Figure Test. Nature Protocols, 1(2):892-899. doi:10.1038/nprot.2006.115
Telzer, E.H., Masten, C.L., Berkman, E.T., Lieberman, M.D., & Fuligni, A.J. (2010). Gaining while giving: An fMRI study of the rewards of family assistance among White and Latino youth. Social Neuroscience, 5(5-6): 508-518. doi: 10.1080/17470911003687913
Tofoli, L.F., Andrade, L.H., & Fortes, S. (2011). Somatization in Latin America: A review on the classification of somatoform disorders, functional syndromes, and medically unexplained symptoms. Revista Brasileira de Psiquiatria, 33(1): 70-80.
Virella, B., Arbona, C., & Novy, D.M. (1994). Psychometric properties and factor structure of the spanish version of the State-Trait Anxiety Inventory. Journal of Personality Assessment, 63(3): 401-412. doi: 10.1207/s15327752jpa6303_1
Cómo citar
Evaluating the impact of ataques de nervios on cognitive functioning in Puerto Ricans with anxiety disorders. (2019). Revista Puertorriqueña De Psicologia, 30(2), 210-221. https://www.repsasppr.net/index.php/reps/article/view/542
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Cómo citar
Evaluating the impact of ataques de nervios on cognitive functioning in Puerto Ricans with anxiety disorders. (2019). Revista Puertorriqueña De Psicologia, 30(2), 210-221. https://www.repsasppr.net/index.php/reps/article/view/542