Association of trauma-related disorders and dissociation with four idioms of distress among Latino psychiatric outpatients.
Association of trauma-related disorders and dissociation with four idioms of distress among Latino psychiatric outpatients.
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DOI：
10.1007/s11013-010-9177-8
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发表时间：
2010-06
影响因子：
1.7
通讯作者：
Guarnaccia, Peter J.
中科院分区：
文献类型：
--
作者：
Lewis-Fernandez, Roberto;Gorritz, Magdaliz;Raggio, Greer A.;Pelaez, Clara;Chen, Henian;Guarnaccia, Peter J.
关键词：
过去对美国拉丁美洲人痛苦习惯用法的研究表明，神经失调和感知改变，例如独自一人时的听觉和视觉，是较高发病率和心理健康利用率的独立标志，尽管与任何单一的精神病诊断没有一对一的关系。有人提出，这些习语之所以能产生这种效果，是因为它们是与创伤暴露有关的令人痛苦的分离能力的标志。本研究探讨了在一个种族多样的拉丁美洲精神科门诊样本（N = 230）之间的人际创伤，创伤后应激障碍（PTSD），重度抑郁症，解离能力和四个文化习语的困扰与流行的整体类别的nervios的关系。我们特别探讨了这些关系如何随着创伤暴露的不同措施而变化，包括创伤严重程度和创伤的时间或持续性。一系列调整后的双变量回归分析评估了习语和临床变量之间的关联矩阵。在这个高度创伤的人群中，我们发现了一个强大的“联系”之间的关联解离和三个成语：目前正在生病的神经，ataque de nervios和改变的看法。这些习语在很大程度上独立于PTSD和抑郁症，并与创伤的持续性和严重性有关。第四个习惯用法是“从小就紧张”，它与其他变量无关，可能代表一种人格特征，而不是一种可诊断的疾病。我们的研究结果验证了神经作为一组与解离相关的特定习语的构建的临床实用性，这些习语是拉丁美洲人独立于其与临床诊断的相关性的心理健康需求的有用标志。
Past research on idioms of distress among U.S. Latinos has revealed that ataque de nervios and altered perceptions, such as hearing and seeing things when alone, are independent markers of higher morbidity and mental health utilization despite having no one-to-one relationships with any single psychiatric diagnosis. It has been proposed that the idioms exert this effect because they are signs of distressing dissociative capacity associated with traumatic exposure. This study examines the relationships in an ethnically diverse Latino psychiatric outpatient sample (N = 230) among interpersonal trauma, posttraumatic stress disorder (PTSD), major depressive disorder, dissociative capacity and four cultural idioms of distress associated with the popular overall category of nervios. We particularly explore how these relationships change with varied measures of traumatic exposure, including trauma severity and timing or persistence of trauma. A series of adjusted bivariate regressions assessed the matrix of associations between the idioms and the clinical variables. In this highly traumatized population, we identified a strong ‘nexus’ of associations between dissociation and three of the idioms: currently being ill with nerves, ataque de nervios and altered perceptions. These idioms were largely independent from PTSD and depression and were associated with trauma persistence and severity. A fourth idiom, being nervous since childhood, was not associated with any other variable and may represent a personality trait rather than a diagnosable condition. Our results validate the clinical utility of the construct of nervios as a set of specific idioms associated with dissociation that are useful markers of mental health need among Latinos independently of their association with clinical diagnoses.
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影响因子：
1.7
作者：
Guarnaccia, PJ;Rivera, M;Neighbors, C
通讯作者：
Neighbors, C
影响因子：
3.3
作者：
Dancu, CV;Riggs, DS;Foa, EB
通讯作者：
Foa, EB
影响因子：
2.5
作者：
Chang, Doris F;Myers, Hector F;Yu, Shunying
通讯作者：
Yu, Shunying
影响因子：
4.8
作者：
Johnson, DM;Pike, JL;Chard, KM
通讯作者：
Chard, KM
影响因子：
17.7
作者：
Briere, J;Scott, C;Weathers, F
通讯作者：
Weathers, F