Putative psychotic symptoms in the Mexican American population

Prevalence and co-occurrence with psychiatric disorders

William A. Vega, William M. Sribney, Theresa M. Miskimen, Javier I. Escobar, Sergio Aguilar-Gaxiola

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

It is reported that Latin Americans describe culturally normative experiences or express putative psychotic symptoms in medical and mental health treatment settings that complicate the diagnostic process. Previous research reported that Latinos were more likely than European Americans and African Americans to have their diagnoses changed from schizophrenia to other disorders. This study describes the prevalence and likelihood of putative psychotic symptoms being expressed independent of any psychiatric disorder or co-occurring with common disorders such as depression or anxiety within a Mexican American population sample. Epidemiologic data of the Mexican American Prevalence and Services Survey (N = 3012) were used to contrast rates and patterns of putatively psychotic features among adults by demographic variables and diagnostic status using DSM-III-R criteria and receipt of treatment. Putative psychotic symptoms were reported by 17% of US-born and 7% of immigrants without disorders, and by 38% of US-born and 28% of immigrants with lifetime disorders, totaling 18% lifetime prevalence for the entire study population of Mexican Americans. First-rank Schneiderian symptoms were higher in those with a disorder compared with those without a disorder for both sexes. The results of this study indicate that putative psychotic symptoms are common among Mexican Americans, and their presence is a strong precautionary signal for evaluating clinicians to correctly distinguish whether putative psychotic symptoms are indicators of nonorganic psychoses or other psychiatric disorders, or are simply cultural expressions. Research is needed to identify the determinants of misdiagnosis in clinical practice, and guidelines are needed to assist clinicians.

Original languageEnglish (US)
Pages (from-to)471-477
Number of pages7
JournalJournal of Nervous and Mental Disease
Volume194
Issue number7
DOIs
StatePublished - Jul 2006

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Psychiatry
Population
Physiological Sexual Dysfunctions
Cross-Sectional Studies
Diagnostic Errors
Practice Guidelines
Hispanic Americans
Research
Diagnostic and Statistical Manual of Mental Disorders
African Americans
Psychotic Disorders
Schizophrenia
Mental Health
Anxiety
Demography
Depression
Therapeutics

Keywords

  • Co-occurrence
  • Mexican Americans
  • Psychotic symptoms

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Putative psychotic symptoms in the Mexican American population : Prevalence and co-occurrence with psychiatric disorders. / Vega, William A.; Sribney, William M.; Miskimen, Theresa M.; Escobar, Javier I.; Aguilar-Gaxiola, Sergio.

In: Journal of Nervous and Mental Disease, Vol. 194, No. 7, 07.2006, p. 471-477.

Research output: Contribution to journalArticle

Vega, William A. ; Sribney, William M. ; Miskimen, Theresa M. ; Escobar, Javier I. ; Aguilar-Gaxiola, Sergio. / Putative psychotic symptoms in the Mexican American population : Prevalence and co-occurrence with psychiatric disorders. In: Journal of Nervous and Mental Disease. 2006 ; Vol. 194, No. 7. pp. 471-477.
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