Abstract
Discrepancies in research and treatment of mental health issues based upon ethnic, racial, and cultural differences cannot be denied. Such is the case for Latino-American youth and young adults with attenuated psychosis syndrome (APS). Issues generated by a lack of focused research and perpetuated by inaccurate assessments and inaccessible interventions serve to further delineate incongruities in assistance provided to this group. This chapter aims to explore culturally relevant symptoms associated with APS in Latino-American youth and young adults and issues related to assessment. General treatment strategies and interventions for APS and those specifically tailored for Latino-American youth will be discussed. A case will also be presented to illustrate some of the intricacies, both culturally and symptomatically, when working with Latino youth who have APS. Finally, implications for research and treatment will be discussed.
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References
Addington, J., Stowkowy, J., Cadenhead, K. S., Cornblatt, B. A., McGlashan, T. H., Perkins, D. O., … Cannon, T. D. (2013). Early traumatic experiences in those at clinical high risk for psychosis. Early Intervention in Psychiatry, 7(3), 300–305. https://doi.org/10.1111/eip.12020
Aguilar-Gaxiola, S. A., Zelezny, L., Garcia, B., Edmondson, C., Alejo-Garcia, C., & Vega, W. A. (2002). Translating research into action: Reducing disparities in mental health care for Mexican Americans. Psychiatric Services, 53(12), 1563–1568. https://doi.org/10.1176/appi.ps.53.12.1563
Alderman, T., Addington, J., Bearden, C., Cannon, T. D., Cornblatt, B. A., McGlashan, T. H., … Cadenhead, K. S. (2015). Negative symptoms and impaired social functioning predict later psychosis in Latino youth at clinical high risk in the North American prodromal longitudinal studies consortium. Early Intervention in Psychiatry, 9(6), 467–475.
Alegría, M., Canino, G., Lai, S., Ramirez, R. R., Chavez, L., Rusch, D., & Shrout, P. E. (2004). Understanding caregivers’ help-seeking for Latino children’s mental health care use. Medical Care, 42(5), 447–455. https://doi.org/10.1097/01.mlr.0000124248.64190.56
Amaresha, A. C., & Venkatasubramanian, G. (2012). Expressed emotion in schizophrenia: An overview. Indian Journal of Psychological Medicine, 34(1), 12–20. https://doi.org/10.4103/0253-7176.96149
Amminger, G. P., Leicester, S., Yung, A. R., Phillips, L. J., Berger, G. E., Francey, S. M., … McGorry, P. D. (2006). Early-onset of symptoms predicts conversion to non-affective psychosis in ultra-high risk individuals. Schizophrenia Research, 84(1), 67–76. https://doi.org/10.1016/j.schres.2006.02.018
Amminger, G. P., Schäfer, M. R., Papageorgiou, K., Klier, C. M., Cotton, S. M., Harrigan, S. M., … Berger, G. E. (2010). Long-chain w-3 fatty acids for indicated prevention of psychotic disorders: A randomized, placebo-controlled trial. Archives of General Psychiatry, 67(2), 146–154. https://doi.org/10.1001/archgenpsychiatry.2009.192
Anderson, E. R., & Mayes, L. C. (2010). Race/ethnicity and internalizing disorders in youth: A review. Clinical Psychology Review. https://doi.org/10.1016/j.cpr.2009.12.008
Barrantes-Vidal, N., Gross, G. M., Sheinbaum, T., Mitjavila, M., Ballesp, S., & Kwapil, T. R. (2013). Positive and negative schizotypy are associated with prodromal and schizophrenia-spectrum symptoms. Schizophrenia Research, 145(1–3), 50–55. https://doi.org/10.1016/j.schres.2013.01.007
Barrio, C., Yamada, A. M., Hough, R. L., Hawthorne, W., Garcia, P., & Jeste, D. V. (2003). Ethnic disparities in use of public mental health case management services among patients with schizophrenia. Psychiatric Services, 54(9), 1264–1270.
Bechdolf, A., Thompson, A., Nelson, B., Cotton, S., Simmons, M. B., Amminger, G. P., … Yung, A. R. (2010). Experience of trauma and conversion to psychosis in an ultra-high-risk (prodromal) group. Acta Psychiatrica Scandinavica, 121(5), 377–384. https://doi.org/10.1111/j.1600-0447.2010.01542.x
Brown, G. W. (1985). The discovery of expressed emotion: Induction or deduction? In J. Leff & C. Vaughn (Eds.), Expressed emotion in families (pp. 7–25). New York: Guilford Press.
Cannon, T. D., Cadenhead, K., Cornblatt, B., Woods, S. W., Addington, J., Walker, E., … Heinssen, R. (2008). Prediction of psychosis in youth at high clinical risk: A multisite longitudinal study in North America. Archives of General Psychiatry, 65(1), 28–37. https://doi.org/10.1001/archgenpsychiatry.2007.3
Cohen, C. I., & Marino, L. (2013). Racial and ethnic differences in the prevalence of psychotic symptoms in the general population. Psychiatric Services (Washington, D.C.), 64(11), 1103–1109. https://doi.org/10.1176/appi.ps.201200348
Correll, C., Hauser, M., Auther, A., & Cornblatt, B. (2011). Research in people with the psychosis risk syndrome: A review of the current evidence and future directions. Journal of Child Psychology and Psychiatry, 51(4), 390–431. https://doi.org/10.1111/j.1469-7610.2010.02235.x.Research
Correll, C. U., Smith, C. W., Auther, A. M., McLaughlin, D., Shah, M., Foley, C., … Cornblatt, B. A. (2008). Predictors of remission, schizophrenia, and bipolar disorder in adolescents with brief psychotic disorder or psychotic disorder not otherwise specified considered at very high risk for schizophrenia. Journal of Child and Adolescent Psychopharmacology, 18(5), 475–490. https://doi.org/10.1089/cap.2007.110
De Koning, M. B., Bloemen, O. J. N., Van Amelsvoort, T. A. M. J., Becker, H. E., Nieman, D. H., Van Der Gaag, M., & Linszen, D. H. (2009). Early intervention in patients at ultra-high risk of psychosis: Benefits and risks. Acta Psychiatrica Scandinavica. https://doi.org/10.1111/j.1600-0447.2009.01372.x
Earl, T. R., Fortuna, L. R., Gao, S., Williams, D. R., Neighbors, H., Takeuchi, D., & Alegría, M. (2015). An exploration of how psychotic-like symptoms are experienced, endorsed, and understood from the National Latino and Asian American Study and National Survey of American Life. Ethnicity & Health, 20(3), 273–292. https://doi.org/10.1080/13557858.2014.921888
Fusar-Poli, P., Bonoldi, I., Yung, A. R., Borgwardt, S., Kempton, M. J., Valmaggia, L., … Mcguire, P. (2012). Predicting psychosis. Archives of General Psychiatry, 69(3), 220–229. https://doi.org/10.1001/archgenpsychiatry.2011.1472
Fusar-Poli, P., Borgwardt, S., Bechdolf, A., & Addington, J. (2013). The psychosis high risk state. JAMA Psychiatry, 70(1), 107–120.
Fusar-Poli, P., Valmaggia, L., & McGuire, P. (2007). Can antidepressants prevent psychosis? Lancet, 370(9601), 1746–1748. https://doi.org/10.1016/S0140-6736(07)61732-2
Garza, Y., & Watts, R. E. (2010). Filial therapy and Hispanic values: Common ground for culturally sensitive helping. Journal of Counseling & Development, 88(1), 108–113. https://doi.org/10.1002/j.1556-6678.2010.tb00157.x
Gaviria, M., Wintrob, R. (1976). Supernatural influence in psychopathology. Puerto Rican folk beliefs about mental illness. Canadian Psychiatric Association Journal. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/1016919\npapers2://publication/uuid/025C6639-DF6B-41E7-BBF2-07B4765C29B6
Geltman, D., & Chang, G. (2004). Hallucinations in Latino psychiatric outpatients: A preliminary investigation. General Hospital Psychiatry. https://doi.org/10.1016/j.genhosppsych.2003.09.002
Haroun, N., Dunn, L., Haroun, A., & Cadenhead, K. S. (2006). Risk and protection in prodromal schizophrenia: Ethical implications for clinical practice and future research. Schizophrenia Bulletin, 32(1), 166–178. https://doi.org/10.1093/schbul/sbj007
Harrison, G., Glazebrook, C., Brewin, J., Cantwell, R., Dalkin, T., Fox, R., … Medley, I. (1997). Increased incidence of psychotic disorders in migrants from the Caribbean to the United Kingdom. Psychological Medicine, 27, 799–806. https://doi.org/10.1017/S0033291796004643
Harrison, G., Owens, D., Holton, A., Neilson, D., & Boot, D. (1988). A prospective study of severe mental disorder in Afro-Caribbean patients. Psychological Medicine, 18(3), 643–657. https://doi.org/10.1017/S0033291700008321
Heinimaa, M., Salokangas, R. K. R., Ristkari, T., Plathin, M., Huttunen, J., Ilonen, T., & McGlashan, T. H. (2003). PROD-screen – a screen for prodromal symptoms of psychosis. International Journal of Methods in Psychiatric Research, 12(2), 92–104. https://doi.org/10.1002/mpr.146
Horvitz-Lennon, M., McGuire, T. G., Alegria, M., & Frank, R. G. (2009). Racial and ethnic disparities in the treatment of a medicaid population with schizophrenia. Health Services Research, 44(6), 2106–2122. https://doi.org/10.1111/j.1475-6773.2009.01041.x
Kessler, R. C., Heeringa, S., Lakoma, M. D., Petukhova, M., Rupp, A. E., Schoenbaum, M., … Zaslavsky, A. M. (2008). The individual-level and societal-level effects of mental disorders on earnings in the United States: Results from the National Comorbidity Survey Replication. The American Journal of Psychiatry, 165(6), 703–711. https://doi.org/10.1176/appi.ajp.2008.08010126
Kline, E., Wilson, C., Ereshefsky, S., Denenny, D., Thompson, E., Pitts, S. C., … Schiffman, J. (2012). Psychosis risk screening in youth: A validation study of three self-report measures of attenuated psychosis symptoms. Schizophrenia Research, 141(1), 72–77. https://doi.org/10.1016/j.schres.2012.07.022
Kopelowicz, A., Zarate, R., Gonzalez, V., Lopez, S. R., Ortega, P., Obregon, N., & Mintz, J. (2002). Evaluation of expressed emotion in schizophrenia: A comparison of Caucasians and Mexican-Americans. Schizophrenia Research, 55(1–2), 179–186. https://doi.org/10.1016/S0920-9964(01)00193-1
Kymalainen, J. A., & Weisman de Mamani, A. G. (2008). Expressed emotion, communication deviance, and culture in families of patients with schizophrenia: A review of the literature. Cultural Diversity & Ethnic Minority Psychology, 14(2), 85–91. https://doi.org/10.1037/1099-9809.14.2.85
Lanouette, N. M., Folsom, D. P., Sciolla, A., & Jeste, D. V. (2009). Psychotropic medication nonadherence among United States Latinos: A comprehensive literature review. Psychiatric Services, 60(2), 157–174. https://doi.org/10.1176/appi.ps.60.2.157
Lee, S., & Held, M. L. (2015). Variation in mental health service use among U.S. Latinos by place of origin and service provider type. Psychiatric Services, 66(1), 56–64. https://doi.org/10.1176/appi.ps.20130053
Lemos, S., Vallina, O., Fernández, P., Ortega, J. A., Garcia, P., Gutiérrez, A., … Miller, T. (2006). Predictive validity of the Scale of Prodromal Symptoms (SOPS). Actas Españolas de Psiquiatría, 34, 216–223.
Lewis-Fernández, R., Horvitz-Lennon, M., Blanco, C., Guarnaccia, P. J., Cao, Z., & Alegría, M. (2009). Significance of endorsement of psychotic symptoms by US Latinos. The Journal of Nervous and Mental Disease, 197(5), 337–347. https://doi.org/10.1097/NMD.0b013e3181a2087e
Loewy, R. L., Bearden, C. E., Johnson, J. K., Raine, A., & Cannon, T. D. (2005). The prodromal questionnaire (PQ): Preliminary validation of a self-report screening measure for prodromal and psychotic syndromes. Schizophrenia Research, 77(2–3), 141–149. https://doi.org/10.1016/j.schres.2005.02.009
Loewy, R. L., Pearson, R., Vinogradov, S., Bearden, C. E., & Cannon, T. D. (2011). Psychosis risk screening with the Prodromal Questionnaire - Brief Version (PQ-B). Schizophrenia Research, 129(1), 42–46. https://doi.org/10.1016/j.schres.2011.03.029
Lopez, C., Bergren, M. D., & Painter, S. G. (2008). Latino disparities in child mental health services. Journal of Child and Adolescent Psychiatric Nursing: Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc, 21(3), 137–145. https://doi.org/10.1111/j.1744-6171.2008.00146.x
Martin, J. A., Hamilton, B. E., Ventura, S. J., Osterman, M. J. K., Kirmeyer, S., Mathews, T. J., & Wilson, E. C. (2011). Births: Final data for 2009. National Vital Statistics Reports, 60(1), 1–70.
McFarlane, W. R., Dixon, L., Lukens, E., & Lucksted, A. (2003). Family psychoeducation and schizophrenia: A review of the literature. Journal of Marital and Family Therapy, 29(2), 223–245. https://doi.org/10.1111/j.1752-0606.2003.tb01202.x
McGlashan, T. H., Zipursky, R. B., Perkins, D., Addington, J., Miller, T., Woods, S. W., … Breier, A. (2006). Randomized, double-blind trial of olanzapine versus placebo in patients prodromally symptomatic for psychosis. American Journal of Psychiatry, 163(5), 790–799. https://doi.org/10.1176/appi.ajp.163.5.790
McGorry, P. D., Nelson, B., Amminger, G. P., Bechdolf, A., Francey, S. M., Berger, G., … Yung, A. R. (2009). Intervention in individuals at ultra-high risk for psychosis: A review and future directions. Journal of Clinical Psychiatry. https://doi.org/10.4088/JCP.08r04472
McGovern, D., & Cope, R. V. (1987). First psychiatric admission rates of first and second generation afro Caribbeans. Social Psychiatry, 22(3), 139–149. https://doi.org/10.1007/BF00583848
McMiller, W. P., & Weisz, J. R. (1996). Help-seeking preceding mental health clinic intake among African-American, Latino, and Caucasian youths. Journal of the American Academy of Child and Adolescent Psychiatry, 35(8), 1086–1094. https://doi.org/10.1097/00004583-199608000-00020
Menezes, A., & Moreira-Almeida, A. (2010). Religion, spirituality, and psychosis. Current Psychiatry Reports. 2010 Jun, 12(3), 174–179.
Miklowitz, D. J., O’Brien, M. P., Schlosser, D. A., Addington, J., Candan, K. A., Marshall, C., … Cannon, T. D. (2014). Family-focused treatment for adolescents and young adults at high risk for psychosis: Results of a randomized trial. Journal of the American Academy of Child & Adolescent Psychiatry, 53(8), 848–858. https://doi.org/10.1016/j.jaac.2014.04.020
Miller, T. J., McGlashan, T. H., Rosen, J. L., Cadenhead, K., Cannon, T., Ventura, J., … Woods, S. W. (2003). Prodromal assessment with the structured interview for prodromal syndromes and the scale of prodromal symptoms: Predictive validity, interrater reliability, and training to reliability. Schizophrenia Bulletin, 29(4), 703–715. https://doi.org/10.1093/oxfordjournals.schbul.a007040
Miller, T. J., McGlashan, T. H., Woods, S. W., Stein, K., Driesen, N., Corcoran, C. M., … Davidson, L. (1999). Symptom assessment in schizophrenic prodromal states. The Psychiatric Quarterly, 70(4), 273–287. https://doi.org/10.1023/a:1022034115078
Moreira-Almeida, A., & Koss-Chioino, J. D. (2009). Recognition and treatment of psychotic symptoms: Spiritists compared to mental health professionals in Puerto Rico and Brazil. Psychiatry: Interpersonal and Biological Processes, 72(3), 268–283. https://doi.org/10.1521/psyc.2009.72.3.268
O’Brien, M. P., Miklowitz, D. J., Candan, K. A., Marshall, C., Domingues, I., Walsh, B. C., … Cannon, T. D. (2014). A randomized trial of family focused therapy with populations at clinical high risk for psychosis: Effects on interactional behavior. Journal of Consulting and Clinical Psychology, 82(1), 90–101. https://doi.org/10.1037/a0034667
Oh, H., Abe, J., Negi, N., & DeVylder, J. (2015). Immigration and psychotic experiences in the United States: Another example of the epidemiological paradox? Psychiatry Research, 229(3), 784–790. https://doi.org/10.1016/j.psychres.2015.08.002
Olfson, M., Lewis-Fernández, R., Weissman, M. M., Feder, A., Gameroff, M., Pilowsky, D., & Fuentes, M. (2002). Psychotic symptoms in an urban general medicine practice. The American Journal of Psychiatry. 2002, 159, 1412–1419.
Paksarian, D., Merikangas, K. R., Calkins, M. E., & Gur, R. E. (2016). Racial-ethnic disparities in empirically-derived subtypes of subclinical psychosis among a U.S. sample of youths. Schizophrenia Research, 170(1), 205–210. https://doi.org/10.1016/j.schres.2015.12.004
Patel, S. R., Gorritz, M., Olfson, M., Bell, M. A., Jackson, E., Sánchez-Lacay, J. A., … Lewis-Fernández, R. (2016). Training community-based primary care physicians in the screening and management of mental health disorders among Latino primary care patients. General Hospital Psychiatry, 38, 71–78. https://doi.org/10.1016/j.genhosppsych.2015.09.006
Pearson, R., Stuart, B., & Loewy, R. (2012). The assessment of attenuated psychotic symptoms in adolescents: Concepts, practical approaches and prediction of risk. Adolescent Psychiatry, 2(2), 153–162.
Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., & Rahman, A. (2007). No health without mental health. Lancet. https://doi.org/10.1016/S0140-6736(07)61238-0
Ruhrmann, S., Schultze-Lutter, F., Bechdolf, A., & Klosterkotter, J. (2010). Intervention in at-risk states for developing psychosis. European Archives of Psychiatry and Clinical Neuroscience, 260, S90–S94. https://doi.org/10.1007/s00406-010-0139-5
Schwartz, R. C., & Blankenship, D. M. (2014). Racial disparities in psychotic disorder diagnosis: A review of empirical literature. World Journal of Psychiatry, 4(4), 133–140. https://doi.org/10.5498/wjp.v4.i4.133
Shetgiri, R., Kataoka, S. H., Ryan, G. W., Askew, L. M., Chung, P. J., & Schuster, M. A. (2009). Risk and resilience in Latinos. A community-based participatory research study. American Journal of Preventive Medicine, 37(6 SUPPL. 1), S217. https://doi.org/10.1016/j.amepre.2009.08.001
Snowden, L. R. (2007). Explaining mental health treatment disparities: Ethnic and cultural differences in family involvement. Culture, Medicine and Psychiatry, 31(3), 389–402. https://doi.org/10.1007/s11013-007-9057-z
Stowkowy, J., Liu, L., Cadenhead, K. S., Cannon, T. D., Cornblatt, B. A., McGlashan, T. H., … Addington, J. (2016). Early traumatic experiences, perceived discrimination and conversion to psychosis in those at clinical high risk for psychosis. Social Psychiatry and Psychiatric Epidemiology, 51(4), 497–503. https://doi.org/10.1007/s00127-016-1182-y
Thompson, A., Nelson, B., & Yung, A. (2011). Predictive validity of clinical variables in the “at risk” for psychosis population: International comparison with results from the North American Prodrome Longitudinal Study. Schizophrenia Research, 126(1–3), 51–57. https://doi.org/10.1016/j.schres.2010.09.024
Tófoli, 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, s70–s80.
Tompson, M. C., Goldstein, M. J., Lebell, M. B., Mintz, L. I., Marder, S. R., & Mintz, J. (1995). Schizophrenic patients’ perceptions of their relatives’ attitudes. Psychiatry Research, 57(2), 155–167. https://doi.org/10.1016/0165-1781(95)02598-Q
Tsai, K. H., Lopez, S., Marvin, S., Zinberg, J., Cannon, T. D., O’Brien, M., & Bearden, C. E. (2015). Perceptions of family criticism and warmth and their link to symptom expression in racially/ethnically diverse adolescents and young adults at clinical high risk for psychosis. Early Intervention in Psychiatry, 9(6), 476–486. https://doi.org/10.1111/eip.12131
Vega, W., Kolody, B., Aguilar-Gaxiola, S., & Catalano, R. (1999). Gaps in service utilization by Mexican Americans with mental health problems. American Journal of Psychiatry, 156, 928–934. Retrieved from http://ajp.psychiatryonline.org/cgi/content/abstract /156/6/928
Vega, W. A., Rodriguez, M. A., & Ang, A. (2010). Addressing stigma of depression in Latino primary care patients. General Hospital Psychiatry, 32(2), 182–191. https://doi.org/10.1016/j.genhosppsych.2009.10.008
Vega, W. A., Rodriguez, M. A., & Gruskin, E. (2009). Health disparities in the latino population. Epidemiologic Reviews. https://doi.org/10.1093/epirev/mxp008
Vega, W. A., Sribney, W. M., Miskimen, T. M., Escobar, J. I., & Aguilar-Gaxiola, S. (2006). Putative psychotic symptoms in the Mexican American population: Prevalence and co-occurrence with psychiatric disorders. The Journal of Nervous and Mental Disease, 194(7), 471–477. https://doi.org/10.1097/01.nmd.0000228500.01915.ae
Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 629–640. https://doi.org/10.1001/archpsyc.62.6.629
Woods, S. W., Tully, E. M., Walsh, B. C., Hawkins, K. A., Callahan, J. L., Cohen, S. J., … McGlashan, T. H. (2007). Aripiprazole in the treatment of the psychosis prodrome: An open-label pilot study. British Journal of Psychiatry, 51, s96–s101. https://doi.org/10.1192/bjp.191.51.s96
Yung, A. R., Killackey, E., Hetrick, S. E., Parker, A. G., Schultze-Lutter, F., Klosterkoetter, J., … McGorry, P. D. (2007). The prevention of schizophrenia. International Review of Psychiatry, 19(6), 633–646. https://doi.org/10.1080/09540260701797803
Yung, A. R., & McGorry, P. D. (1996). The prodromal phase of first-episode psychosis: Past and current conceptualizations. Schizophrenia Bulletin, 22(2), 353–370. https://doi.org/10.1093/schbul/22.2.353
Yung, A. R., Stanford, C., Cosgrave, E., Killackey, E., Phillips, L., Nelson, B., & McGorry, P. D. (2006). Testing the ultra high risk (prodromal) criteria for the prediction of psychosis in a clinical sample of young people. Schizophrenia Research, 84(1), 57–66. https://doi.org/10.1016/j.schres.2006.03.014
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Alderman, T., Domingues, I. (2019). Attenuated Psychosis Syndromes Among Latino-American Youth and Young Adults in the United States: Early Identification and Intervention. In: Li, H., Shapiro, D.I., Seidman, L.J. (eds) Handbook of Attenuated Psychosis Syndrome Across Cultures. Springer, Cham. https://doi.org/10.1007/978-3-030-17336-4_12
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