@article{ref1,
title="Significance of endorsement of psychotic symptoms by US Latinos",
journal="Journal of nervous and mental disease",
year="2009",
author="Lewis-Fernández, Roberto and Horvitz-Lennon, Marcela and Blanco, Carlos and Guarnaccia, Peter J. and Cao, Zhun and Alegria, Margarita",
volume="197",
number="5",
pages="337-347",
abstract="In US regional studies, Latinos frequently endorse psychotic symptoms associated with impairment and mental health service use, yet do not meet criteria for psychotic disorder. Using a nationally representative Latino sample (N = 2554), we examined the prevalence of psychotic symptoms, their relationship to psychotic disorder, their correlates, and their relationship to mental health outcomes. In this sample, 9.5% (SE = 0.7) endorsed 1 or more lifetime psychotic symptoms, yet 93% of endorsers did not meet Structured Clinical Interview for DSM-IV criteria for psychotic disorders. Endorsement was associated with physical and emotional distress, particularly lifetime anxiety and current substance use disorder. Acculturation to US society and reliance on spiritual/religious help were also associated with psychotic symptom endorsement. These symptoms have substantial clinical significance, being independently associated with suicidal ideation, mental health-related disability, and outpatient mental health service utilization. Endorsed psychotic symptoms in Latinos may constitute a clinically significant marker of general psychiatric vulnerability rather than a sign of psychotic disorder.<p /><p>Language: en</p>",
language="en",
issn="0022-3018",
doi="10.1097/NMD.0b013e3181a2087e",
url="http://dx.doi.org/10.1097/NMD.0b013e3181a2087e"
}