TY  - JOUR
PY  - 2009//
TI  - Significance of endorsement of psychotic symptoms by US Latinos
JO  - Journal of nervous and mental disease
A1  - Lewis-Fernández, Roberto
A1  - Horvitz-Lennon, Marcela
A1  - Blanco, Carlos
A1  - Guarnaccia, Peter J.
A1  - Cao, Zhun
A1  - Alegria, Margarita
SP  - 337
EP  - 347
VL  - 197
IS  - 5
N2  - 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>
LA  - en
SN  - 0022-3018
UR  - http://dx.doi.org/10.1097/NMD.0b013e3181a2087e
ID  - ref1
ER  -