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Mischoulon D, Lagomasino IT, Harmon C. Atypical psychotic symptoms in a Hispanic population: diagnostic dilemmas and implications for treatment. Psychiatry (Edgmont). 2005;2(10):38-46
Mischoulon, D., Lagomasino, I. T., & Harmon, C. (2005). Atypical psychotic symptoms in a Hispanic population: diagnostic dilemmas and implications for treatment. Psychiatry (Edgmont (Pa. : Township)), 2(10), 38-46.
Mischoulon, David, et al. "Atypical psychotic symptoms in a Hispanic population: diagnostic dilemmas and implications for treatment." Psychiatry (Edgmont (Pa. : Township)) vol. 2,10 (2005): 38-46.
Mischoulon D, Lagomasino IT, Harmon C. Atypical psychotic symptoms in a Hispanic population: diagnostic dilemmas and implications for treatment. Psychiatry (Edgmont). 2005 Oct;2(10):38-46. PMID: 21120089; PMCID: PMC2993517.
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Psychiatry (Edgmont). 2005 Oct;2(10):38-46.

Atypical psychotic symptoms in a Hispanic population: diagnostic dilemmas and implications for treatment.

Psychiatry (Edgmont (Pa. : Township))

David Mischoulon, Isabel T Lagomasino, Chris Harmon

Affiliations

  1. All from Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.

PMID: 21120089 PMCID: PMC2993517

Abstract

OBJECTIVE: To better characterize psychotic symptoms and their treatment in Hispanic populations.

DESIGN: Chart review.

SETTING: Chelsea MGH Health Center and Chelsea Counseling Center (both affiliates of the Massachusetts General Hospital).

PARTICIPANTS: Forty-four Hispanic patients presenting with psychotic symptoms in the context of mood and anxiety disorders.

MEASUREMENTS: Chart review focussed on diagnosis, description, and cataloguing of psychotic symptoms and review of treatment efficacy.

RESULTS: All but two patients described some atypical psychotic symptoms (e.g., doorbells or telephones ringing, voices of children, and visual hallucinations of animals or relatives). Treatment varied; 34 percent received monotherapy (either neuroleptic, antidepressant, or anxiolytic); 61 percent received polypharmacy; of these, 48 percent received a combination of antidepressant and anxiolytic; 19 percent received antidepressant with neuroleptic; 14 percent received antidepressant with neuroleptic and anxiolytic. No regimen was significantly better than any other.

CONCLUSIONS: Psychotic symptoms in Hispanic patients have been noted anecdotally to present differently from those described in other populations. Our review appears to support this observation. Clinicians who work with Hispanic patients should ask about these atypical psychotic symptoms. We provide speculation on the nature of these symptoms, review approaches to treatment, and make recommendations for further investigation.

References

  1. Arch Gen Psychiatry. 1976 May;33(5):585-91 - PubMed
  2. J Gerontol. 1992 Nov;47(6):S279-88 - PubMed
  3. Am J Psychother. 1982 Oct;36(4):505-12 - PubMed
  4. Nervenarzt. 1998 Nov;69(11):956-60 - PubMed
  5. J Nerv Ment Dis. 1992 May;180(5):296-303 - PubMed
  6. Am J Psychiatry. 1981 Mar;138(3):328-33 - PubMed
  7. Lancet. 1978 Jul 8;2(8080):100-1 - PubMed
  8. Arch Gen Psychiatry. 1981 May;38(5):555-9 - PubMed
  9. Am J Psychiatry. 1981 Dec;138(12):1601-4 - PubMed
  10. Am J Psychiatry. 1980 Jun;137(6):724-6 - PubMed
  11. Clin Pharmacol Ther. 1995 Mar;57(3):265-9 - PubMed
  12. Biol Psychiatry. 1992 Feb 15;31(4):419-23 - PubMed
  13. Am J Psychiatry. 1983 Dec;140(12):1571-4 - PubMed
  14. Br J Psychiatry. 1995 Mar;166(3):368-73 - PubMed
  15. Psychopathology. 1991;24(2):106-14 - PubMed
  16. Schizophr Bull. 1995;21(2):303-12 - PubMed
  17. Psychiatry Res. 1987 Feb;20(2):143-53 - PubMed
  18. Hosp Community Psychiatry. 1992 Dec;43(12):1189-98 - PubMed
  19. J Nerv Ment Dis. 1992 Dec;180(12):745-7 - PubMed
  20. Am J Psychiatry. 1981 Jan;138(1):1-13 - PubMed
  21. Psychiatr Q. 1995 Winter;66(4):329-41 - PubMed
  22. Compr Psychiatry. 1975 May-Jun;16(3):233-6 - PubMed
  23. Fortschr Neurol Psychiatr. 1983 Jul;51(7):249-54 - PubMed
  24. Am J Psychiatry. 1986 Sep;143(9):1088-97 - PubMed
  25. Am Psychol. 1991 Jun;46(6):585-97 - PubMed
  26. Arch Gen Psychiatry. 1978 Jul;35(7):811-28 - PubMed
  27. Arch Gen Psychiatry. 1971 Jan;24(1):76-80 - PubMed
  28. Arch Gen Psychiatry. 1982 Aug;39(8):921-7 - PubMed
  29. Arch Gen Psychiatry. 1978 Jul;35(7):837-44 - PubMed
  30. Hosp Community Psychiatry. 1987 Feb;38(2):174-80 - PubMed
  31. Biol Psychiatry. 1987 Jan;22(1):24-34 - PubMed
  32. Psychiatr Clin North Am. 1995 Sep;18(3):503-21 - PubMed
  33. Arch Gen Psychiatry. 1975 Sep;32(9):1147-50 - PubMed

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