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Ataques de nervios (ADN) is a culture‐bound syndrome whose name translates literally as attack of the nerves. The most common symptoms of ADN include uncontrollable shouting, attacks of crying, trembling, and heat in the chest that rises into the head. ADN is common in Hispanic countries, with a lifetime prevalence among adults in Puerto Rico estimated to range from 16% to 23% and an even higher prevalence in clinical settings (roughly 70%). Between 9% and 26% of Island Puerto Rican children in community and clinical settings, respectively, are also estimated to have ADN. ADN is often comorbid with other psychiatric conditions, such as anxiety and depressive disorders, and with somatic illness.

Original publication





Book title

The Encyclopedia of Clinical Psychology


John Wiley & Sons, Inc.

Publication Date





211 - 214