Skip to main content
Full access
In This Issue
Published Online: 1 September 2011

In This Issue

Clinical Guidance: Metabolic Effects of Switching to Aripiprazole in Schizophrenia
Non-HDL cholesterol, weight, and triglycerides declined after a switch to aripiprazole (Stroup et al., p. 947)
Patients with a body mass index of 27 or higher and a level of non-HDL cholesterol of 130 mg/dl or higher who were taking a stable dosage of olanzapine, quetiapine, or risperidone were randomly assigned to stay on the current medication or switch to aripiprazole for 24 weeks by Stroup et al. (p. 947). All participants were enrolled in a diet and exercise program. Non-HDL cholesterol decreased more for patients switched to aripiprazole (figure). Switching to aripiprazole was associated with larger reductions in weight and a net reduction of serum triglycerides. There was no difference in the rate of treatment failure, but nearly twice as many patients discontinued the new aripiprazole regimen before 24 weeks. In an editorial (p. 882), Weiden calls for similar research on switching medications to improve efficacy.

Real-Time Imaging Shows Illness Mechanisms

Imaging studies of brain functioning during cognitive testing exposed key aberrations in the cingulate gyrus of patients with three psychiatric disorders. Etkin and Schatzberg (CME, p. 968) observed processing deficits in the ventral anterior cingulate and amygdala of patients with major depression and/or generalized anxiety disorder, but those with depression only had compensatory prefrontal activity. The twin study by Shin et al. (CME, p. 979) suggests genetic vulnerability to posttraumatic stress disorder (PTSD). Not only did combat veterans with PTSD show greater activation of the dorsal anterior cingulate than combat veterans without PTSD, but so did their monozygotic co-twins without combat exposure. The editorial by Pine and Freedman (p. 885) describes how animal models based on the functions of these neural circuits during fear conditioning could facilitate development of new treatments for human mental disorders.

Prevalence of Autism Spectrum Disorders

The prevalence of autism spectrum disorders was 2.6% in South Korean children ages 7–12. Kim et al. (p. 904) attribute the high rate to rigorous screening of both a population sample and children known to have special needs. Many of the diagnosed children were attending regular schools. The editorial by Charman (p. 873) identifies several reasons for variation in autism prevalence among studies.

Gene-Trait Connections in Schizophrenia

Genes affecting glutamate neurotransmission featured prominently in associations between 94 genes and 12 inherited physiological or cognitive characteristics of schizophrenia. Greenwood et al. (p. 930) examined 1,536 single-nucleotide polymorphisms (SNPs) in multiple members of 130 families of people with schizophrenia. Each subject also completed tests of attention, memory, abstraction, response inhibition, and emotion recognition. Of 16,620 possible SNP-trait associations, 47 showed strong significance. In his editorial, Goldman (p. 879) notes that genetic findings on schizophrenia appear to converge on the dysfunction of brain circuits.

Information & Authors

Information

Published In

Go to American Journal of Psychiatry
Go to American Journal of Psychiatry
American Journal of Psychiatry
Pages: A54

History

Published online: 1 September 2011
Published in print: September 2011

Authors

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format
Citation style
Style
Copy to clipboard

View Options

View options

PDF/EPUB

View PDF/EPUB

Get Access

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login
Purchase Options

Purchase this article to access the full text.

PPV Articles - American Journal of Psychiatry

PPV Articles - American Journal of Psychiatry

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

Media

Figures

Other

Tables

Share

Share

Share article link

Share