American Journal of Psychiatry
- Volume 140
- Number 12
- December 1983
Publication date: 01 December 1983
Pages1543–1550A 4-year follow-up study of 25 school-bus kidnapping victims and one child who narrowly missed the experience revealed that every child exhibited posttraumatic effects. Symptom severity was related to the child's prior vulnerabilities, family pathology, ...
https://doi.org/10.1176/ajp.140.12.1543Publication date: 01 December 1983
Pages1551–1563The authors present a 16-year update on schizophrenia in the National Academy of Sciences-National Research Council (NAS-NRC) Twin Registry. As of October 1981, a recorded diagnosis of schizophrenia was equally common in monozygotic and dizygotic twins. ...
https://doi.org/10.1176/ajp.140.12.1551A reconsideration of the relation of ventricular enlargement to duration of illness in schizophrenia
Publication date: 01 December 1983
Pages1564–1570The size of the ventricles of 19 young hospitalized patients with chronic schizophrenia was compared with that of 29 same-age control subjects. The patients had a slightly but significantly larger bicaudate ratio. Analysis of these results in the context ...
https://doi.org/10.1176/ajp.140.12.1564Publication date: 01 December 1983
Pages1571–1574The records of 76 bipolar (DSM-III) patients were reviewed for a history of previous misdiagnosis of schizophrenia. Multivariate analyses identified three variables significantly associated with previous misdiagnosis--auditory hallucinations, early age at ...
https://doi.org/10.1176/ajp.140.12.1571Publication date: 01 December 1983
Pages1575–1578The authors compared delusional disorders in men and women and found that women have more frequent erotic and heterosexual delusions, more affective symptoms, and more interpersonal precipitants and that men have more delusions with a homosexual theme. ...
https://doi.org/10.1176/ajp.140.12.1575Publication date: 01 December 1983
Pages1579–1582On the basis of the observations that chronic nonspecific diarrhea is a precursor of irritable colon syndrome and that chronic nonspecific diarrhea is associated with attention deficit disorder in childhood, the authors conducted a psychiatric diagnostic ...
https://doi.org/10.1176/ajp.140.12.1579Publication date: 01 December 1983
Pages1585–1588Adolescents aged 12-15 years, randomly selected from a psychiatric outpatient clinic, psychiatric consultation service, and general pediatric outpatient clinic, were given a complete psychiatric evaluation and structured diagnostic interview. Of 121 ...
https://doi.org/10.1176/ajp.140.12.1585Publication date: 01 December 1983
Pages1588–1591Low basal plasma testosterone levels with normal response to human chorionic gonadotropin (HCG) stimulation and mild hyperprolactinemia and blunted luteinizing hormone (LH) response to luteinizing-releasing hormone (LRH) stimulation were found in 10 ...
https://doi.org/10.1176/ajp.140.12.1588Publication date: 01 December 1983
Pages1592–1595Recent research has demonstrated statistically significant differences between the ventricular-brain ratios (VBRs) of schizophrenic patients and control subjects. In this study the VBRs of teenage schizophrenic/schizophreniform patients (N = 15) and ...
https://doi.org/10.1176/ajp.140.12.1592Publication date: 01 December 1983
Pages1596–1598Birth order in 90 female patients with Briquet's syndrome was significantly earlier than the theoretical mean for a normally distributed population. In contrast, the birth order of 78 women with primary alcoholism did not differ from this mean. These ...
https://doi.org/10.1176/ajp.140.12.1596Publication date: 01 December 1983
Pages1598–1601Of 400 patients followed up for 1 year after release from the hospital, 34% were readmitted during that year. For schizophrenic patients the readmission rate was 49%, and for nonschizophrenic patients it was 21%. Rate of rehospitalization was positively ...
https://doi.org/10.1176/ajp.140.12.1598Publication date: 01 December 1983
Pages1602–1604Seven patients with rapidly cycling, lithium-resistant affective illness were followed for an average of 1.7 years during prophylactic treatment with carbamazepine administered on either a blind or an open basis. The number of manic and depressive ...
https://doi.org/10.1176/ajp.140.12.1602Publication date: 01 December 1983
Pages1605–1608It is necessary to deal with racial material in therapy as well as in the real world outside of therapy. When this is not done, patients terminate their treatment feeling that the therapist did not understand them as patients and individuals. Black ...
https://doi.org/10.1176/ajp.140.12.1605Publication date: 01 December 1983
Pages1609–1611The word "hallucination" was used originally (and with etymological correctness) to refer to the unshared sensory experiences of persons who are mentally ill. However, many persons who are not mentally ill also have unshared sensory experiences. A few of ...
https://doi.org/10.1176/ajp.140.12.1609Publication date: 01 December 1983
Pages1612–1614Of 46 female agoraphobic patients, three had definite and four had probable mitral valve prolapse--a total prevalence of only 15%. There were no significant differences between patients with mitral valve prolapse and the rest of the sample on demographic ...
https://doi.org/10.1176/ajp.140.12.1612Publication date: 01 December 1983
Pages1615–1618The authors assessed two different inpatient models of clinical clerkships in psychiatry on the basis of both an examination assessing amount of learning and a survey of student attitudes. One clerkship model placed the third-year medical student in the ...
https://doi.org/10.1176/ajp.140.12.1615Publication date: 01 December 1983
Pages1619–1620Neuroleptic malignant syndrome, a rare but potentially fatal side effect of antipsychotic medications, has often proven refractory to conventional antiparkinsonian medications. The authors report a dramatic response of this syndrome to the dopamine ...
https://doi.org/10.1176/ajp.140.12.1619Publication date: 01 December 1983
Pages1623–1625Of nine depressed patients given the dexamethasone suppression test, the four dexamethasone-resistant patients had significantly higher plasma norepinephrine and epinephrine levels than the five patients with normal suppression. These results suggest ...
https://doi.org/10.1176/ajp.140.12.1623Publication date: 01 December 1983
Pages1625–1627The authors present the cases of four outpatients who abused clonidine alone or in conjunction with diazepam. They discuss the abuse potential of clonidine and urge caution in prescribing it to opiate abusers.
https://doi.org/10.1176/ajp.140.12.1625Publication date: 01 December 1983
Pages1627–1629Five patients with Tourette's syndrome were administered a mean dose of 512 mg/kg per day of oral lecithin. None of the patients exhibited sustained clinical improvement in symptom severity. No significant changes in serum prolactin or growth hormone were ...
https://doi.org/10.1176/ajp.140.12.1627Publication date: 01 December 1983
Pages1629–1631The authors administered 45-90 mg/day of tacrine to eight patients with tardive dyskinesia. After 2 weeks of treatment, there was a mean reduction in tardive dyskinesia scores of 43%. No improvement occurred when a placebo was used instead of tacrine.
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