American Journal of Psychiatry
- Volume 140
- Number 5
- May 1983
Publication date: 01 May 1983
Pages519–527Although psychiatric issues have in theory always been considered important in space biomedical research, specific research into these issues has been severely limited because of other priorities that were more pertinent to the technological development ...
https://doi.org/10.1176/ajp.140.5.519Publication date: 01 May 1983
Pages528–533Despite the increased attention that the syndrome of pseudodementia is receiving, several important questions regarding diagnostic criteria and accuracy, etiology, and even the appropriateness of the term itself remain unanswered. The author reviews the ...
https://doi.org/10.1176/ajp.140.5.528Publication date: 01 May 1983
Pages534–538A review of the literature showed that a high incidence or prevalence of depression in patients being treated with alpha-methyldopa has never been documented. In their study of hypertensive patients in a general medical clinic the authors found that ...
https://doi.org/10.1176/ajp.140.5.534Publication date: 01 May 1983
Pages539–542To determine how the elderly use the emergency room, the authors compared emergency patients 65 years old and older with younger patients in terms of demographics, clinical factors, patterns of emergency room use, and clinicians' responses. They found ...
https://doi.org/10.1176/ajp.140.5.539Publication date: 01 May 1983
Pages543–547The authors interviewed 17 adolescent inpatients and their mothers with the Schedule for Affective Disorders and Schizophrenia for School-Aged Children and Adolescents, Epidemiological Version (K-SADS-E), a semistructured interview that generates RDC and ...
https://doi.org/10.1176/ajp.140.5.543Publication date: 01 May 1983
Pages548–553Thirty-one children (age range, 7-14 years) of 18 probands with a bipolar disorder according to Research Diagnostic Criteria were assessed on clinical and psychological measures and compared with 18 matched normal control children. The authors found ...
https://doi.org/10.1176/ajp.140.5.548Publication date: 01 May 1983
Pages554–558Bulimia, the syndrome of compulsive binge eating, is a common and often severe disorder frequently resistant to known therapies. Recent evidence suggesting a link between bulimia and affective disorder prompted the authors to perform a double-blind study ...
https://doi.org/10.1176/ajp.140.5.554Publication date: 01 May 1983
Pages559–563The authors examined the relationship of clinical variables, family history, and neuroendocrine function in 18 bulimic patients. Twelve of 18 patients (67%) showed abnormalities of cortisol suppression, and 8 of 10 (80%) showed blunted thyrotropin-...
https://doi.org/10.1176/ajp.140.5.559Publication date: 01 May 1983
Pages564–567The authors conducted a retrospective study of the incidence of anorexia nervosa in the industrialized canton of Zurich, Switzerland, during three randomly selected sampling periods from 1956 to 1975. The data were derived from case histories from nearly ...
https://doi.org/10.1176/ajp.140.5.564Publication date: 01 May 1983
Pages568–572Four major ritual patterns are exhibited in a church-based clinic in Jamaica that represents a model of collaborative clinical care catering to spiritual, psychological, and orthodox medical needs. Three of the ritual patterns correspond to the three ...
https://doi.org/10.1176/ajp.140.5.568Publication date: 01 May 1983
Pages573–576From 1969 to 1979 senior medical students from the University of Colorado School of Medicine entered psychiatric residencies at an average rate of 3.8%. The university gradually instituted a series of changes in its undergraduate psychiatric education ...
https://doi.org/10.1176/ajp.140.5.573Publication date: 01 May 1983
Pages577–581The recognition of the serious problems of state hospitals that dominated public policy in the 1960s has been largely overshadowed in recent years by a preoccupation with the problems of deinstitutionalization. The current backlash against the community ...
https://doi.org/10.1176/ajp.140.5.577Publication date: 01 May 1983
Pages582–585The psychopathology of 29 delinquent and 25 nondelinquent psychiatrically hospitalized adolescent boys was similarly severe. Similar proportions had hallucinations, delusions, learning disabilities, and evidence of neurological impairment, and over half ...
https://doi.org/10.1176/ajp.140.5.582Publication date: 01 May 1983
Pages586–589The authors administered the dexamethasone suppression test (DST) to 47 inpatients on a clinical, nonresearch psychiatric unit who had been diagnosed according to DSM-III. Of the 30 patients with major depression, 23 (77%) exhibited nonsuppression (serum ...
https://doi.org/10.1176/ajp.140.5.586Publication date: 01 May 1983
Pages589–591The dexamethasone suppression test (DST) was administered to 120 adolescent psychiatric patients at the time of hospitalization, and cortisol levels were measured at 4:00 p.m. and 11:30 p.m. on the day after a 1-mg oral dose of dexamethasone was given. ...
https://doi.org/10.1176/ajp.140.5.589Publication date: 01 May 1983
Pages591–593Of 437 adolescent girls admitted to a psychiatric hospital for emotional problems, 61 reported an incestuous involvement. Their mean age at the time of their first experience was 11.9 years. The liaisons occurred as often with fathers as with stepfathers; ...
https://doi.org/10.1176/ajp.140.5.591Publication date: 01 May 1983
Pages593–595Two patients with bipolar affective disorder and a history of bronchospastic phenomena experienced tremor during lithium carbonate therapy. In both, metoprolol produced objective and subjective improvement of the tremor without producing bronchospasm. ...
https://doi.org/10.1176/ajp.140.5.593Publication date: 01 May 1983
Pages596–598The coexistence of medical and psychiatric problems in psychiatric inpatients often causes compliance difficulties, based on either irrational and distorted fears of medical treatment or more rational concerns that proposed psychiatric treatment could ...
https://doi.org/10.1176/ajp.140.5.596Publication date: 01 May 1983
Pages598–601A community survey conducted in Kansas City, Mo., and Washington County, Md., revealed a significant association between symptoms of depression and self-reported disability. No demographic variables showed any consistent relationship to disability. The ...
https://doi.org/10.1176/ajp.140.5.598Publication date: 01 May 1983
Pages601–603The authors present a case report and discuss the clinical effects of the Tarasoff decision on the therapy of a potentially violent patient. They emphasize that the patient's ambivalence toward the intended victim can be used to foster the therapeutic ...
https://doi.org/10.1176/ajp.140.5.601Publication date: 01 May 1983
Pages603–606The authors examined retrospectively the prehospitalization behavior of 66 voluntary and involuntary psychiatric patients to determine precipitating factors in each person's hospitalization. Involuntary patients had engaged in dangerous acts directed ...
https://doi.org/10.1176/ajp.140.5.603Publication date: 01 May 1983
Pages606–608The authors examine the development and characteristics of a "new" long- term population in the public mental health system in Maryland. The findings do not substantiate concern over a large increase in the number of chronic patients in state hospitals in ...
https://doi.org/10.1176/ajp.140.5.606Publication date: 01 May 1983
Pages609–611Sixteen depressed patients underwent 1- and 2-mg overnight dexamethasone suppression tests in balanced order. Serum cortisol concentrations at all time points were significantly higher after the 1- mg dose. Nine patients were nonsuppressors after the 1-mg ...
https://doi.org/10.1176/ajp.140.5.609Publication date: 01 May 1983
Pages611–612Two patients receiving long-term depot antipsychotic treatment developed late-onset akathisia characterized by emergence toward the end of each injection interval. Drug dose reduction provoked exacerbation of the akathisia and the appearance of choreiform ...
https://doi.org/10.1176/ajp.140.5.611Publication date: 01 May 1983
Pages613–614Dopamine receptors were increased in rats made diabetic by alloxan; however, chronic lithium treatment substantially reduced the number of dopamine receptors. These findings may be relevant to the effects of lithium in psychiatric disorders.
https://doi.org/10.1176/ajp.140.5.613Publication date: 01 May 1983
Pages615–617The authors administered the dexamethasone suppression test to 10 patients who met DSM-III criteria for bipolar disorder. All 7 patients with bipolar disorder, mixed type, failed to suppress cortisol; however, the 3 patients with bipolar disorder, manic ...
https://doi.org/10.1176/ajp.140.5.615Publication date: 01 May 1983
Pages618–620Near-death experiences reportedly foster value transformations and decrease suicidal ideation. Eighty-nine survivors of near-death experiences judged values related to material and social success as less important than did 175 control subjects. Decathexis ...
https://doi.org/10.1176/ajp.140.5.618Publication date: 01 May 1983
Pages620–622The authors administered the dexamethasone suppression test to 14 children aged 5-12 years who met the Research Diagnostic Criteria and DSM-III criteria for major depressive disorder. The dexamethasone dose used was 20 micrograms/kg; 2 subjects were ...
https://doi.org/10.1176/ajp.140.5.620Publication date: 01 May 1983
Pages622–624Diagnosis of attention deficit disorder in a 35-year-old man and treatment with pemoline substantially improved his response to alcoholism treatment and aftercare. The authors conclude that treatment of attention deficit disorder may aid in rehabilitation ...
https://doi.org/10.1176/ajp.140.5.622Publication date: 01 May 1983
Pages626–627A young patient experienced marked sinus tachycardia while smoking marijuana and receiving therapeutic doses of nortriptyline. The authors discuss the potential synergistic effects of these drugs and recommend treatment with propranolol.
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