American Journal of Psychiatry
- Volume 141
- Number 5
- May 1984
Publication date: 01 May 1984
Pages619–627Corticotropin-releasing factor (CRF) is a newly sequenced neuropeptide thought to be a principal stimulus to pituitary corticotropin (ACTH) secretion. Evidence obtained from laboratory animals and primates is reviewed which indicates that CRF not only ...
https://doi.org/10.1176/ajp.141.5.619Publication date: 01 May 1984
Pages628–632Plasma cortisol levels of 28 hospitalized patients meeting Research Diagnostic Criteria for major or nonmajor (minor or intermittent) depression were significantly higher than those of eight normal subjects. In contrast, plasma beta-endorphin ...
https://doi.org/10.1176/ajp.141.5.628Publication date: 01 May 1984
Pages633–638Although neuroleptics are the major treatment for schizophrenia, there are no effective measures to determine the appropriate or necessary length of neuroleptic maintenance. To test the ability of a psychostimulant challenge to predict relapse following ...
https://doi.org/10.1176/ajp.141.5.633Publication date: 01 May 1984
Pages639–644The authors describe the redesign and evaluation of a 30-bed psychiatric unit. The design approach was user oriented, employing a psychoenvironmental model that postulates an interaction between the physical environment and the psychotherapeutic milieu. ...
https://doi.org/10.1176/ajp.141.5.639Publication date: 01 May 1984
Pages645–650Thirteen Cambodian refugees who had survived 2-4 years of concentration camp experience met the DSM-III criteria for posttraumatic stress disorder. Their predominant symptoms were avoidance, hyperactive startle reactions, emotional numbness, intrusive ...
https://doi.org/10.1176/ajp.141.5.645Publication date: 01 May 1984
Pages651–656While an increase in aggression has frequently been reported in association with temporal lobe epilepsy, the validity of this behavioral observation and the relationship of specific aggressive behavior to electrophysiologic abnormality in the human limbic ...
https://doi.org/10.1176/ajp.141.5.651Publication date: 01 May 1984
Pages656–662A study of 66 children and adolescents exploited by adults through sex rings and pornography shows that three-fourths of the victims demonstrated patterns of negative psychological and social adjustment after the rings were exposed. More than 61% of the ...
https://doi.org/10.1176/ajp.141.5.656Publication date: 01 May 1984
Pages663–667To test whether the relationship between drinking parameters and cognitive functioning can be visualized as a curvilinear surface (rather than as a line, which more traditional regression equations presuppose), the authors tested 84 recently detoxified ...
https://doi.org/10.1176/ajp.141.5.663Publication date: 01 May 1984
Pages668–672The providers of mental health care have been the focus of blame for the increases in the cost of financing this care. The authors point out that the role of these providers cannot be isolated from the types of services they provide, where they are ...
https://doi.org/10.1176/ajp.141.5.668Publication date: 01 May 1984
Pages675–679The authors obtained opinions of forensic psychiatry in a community survey following the not guilty by reason of insanity verdict in the Hinckley trial. A majority of respondents expressed little or no confidence in the specific psychiatric testimony in ...
https://doi.org/10.1176/ajp.141.5.675Publication date: 01 May 1984
Pages680–683The authors examined dexamethasone suppression test (DST) and thyrotropin-releasing hormone (TRH) test results in 32 chronic alcoholics without depression or hepatic disease to see if alcoholism alone might lead to positive test results. After 3 weeks of ...
https://doi.org/10.1176/ajp.141.5.680Publication date: 01 May 1984
Pages684–686For prospective longitudinal confirmation of menstrually related mood changes, the authors selected a 100-mm visual analogue scale for twice- daily self-rating of mood. The advantages of this method are simplicity; increased compliance; ease of graphic ...
https://doi.org/10.1176/ajp.141.5.684Publication date: 01 May 1984
Pages687–688A chronic schizophrenic patient developed a fatal agranulocytosis 1 month after beginning to take carbamazepine for aggression. Routine hematological monitoring was not carried out. This case highlights the need for psychiatrists' increased awareness of ...
https://doi.org/10.1176/ajp.141.5.687Publication date: 01 May 1984
Pages689–690Because of the anxiety accompanying his obsessions and a prior panic attack, an obsessive-compulsive man was given alprazolam, which reduced his obsessions and eliminated his compulsions. The authors discuss links between obsessive-compulsive disorder and ...
https://doi.org/10.1176/ajp.141.5.689Publication date: 01 May 1984
Pages690–692The authors applied DSM-III criteria to 268 consecutive Chinese inpatients. Nearly a quarter had affective disorder, a third had schizophrenia, and, except for one patient, none had alcoholism or drug abuse. The authors discuss the factors influencing ...
https://doi.org/10.1176/ajp.141.5.690Publication date: 01 May 1984
Pages692–693A paraplegic man with no history of psychiatric illness developed psychosis and dyskinesia following abrupt withdrawal of baclofen; the symptoms resolved 72 hours after resumption of the drug. The psychosis and dyskinesia may have been a manifestation of ...
https://doi.org/10.1176/ajp.141.5.692Publication date: 01 May 1984
Pages694–696Sixty-six Viet Nam veterans were evaluated for posttraumatic stress disorder. Several of the DSM-III criteria for the disorder, but no other clinical features, distinguished patients diagnosed as having the disorder from others. The findings tend to ...
https://doi.org/10.1176/ajp.141.5.694Publication date: 01 May 1984
Pages696–697Three patients taking conjugated estrogens developed akathisia induced by tricyclic antidepressants. The interaction between tricyclic antidepressants and conjugated estrogens could play a role in the development of akathisia.
https://doi.org/10.1176/ajp.141.5.696Publication date: 01 May 1984
Pages698–700Among 50 inpatients, the sensitivity and specificity of the dexamethasone suppression test (DST) were 51.7% and 85.7%, respectively. For the cortisol suppression index they were 10.3% and 91% at 8:00 a.m. and 51.7% and 57.1% at 4:00 p.m. Thus, the ...
https://doi.org/10.1176/ajp.141.5.698Publication date: 01 May 1984
Pages700–702Depression, anxiety, and delirium have been associated with metrizamide myelography. The authors report a patient who developed an organic affective disorder with manic symptoms several hours after metrizamide myelography.
https://doi.org/10.1176/ajp.141.5.700Publication date: 01 May 1984
Pages702–703A patient with anorexia nervosa developed a fatal cardiomyopathy due to ipecac intoxication. Prodromal signs and symptoms included generalized muscle weakness, dysphagia, and severe palpitations. Autopsy revealed pathological changes in the heart and ...
https://doi.org/10.1176/ajp.141.5.702Publication date: 01 May 1984
Pages704–705The authors describe a case of tardive dyskinesia and parkinsonism associated with amoxapine. Patients who develop acute parkinsonism while taking amoxapine may be at higher risk for tardive dyskinesia. The authors recommend that amoxapine be prescribed ...
https://doi.org/10.1176/ajp.141.5.704Publication date: 01 May 1984
Pages706–707In another study, a simple procedure accurately predicting antidepressant response to lithium was developed in an experimental research setting. The present study failed to replicate these predictors in a clinical setting. The authors suggest using ...
https://doi.org/10.1176/ajp.141.5.706Article
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