American Journal of Psychiatry
- Volume 143
- Number 11
- November 1986
Publication date: 01 November 1986
Pages1361–1373Expressed emotion, a measure of family attitudes toward psychiatric patients that is predictive of relapse, has attracted renewed attention recently as interest in the chronic psychiatric patient has widened. The authors review the development of the ...
https://doi.org/10.1176/ajp.143.11.1361Publication date: 01 November 1986
Pages1374–1381Lethal catatonia, a life-threatening febrile neuropsychiatric disorder, was widely reported in this country and abroad before the introduction of modern psychopharmacologic treatments. A comprehensive review of the world literature indicates that although ...
https://doi.org/10.1176/ajp.143.11.1374Publication date: 01 November 1986
Pages1382–1386Natural killer (NK) cells are important in immune function and appear, in part, to be regulated by the CNS. The authors compared NK cell activity and MMPI scores of 111 healthy college students and found weak but statistically significant correlations ...
https://doi.org/10.1176/ajp.143.11.1382Publication date: 01 November 1986
Pages1387–1392Eighty-four patients with major depression refractory to a controlled antidepressant trial had lithium added to their ongoing treatment. Objective symptom ratings showed highly significant improvement in the sample as a whole. At discharge or after 24 ...
https://doi.org/10.1176/ajp.143.11.1387Publication date: 01 November 1986
Pages1393–1397During a drug-free period a group of schizophrenic subjects (N = 9) showed normal mean basal plasma ACTH and cortisol levels in association with normal plasma ACTH and cortisol responses to an infusion of corticotropin-releasing hormone (CRH). ...
https://doi.org/10.1176/ajp.143.11.1393Publication date: 01 November 1986
Pages1398–1402The authors studied 64 depressed patients who were receiving a vanillylmandelic acid (VMA)-free diet and underwent a washout period (mean, 24 days) before treatment. During the washout period, a mean of 2.5 multiple 24-hour urinary 3-methoxy-4-...
https://doi.org/10.1176/ajp.143.11.1398Publication date: 01 November 1986
Pages1403–1408The data recently collected in the Piedmont region of North Carolina as part of the National Institute of Mental Health Epidemiologic Catchment Area Program were used to examine somatization disorder in a community population. The authors found an ...
https://doi.org/10.1176/ajp.143.11.1403Publication date: 01 November 1986
Pages1409–1414Mutism is a common manifestation of both psychiatric and neurologic illness. Psychiatric disturbances associated with mutism include schizophrenia, affective disorders, conversion reactions, dissociative states, and dementias. Neurologic disorders ...
https://doi.org/10.1176/ajp.143.11.1409Publication date: 01 November 1986
Pages1415–1419Concern about quality control in psychiatric training has been heightened by the lack of standardized assessment within residencies to ensure that graduates reach a level of competence commensurate with the ability to practice independently and the high ...
https://doi.org/10.1176/ajp.143.11.1415Publication date: 01 November 1986
Pages1424–1427The authors examined the number, type, and effect of life events during the year before the onset of panic attacks in 44 patients with a Research Diagnostic Criteria diagnosis of panic disorder and 44 healthy control subjects matched for age, sex, and ...
https://doi.org/10.1176/ajp.143.11.1424Publication date: 01 November 1986
Pages1428–1431The medical school educational experience is very stressful for many students, prompting some to seek formal psychiatric care. The authors describe the Medical Student Support Services program of the University of Kentucky College of Medicine. From July ...
https://doi.org/10.1176/ajp.143.11.1428Publication date: 01 November 1986
Pages1432–1435The author found that, for 35 (22%) of the 159 medical students who sought consultation with her in a medical school mental health service, their training in psychiatry precipitated the consultation. For 18 of these 35 students, acute anxiety or ...
https://doi.org/10.1176/ajp.143.11.1432Publication date: 01 November 1986
Pages1436–1439Premenstrual syndrome specialty clinics are reported to be almost exclusively attended by white women. This racial discrepancy has raised the question of whether there is a lower prevalence or severity of symptoms during the premenstruum among black ...
https://doi.org/10.1176/ajp.143.11.1436Publication date: 01 November 1986
Pages1440–1442Three alcohol-dependent homosexual men with suicidal ideation and behavior consciously attempted to contract the acquired immune deficiency syndrome (AIDS) as a means of committing suicide. The authors briefly examine the interrelationship among ...
https://doi.org/10.1176/ajp.143.11.1440Publication date: 01 November 1986
Pages1443–1446The authors performed structured psychiatric examinations of 188 former prisoners of war (POWs). Sixty-seven percent had had posttraumatic stress disorder. Of those affected, 29% had fully recovered, 39% still reported mild symptoms, 24% had improved but ...
https://doi.org/10.1176/ajp.143.11.1443Publication date: 01 November 1986
Pages1446–1449A research psychiatrist using a standardized interview found that 94% of a random sample of residents at a large, intermediate-care nursing home had mental disorders according to DSM-III criteria. Primary degenerative dementia and multi-infarct dementia ...
https://doi.org/10.1176/ajp.143.11.1446Publication date: 01 November 1986
Pages1450–1453The authors treated 24 newly hospitalized patients suffering from acute mania with 450-900 micrograms/day of clonidine, an alpha 2-adrenergic agonist, for 2 weeks. A marked decrease in manic symptoms was observed after 5 and 13 days of treatment in about ...
https://doi.org/10.1176/ajp.143.11.1450Publication date: 01 November 1986
Pages1454–1456The authors describe a method for assessing the reliability of statements derived from psychodynamic case formulations. By reducing a narrative formulation into a series of distinct statements and rating their relevance to a particular patient, they ...
https://doi.org/10.1176/ajp.143.11.1454Publication date: 01 November 1986
Pages1457–1459Research interest in the "negative" symptoms of schizophrenia has increased in recent years. Given the clinical similarity between affective deficits in schizophrenic patients and aprosodic deficits in stroke victims, the authors conducted a study testing ...
https://doi.org/10.1176/ajp.143.11.1457Publication date: 01 November 1986
Pages1460–1463Seventy-seven patients of Puerto Rican origin who had attempted suicide and were admitted to the inpatient psychiatric unit of a general hospital were administered the Schedule for Affective Disorders and Schizophrenia (SADS), selected items of the Life ...
https://doi.org/10.1176/ajp.143.11.1460Publication date: 01 November 1986
Pages1464–1466The clinical and biological correlates of gradual alprazolam withdrawal were investigated in 10 patients in a double-blind, placebo-controlled trial. During gradual alprazolam withdrawal, anxiety and plasma cortisol levels were higher than during a ...
https://doi.org/10.1176/ajp.143.11.1464Publication date: 01 November 1986
Pages1467–1468Two patients with Tourette's disorder were treated with calcium antagonists. Verapamil and nifedipine produced positive responses, and diltiazem produced no response. Given the negative side effects of the current drugs for this disorder, the authors ...
https://doi.org/10.1176/ajp.143.11.1467Publication date: 01 November 1986
Pages1469–1470Hospitalized prepubertal depressed children with abnormal dexamethasone suppression test (DST) results were treated and given repeat DSTs at 6 weeks (N = 21) and 5 months (N = 14). DST results were significantly correlated with clinical status at 5 months ...
https://doi.org/10.1176/ajp.143.11.1469Publication date: 01 November 1986
Pages1471–1472The Zung Self-Rating Anxiety Scale was administered to 739 consecutive patients seen in a family medicine center during a 9-month period. When a morbidity cutoff score of 50 was used, 20% of the patients were found to have clinically significant anxiety ...
https://doi.org/10.1176/ajp.143.11.1471Publication date: 01 November 1986
Pages1473–1474The authors examined the internal consistency and factorial structure of behavioral criteria for assessing personality disorders. Most sets of criteria were internally consistent, but items relating to different disorders showed substantial ...
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Publication date: 01 November 1986
Page1505On page 1060 of the August 1986 issue, in the title of a letter to the Editor by Randal D. France, M.D., and K. Ranga Rama Krishnan, M.D., there was an editing error. The title should have read, "Chronic Pain in Psychiatric Patients." The staff regrets ...
https://doi.org/10.1176/ajp.143.11.1505Publication date: 01 November 1986
Page1506This statement was approved by the Assembly in May 1986 and by the Board of Trustees in June 1986.
https://doi.org/10.1176/ajp.143.11.1506Past Issues
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