American Journal of Psychiatry
- Volume 143
- Number 4
- April 1986
Publication date: 01 April 1986
Pages417–429New surgical procedures have revolutionized the treatment of morbid obesity (more than 100% overweight), a condition associated with serious medical complications and for which conservative treatment has been largely ineffective. These procedures, which ...
https://doi.org/10.1176/ajp.143.4.417Publication date: 01 April 1986
Pages430–436The differences in the theoretical and clinical approaches that Kernberg and Kohut have defined are used to discuss the psychodynamics and psychotherapy of the narcissistic personality disorder patient. Their contrasting contributions help clarify the ...
https://doi.org/10.1176/ajp.143.4.430Publication date: 01 April 1986
Pages437–441Obsessive-compulsive symptomatology has been described in schizophrenia for more than 60 years, but its clinical significance has yet to be explored systematically. This report details the clinical characteristics and long-term course of a group of 21 ...
https://doi.org/10.1176/ajp.143.4.437Publication date: 01 April 1986
Pages442–446The course of Alzheimer's disease can be complicated by depressive illness, often presenting enigmatically. To determine whether the dexamethasone suppression test (DST) can help distinguish patients with coexisting dementia and depression from those with ...
https://doi.org/10.1176/ajp.143.4.442Publication date: 01 April 1986
Pages447–452To determine the prevalence of major depression in cancer patients and assess the usefulness of the dexamethasone suppression test (DST) and the thyrotropin-releasing hormone (TRH) stimulation test for diagnosing major depression in these patients, the ...
https://doi.org/10.1176/ajp.143.4.447Publication date: 01 April 1986
Pages452–456Dexamethasone suppression tests (DSTs) were performed for 18 moderately demented elderly patients, 66 depressed elderly outpatients, and 25 age- and sex-matched healthy elderly control subjects. Seventeen percent of the demented patients and 4% of the ...
https://doi.org/10.1176/ajp.143.4.452Publication date: 01 April 1986
Pages457–462The authors measured the in vitro lithium ion ratio and maximal rate of sodium-lithium countertransport in erythrocytes of 739 randomly selected blood donors and 42 manic-depressive patients to determine the frequency distributions of these two variables ...
https://doi.org/10.1176/ajp.143.4.457Publication date: 01 April 1986
Pages463–468The authors describe changes in DSM-III substance use disorders to be included in the revised version, DSM-III-R. Major revisions include removal of the distinction between "abuse" and "dependence" and broadening the definition of "dependence" to a ...
https://doi.org/10.1176/ajp.143.4.463Publication date: 01 April 1986
Pages469–477Positron emission tomography was used to study eight patients with panic disorder who were vulnerable to lactate-induced panic, eight patients with panic disorder who were not vulnerable to lactate-induced panic, and 25 normal control subjects. Patients ...
https://doi.org/10.1176/ajp.143.4.469Publication date: 01 April 1986
Pages478–482Of 33 "panic" attacks reported by patients wearing an ambulatory solid- state heart rate/activity monitor for 6 days, 19 (58%) occurred at heart rates disproportionate to activity levels and different enough from surrounding heart rates to indicate a ...
https://doi.org/10.1176/ajp.143.4.478Publication date: 01 April 1986
Pages483–494Lactate infusions are anxiogenic in patients with panic disorder or agoraphobia with panic attacks, but few neuroendocrine profiles of this effect have appeared. The authors measured the number and intensity of panic symptoms and blood hormone levels ...
https://doi.org/10.1176/ajp.143.4.483Publication date: 01 April 1986
Pages495–502Forty-three patients with panic disorder or agoraphobia with panic attacks and 20 control subjects received 0.5 M racemic sodium lactate intravenous infusions, single-blind as to duration and sequence. During the procedure, pulse; blood pressure; blood L-...
https://doi.org/10.1176/ajp.143.4.495Publication date: 01 April 1986
Pages503–507The authors studied the TSH and prolactin responses to a standard 500- micrograms thyrotropin-releasing hormone (TRH) stimulation test in 12 patients with panic disorder and 10 control subjects. As a group, panic disorder patients had lower mean TSH and ...
https://doi.org/10.1176/ajp.143.4.503Publication date: 01 April 1986
Pages508–510An earlier follow-up of inpatients with panic disorder attributed excess mortality among men to death from unnatural causes and from cardiovascular disease. The present study sought to determine the stability of this finding with a 12-year follow-up of ...
https://doi.org/10.1176/ajp.143.4.508Publication date: 01 April 1986
Pages511–515Of 131 patients with panic disorder or agoraphobia, 44 (34%) had definite mitral valve prolapse on the basis of clinical findings of an apical mid- or late systolic click and a murmur and/or a two- dimensional echocardiogram showing prolapse of one ...
https://doi.org/10.1176/ajp.143.4.511Publication date: 01 April 1986
Pages519–522In a double-blind crossover trial, carbamazepine, an anticonvulsant with primary effects on subcortical limbic structures, decreased the severity of behavioral dyscontrol in 11 women with borderline personality disorder significantly more than placebo. ...
https://doi.org/10.1176/ajp.143.4.519Publication date: 01 April 1986
Pages523–526Two studies were conducted to evaluate the clinical efficacy of intensive social skills training in medicated schizophrenic inpatients at risk for relapse. In study 1, three patients were treated; two showed reductions in psychopathology and ...
https://doi.org/10.1176/ajp.143.4.523Publication date: 01 April 1986
Pages527–529The authors used structured clinical interviews to compare depressive symptoms in 43 patients with poststroke major depression and 43 patients with major depression without a known medical cause. The depressive syndrome profiles in the two patient groups ...
https://doi.org/10.1176/ajp.143.4.527Publication date: 01 April 1986
Pages530–532Despite advances in the management of patients with obsessive- compulsive disorder, some remain refractory to treatment. The authors retrospectively examined characteristics of 43 treatment-resistant obsessive-compulsive patients and found that those with ...
https://doi.org/10.1176/ajp.143.4.530Publication date: 01 April 1986
Pages533–535Forty-four anxious patients with a history of panic attacks had a significantly higher prevalence of mitral valve abnormalities than 20 patients with generalized anxiety only. The higher number of mitral valve abnormalities was not correlated with the ...
https://doi.org/10.1176/ajp.143.4.533Publication date: 01 April 1986
Pages535–536Retrospective chart review of 30 Asian patients and 30 matched Caucasian patients failed to replicate a previous report's finding that Asian patients require lower doses of neuroleptic medications than do Caucasian patients.
https://doi.org/10.1176/ajp.143.4.535Publication date: 01 April 1986
Pages537–539Two scales developed to assess combat exposure and posttraumatic stress disorder symptomatology in Vietnam veterans displayed very high reliability. High levels of posttraumatic stress disorder were associated with more current life stresses and other ...
https://doi.org/10.1176/ajp.143.4.537Publication date: 01 April 1986
Pages539–541Twenty-two patients with recurrent affective disorders received 1-mg dexamethasone suppression tests (DSTs) during multiple hospitalizations. Interepisode consistency of DST results was found in 82% of the subjects, which supports the use of this test as ...
https://doi.org/10.1176/ajp.143.4.539Article
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Publication date: 01 April 1986
Pages560-c–560In the article "Childhood Parental Death and Adult Psychopathology" (February issue, pp. 153-157), by Drs. Ragan and McGlashan, the first author's middle initial was given incorrectly. The correct name is Lt. Cdr. Paul W. Ragan, MC, USNR. The staff ...
https://doi.org/10.1176/ajp.143.4.560-cPast Issues
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