American Journal of Psychiatry
- Volume 144
- Number 11
- November 1987
Publication date: 01 November 1987
Pages1403–1411Several investigators have recently challenged the belief that antidepressants can precipitate mania or rapid cycling between mania and depression. With one exception, there appear to be no placebo- controlled studies of switches into mania in bipolar ...
https://doi.org/10.1176/ajp.144.11.1403Publication date: 01 November 1987
Pages1412–1418In the last two decades, nursing homes have become major providers of health services for the frail elderly. Despite ample evidence of need for specialized psychiatric services in the nursing home setting, the majority of patients who could benefit from ...
https://doi.org/10.1176/ajp.144.11.1412Publication date: 01 November 1987
Pages1419–1425The authors exposed 10 healthy human volunteers to the stress of loud (100 dB) noise under controllable and uncontrollable conditions on two separate days. Subjects reported higher self-ratings of helplessness, lack of control, tension, stress, ...
https://doi.org/10.1176/ajp.144.11.1419Publication date: 01 November 1987
Pages1426–1430Using objective measures, the authors found a high rate of childhood sexual and physical abuse in a sample of 66 female psychiatric inpatients. Childhood abuse experiences were correlated with severity of adult psychiatric symptoms. The authors explore ...
https://doi.org/10.1176/ajp.144.11.1426Publication date: 01 November 1987
Pages1431–1436The authors interviewed 34 young people who had been sexually abused as children 6 or 8 years after the abuse had occurred and compared them with 34 control subjects who had not been abused. They also compared subjects who had been abused for less than 1 ...
https://doi.org/10.1176/ajp.144.11.1431Publication date: 01 November 1987
Pages1437–1443The authors compared the length of stay of acute admission patients at a mental health center and a nearby state hospital. The two facilities had significantly different length of stay distributions; the mean was not an adequate index to describe these ...
https://doi.org/10.1176/ajp.144.11.1437Publication date: 01 November 1987
Pages1443–1448The authors report a prospective 2-year outcome study of 40 inpatients with severe personality disorders who were treated on a specialized long-term unit for patients with "borderline conditions." Treatment goals included improving interpersonal ...
https://doi.org/10.1176/ajp.144.11.1443Publication date: 01 November 1987
Pages1449–1455This double-blind, random-assignment study contrasted the relative efficacy of bilateral and unilateral right ECT with a low-dose titration procedure. In 52 patients with primary major depressive disorder, bilateral ECT was markedly superior in short-term ...
https://doi.org/10.1176/ajp.144.11.1449Publication date: 01 November 1987
Pages1456–1460The authors compared 55 bulimic subjects and 55 normal control subjects using the Beck Depression Inventory, a new scale designed to detect cognitive distortions (the Bulimia Cognitive Distortion Scale), and several perceptual and attitudinal measures of ...
https://doi.org/10.1176/ajp.144.11.1456Publication date: 01 November 1987
Pages1461–1465Psychiatry is likely to evolve into a number of subspecialty areas, paralleling developments in other medical specialties. These changes are impelled both from within psychiatry, where the rapid increase in knowledge and skills makes mastery of the entire ...
https://doi.org/10.1176/ajp.144.11.1461Publication date: 01 November 1987
Pages1466–1470An open comparative trial was conducted involving 42 schizophrenic outpatients randomly assigned to one of two methods of drug administration: continuous medication (N = 21) and targeted medication plus psychosocial intervention (N = 21). The results, ...
https://doi.org/10.1176/ajp.144.11.1466Publication date: 01 November 1987
Pages1471–1474The three most widely used diagnostic systems in American psychiatry-- the Feighner criteria, the Research Diagnostic Criteria, and DSM-III-- appeared sequentially at 4-year intervals. The fact that the latter two systems each incorporated changes in ...
https://doi.org/10.1176/ajp.144.11.1471Publication date: 01 November 1987
Pages1474–1476Of the female patients (N = 26) on a state hospital unit who remained chronically institutionalized and actively psychotic despite psychopharmacologic and psychosocial treatment, 12 (46%) reported histories of childhood incest. These 12 patients were more ...
https://doi.org/10.1176/ajp.144.11.1474Publication date: 01 November 1987
Pages1477–1480The Diagnostic Interview Schedule (DIS) was administered to 220 psychiatric patients by lay interviewers. Kappas for agreement between DIS and chart diagnoses ranged from .39 to -.03 and averaged .14 for 13 diagnostic categories. Agreement was best for ...
https://doi.org/10.1176/ajp.144.11.1477Publication date: 01 November 1987
Pages1480–1483The authors studied platelet MAO activity in psychiatrically hospitalized geriatric patients with depression and dementia. Platelet MAO activity was higher in demented patients with and without depression and in depressed patients with reversible dementia ...
https://doi.org/10.1176/ajp.144.11.1480Publication date: 01 November 1987
Pages1484–1486The randomly selected charts of 50 discharged psychiatric inpatients were reviewed for documentation of medical illness and DSM-III axis III diagnoses. Twenty-eight percent of the patients had had medical symptoms, 56% had had medical findings, 36% had ...
https://doi.org/10.1176/ajp.144.11.1484Publication date: 01 November 1987
Pages1487–1490Habitual sugar consumption and behavior following challenge by sugar and aspartame were studied in 30 preschool boys. The 18 subjects whose parents considered them sugar reactive had more disruptive behavior problems at baseline than the other 12 ...
https://doi.org/10.1176/ajp.144.11.1487Publication date: 01 November 1987
Pages1491–1493Basal serum TSH concentration, antithyroid antibody titers, and DST response were evaluated in 124 psychiatric patients with affective symptoms. DST nonsuppressors were more likely than DST suppressors to have thyroid abnormalities.
https://doi.org/10.1176/ajp.144.11.1491Publication date: 01 November 1987
Pages1494–1496The authors studied neuroleptic drug response in 126 inpatients in Japan. They found similar prevalences and risk factors of tardive dyskinesia and neuroleptic-induced parkinsonism in Japan and the West, despite cross-cultural differences in psychiatric ...
https://doi.org/10.1176/ajp.144.11.1494Publication date: 01 November 1987
Pages1496–1498The authors followed the course of 11 patients with potentially reversible tardive dyskinesia while they were taking minimum effective neuroleptic doses. After 10 years, the symptoms of tardive dyskinesia had disappeared in eight patients, were minimal or ...
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Publication date: 01 November 1987
Pages1521-b–1521In the article "Profound Hypoglycemia With the Addition of a Tricyclic Antidepressant to Maintenance Sulfonylurea Therapy" (September 1987 issue, pp. 1220-1221) by Bev L. True, Pharm.D., et al., the degree for Elizabeth A. Burns should have been listed as ...
https://doi.org/10.1176/ajp.144.11.1521-bPublication date: 01 November 1987
Pages1522–1526This statement was drafted by the Committee on Confidentiality.a It was passed by the Assembly in May 1987 and by the Board of Trustees in June 1987.
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