American Journal of Psychiatry
- Volume 144
- Number 9
- September 1987
Publication date: 01 September 1987
Pages1123–1134There is now clear evidence that stress, bereavement, and depression can compromise specific components of the immunologic apparatus. The first part of this paper gives an overview of fundamental immunology and is followed by a review of the patterns, ...
https://doi.org/10.1176/ajp.144.9.1123Publication date: 01 September 1987
Pages1135–1142American Indians are the most severely disadvantaged of any population within the United States. By adolescence, Indian children show higher rates of suicide, alcoholism, drug abuse, delinquency, and out-of-home placement. School achievement is severely ...
https://doi.org/10.1176/ajp.144.9.1135Publication date: 01 September 1987
Pages1143–1148During a course of ECT, seizure duration may become too brief for clinical benefit. Use of higher-energy stimuli may lengthen seizures but may also increase the risk of toxicity, and it is not possible when maximum settings are reached. The authors ...
https://doi.org/10.1176/ajp.144.9.1143Publication date: 01 September 1987
Pages1148–1153Extrapyramidal side effects are a major limitation in the use of neuroleptics, and tardive dyskinesia is a special public health problem. Accurate clinical diagnosis of extrapyramidal syndromes is necessary for effective management. The authors compared ...
https://doi.org/10.1176/ajp.144.9.1148Publication date: 01 September 1987
Pages1154–1160To determine whether delusional depression has a different clinical course from other types of depression, the authors followed up 31 unipolar delusional depressed patients, 28 unipolar nonpsychotic depressed patients, and 51 schizophrenic patients 14 ...
https://doi.org/10.1176/ajp.144.9.1154Publication date: 01 September 1987
Pages1160–1165The behavioral approach to panic disorder distinguishes between agoraphobia and nonsituational panic and emphasizes the handicap to the patient caused by avoidance of agoraphobic situations. Agoraphobia is a more viable label than panic disorder. ...
https://doi.org/10.1176/ajp.144.9.1160Publication date: 01 September 1987
Pages1166–1171The authors report on 16 outpatients with Tourette's disorder, 16 outpatients with obsessive-compulsive disorder, and 16 normal control subjects who underwent structured interviews and psychological testing. Previous findings of a high incidence of ...
https://doi.org/10.1176/ajp.144.9.1166Publication date: 01 September 1987
Pages1172–1177A national sample of 628 women with eating disorders completed questionnaires in 1982 and again in 1984. According to initial simulated DSM-III diagnoses, 34 had anorexia nervosa with bulimic features, 392 had normal-weight bulimia, and 202 had a ...
https://doi.org/10.1176/ajp.144.9.1172Publication date: 01 September 1987
Pages1178–1183In a study of 2,902 subjects from the National Institute of Mental Health Epidemiologic Catchment Area Project in North Carolina, the association between life events and the onset of new cases of generalized anxiety syndrome varied across demographic ...
https://doi.org/10.1176/ajp.144.9.1178Publication date: 01 September 1987
Pages1184–1188The South Oaks Gambling Screen is a 20-item questionnaire based on DSM- III criteria for pathological gambling. It may be self-administered or administered by nonprofessional or professional interviewers. A total of 1,616 subjects were involved in its ...
https://doi.org/10.1176/ajp.144.9.1184Publication date: 01 September 1987
Pages1189–1194One hundred seven men who had been studied prospectively from age 18 to age 63 completed the Washington University Sentence Completion Test at age 55 +/- 2 years. Ego level as assessed by the Sentence Completion Test correlated significantly with ...
https://doi.org/10.1176/ajp.144.9.1189Publication date: 01 September 1987
Pages1199–1202In this study, eight patients participated in a standardized protocol to assess the effects of caffeine on seizures in ECT. Caffeine sodium benzoate (500-2000 mg) was administered intravenously 10 minutes before ECT, and seizure duration was compared with ...
https://doi.org/10.1176/ajp.144.9.1199Publication date: 01 September 1987
Pages1203–1206Of 380 high school students who completed an anonymous survey concerned with their experience with suicidal behavior, 60% reported that they had thought about killing themselves. These thoughts varied with respect to persistence and planfulness. Almost 9% ...
https://doi.org/10.1176/ajp.144.9.1203Publication date: 01 September 1987
Pages1207–1209The authors studied 40 white men with acute phencyclidine (PCP) intoxication. On a random basis, 10 were treated with ascorbic acid, 10 with placebo, 10 with haloperidol, and 10 with a combination of ascorbic acid and haloperidol. While haloperidol was ...
https://doi.org/10.1176/ajp.144.9.1207Publication date: 01 September 1987
Pages1210–1213Data were obtained from 41 survivors of imprisonment by the Japanese during World War II. Interview data suggested that these individuals, despite the 40 years that had passed since their prisoner of war experiences, showed manifestations of posttraumatic ...
https://doi.org/10.1176/ajp.144.9.1210Publication date: 01 September 1987
Pages1214–1215Adrenal weight was significantly higher in 16 victims of violent suicide than in 10 subjects who died suddenly from other causes. Since approximately half of suicide victims are depressed, these results support an association between depression and ...
https://doi.org/10.1176/ajp.144.9.1214Publication date: 01 September 1987
Pages1216–1218For 29 patients with schizophrenia that began after age 44, the mean ventricle-to-brain ratio was significantly higher than for 23 age- matched normal subjects but significantly smaller than for 23 patients with Alzheimer's disease and hallucinations or ...
https://doi.org/10.1176/ajp.144.9.1216Publication date: 01 September 1987
Pages1218–1220In a surgical intensive care unit, plasma anticholinergic activity was significantly higher in nine delirious patients than in 16 patients without delirium. The delirium may have been related to medications that are known to be associated with delirium ...
https://doi.org/10.1176/ajp.144.9.1218Publication date: 01 September 1987
Pages1220–1221Cases of profound hypoglycemia after the initiation of tricyclic antidepressant therapy in two patients taking sulfonylureas are described. To the authors' knowledge, this is the first report of a potential drug interaction between tricyclic ...
https://doi.org/10.1176/ajp.144.9.1220Publication date: 01 September 1987
Pages1222–1223The frequencies of DSM-III diagnoses in 30 patients with dyspepsia of unknown origin and 20 patients with organic dyspepsia were compared. Dyspepsia of unknown origin was associated with a higher prevalence of psychiatric diagnoses (86.7% versus 25.0%), ...
https://doi.org/10.1176/ajp.144.9.1222Publication date: 01 September 1987
Pages1224–1225The authors describe three patients who each had a catatonic syndrome associated with affective psychosis and who responded dramatically to low doses of lorazepam.
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