American Journal of Psychiatry
- Volume 145
- Number 6
- June 1988
Publication date: 01 June 1988
Pages657–665A long tradition in psychiatry has focused on parental traits that directly influence the liability to psychiatric disorders in offspring. Because these traits rarely resemble the disorders they cause, traditional models of cultural transmission (which ...
https://doi.org/10.1176/ajp.145.6.657Publication date: 01 June 1988
Pages666–674It has generally been assumed that psychotropic drugs do not influence results on the dexamethasone suppression test (DST), except in some specific situations. Yet they directly affect the activity of many neurotransmitter systems, which in turn regulate ...
https://doi.org/10.1176/ajp.145.6.666Publication date: 01 June 1988
Pages675–683Many psychiatric patients have polydipsia and polyuria without identifiable underlying medical causes. Hyponatremia develops in some polydipsic patients and can progress to water intoxication with such symptoms as confusion, lethargy, psychosis, and ...
https://doi.org/10.1176/ajp.145.6.675Publication date: 01 June 1988
Pages684–689This study tested the hypothesis that schizophrenic women experience a less severe course of illness than schizophrenic men. Ninety patients with DSM-III diagnoses of schizophrenia, who were in the early stages of illness, were followed for 10 years with ...
https://doi.org/10.1176/ajp.145.6.684Publication date: 01 June 1988
Pages690–694In a national survey of PGY-4 psychiatric residents, 4.9% of the 548 respondents indicated that they had been sexually involved with psychiatric educators and 0.9% reported that they had been sexually involved with patients. Most residents reported no or ...
https://doi.org/10.1176/ajp.145.6.690Publication date: 01 June 1988
Pages695–700Schizophreniform disorder, a potentially useful construct, is difficult to operationalize either for clinical or research purposes. According to DSM-III-R, schizophreniform disorder is descriptively identical to schizophrenia, differing only in duration ...
https://doi.org/10.1176/ajp.145.6.695Publication date: 01 June 1988
Pages701–706The authors describe a pilot prospective investigation of the effects of ECT on brain structure using magnetic resonance imaging (MRI). In nine patients with major depression, a course of ECT produced no acute changes in brain structure according to blind ...
https://doi.org/10.1176/ajp.145.6.701Publication date: 01 June 1988
Pages707–711The authors sought to determine whether the performance of the dexamethasone suppression test (DST) could be enhanced by expressing cortisol as a function of dexamethasone. Because cortisol concentration is a function of the reciprocal of dexamethasone ...
https://doi.org/10.1176/ajp.145.6.707Publication date: 01 June 1988
Pages712–717The authors examined relationships between psychiatric disorder and perceived general health and physical functioning from data obtained from interviews with 2,554 non-Hispanic whites and Mexican-Americans in Los Angeles. Persons with recent psychiatric ...
https://doi.org/10.1176/ajp.145.6.712Publication date: 01 June 1988
Pages718–722Men have persistently had a several-fold higher suicide rate than women. In this study of 204 consecutive suicides, the authors examined three areas in which the men differed from the women. Men used more violent, immediately lethal methods of suicide, ...
https://doi.org/10.1176/ajp.145.6.718Publication date: 01 June 1988
Pages723–727The private practice of psychiatry is being transformed by the new economics of medical care. Patients are paying more out-of-pocket for necessary care (demand-side cost sharing), and health care providers are being asked to assume part of the risk of ...
https://doi.org/10.1176/ajp.145.6.723Publication date: 01 June 1988
Pages728–732The authors extensively reviewed the medical records of 253 patients hospitalized on a locked, university-based psychiatric unit. They found that schizophrenic and manic patients were more likely than patients with other diagnoses to be assaultive before ...
https://doi.org/10.1176/ajp.145.6.728Publication date: 01 June 1988
Pages733–736To assess the role of peripheral epinephrine in social anxiety, the authors infused 11 patients meeting DSM-III criteria for social phobia with intravenous epinephrine over 60 minutes. Although the mean plasma epinephrine level increased from 113 to 928 ...
https://doi.org/10.1176/ajp.145.6.733Publication date: 01 June 1988
Pages737–739Among 180 patients with DSM-III borderline personality disorder, patients with concurrent affective and substance use disorders had a higher rate of serious suicide attempts than other patients. Clinicians should be alert to axis I disorders in assessing ...
https://doi.org/10.1176/ajp.145.6.737Publication date: 01 June 1988
Pages740–741Unlike tricyclic antidepressants and monoamine oxidase inhibitors, mianserin did not increase prolactin response to the 5- hydroxytryptamine (5-HT) precursor tryptophan in nine patients with major depression. Antidepressant drugs apparently produce ...
https://doi.org/10.1176/ajp.145.6.740Publication date: 01 June 1988
Pages742–744Seven patients with schizophrenia and panic attacks all showed marked improvement of positive and negative schizophrenic symptoms when alprazolam was openly added to antipsychotic medication. Panic attacks may identify alprazolam-responsive schizophrenic ...
https://doi.org/10.1176/ajp.145.6.742Publication date: 01 June 1988
Pages745–747The authors compared indices of thyroid function in 26 patients with panic disorder and 26 closely matched control subjects. No significant differences in T3, T4, free T4, thyrotropin, or thyroxine-binding globulin were found between the two groups. ...
https://doi.org/10.1176/ajp.145.6.745Publication date: 01 June 1988
Pages748–750Carbamazepine was given to 12 chronic, treatment-refractory schizophrenic patients for 5 weeks. No overall change was found, but four patients significantly improved while eight worsened. Given the paucity of successful treatments for refractory ...
https://doi.org/10.1176/ajp.145.6.748Publication date: 01 June 1988
Pages751–752Inpatient assaults were videotaped and then characterized by tape reviewers as showing high or low hostility. Over a 2-month period, the videotape reviewers documented more than twice as many high-hostility assaults as were documented by other methods of ...
https://doi.org/10.1176/ajp.145.6.751Publication date: 01 June 1988
Pages753–755In a longitudinal survey of college freshmen, the incidence of bulimia nervosa was 4.2 cases per 100 women per year. Prevalence remained stable (2.9%-3.3%) as new cases were offset by partial remissions. Some women continued bulimic behaviors without ...
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