American Journal of Psychiatry
- Volume 145
- Number 8
- August 1988
Publication date: 01 August 1988
Pages909–917There has recently been an increased focus on comparing the effectiveness of drugs and psychotherapy in the treatment of mental disorders. The marked differences between these two treatment forms raise many conceptual and methodological problems for the ...
https://doi.org/10.1176/ajp.145.8.909Publication date: 01 August 1988
Pages918–925In an overview of the research on psychiatric decision making in the emergency room, the authors discuss studies done between 1963 and 1977, which suffered from an overreliance on univariate statistical techniques, problems with the reliability and ...
https://doi.org/10.1176/ajp.145.8.918Publication date: 01 August 1988
Pages926–936Until the 1970s, schizophrenia tended to be broadly defined in the United States, and the diagnosis subsumed patients who had affective as well as schizophrenic symptoms. With the introduction of lithium, however, manic-depressive illness became ...
https://doi.org/10.1176/ajp.145.8.926Publication date: 01 August 1988
Pages937–943Patients with right-hemisphere strokes (N = 9) more than 1 year after injury had greater cortical binding of (3-N-[11C]methyl)spiperone than a similar group of patients with left-hemisphere strokes (N = 8) or normal control subjects (N = 17). The higher ...
https://doi.org/10.1176/ajp.145.8.937Publication date: 01 August 1988
Pages944–949The authors used the Thought Disorder Index to measure thought disorder in 23 patients with unilateral right hemisphere cortical damage, 20 patients with bipolar mania, and 25 patients with schizophrenia. There were no differences in the total amount of ...
https://doi.org/10.1176/ajp.145.8.944Publication date: 01 August 1988
Pages950–954Psychiatric diagnoses, self-reports of symptoms, and illness behavior of 20 fibromyalgia patients and 23 rheumatoid arthritis patients were compared. The fibromyalgia patients were not significantly more likely than the arthritis patients to report ...
https://doi.org/10.1176/ajp.145.8.950Publication date: 01 August 1988
Pages955–959Twenty-one subjects with clinically diagnosed dementia of the Alzheimer type were rated on the Dementia Mood Assessment Scale, a new instrument intended to measure the severity of depressed mood in cognitively impaired patients. Ratings were based on ...
https://doi.org/10.1176/ajp.145.8.955Publication date: 01 August 1988
Pages960–964The authors report the 6-month period prevalence of anxiety disorders in a community sample of 150 adolescents 14 to 16 years old. Diagnoses were based on structured psychiatric interviews, DSM-III criteria, and a psychiatrist's review of the data. ...
https://doi.org/10.1176/ajp.145.8.960Publication date: 01 August 1988
Pages965–970The authors investigated the relationship between community violence and violence in the hospital for patients hospitalized through emergency civil commitment. The medical charts of 238 patients involuntarily admitted to a university-based acute inpatient ...
https://doi.org/10.1176/ajp.145.8.965Publication date: 01 August 1988
Pages971–975Data from the National Institute of Mental Health (NIMH) Epidemiologic Catchment Area Program, an epidemiologic survey of five communities, showed that four major disorders commonly begin in late adolescence or young adulthood. The median age at onset for ...
https://doi.org/10.1176/ajp.145.8.971Publication date: 01 August 1988
Pages976–981The authors studied data on psychiatric disorders and eight chronic medical conditions in a community sample of 2,554 persons. The sex- and age-adjusted prevalence of any psychiatric disorder in the preceding 6 months was 24.7% and of lifetime psychiatric ...
https://doi.org/10.1176/ajp.145.8.976Publication date: 01 August 1988
Pages982–986Studies of imitative suicide by viewers of fictional depictions of suicide in television films have produced contradictory findings. Using a nationwide sample of cases of suicide, the author found no evidence for increased numbers of suicides after ...
https://doi.org/10.1176/ajp.145.8.982Publication date: 01 August 1988
Pages989–992Occasionally, a preschool child may erroneously accuse a parent of molestation. When this occurs, the child usually believes that his or her story is correct. A false accusation can be made when an adult has persuaded a child that the sexual events ...
https://doi.org/10.1176/ajp.145.8.989Publication date: 01 August 1988
Pages993–996The authors analyzed data from nine studies comparing the incidence of acute dystonia induced by neuroleptic agents with and without concomitant use of anticholinergic agents. Anticholinergic agents reduced the rate of dystonia by 1.9-fold in all patients ...
https://doi.org/10.1176/ajp.145.8.993Publication date: 01 August 1988
Pages997–999The authors compared the effects of 6 weeks of imipramine treatment with 6 weeks of placebo treatment on social and vocational impairment in chronic depression. Imipramine was associated with significantly greater pre- to posttreatment improvement of ...
https://doi.org/10.1176/ajp.145.8.997Publication date: 01 August 1988
Pages1000–1002A self-report questionnaire for bulimic symptoms was administered to three different groups of community residents and to patients in a hospital's weight disorders unit and its dietetics department. The prevalence of DSM-III bulimia was 12.7% among female ...
https://doi.org/10.1176/ajp.145.8.1000Publication date: 01 August 1988
Pages1003–1006Case review for patients belonging to a health maintenance organization was implemented in a hospital-based, multidisciplinary, outpatient clinic after the influx of 28,000 Medicaid enrollees. One-year follow- up of 138 patients with prepaid mental health ...
https://doi.org/10.1176/ajp.145.8.1003Publication date: 01 August 1988
Pages1007–1009The authors found that growth hormone (GH) response to edrophonium was no different in 12 Alzheimer's disease patients than in eight healthy elderly subjects. Previously reported differences could be due to differences in gender or baseline GH ...
https://doi.org/10.1176/ajp.145.8.1007Publication date: 01 August 1988
Pages1010–1011Three patients with organic and affective symptoms related to multiple sclerosis or systemic lupus erythematosus responded dramatically to sodium valproate after other treatments had failed.
https://doi.org/10.1176/ajp.145.8.1010Publication date: 01 August 1988
Pages1012–1014Assessment of metabolic rate was useful in evaluating refractory depression in six of 15 women. Five of the six had normal levels of T3 and T4; however, each had an elevated thyrotropin-stimulating hormone level or a low metabolic rate. The depressions ...
https://doi.org/10.1176/ajp.145.8.1012Publication date: 01 August 1988
Pages1015–1017Six of eight patients with obsessive-compulsive disorder had an exacerbation of symptoms when given m-chlorophenylpiperazine. Fenfluramine and placebo produced mild improvement. Six patients given intravenous clonidine experienced marked reduction in ...
https://doi.org/10.1176/ajp.145.8.1015Publication date: 01 August 1988
Pages1018–1019Two cases of asymptomatic elevation of creatine kinase levels after oral neuroleptic treatment are described. One patient was successfully challenged with a different neuroleptic. The authors discuss possible reasons for creatine kinase elevation.
https://doi.org/10.1176/ajp.145.8.1018Publication date: 01 August 1988
Pages1020–1022The Research Diagnostic Criteria were applied to 16 depressed patients with Parkinson's disease and 20 depressed multiple sclerosis patients. Diagnoses of anxiety and panic disorder were significantly more frequent among the patients with Parkinson's ...
https://doi.org/10.1176/ajp.145.8.1020Publication date: 01 August 1988
Pages1023–1024When DSM-III criteria were applied to 123 Indian psychiatric outpatients with predominantly somatic symptoms, the most common axis I diagnoses were dysthymic disorder (36.6%) and generalized anxiety disorder (11.4%). Thirty-nine percent of the patients ...
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