American Journal of Psychiatry
- Volume 146
- Number 3
- March 1989
Publication date: 01 March 1989
Pages296–303To answer the question of what culturally sensitive mental health research is, the author focuses on the entire process of research. He argues that research is made culturally sensitive through a continuing, incessant, and open-ended series of substantive ...
https://doi.org/10.1176/ajp.146.3.296Publication date: 01 March 1989
Pages304–310The authors review the legal principles that a psychiatrist must understand in assessing the emotional and psychiatric sequelae of a personal injury leading to a litigation claim. The principles of the establishment of fault or liability, the assessment ...
https://doi.org/10.1176/ajp.146.3.304Publication date: 01 March 1989
Pages311–317Four hypotheses have been proposed to explain why nonsuppression on the dexamethasone suppression test occurs in patients with major depression. These include 1) increased metabolism of dexamethasone, 2) decreased sensitivity of pituitary glucocorticoid ...
https://doi.org/10.1176/ajp.146.3.311Publication date: 01 March 1989
Pages318–323The authors examined the 2-year course of alcoholism as defined by Research Diagnostic Criteria (RDC) in 127 newly admitted patients with major affective syndromes and concurrent alcoholism at intake. The cumulative probability of remission (at least 6 ...
https://doi.org/10.1176/ajp.146.3.318Publication date: 01 March 1989
Pages324–328Lethal catatonia, a syndrome described several decades before the advent of neuroleptic drugs, has been regarded by many investigators as clinically similar to, and perhaps indistinguishable from, neuroleptic malignant syndrome. However, published case ...
https://doi.org/10.1176/ajp.146.3.324Publication date: 01 March 1989
Pages329–333The authors report sleep EEG and dexamethasone suppression test (DST) findings for a homogeneous sample of anergic bipolar depressed outpatients (bipolar I, N = 7; bipolar II, N = 19) characterized by motor retardation, volitional inhibition, hypersomnia, ...
https://doi.org/10.1176/ajp.146.3.329Publication date: 01 March 1989
Pages334–338In a sample of 188 consecutive female psychiatric patients, Briquet's syndrome was found to be associated more closely with the aggregation of both major depression and either panic disorder or agoraphobia than with major depression or panic disorder-...
https://doi.org/10.1176/ajp.146.3.334Publication date: 01 March 1989
Pages339–344The authors compared 37 patients in the People's Republic of China and 46 patients in the United States who were having difficulty with suicidal thinking or behavior. Hopelessness, reasons for living, and suicidal efficacy showed none of the expected ...
https://doi.org/10.1176/ajp.146.3.339Publication date: 01 March 1989
Pages345–349In 1987 Medicare benefits for the mentally ill were expanded for the first time in 22 years. A major change was the removal of limits and copayments for the "medical management of psychopharmacologic agents." Payment for medical management recognizes the ...
https://doi.org/10.1176/ajp.146.3.345Publication date: 01 March 1989
Pages350–353In his classic case, Alzheimer described cognitive symptoms such as amnesia, aphasia, and apraxia and noncognitive symptoms such as delusions and agitation. Recent studies have suggested that depression also occurs in Alzheimer's disease. In this study, ...
https://doi.org/10.1176/ajp.146.3.350Publication date: 01 March 1989
Pages353–356All effective pharmacologic agents used to treat panic disorder augment gamma-aminobutyric acid (GABA) transmission. Anxiolytics and antidepressants that lack GABA activity are not effective in panic disorder. To test the hypothesis that GABA activity is ...
https://doi.org/10.1176/ajp.146.3.353Publication date: 01 March 1989
Pages357–360In 1979, Montana's insanity defense was replaced with the more restrictive mens rea defense, a change that has been described as an example of "abolition" of the insanity defense. The authors identified cases in which mental health was an issue in seven ...
https://doi.org/10.1176/ajp.146.3.357Publication date: 01 March 1989
Pages361–364The Wechsler Intelligence Scales, Wide Range Achievement Test, and the Shipley-Hartford Test were administered to 122 parents and 153 siblings of 62 autistic probands in Utah. Scores were distributed as expected within the published normative ranges for ...
https://doi.org/10.1176/ajp.146.3.361Publication date: 01 March 1989
Pages365–368Salivary prostaglandin concentrations were determined in 42 patients with major depressive disorder, 16 patients with minor depressive disorder, and 39 healthy control subjects. The diagnoses were made according to the Research Diagnostic Criteria. The ...
https://doi.org/10.1176/ajp.146.3.365Publication date: 01 March 1989
Pages369–372This study compared the rates of hospitalization from two psychiatric emergency services which were similar except that one service had an extended evaluation unit, or holding area, allowing up to 24 hours of evaluation. The rate of hospitalization from ...
https://doi.org/10.1176/ajp.146.3.369Publication date: 01 March 1989
Pages373–376In a double-blind study, 19 adults received bedtime doses of either 150 mg of doxepin hydrochloride (N = 9) or placebo (N = 10). After 3 weeks the subjects were instructed to stop smoking and continue taking medication for 4 additional weeks. Cessation ...
https://doi.org/10.1176/ajp.146.3.373Publication date: 01 March 1989
Pages377–379The psychiatric and ambulatory course of 21 older chronic schizophrenic patients who sustained hip fractures was studied prospectively, and their walking ability after the fractures was compared to that of 25 nonpsychiatric hip fracture patients. Although ...
https://doi.org/10.1176/ajp.146.3.377Publication date: 01 March 1989
Pages380–381Comparing 14 women with and 55 women without endometriosis, the authors found no significant differences in the prevalence of affective disorder. They discuss the discrepancy between their finding and Lewis et al.'s finding of an association between ...
https://doi.org/10.1176/ajp.146.3.380Publication date: 01 March 1989
Pages382–383The authors studied 589 senior medical students' attitudes about and use of cocaine. Reported use was 36% in the students' lifetimes, 17% in the past year, and 6% in the past month. Overall, these rates were lower than those of an age-matched cohort.
https://doi.org/10.1176/ajp.146.3.382Publication date: 01 March 1989
Pages384–386In a study of 988 adolescents, female gender, somatic complaints, history of physical and sexual abuse, poor grades, use of street drugs, and family history related to depression were among factors that differentiated adolescents reporting high anxiety ...
https://doi.org/10.1176/ajp.146.3.384Publication date: 01 March 1989
Pages387–389The authors found that 73 (8.4%) of 866 patients with chronic schizophrenia in the Shanghai Psychiatric Hospital who had been treated with neuroleptics had tardive dyskinesia. This low prevalence rate is possibly ascribable to the use of relatively low ...
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