American Journal of Psychiatry
- Volume 147
- Number 4
- April 1990
Publication date: 01 April 1990
Pages401–408Research on the epidemiology of bulimia nervosa has focused largely on the prevalence of the disorder. As methods have improved, consensus has increased regarding the prevalence rate among adolescent and young adult women--about 1%. However, the accuracy ...
https://doi.org/10.1176/ajp.147.4.401Publication date: 01 April 1990
Pages409–418Although Osheroff v. Chestnut Lodge never reached final court adjudication, the case generated widespread discussion in psychiatric, legal, and lay circles. The author served as a consultant to Dr. Osheroff and testified that Chestnut Lodge failed to ...
https://doi.org/10.1176/ajp.147.4.409Publication date: 01 April 1990
Pages419–427The Osheroff litigation, which is central to Klerman's paper, ended in an out-of-court settlement. The author states that there is no legal precedent for the so-called right to effective treatment and that the case history was a much more complicated ...
https://doi.org/10.1176/ajp.147.4.419Publication date: 01 April 1990
Pages428–430Of 163 residency programs responding to a survey about training requirements in long-term psychotherapy, more than 100 did not require that any patients be seen more than once a week. Among 41 psychotherapy protocols representing outcome-related research ...
https://doi.org/10.1176/ajp.147.4.428Publication date: 01 April 1990
Pages431–434In order to explore valproate's spectrum of efficacy in rapid-cycling bipolar disorder, 55 patients underwent a prospective, open, 7.8-month trial designed to assess the drug's acute and prophylactic properties. Twenty patients received monotherapy, and ...
https://doi.org/10.1176/ajp.147.4.431Publication date: 01 April 1990
Pages435–438The diagnostic utility of determinations of insidious or stepwise progression of illness was examined in 124 geriatric inpatients with primary dementia. Such determinations failed to distinguish patients with primary degenerative dementia of the Alzheimer ...
https://doi.org/10.1176/ajp.147.4.435Publication date: 01 April 1990
Pages439–444To evaluate the role of maladaptive thinking patterns in depression, the authors administered the Dysfunctional Attitude Scale to 112 depressed patients before and after 3-6 weeks of treatment with antidepressants or placebo. Twenty-two normal subjects ...
https://doi.org/10.1176/ajp.147.4.439Publication date: 01 April 1990
Pages445–451Because of the efficacy of specific gamma-aminobutyric acid (GABA) agonists in tardive dyskinesia, the authors tested the benzodiazepine clonazepam in a 12-week, double-blind, placebo-controlled, randomized crossover trial in 19 chronically ill patients ...
https://doi.org/10.1176/ajp.147.4.445Publication date: 01 April 1990
Pages452–456For each of 41 index patients with probable Alzheimer's disease and a first episode of major depression and 71 nondepressed Alzheimer's disease patients, two first-degree relatives were interviewed by a rater blind to presence or absence of depression in ...
https://doi.org/10.1176/ajp.147.4.452Publication date: 01 April 1990
Pages457–461The authors conducted an 18-month naturalistic prospective follow-up study of 37 adolescents whose bipolar I illness had been stabilized with lithium carbonate during inpatient hospitalization. Thirteen of the patients discontinued prophylactic lithium ...
https://doi.org/10.1176/ajp.147.4.457Publication date: 01 April 1990
Pages462–464Nocturnal plasma melatonin concentrations were measured in seven patients with panic disorder and eight healthy control subjects. The five patients who had never received psychotropic medication had significantly greater melatonin concentrations from 4:00 ...
https://doi.org/10.1176/ajp.147.4.462Publication date: 01 April 1990
Pages465–469Previous research has demonstrated a reduction in utilization of medical services following the initiation of psychiatric services for certain patients. The phenomenon has been called the offset effect. The authors investigated the offset effect in a ...
https://doi.org/10.1176/ajp.147.4.465Publication date: 01 April 1990
Pages470–476Adult criteria for borderline personality disorder distinguished a group of 27 inpatient adolescent girls from 23 nonborderline inpatient female comparison subjects. The two groups were compared on retrospectively assessed variables measuring ...
https://doi.org/10.1176/ajp.147.4.470Publication date: 01 April 1990
Pages477–480Glucose tolerance tests (GTTs) were administered to 11 women with premenstrual syndrome (PMS) to ascertain whether the patients had abnormalities of glucose tolerance, to determine whether such abnormalities were related to menstrual cycle phase, and to ...
https://doi.org/10.1176/ajp.147.4.477Publication date: 01 April 1990
Pages481–487The authors studied 33 men whose fathers had severe alcohol-related problems and 33 subjects with no family history of alcoholism. The former supplied information about the course of their fathers' alcohol problems; all 66 men answered questions about ...
https://doi.org/10.1176/ajp.147.4.481Publication date: 01 April 1990
Pages488–491The authors describe cases illustrating two types of high-risk and especially difficult suicidal psychiatric inpatients. In the first case, a suicidal patient reacted to psychiatric life support measures (maximum observation) with increasingly life-...
https://doi.org/10.1176/ajp.147.4.488Publication date: 01 April 1990
Pages492–494Mean ratings of positive and negative symptoms and depression significantly improved in nine treatment-resistant schizophrenic patients who completed a 6-week open trial of fluoxetine added to their neuroleptics. The authors identify differences between ...
https://doi.org/10.1176/ajp.147.4.492Publication date: 01 April 1990
Pages495–497Eleven men with major depression and human immunodeficiency virus (HIV) infection underwent an open trial of imipramine. Eight of nine (89%) who completed 12 weeks responded. The mean decline in T4 cells from baseline was 100 at week 12 and 16 at week 26. ...
https://doi.org/10.1176/ajp.147.4.495Publication date: 01 April 1990
Pages498–500To investigate interrater reliability on categorical and dimensional judgments of personality disorder, five clinicians completed five different judgment tasks for each of 10 case vignettes. The reliability estimates support previously unconfirmed ...
https://doi.org/10.1176/ajp.147.4.498Publication date: 01 April 1990
Pages501–502Thirty-one hyperactive adolescents treated with methylphenidate for at least 6 months demonstrated no significant deviation from expected height and weight growth velocities. In contrast to findings in prepubertal children, these results suggest that ...
https://doi.org/10.1176/ajp.147.4.501Publication date: 01 April 1990
Pages503–504Six of seven patients treated with clozapine gained 6-69 lb. Because of clozapine's anticipated availability in the United States, clinicians should be aware of this possible side effect, which, to the authors' knowledge, has not been reported previously.
https://doi.org/10.1176/ajp.147.4.503Publication date: 01 April 1990
Pages505–506Eight subjects with persistent tardive dyskinesia were treated with vitamin E and placebo in a randomized, double-blind crossover study. Their mean score on the Abnormal Involuntary Movement Scale (AIMS) was significantly lower after treatment with ...
https://doi.org/10.1176/ajp.147.4.505Publication date: 01 April 1990
Pages507–509In a double-blind, placebo-controlled trial comparing alprazolam and imipramine for panic disorder, serum analysis revealed that a substantial proportion of the patients took explicitly prohibited anxiolytic medication. Excluding these patients changed ...
https://doi.org/10.1176/ajp.147.4.507Publication date: 01 April 1990
Pages510–512All eight users of anabolic androgenic steroids in a pilot survey of weight lifters reported withdrawal symptoms and continued steroid use despite adverse consequences. Psychiatric (especially, depressive) symptoms were prominent in dependent users, ...
https://doi.org/10.1176/ajp.147.4.510Publication date: 01 April 1990
Pages513–515Manic, schizophrenic, and normal subjects were interviewed in the presence and absence of distracting information, and their speech performance was evaluated. Normal and manic subjects were unaffected by irrelevant information. Schizophrenic subjects ...
https://doi.org/10.1176/ajp.147.4.513Article
Article
Article
Publication date: 01 April 1990
Page541This statement was proposed by the Commission on AIDS.1 It was approved by the Board of Trustees in September 1989 and the Assembly of District Branches in November 1989.
https://doi.org/10.1176/ajp.147.4.541Publication date: 01 April 1990
Page542The guidelines were prepared by the Committee on Religion and Psychiatry.1 They were approved by the Assembly in November 1989 and by the Board of Trustees in December 1989.
https://doi.org/10.1176/ajp.147.4.542Past Issues
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