American Journal of Psychiatry
- Volume 147
- Number 5
- May 1990
Publication date: 01 May 1990
Pages543–551Modern cults and zealous self-help movements exercise an intense group influence and can have a major impact on their members' psychiatric status. On the basis of research findings, the author describes the charismatic group, a generic model for such ...
https://doi.org/10.1176/ajp.147.5.543Publication date: 01 May 1990
Pages552–564Response to pharmacologic treatments may identify groups of disorders with a common pathophysiology. The authors applied a treatment-response model, based on four classes of antidepressants (tricyclic types, monoamine oxidase inhibitors, serotonin uptake ...
https://doi.org/10.1176/ajp.147.5.552Publication date: 01 May 1990
Pages565–572Psychiatric illnesses such as mood, anxiety, and somatization disorders share many common features with irritable bowel syndrome. The authors review recent developments in the definition of irritable bowel syndrome and its relationship to psychiatric ...
https://doi.org/10.1176/ajp.147.5.565Publication date: 01 May 1990
Pages573–578Defensiveness (the tendency not to report unfavorable information about oneself), as measured by the Marlowe-Crowne Social Desirability Scale, has been shown to be inversely correlated with self-reported symptoms. In this family study of depression, ...
https://doi.org/10.1176/ajp.147.5.573Publication date: 01 May 1990
Pages579–585In a randomized, double-blind, placebo-controlled pilot study of 40 depressed inpatients, the authors compared two techniques for maintaining seizure duration during pulse unilateral ECT: pretreatment with intravenous caffeine versus electrical stimulus ...
https://doi.org/10.1176/ajp.147.5.579Publication date: 01 May 1990
Pages586–590This study explored the gender weighting of the diagnostic criteria for personality disorders. Gender weighting was defined in terms of how 33 female and 17 male nonclinicians ranked the diagnostic criteria along a male-female dimension. Although the a ...
https://doi.org/10.1176/ajp.147.5.586Publication date: 01 May 1990
Pages591–595Methylation has been implicated in the etiology of psychiatric illness. Parenteral S-adenosylmethionine, a methyl group donor, has been shown to be an effective antidepressant. The authors studied the antidepressant effect of oral S-adenosylmethionine in ...
https://doi.org/10.1176/ajp.147.5.591Publication date: 01 May 1990
Pages596–601Patients with multiple personality disorder (N = 102) at four different centers were interviewed with the Dissociative Disorders Interview Schedule. The presenting characteristics of the patients at all four centers were very similar. The clinical profile ...
https://doi.org/10.1176/ajp.147.5.596Publication date: 01 May 1990
Pages602–607This article reports the analysis of prospectively gathered data on eight young adults who committed suicide during an ongoing longitudinal study of long-term treatment of schizophrenia in the community. Young adult men with an early onset of psychiatric ...
https://doi.org/10.1176/ajp.147.5.602Publication date: 01 May 1990
Pages608–611Using three waves of interviews from the New Haven Epidemiologic Catchment Area Program, the authors contrast the extent and nature of depressive episodes and dysphoria between newly bereaved (N = 39) and married (N = 1,047) respondents age 45 and older. ...
https://doi.org/10.1176/ajp.147.5.608Publication date: 01 May 1990
Pages612–614A 7-year follow-up study of formerly incarcerated delinquents revealed an extremely high mortality rate. Of 118 male and female subjects, seven had died before their 25th birthdays, making the mortality rate of the sample approximately 58 times the ...
https://doi.org/10.1176/ajp.147.5.612Publication date: 01 May 1990
Pages615–620In view of the increasing use of lithium-carbamazepine combination therapy for refractory psychiatric disorders, the authors assessed the clinical laboratory effects of adding lithium to carbamazepine in 23 patients with affective disorders. Lithium ...
https://doi.org/10.1176/ajp.147.5.615Publication date: 01 May 1990
Pages621–624Hospitalized patients were divided into nonpsychotic severely depressed (N = 53), nonpsychotic moderately depressed (N = 54), and psychotic depressed (N = 25) groups and treated with either imipramine or amitriptyline, up to 250 mg/day, for 4 weeks. Good ...
https://doi.org/10.1176/ajp.147.5.621Publication date: 01 May 1990
Pages625–628Twenty-eight patients with erotomanic delusions were compared with 80 patients with other delusions to clarify questions about diagnosis and course of illness in erotomania. The erotomanic patients were a heterogeneous group with respect to both diagnosis ...
https://doi.org/10.1176/ajp.147.5.625Publication date: 01 May 1990
Pages629–631Although lithium plays a major role in therapy and prophylaxis of affective psychoses, no direct indication of its neuronal action in humans exists. A lithium-induced strong reduction of foveal dark- adaptation was found in healthy volunteers, and a ...
https://doi.org/10.1176/ajp.147.5.629Publication date: 01 May 1990
Pages632–636Of 125 consecutive male patients at an adult psychiatric outpatient clinic, 48% reported histories of sexual abuse and/or physical abuse. The mean scores on the global severity index of the SCL-90-R at the first visit were significantly higher for those ...
https://doi.org/10.1176/ajp.147.5.632Publication date: 01 May 1990
Pages637–639The authors examined the longitudinal course of affective illness retrospectively in 63 patients with social phobia and 54 patients with panic disorder. Significantly fewer (35%) of the patients with social phobia than patients with panic disorder (63%) ...
https://doi.org/10.1176/ajp.147.5.637Publication date: 01 May 1990
Pages640–644A questionnaire measure of major life events was given to 64 subjects with diagnoses of panic disorder with agoraphobia, 33 subjects with other anxiety disorders, and 34 nonanxious subjects. Anxious subjects indicated the life events that had occurred in ...
https://doi.org/10.1176/ajp.147.5.640Publication date: 01 May 1990
Pages645–648The authors evaluated the convergent validity of several widely used psychometric tests of posttraumatic stress disorder (PTSD) symptoms against DSM-III-R criteria for PTSD in 130 Vietnam combat veterans. Significant positive correlations were found ...
https://doi.org/10.1176/ajp.147.5.645Publication date: 01 May 1990
Pages649–651Progress in alleviating the plight of the homeless mentally ill has been very slow and disappointing. After reviewing the needs of the homeless mentally ill, the author makes recommendations for immediate action. Extensive case management services should ...
https://doi.org/10.1176/ajp.147.5.649Publication date: 01 May 1990
Pages652–654Nine of 17 patients with obsessive-compulsive disorder responded when neuroleptic was added to fluvoxamine with or without lithium. Comorbid occurrence of tic spectrum disorders or of schizotypal personality disorder was associated with response. ...
https://doi.org/10.1176/ajp.147.5.652Publication date: 01 May 1990
Pages655–657An open trial of lithium carbonate showed little efficacy for 10 cocaine abusers with bipolar spectrum disorders. It may be that the bipolar subgroup of cocaine abusers is heterogeneous and that only a fraction are lithium responsive.
https://doi.org/10.1176/ajp.147.5.655Publication date: 01 May 1990
Pages658–660Depressive symptoms were assessed in 86 couples during pregnancy and after childbirth. Although 59.3% (N = 51) of the couples contained at least one symptomatic spouse during the transition to parenthood, both spouses were symptomatic in only 11.1% (N = 4)...
https://doi.org/10.1176/ajp.147.5.658Publication date: 01 May 1990
Pages661–662Serum IgG antibody to brain lipids was measured with an ELISA technique in 38 schizophrenic patients and 22 normal subjects. There were no significant differences between groups. The authors discuss methodological differences between this study and ...
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