American Journal of Psychiatry
- Volume 147
- Number 9
- September 1990
Article
Publication date: 01 September 1990
Pages1128–1137The authors review the evidence supporting the idea that the family plays a major role in the development and course of major depression. They find that the family pathology evident during an acute depressive episode continues after the patient's ...
https://doi.org/10.1176/ajp.147.9.1128Publication date: 01 September 1990
Pages1138–1148The authors report on the outcome of treatment of 116 outpatients with chronic schizophrenia who were assigned to a 2-year, single-blind course of treatment with either targeted or continuous medication. These patients were not restricted to those who ...
https://doi.org/10.1176/ajp.147.9.1138Publication date: 01 September 1990
Pages1149–1155In a prospective study of an estimated 9,792 inpatients treated with neuroleptic medication at a large Chinese psychiatric hospital, 12 patients developed neuroleptic malignant syndrome. The estimated prevalence of neuroleptic malignant syndrome in these ...
https://doi.org/10.1176/ajp.147.9.1149Publication date: 01 September 1990
Pages1156–1163The authors evaluated 558 patients for tardive dyskinesia. They found that the prevalence of tardive dyskinesia was 34%. There were no differences between men and women in prevalence of tardive dyskinesia. However, severe tardive dyskinesia was found to ...
https://doi.org/10.1176/ajp.147.9.1156Publication date: 01 September 1990
Pages1164–1167Initial studies have indicated that stimulant abuse is prevalent among schizophrenic persons. To assess the phenomenon of cocaine abuse by patients with schizophrenia, 17 male cocaine-abusing schizophrenic patients were compared with 22 male schizophrenic ...
https://doi.org/10.1176/ajp.147.9.1164Publication date: 01 September 1990
Pages1168–1172Denial of physical illness is a commonly encountered problem in consultation-liaison psychiatry. Although there is an extensive literature on denial, it has virtually ignored the diagnostic issues raised by the individual whose denial of physical illness ...
https://doi.org/10.1176/ajp.147.9.1168Publication date: 01 September 1990
Pages1173–1179Specified diagnostic criteria have been credited, in part, with improving diagnostic reliability. The authors hypothesize that nonuniform application of these criteria across different research centers has been one factor responsible for the failure to ...
https://doi.org/10.1176/ajp.147.9.1173Publication date: 01 September 1990
Pages1180–1183Regional variation in both average length of stay and number of beds per 100,000 population is described for inpatient psychiatric care in the United States during 1983. The greatest differences were between the Northeast and Mid-Atlantic regions, on the ...
https://doi.org/10.1176/ajp.147.9.1180Publication date: 01 September 1990
Pages1184–1188In this study 30 female patients with eating disorders were compared with 30 age-matched normal female subjects. The patients demonstrated significantly higher levels of dissociative psychopathology than the comparison subjects. Furthermore, the presence ...
https://doi.org/10.1176/ajp.147.9.1184Publication date: 01 September 1990
Pages1189–1194The authors studied 954 psychiatric patients with major affective disorders and found that nine clinical features were associated with suicide. Six of these--panic attacks, severe psychic anxiety, diminished concentration, global insomnia, moderate ...
https://doi.org/10.1176/ajp.147.9.1189Publication date: 01 September 1990
Pages1194–1198The authors examined the impact of life stress on the course of bipolar disorder over a 2-year period in a group of 61 outpatients. The patients were followed prospectively with ongoing assessments of stressful life events, symptoms, levels of maintenance ...
https://doi.org/10.1176/ajp.147.9.1194Publication date: 01 September 1990
Pages1199–1202The relationship among major depression only, major depression with anxiety disorders, and anxiety disorders only was investigated in a twin sample (N = 177 pairs). The results suggest that there is an etiological relationship between mixed major ...
https://doi.org/10.1176/ajp.147.9.1199Publication date: 01 September 1990
Pages1203–1208In a double-blind study lasting for 4 weeks, the authors compared the effectiveness of amoxapine, an antidepressant with potential antipsychotic properties, with a combination of amitriptyline plus perphenazine in the treatment of 38 patients who had the ...
https://doi.org/10.1176/ajp.147.9.1203Publication date: 01 September 1990
Pages1209–1215Thirty-eight patients with primary obsessive-compulsive disorder participated in a 10-week, double-blind, placebo-controlled trial of the potent, selective serotonin reuptake inhibitor fluvoxamine. Fluvoxamine was significantly better than placebo on two ...
https://doi.org/10.1176/ajp.147.9.1209Publication date: 01 September 1990
Pages1216–1219Hypothesizing that a positive DST result could reflect an aberrant stress reaction in subjects with alexithymic features, the authors investigated the relationship between alexithymic features and DST results in 266 subjects from a Finnish adult ...
https://doi.org/10.1176/ajp.147.9.1216Publication date: 01 September 1990
Pages1220–1224Rapid changes in health care financing and delivery systems will adversely affect child psychiatry training. Reductions in teaching hospitals' patient revenues and in federal support for graduate medical education have made the development of strong ...
https://doi.org/10.1176/ajp.147.9.1220Publication date: 01 September 1990
Pages1225–1227CSF findings distinguished 12 elderly depressed patients who attempted suicide from nine depressed patients who did not and from seven normal control subjects. Psychosocial factors and measures of psychopathology did not differentiate suicidal from ...
https://doi.org/10.1176/ajp.147.9.1225Publication date: 01 September 1990
Pages1228–1230The prevalence of alexithymia in a group of newly abstinent male substance abusers (N = 44) was 50%. The alexithymic patients had significantly less ego strength and repressive defensive behavior and significantly higher levels of somatic complaints and ...
https://doi.org/10.1176/ajp.147.9.1228Publication date: 01 September 1990
Pages1231–1233In a prospective study of 41 acutely psychotic patients, neuroleptic- induced dystonic reactions occurred in 62.5% of the manic patients (10 of 16) and 66.7% of the schizophrenic patients (10 of 15), a nonsignificant difference. These findings contradict ...
https://doi.org/10.1176/ajp.147.9.1231Publication date: 01 September 1990
Pages1234–1236The authors compared adolescents at risk for schizophrenia and affective disorder and normal adolescents. The subjects at risk for schizophrenia had significantly poorer social competence, and formal thought disorder was greater in both high-risk groups. ...
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