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American Journal of Psychiatry

  • Volume 148
  • Number 11
  • November 1991

Article

Publication date: 01 November 1991

Pages1466–1473

Controversy over the legitimate extent, if any, of sexual contact between psychotherapists and former patients remains intense. In this paper the authors review current approaches to controlling posttermination sexual contact, offer a conceptual framework ...

https://doi.org/10.1176/ajp.148.11.1466

Publication date: 01 November 1991

Pages1474–1486

OBJECTIVE: The initial hypothesis that schizophrenia is a manifestation of hyperdopaminergia has recently been faulted. However, several new findings suggest that abnormal, although not necessarily excessive, dopamine activity is an important factor in ...

https://doi.org/10.1176/ajp.148.11.1474

Publication date: 01 November 1991

Pages1487–1493

OBJECTIVE: The purpose of this article is to describe the impact of shift work on sleep, as recently acknowledged in official nosologies of sleep disorders, and to discuss whether sleep altered by shift work actually constitutes a disorder. METHOD: The ...

https://doi.org/10.1176/ajp.148.11.1487

Publication date: 01 November 1991

Pages1494–1500

OBJECTIVE: Somatization has often been viewed as a defense against awareness of emotional distress or as a masked version of depression. This report examines whether community residents with high levels of functional somatic symptoms also report overt ...

https://doi.org/10.1176/ajp.148.11.1494

Publication date: 01 November 1991

Pages1501–1504

OBJECTIVE: The family history method, in which an informant is asked about the history of psychiatric illness in relatives, is widely used in psychiatric research. Previous research has examined the influence on family history information of ...

https://doi.org/10.1176/ajp.148.11.1501

Publication date: 01 November 1991

Pages1505–1511

OBJECTIVE: The authors' goal was to determine whether self-rated patterns of mood regulation differed among patients with major depression, patients with borderline personality disorder, patients with premenstrual syndrome (PMS), and normal subjects. ...

https://doi.org/10.1176/ajp.148.11.1505

Publication date: 01 November 1991

Pages1512–1517

OBJECTIVE: The failure of the concept of anxious depression to find its way into DSM-III-R led the authors to conclude that a further report on the occurrence of anxiety symptoms in depressed subjects is indicated. METHOD: The subjects were 327 ...

https://doi.org/10.1176/ajp.148.11.1512

Publication date: 01 November 1991

Pages1518–1525

OBJECTIVE: This study was designed to compare central serotonergic function in depressed patients and healthy comparison subjects by examining neuroendocrine and mood responses to intravenous L- tryptophan. METHOD: One hundred twenty-six drug-free ...

https://doi.org/10.1176/ajp.148.11.1518

Publication date: 01 November 1991

Pages1526–1529

OBJECTIVE: Changes in retinal sensitivity to light have been hypothesized as etiological in seasonal affective disorder. This study was undertaken to investigate sensitivity to light in seasonal affective disorder using electrooculography (EOG), an ...

https://doi.org/10.1176/ajp.148.11.1526

Publication date: 01 November 1991

Pages1530–1535

OBJECTIVE: The authors' goal was to address five questions: 1) What is the frequency of early REM sleep in subjects in the process of divorce who meet diagnostic criteria for major depressive disorder? 2) What is the frequency of this sign in subjects in ...

https://doi.org/10.1176/ajp.148.11.1530

Publication date: 01 November 1991

Pages1536–1540

OBJECTIVE: The purpose of this study was to ascertain depressive symptoms in recently bereaved prepubertal children and compare these symptoms with those of depressed prepubertal children. METHOD: The subjects were 38 children who had recently experienced ...

https://doi.org/10.1176/ajp.148.11.1536

Publication date: 01 November 1991

Pages1541–1547

OBJECTIVE: The purpose of this study was to ascertain the current diagnosis in late adolescence or early adulthood of children who had previously been diagnosed as "borderline." METHOD: This was a prospective follow-up study of 19 of a group of 32 ...

https://doi.org/10.1176/ajp.148.11.1541

Publication date: 01 November 1991

Pages1548–1551

OBJECTIVE: The authors' goal was to determine the levels of trauma and psychiatric symptoms in a randomly selected group of Cambodian refugees and to determine the relationship between the amount of trauma experienced and subsequent psychiatric symptoms. ...

https://doi.org/10.1176/ajp.148.11.1548

Publication date: 01 November 1991

Pages1552–1557

OBJECTIVE: This study was designed to explore potential overlap of the symptoms of obsessive-compulsive disorder and eating disorders. METHOD: The authors administered a structured, self-rating scale, the Eating Disorder Inventory, to 59 outpatients at an ...

https://doi.org/10.1176/ajp.148.11.1552

Publication date: 01 November 1991

Pages1558–1561

OBJECTIVE: The authors attempted to determine whether patients with AIDS are more susceptible to neuroleptic side effects than other patients. METHOD: Retrospective chart review was used to assess the frequency and severity of extrapyramidal symptoms in ...

https://doi.org/10.1176/ajp.148.11.1558

Publication date: 01 November 1991

Pages1562–1565

OBJECTIVE: The purpose of the study was to 1) ascertain whether there are clinical and demographic characteristics that distinguish dangerous from nondangerous patients evaluated in a psychiatric emergency service and 2) identify variables that ...

https://doi.org/10.1176/ajp.148.11.1562

Publication date: 01 November 1991

Pages1566–1571

OBJECTIVE: It has been proposed by some investigators that trichotillomania, a disorder of chronic hair pulling, is a variant of obsessive-compulsive disorder, and some studies have suggested that the antiobessional agents clomipramine and fluoxetine are ...

https://doi.org/10.1176/ajp.148.11.1566

Publication date: 01 November 1991

Pages1572–1576

OBJECTIVE: The public's perception about the success or failure of psychiatric rehabilitation is frequently dependent upon information received through the news media. The primary objective of this report is to present an example of how the news media can ...

https://doi.org/10.1176/ajp.148.11.1572

Publication date: 01 November 1991

Pages1577–1579

The authors evaluated the relationship between brain morphological characteristics assessed by means of computerized tomography and the 2- year clinical and social outcomes of 18 patients with chronic schizophrenia. Cerebral structural abnormalities, ...

https://doi.org/10.1176/ajp.148.11.1577

Publication date: 01 November 1991

Pages1580–1582

The authors studied the relationship between performance on the Wisconsin Card Sorting Test and on the Trailmaking-B test and measures of smooth pursuit eye movements in 12 patients with chronic schizophrenia and 12 normal volunteers. They found that ...

https://doi.org/10.1176/ajp.148.11.1580

Publication date: 01 November 1991

Pages1583–1585

Current and past frequencies of respiratory diseases were assessed in 30 patients with panic disorder, 30 patients with obsessive-compulsive disorder, and 30 patients with eating disorders. Lifetime prevalence of respiratory disorders was significantly ...

https://doi.org/10.1176/ajp.148.11.1583

Publication date: 01 November 1991

Pages1586–1588

The authors performed the thyrotropin-releasing hormone (TRH) stimulation test and measured CSF concentrations of TRH in 13 abstinent alcohol-dependent subjects. They found an inverse correlation between the thyrotropin (TSH) response to TRH and ...

https://doi.org/10.1176/ajp.148.11.1586

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