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American Journal of Psychiatry

  • Volume 148
  • Number 3
  • March 1991

Article

Publication date: 01 March 1991

Pages283–291

Two recent reviews in the American Journal of Psychiatry and the British Journal of Psychiatry reported on progress in understanding the genetics of psychiatric disorder. Both reviews focused on this progress as a prelude to psychiatric diagnostics and ...

https://doi.org/10.1176/ajp.148.3.283

Publication date: 01 March 1991

Pages292–305

OBJECTIVE AND METHOD: This paper reviews acute and chronic effects of drugs of abuse on cerebral blood flow (CBF) and metabolism and their clinical significance. The most important source of information for the review is human research reports published ...

https://doi.org/10.1176/ajp.148.3.292

Publication date: 01 March 1991

Pages306–317

OBJECTIVE: The authors describe the clinical characteristics of self- injurious behavior, giving special emphasis to self-injurious behavior occurring among individuals with character disorders. DATA COLLECTION: They review data suggesting the involvement ...

https://doi.org/10.1176/ajp.148.3.306

Publication date: 01 March 1991

Pages318–323

The rise of managed care and concurrent utilization review has had a profound impact on the practice of inpatient psychiatry. Little has been written, however, on the clinical impact of the review process itself. The actions of insurance reviewers often ...

https://doi.org/10.1176/ajp.148.3.318

Publication date: 01 March 1991

Pages324–329

OBJECTIVE: As general hospitals search for ways to cut costs without sacrificing efficiency, particular attention has been focused on factors that may prolong hospital stay. The results of prior studies that have reported an association between ...

https://doi.org/10.1176/ajp.148.3.324

Publication date: 01 March 1991

Pages330–336

OBJECTIVE: The authors examined housing instability among treated schizophrenic patients in a rural area and compared the findings with those from their previous study of urban patients. METHOD: Seventy-five patients with schizophrenia or schizoaffective ...

https://doi.org/10.1176/ajp.148.3.330

Publication date: 01 March 1991

Pages337–344

OBJECTIVE: The authors' goal was to evaluate the utility of mitogen- induced lymphocyte proliferation assays in clinical research in psychoimmunology. METHOD: They examined 23 depressed patients and 23 matched comparison subjects with this assay. There ...

https://doi.org/10.1176/ajp.148.3.337

Publication date: 01 March 1991

Pages345–350

OBJECTIVE: Inpatients with major depressive illness often have coexistent nonaffective psychiatric and/or medical conditions. The authors' objective is to address the following questions: 1) What is the effect of comorbid illness on the severity of major ...

https://doi.org/10.1176/ajp.148.3.345

Publication date: 01 March 1991

Pages351–356

OBJECTIVE: The primary purpose of this study was to assess the relation of lesion location to mood and vegetative disturbance following stroke. METHOD: Fifty-two inpatients and outpatients who had had single, unilateral strokes were included. Patients ...

https://doi.org/10.1176/ajp.148.3.351

Publication date: 01 March 1991

Pages357–360

OBJECTIVE: The aim of this study was to determine the specific nature and course of olfactory deficits in Alzheimer's disease. Previous studies had noted impaired odor identification, but there was no unanimity about the presence of odor detection ...

https://doi.org/10.1176/ajp.148.3.357

Publication date: 01 March 1991

Pages361–364

OBJECTIVE: Nonfearful panic disorder meets the DSM-III-R criteria for panic disorder but is not associated with subjective fear and anxiety. The authors determined its prevalence in a group of neurology patients and assessed its diagnostic validity as a ...

https://doi.org/10.1176/ajp.148.3.361

Publication date: 01 March 1991

Pages365–370

OBJECTIVE: This study was constructed to detail the demographic and phenomenological features of chronic hair pullers as well as to assess psychiatric comorbidity in a sizable study group. METHOD: Subjects were drawn from an outpatient population of ...

https://doi.org/10.1176/ajp.148.3.365

Publication date: 01 March 1991

Pages371–373

The safety of tricyclic antidepressants in cardiac transplant recipients has not been established. The author used nortriptyline to treat major depressive episodes in eight cardiac transplant recipients. Nortriptyline therapy was associated with increased ...

https://doi.org/10.1176/ajp.148.3.371

Publication date: 01 March 1991

Pages374–375

The authors used a double-blind crossover design to observe the effect of transdermally administered nicotine on the smoking behavior of 13 psychiatric patients who were not trying to stop smoking. The patients smoked significantly fewer cigarettes while ...

https://doi.org/10.1176/ajp.148.3.374

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