American Journal of Psychiatry
- Volume 148
- Number 8
- August 1991
Article
Publication date: 01 August 1991
Pages967–975The recent and dramatic expansion in studies about borderline and depressive disorders is reviewed with respect to the implications about their interface. Revisiting this subject 6 years after an earlier review reveals that intervening research has ...
https://doi.org/10.1176/ajp.148.8.967Publication date: 01 August 1991
Pages976–985Magnetic resonance spectroscopy (MRS) is a novel noninvasive approach to measuring important metabolites in living tissue. Its application to psychiatry is just beginning. In vivo MRS with 31P provides important information on brain phospholipid ...
https://doi.org/10.1176/ajp.148.8.976Publication date: 01 August 1991
Pages986–996OBJECTIVE: Kleptomania, or the irresistible impulse to steal unneeded objects, is a poorly understood disorder. The objectives of this paper are to critically review and integrate existing data and to make suggestions for further research. DATA COLLECTION:...
https://doi.org/10.1176/ajp.148.8.986Publication date: 01 August 1991
Pages997–1008OBJECTIVE: The authors investigated patient characteristics predictive of treatment response in the National Institute of Mental Health (NIMH) Treatment of Depression Collaborative Research Program. METHOD: Two hundred thirty-nine outpatients with major ...
https://doi.org/10.1176/ajp.148.8.997Publication date: 01 August 1991
Pages1009–1015OBJECTIVE: Theoretically, d-fenfluramine should be a more selective serotonin (5-HT) challenge agent and has much greater clinical tolerance than the racemic compound that has previously been used. The authors' goal, therefore, was to look at 5-HT ...
https://doi.org/10.1176/ajp.148.8.1009Publication date: 01 August 1991
Pages1016–1022OBJECTIVE: The authors' objectives were 1) to examine symptoms of depression, anxiety, and anger-hostility among the wives of men with hemophilia, a major risk group for AIDS, and 2) to identify psychosocial characteristics of the women and/or their ...
https://doi.org/10.1176/ajp.148.8.1016Disturbances of hypothalamic-pituitary-adrenal axis functioning during ethanol withdrawal in six men
Publication date: 01 August 1991
Pages1023–1025OBJECTIVE: Excessive exposure to glucocorticoids can have neurotoxic effects. The behavioral, cognitive, and neurochemical changes observed following the cessation of heavy drinking, therefore, may be associated with disturbances of the hypothalamic-...
https://doi.org/10.1176/ajp.148.8.1023Publication date: 01 August 1991
Pages1026–1030OBJECTIVE: This study examined the relationship between childhood experience and homelessness in psychiatric patients. METHOD: Three large and diverse samples of homeless patients (N = 512) were compared with a sample of patients who had never been ...
https://doi.org/10.1176/ajp.148.8.1026Publication date: 01 August 1991
Pages1031–1036OBJECTIVE: The goals of this study were 1) to determine whether the use of the Pediatric Symptom Checklist in an adult-oriented psychiatric practice was feasible, 2) to determine if scores indicative of dysfunction on the Pediatric Symptom Checklist were ...
https://doi.org/10.1176/ajp.148.8.1031Publication date: 01 August 1991
Pages1037–1043OBJECTIVE: APA evaluated the Social Security Administration's (SSA's) medical standards and guidelines for determining disability due to mental impairment to determine how well the standards and guidelines operationalize the statutory definition of ...
https://doi.org/10.1176/ajp.148.8.1037Publication date: 01 August 1991
Pages1044–1049OBJECTIVE: The authors hypothesized that psychiatric liaison screening of elderly patients with hip fractures would shorten the average length of hospital stay and increase the proportion of patients who returned home after discharge. METHOD: The study ...
https://doi.org/10.1176/ajp.148.8.1044Publication date: 01 August 1991
Pages1050–1054OBJECTIVE AND METHOD: Diagnosis and treatment of the dissociative disorders may be delayed for many years because of difficulties in detecting patients at high risk for dissociative disorders. This study investigates the utility of the Dissociative ...
https://doi.org/10.1176/ajp.148.8.1050Publication date: 01 August 1991
Pages1055–1059OBJECTIVE: Tardive dystonia, historically combined with tardive dyskinesia, is now viewed as probably having a different pathophysiology, course, outcome, and treatment response than tardive dyskinesia. In addition, patients with tardive dystonia are ...
https://doi.org/10.1176/ajp.148.8.1055Publication date: 01 August 1991
Pages1060–1063OBJECTIVE: This study examined the interaction between lithium and diuretics, comparing both the pharmacokinetic and the pharmacodynamic variable of hydrochlorothiazide, furosemide, and placebo. METHOD: The study, which took place in an outpatient ...
https://doi.org/10.1176/ajp.148.8.1060Publication date: 01 August 1991
Pages1064–1067Twenty-two patients meeting the criteria for borderline or schizotypal personality disorder or both participated in a prospective, nonblind 12- week trial of fluoxetine. There were significant reductions in self- injury and in scores on the Hopkins ...
https://doi.org/10.1176/ajp.148.8.1064Publication date: 01 August 1991
Pages1068–1070A manic syndrome in eight patients with AIDS is described. On the basis of clinical, neuropsychological, laboratory, magnetic resonance imaging, and epidemiological evidence, the authors suggest that the manic syndrome was secondary to HIV infection. The ...
https://doi.org/10.1176/ajp.148.8.1068Publication date: 01 August 1991
Pages1071–1072Among eight normal-weight bulimic women studied during 1 week of binge eating and vomiting and 7 weeks of abstinence without weight loss, resting metabolic rate and T3 and T4 levels fell significantly during abstinence. These data suggest that a ...
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Publication date: 01 August 1991
Page1109The source of the "Position Statement on School-Based Health Clinics" (June 1991 issue, p. 820) was incorrectly identified. It originated from the American Psychiatric Association Committee on Psychiatry and Mental Health in the Schools. The committee ...
https://doi.org/10.1176/ajp.148.8.1109