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American Journal of Psychiatry

  • Volume 148
  • Number 8
  • August 1991

Article

Publication date: 01 August 1991

Pages967–975

The 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.148.8.967

Publication date: 01 August 1991

Pages976–985

Magnetic 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.148.8.976

Publication date: 01 August 1991

Pages986–996

OBJECTIVE: 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.148.8.986

Publication date: 01 August 1991

Pages997–1008

OBJECTIVE: 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.148.8.997

Publication date: 01 August 1991

Pages1009–1015

OBJECTIVE: 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.148.8.1009

Publication date: 01 August 1991

Pages1016–1022

OBJECTIVE: 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.148.8.1016

Publication date: 01 August 1991

Pages1023–1025

OBJECTIVE: 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.148.8.1023

Publication date: 01 August 1991

Pages1026–1030

OBJECTIVE: 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.148.8.1026

Publication date: 01 August 1991

Pages1031–1036

OBJECTIVE: 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.148.8.1031

Publication date: 01 August 1991

Pages1037–1043

OBJECTIVE: 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.148.8.1037

Publication date: 01 August 1991

Pages1044–1049

OBJECTIVE: 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.148.8.1044

Publication date: 01 August 1991

Pages1050–1054

OBJECTIVE 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.148.8.1050

Publication date: 01 August 1991

Pages1055–1059

OBJECTIVE: 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.148.8.1055

Publication date: 01 August 1991

Pages1060–1063

OBJECTIVE: 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.148.8.1060

Publication date: 01 August 1991

Pages1064–1067

Twenty-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.148.8.1064

Publication date: 01 August 1991

Pages1068–1070

A 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.148.8.1068

Publication date: 01 August 1991

Pages1071–1072

Among 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 ...

https://doi.org/10.1176/ajp.148.8.1071

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Publication date: 01 August 1991

Page1109

The 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

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