American Journal of Psychiatry
- Volume 149
- Number 10
- October 1992
Publication date: 01 October 1992
Pages1295–1305The authors assess gaps in the current knowledge base on psychotherapy research and the cost-effectiveness of psychotherapy. Despite the considerable and increasingly sophisticated body of research on the efficacy of psychotherapy, there is an alarming ...
https://doi.org/10.1176/ajp.149.10.1295Publication date: 01 October 1992
Pages1306–1314OBJECTIVE: Panic disorder has been considered an adulthood disorder that does not occur in children or adolescents. The authors' goals were to critically review the available evidence for panic attacks and/or panic disorder in children and adolescents, to ...
https://doi.org/10.1176/ajp.149.10.1306Publication date: 01 October 1992
Pages1315–1323Engel's biopsychosocial model, while unifying the sciences relevant to medicine under general systems theory, is of limited utility in organizing bedside clinical problem solving. The authors consider this issue in light of the structure and goals of the ...
https://doi.org/10.1176/ajp.149.10.1315Publication date: 01 October 1992
Pages1324–1334OBJECTIVE: The authors' goals were to examine the effects of somatic treatment and placebo in patients with and without endogenous/melancholic depression. METHOD: Before entry into one of four trials of antidepressant drugs versus placebo, 231 patients ...
https://doi.org/10.1176/ajp.149.10.1324Publication date: 01 October 1992
Pages1335–1340OBJECTIVE: The purpose of this study was to develop a clinician-based cognitive, psychoeducational, preventive intervention for families with parental affective disorder that would be suitable to widespread use, test its feasibility and safety, and define ...
https://doi.org/10.1176/ajp.149.10.1335Publication date: 01 October 1992
Pages1341–1347OBJECTIVE: The purpose of this study was to investigate the prevalence and correlates of depression among adolescents being treated for chemical dependence. METHOD: Using the National Institute of Mental Health Diagnostic Interview Schedule, the authors ...
https://doi.org/10.1176/ajp.149.10.1341Publication date: 01 October 1992
Pages1348–1354OBJECTIVE: This study compares substance use by medical specialty among resident physicians. METHOD: The authors estimated the prevalence of substance use of 11 medical specialties from a national sample of 1,754 U.S. resident physicians. RESULTS: ...
https://doi.org/10.1176/ajp.149.10.1348Publication date: 01 October 1992
Pages1355–1361OBJECTIVE: Since the second prenatal trimester is the critical period of massive neural cell migration to the cortex, and fingertip dermal cells migrate to form ridges during this same period, the authors sought to determine whether there are differences ...
https://doi.org/10.1176/ajp.149.10.1355Publication date: 01 October 1992
Pages1362–1368OBJECTIVE: Evidence suggests that poor eye tracking relates to genetically transmitted vulnerability for schizophrenia. The authors tested competing models for the genetic transmission of poor eye tracking in a search for major gene effects. METHOD: ...
https://doi.org/10.1176/ajp.149.10.1362Publication date: 01 October 1992
Pages1369–1373OBJECTIVE: To further the understanding of lactate-induced panic in patients with panic disorder, the authors examined cisternal lactate and carbon dioxide levels in nonhuman primates after infusions of sodium lactate comparable to those used in studies ...
https://doi.org/10.1176/ajp.149.10.1369Publication date: 01 October 1992
Pages1374–1379OBJECTIVE: The authors examined whether deaths of lovers and close friends from AIDS increased the frequency of depressive symptoms and depressive disorder in a group of homosexual men. METHOD: Two hundred seven volunteer male homosexual subjects were ...
https://doi.org/10.1176/ajp.149.10.1374Publication date: 01 October 1992
Pages1380–1384There has been considerable discussion in the literature on the differences between criteria for involuntary commitment that are based on dangerousness and criteria based on need for treatment. A number of states have adopted clinical criteria, and other ...
https://doi.org/10.1176/ajp.149.10.1380Publication date: 01 October 1992
Pages1385–1389OBJECTIVE: The purpose of the study was to investigate the influence of the topography of dyskinetic movements on their effect on cognitive impairment and negative symptoms. METHOD: Eighty-four inpatients who satisfied DSM-III-R criteria for schizophrenia ...
https://doi.org/10.1176/ajp.149.10.1385Publication date: 01 October 1992
Pages1390–1392The authors prospectively studied psychotropic prescribing practices and quality assurance data in 17 nursing homes in the Baltimore area to assess the impact of federal antipsychotic drug regulations. There was a 36% reduction in prescriptions for ...
https://doi.org/10.1176/ajp.149.10.1390Publication date: 01 October 1992
Pages1393–1394Anticholinergic effects of the 25 drugs most commonly prescribed for the elderly were measured by radioreceptor assay. Fourteen had detectable anticholinergic drug levels; 10 of these had levels that have been associated with impairments in memory and ...
https://doi.org/10.1176/ajp.149.10.1393Publication date: 01 October 1992
Pages1395–1396Cortisol levels of 21 hospitalized prepubertal depressed children given the dexamethasone suppression test (DST) were measured by radioimmunoassay and by fluorescent polarization immunoassay, a new assay method. Correlation analyses demonstrated a highly ...
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