American Journal of Psychiatry
- Volume 149
- Number 11
- November 1992
Article
Publication date: 01 November 1992
Pages1455–1463The relationship between psychosocial rehabilitation and psychiatry in the care of long-term mental patients is one that may often be characterized, at best, as an uneasy alliance. The author summarizes the basic concepts that define the discipline of ...
https://doi.org/10.1176/ajp.149.11.1455Publication date: 01 November 1992
Pages1464–1472Much has been learned about perinatal loss over the past 20 years through clinical investigations and quantitative research. However, a review of studies over the past decade reveals that perinatal loss is increasingly being seen in the same way as a ...
https://doi.org/10.1176/ajp.149.11.1464Publication date: 01 November 1992
Pages1473–1483The authors' primary objective is to outline the phenomenology, importance, and available data on issues concerning the boundaries between bipolar disorder and diagnoses such as schizophrenia, unipolar depression, and personality disorders. In addition, ...
https://doi.org/10.1176/ajp.149.11.1473Publication date: 01 November 1992
Pages1484–1491OBJECTIVE: The authors conducted a prospective study of the clinical utility of the four DSM-III-R subtypes of primary degenerative dementia of the Alzheimer type (with delirium, with delusions, with depression, or uncomplicated) and acute psychiatric ...
https://doi.org/10.1176/ajp.149.11.1484Publication date: 01 November 1992
Pages1492–1498OBJECTIVE: The purpose of this paper is to explore possible consequences of recent changes in the Medicare payment schedule for office-based psychiatric services. METHOD: Psychiatric office visits from the 1985 National Ambulatory Medical Care Survey were ...
https://doi.org/10.1176/ajp.149.11.1492Publication date: 01 November 1992
Pages1499–1505OBJECTIVE AND METHOD: A mail survey was conducted in 1988-1989 to study the professional activities of U.S. psychiatrists. Data from the 19,431 active respondents are reported. RESULTS: Nineteen percent of the psychiatrists were women, an increase from ...
https://doi.org/10.1176/ajp.149.11.1499Publication date: 01 November 1992
Pages1506–1513OBJECTIVE: The authors' purpose in this study was to further delineate the character of cerebral metabolism in bulimia nervosa and to determine if functional links could be made between regional cerebral metabolism and the symptoms of depression, ...
https://doi.org/10.1176/ajp.149.11.1506Publication date: 01 November 1992
Pages1514–1520OBJECTIVE: There has been relatively little clinical research on how asymptomatic HIV-positive men cope with the threat of AIDS. The present study was intended to 1) describe the coping strategies used by asymptomatic HIV-positive homosexual men, 2) ...
https://doi.org/10.1176/ajp.149.11.1514Publication date: 01 November 1992
Pages1521–1525OBJECTIVE: The purpose of the study was to replicate and extend previous findings regarding the hypnotizability of different clinical groups. METHOD: The authors compared the differential hypnotizability of four psychiatric groups--patients with ...
https://doi.org/10.1176/ajp.149.11.1521Publication date: 01 November 1992
Pages1526–1533OBJECTIVE: By focusing on the functioning of a state hospital throughout its existence, the author provides a historical perspective on the nature and causes of "revolving door" admissions. METHOD: Northampton State Hospital was chosen as a prototype, and ...
https://doi.org/10.1176/ajp.149.11.1526Publication date: 01 November 1992
Pages1534–1538OBJECTIVE: Meta-analysis was used to review the research literature on self-reported sensitivity to alcohol among sons of alcoholic and among normal control subjects. METHOD: Computerized and manual searches identified 17 eligible independent articles; ...
https://doi.org/10.1176/ajp.149.11.1534Publication date: 01 November 1992
Pages1539–1542OBJECTIVE: To determine the extent to which the reported variations across countries in the prevalence of attention-deficit hyperactivity disorder are due to cultural differences among raters, the authors examined the degree to which mental health ...
https://doi.org/10.1176/ajp.149.11.1539Publication date: 01 November 1992
Pages1543–1548OBJECTIVE: The authors examined the relationship between negative symptoms and premorbid variables in drug-free schizophrenic patients. METHOD: The authors studied 63 clinically stable male schizophrenic inpatients who were not receiving any psychoactive ...
https://doi.org/10.1176/ajp.149.11.1543Publication date: 01 November 1992
Pages1549–1555OBJECTIVE: To determine whether schizophrenic outpatients receiving low- dose neuroleptic therapy could learn and retain complex information and skills related to self-management of their illness, a novel technique of teaching, using cognitive and ...
https://doi.org/10.1176/ajp.149.11.1549Publication date: 01 November 1992
Pages1556–1562OBJECTIVE: The authors' goal was to evaluate the relationship between plasma concentrations of alprazolam and both treatment response and side effects in patients with panic disorder and agoraphobia. METHOD: Ninety-six patients with panic disorder and ...
https://doi.org/10.1176/ajp.149.11.1556Publication date: 01 November 1992
Pages1563–1567OBJECTIVE: The authors evaluated the diagnostic validity of an interview-based panic disorder diagnosis in cardiology chest pain patients with angiographically normal coronary arteries. METHOD: Patient probands with normal coronary arteries (N = 65) were ...
https://doi.org/10.1176/ajp.149.11.1563Publication date: 01 November 1992
Pages1568–1574OBJECTIVE: Studies indicate that chronic combat-related posttraumatic stress disorder (PTSD) is frequently associated with other psychiatric disorders. Questions regarding the nature and interrelationships of these conditions require clarification. The ...
https://doi.org/10.1176/ajp.149.11.1568Publication date: 01 November 1992
Pages1575–1579OBJECTIVE: Results from the National Institute of Mental Health (NIMH) Collaborative Study of the Psychobiology of Depression raised serious concerns about the longer-term prognosis for major depressive disorder in younger persons. However, little ...
https://doi.org/10.1176/ajp.149.11.1575Publication date: 01 November 1992
Pages1580–1584OBJECTIVE: The aim of this study was to determine the significance of mood congruence of psychotic features in mania as a predictor of outcome. METHOD: Fifty-four patients with bipolar disorder were followed prospectively for 4 years after recovery from ...
https://doi.org/10.1176/ajp.149.11.1580Publication date: 01 November 1992
Pages1585–1586Association of psychotic symptoms with suicidal behavior was studied in 90 hospitalized prepubertal children. Children with psychotic symptoms were more likely to have threatened or attempted suicide. The association of visual hallucinations with suicidal ...
https://doi.org/10.1176/ajp.149.11.1585Publication date: 01 November 1992
Pages1587–1588Twenty panic disorder patients with mitral valve prolapse showed amelioration of prolapse on repeat echocardiogram after treatment for panic disorder. This effect was significant when compared to repeat echocardiograms in eight psychiatrically normal ...
https://doi.org/10.1176/ajp.149.11.1587Publication date: 01 November 1992
Pages1589–1591Basilar artery blood flow was measured by transcranial Doppler ultrasonography before and during hyperventilation in nine patients with panic disorder and nine normal comparison subjects. The hyperventilation-induced decrease in basilar artery blood flow ...
https://doi.org/10.1176/ajp.149.11.1589Publication date: 01 November 1992
Pages1592–1594In vivo 19fluorine nuclear magnetic resonance spectroscopy was used to measure the brain concentration of fluoxetine and norfluoxetine in five patients with obsessive-compulsive disorder and three with major depression. The mean brain:plasma ratio of the ...
https://doi.org/10.1176/ajp.149.11.1592Publication date: 01 November 1992
Pages1595–1596The severity of cocaine dependence of 39 hospitalized patients was assessed by administering the Structured Clinical Interview for DSM-III- R. No significant relationship was found between severity of cocaine dependence and cocaine use at 3-month follow-...
https://doi.org/10.1176/ajp.149.11.1595Article
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Publication date: 01 November 1992
Pages1622-a–1622In the reply by Owen M. Wolkowitz, M.D., et al. to the letter "Antiglucocorticoid Effects of DHEA-S in Alzheimer's Disease" (August 1992, p. 1126), there are several changes involving references. In the 20th line of the second paragraph, reference "2" ...
https://doi.org/10.1176/ajp.149.11.1622-aPublication date: 01 November 1992
Pages1622-b–1622In the letter "Addition of Fluoxetine to Clozapine" by Shawn L. Cassady, M.D., and Gunvant K. Thaker, M.D. (September 1992, p. 1274), the phrasing in the fifth line of the first paragraph should read "concomitant use of clozapine and fluoxetine."
https://doi.org/10.1176/ajp.149.11.1622-bPast Issues
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