American Journal of Psychiatry
- Volume 149
- Number 9
- September 1992
Article
Article
Publication date: 01 September 1992
Pages1148–1156OBJECTIVE: Axis V, which uses the Global Assessment of Functioning Scale in the multiaxial system of DSM-III-R, is under review for DSM- IV. This article examines what is known about axis V and selectively reviews the literature on measures of social ...
https://doi.org/10.1176/ajp.149.9.1148Publication date: 01 September 1992
Pages1157–1161Cost containment through reduction of insurance benefits and aggressive utilization review is increasingly risking the sacrifice of good clinical care in the pursuit of financial objectives. This article provides examples of judicial and legislative ...
https://doi.org/10.1176/ajp.149.9.1157Publication date: 01 September 1992
Pages1162–1167OBJECTIVE: Abnormalities in plasma concentrations of beta-endorphin- like immunoreactivity (beta-endorphin) have been reported in depressed patients. This study was done to test the hypothesis that specific clinical characteristics of depression are ...
https://doi.org/10.1176/ajp.149.9.1162Publication date: 01 September 1992
Pages1168–1175OBJECTIVE: Neuroendocrine challenge paradigms have been used to asses serotonergic systems in depression, but limitations in the specificity of many of these tests have been noted. In this study, the neuroendocrine responses to acute intravenous ...
https://doi.org/10.1176/ajp.149.9.1168Publication date: 01 September 1992
Pages1176–1182OBJECTIVE: The goals of this study are to provide estimates of the prevalence of seasonal affective disorder in Alaska, to examine sociodemographic correlates, and to evaluate the relation between seasonal affective disorder and general depression. METHOD:...
https://doi.org/10.1176/ajp.149.9.1176Publication date: 01 September 1992
Pages1183–1188OBJECTIVE: This study was undertaken to assess the potential effect of duration of untreated illness on outcome in a group of first-episode schizophrenic patients. METHOD: Seventy patients with schizophrenia diagnosed according to the Research Diagnostic ...
https://doi.org/10.1176/ajp.149.9.1183Publication date: 01 September 1992
Pages1189–1194OBJECTIVE: The authors' goal was to study the relationship between smoking status and clinical characteristics in schizophrenic patients. METHOD: Seventy-eight schizophrenic outpatients were assessed by a single rater using the Brief Psychiatric Rating ...
https://doi.org/10.1176/ajp.149.9.1189Publication date: 01 September 1992
Pages1195–1198OBJECTIVE: Since previous work indicated smaller than normal temporal lobe structures in schizophrenic patients, the authors tested the hypothesis that this abnormality might be reflected in abnormally large sylvian fissures. METHOD: The subjects were 48 ...
https://doi.org/10.1176/ajp.149.9.1195Publication date: 01 September 1992
Pages1199–1205OBJECTIVE: Because previous studies of day treatment as an alternative to inpatient treatment had major disadvantages or methodological shortcomings, the authors conducted a randomized controlled trial to estimate and predict the extent to which day ...
https://doi.org/10.1176/ajp.149.9.1199Publication date: 01 September 1992
Pages1206–1211OBJECTIVE: The authors investigated the prevalence of tardive dyskinesia among elderly psychiatric patients who had never received neuroleptic medication before their first hospitalization. METHOD: The study was performed in the geriatric psychiatry unit ...
https://doi.org/10.1176/ajp.149.9.1206Publication date: 01 September 1992
Pages1212–1218OBJECTIVE: This study examined the validity of the Cleveland Admission, Discharge, and Transfer Criteria, a comprehensive system for assigning alcohol- and drug-abusing patients to appropriate levels of care. METHOD: The subjects were 143 alcoholic and ...
https://doi.org/10.1176/ajp.149.9.1212Publication date: 01 September 1992
Pages1219–1224OBJECTIVE: An uncontrolled outcome study was conducted to examine clinical improvement and the relationship of psychiatric and substance abuse problems, community adjustment, and housing status among homeless veterans who participated in a multisite ...
https://doi.org/10.1176/ajp.149.9.1219Publication date: 01 September 1992
Pages1225–1227OBJECTIVE: A "best estimate" diagnosis is one made by expert clinicians on the basis of diagnostic information from direct interview conducted by another clinician plus information from medical records and from reports of family members. The authors ...
https://doi.org/10.1176/ajp.149.9.1225Publication date: 01 September 1992
Pages1228–1233OBJECTIVE: The aim of this study was to assess the relationships between specific personality disorders and DSM-III axis I conditions in a community sample. METHOD: A total of 810 subjects were examined by psychiatrists in the second stage of the Eastern ...
https://doi.org/10.1176/ajp.149.9.1228Publication date: 01 September 1992
Pages1234–1238OBJECTIVE: The purpose of this study was to examine the prevalence, natural history, and psychosocial impact of posttraumatic symptoms in adult burn survivors. METHOD: Forty-three adult inpatients at a regional burn center were assessed at discharge with ...
https://doi.org/10.1176/ajp.149.9.1234Publication date: 01 September 1992
Pages1239–1243OBJECTIVE: Although the incidence of first panic attacks appears to peak during adolescence, little is known about which features of adolescence contribute to the risk of a first panic episode. The purpose of this study was to compare the relative ...
https://doi.org/10.1176/ajp.149.9.1239Publication date: 01 September 1992
Pages1244–1251OBJECTIVE: This study examined a hypothesized etiologic relationship between Tourette's disorder and obsessive-compulsive disorder. METHOD: Fifty-four children who had initially participated in treatment protocols for obsessive-compulsive disorder (...
https://doi.org/10.1176/ajp.149.9.1244Publication date: 01 September 1992
Pages1252–1257OBJECTIVE: This study sought to determine whether neurocognitive factors could discriminate delinquents brought before a juvenile court in a large urban area from nondelinquent status offenders brought before the same court. METHOD: Psychological tests ...
https://doi.org/10.1176/ajp.149.9.1252Publication date: 01 September 1992
Pages1258–1260Twelve patients receiving ECT consented to random assignment to either intravenous or intramuscular administration of atropine for a total of 48 ECTs. There were no statistically significant differences between routes of administration in heart rate, ...
https://doi.org/10.1176/ajp.149.9.1258Article
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Publication date: 01 September 1992
Pages1287-a–1287The address for Lawrence A. Labbate, M.D., author of the letter "Nicotine Cessation, Mania, and Depression" (May 1992 issue, p. 708), is Bremerhaven, Germany.
https://doi.org/10.1176/ajp.149.9.1287-aPast Issues
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