American Journal of Psychiatry
- Volume 150
- Number 10
- October 1993
Publication date: 01 October 1993
Pages1447–1465This report was produced in response to a request by the Senate Committee on Appropriations that the National Advisory Mental Health Council prepare and submit a report on the cost of insurance coverage of medical treatment for severe mental illness ...
https://doi.org/10.1176/ajp.150.10.1447Publication date: 01 October 1993
Pages1466–1471Several reviews of the history of anorexia nervosa have concluded that weight phobia, a basic diagnostic criterion for the disorder, did not emerge as a predominant motive for food refusal until around 1930. In addition, investigators have reported cases ...
https://doi.org/10.1176/ajp.150.10.1466Publication date: 01 October 1993
Pages1472–1479OBJECTIVE: The authors determined the prevalence of binge eating disorder in a self-referred study group of moderately and severely obese subjects and investigated whether binge eating disorder was associated with psychiatric disorders, a history of ...
https://doi.org/10.1176/ajp.150.10.1472Publication date: 01 October 1993
Pages1480–1484OBJECTIVE: Patients with panic disorder are behaviorally hypersensitive to CO2 inhalation and may also be biologically hypersensitive. A report by Mathew et al. showed, however, that administration of the carbonic anhydrase inhibitor acetazolamide, which ...
https://doi.org/10.1176/ajp.150.10.1480Publication date: 01 October 1993
Pages1485–1490OBJECTIVE: The primary disadvantage of high-potency benzodiazepine treatment for panic disorder is the difficulty of discontinuing the treatment. During treatment discontinuation, new symptoms may emerge and anxiety may return, preventing many patients ...
https://doi.org/10.1176/ajp.150.10.1485Publication date: 01 October 1993
Pages1491–1495OBJECTIVE: Factors associated with response to treatment for agoraphobia are as of yet poorly understood. The authors investigated the relationship between chronic forms of life stress and clinical improvement and recovery in subjects with agoraphobia. ...
https://doi.org/10.1176/ajp.150.10.1491Publication date: 01 October 1993
Pages1496–1501OBJECTIVE: In the United States, the consensus among clinicians and researchers, reflected in DSM-III-R, is that agoraphobia is a conditioned response to panic attacks and almost never occurs without panic attacks. The predominant view in the United ...
https://doi.org/10.1176/ajp.150.10.1496Publication date: 01 October 1993
Pages1502–1506OBJECTIVE: Two reports have suggested a possible association between a history of sexual trauma and irritable bowel syndrome, but several factors in their study designs limited their generalizability. The authors used a more rigorous methodology to ...
https://doi.org/10.1176/ajp.150.10.1502Publication date: 01 October 1993
Pages1507–1511OBJECTIVE: To help clarify the complex association between childhood abuse and adult psychopathology, the authors examined the relationship among abuse, Briquet's syndrome (somatization disorder), and dissociative symptoms. METHOD: Ninety-nine female ...
https://doi.org/10.1176/ajp.150.10.1507Publication date: 01 October 1993
Pages1512–1516OBJECTIVE: The purpose of this analysis was to examine quality of life and dissociation in anxiety disorder subjects with histories of trauma, some of whom met criteria for posttraumatic stress disorder (PTSD). METHOD: Subjects came from a prospective, ...
https://doi.org/10.1176/ajp.150.10.1512Publication date: 01 October 1993
Pages1517–1523OBJECTIVE: This study examined the relationship between exposure to the Exxon Valdez oil spill and subsequent cleanup efforts and the prevalence of generalized anxiety disorder, posttraumatic stress disorder (PTSD), and depressive symptoms in 13 Alaska ...
https://doi.org/10.1176/ajp.150.10.1517Publication date: 01 October 1993
Pages1524–1528OBJECTIVE: This study was designed to examine prospectively the development of trauma-related symptoms over time in two reserve units of Operation Desert Storm veterans. METHOD: One month and 6 months after returning from the Persian Gulf area, 84 ...
https://doi.org/10.1176/ajp.150.10.1524Publication date: 01 October 1993
Pages1529–1534OBJECTIVE: In the absence of clear distinctions in alertness between patients with primary insomnia and normal subjects, the goal of this study was to identify psychometric and electrophysiological measures that would distinguish these two groups. METHOD: ...
https://doi.org/10.1176/ajp.150.10.1529Article
Publication date: 01 October 1993
Pages1536–1538Dopamine supersensitivity, presumably playing a role in tardive dyskinesia, has been implicated in the unexplained polydipsia occurring in chronic psychiatric patients. To investigate this hypothesis, the authors compared laboratory measurements ...
https://doi.org/10.1176/ajp.150.10.1536Publication date: 01 October 1993
Pages1539–1540Seventeen elderly patients with treatment-resistant depression were reassessed 15 months and 4 years after treatment with an antidepressant agent or ECT. At 15 months 47% (seven of 15) were clinically improved, and at the 4-year follow-up 71% (10 of 14) ...
https://doi.org/10.1176/ajp.150.10.1539Publication date: 01 October 1993
Pages1541–1542In a series of eight pregnant women, the authors found that the doses of tricyclic antidepressants required to achieve remission of symptoms and adequate serum levels increased during the second half of pregnancy. During the final trimester, the mean dose ...
https://doi.org/10.1176/ajp.150.10.1541Publication date: 01 October 1993
Pages1543–1545Caffeine lengthens ECT seizures, perhaps by lowering the convulsive threshold. The authors assessed the impact of caffeine on the convulsive threshold and seizure duration. The convulsive threshold and seizure durations of 12 inpatients receiving right ...
https://doi.org/10.1176/ajp.150.10.1543Publication date: 01 October 1993
Pages1546–1547The authors examined the influence of a history of alcoholism or major depression on smoking cessation for 220 subjects. The success rate of recovering alcoholics was comparable to that of nonalcoholics, comorbidity of alcoholism and major depression ...
https://doi.org/10.1176/ajp.150.10.1546Publication date: 01 October 1993
Pages1548–1551Of 39 patients consecutively admitted for the treatment of primary mania, 21 (53.8%) simultaneously met the Research Diagnostic Criteria for major depressive disorder ("mixed" or "depressive" mania). Only nine (42.9%) of the 21 patients with depressive ...
https://doi.org/10.1176/ajp.150.10.1548Article
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