American Journal of Psychiatry
- Volume 150
- Number 11
- November 1993
Publication date: 01 November 1993
Pages1618–1629OBJECTIVE: The authors undertook a review of the literature on the dexamethasone suppression test (DST) as a predictor of course and outcome in major depression, to illustrate clinical and pathophysiological implications of studying the relation between ...
https://doi.org/10.1176/ajp.150.11.1618Publication date: 01 November 1993
Pages1630–1638OBJECTIVE: The goal of this study was to determine whether clozapine is a cost-effective treatment for treatment-resistant schizophrenia. METHOD: Data were collected on 96 treatment-resistant patients with schizophrenia for 2 years before they entered a ...
https://doi.org/10.1176/ajp.150.11.1630Publication date: 01 November 1993
Pages1639–1642OBJECTIVE: To supply information on the efficacy of on-site day treatment for homeless mentally ill men in shelters, the authors followed up homeless mentally ill men 18 months after placement in community housing. METHOD: The 42 subjects had been ...
https://doi.org/10.1176/ajp.150.11.1639Publication date: 01 November 1993
Pages1643–1648OBJECTIVE: Because findings regarding the prognostic significance of depressive symptoms in schizophrenia and their effect on the course and treatment of schizophrenia have been limited by the effects of previous treatment, retrospective evaluations, and ...
https://doi.org/10.1176/ajp.150.11.1643Publication date: 01 November 1993
Pages1649–1653OBJECTIVE: The goal of this study was to clarify more precisely where patients with psychotic disorders and the mental health professionals who care for them disagree regarding whether the patient is ill or needs treatment. METHOD: The authors prepared ...
https://doi.org/10.1176/ajp.150.11.1649Publication date: 01 November 1993
Pages1654–1660OBJECTIVE: This study sought to determine whether affective abnormalities could be detected in home movies of children who later developed schizophrenia. METHOD: Trained observers coded facial expressions of emotion of 32 schizophrenic patients and 31 of ...
https://doi.org/10.1176/ajp.150.11.1654"True" schizotypal personality disorder: a study of co-twins and relatives of schizophrenic probands
Publication date: 01 November 1993
Pages1661–1667OBJECTIVE: The aim of the study was to investigate the type and nature of personality disorders among biological relatives of schizophrenic probands. METHOD: A total of 176 nonschizophrenic co-twins and other first-degree relatives of schizophrenic ...
https://doi.org/10.1176/ajp.150.11.1661Publication date: 01 November 1993
Pages1668–1673OBJECTIVE: This study tested the impression that there have been significant shifts in the relative diagnostic frequencies of schizophrenia and major affective disorders. METHOD: Data on discharge diagnoses from 1972 to 1988 were gathered from six North ...
https://doi.org/10.1176/ajp.150.11.1668Publication date: 01 November 1993
Pages1674–1678OBJECTIVE: Alteration in cortisol levels has been reported in HIV infection and may be related to levels of psychiatric distress and immune function. The goals of this study were to assess cortisol levels in subjects with HIV infection and to determine ...
https://doi.org/10.1176/ajp.150.11.1674Publication date: 01 November 1993
Pages1679–1686OBJECTIVE: Although many studies have documented patterns of emotional distress in persons with HIV disease, there have been few controlled evaluations of therapy outcomes with these individuals. This research evaluated the effects of brief cognitive-...
https://doi.org/10.1176/ajp.150.11.1679Publication date: 01 November 1993
Pages1687–1692OBJECTIVE: This study sought to ascertain demographic, clinical, and interpersonal factors prospectively associated with suicide attempts by older adults with major depressive disorder. METHOD: Elderly inpatients diagnosed as having major depressive ...
https://doi.org/10.1176/ajp.150.11.1687Publication date: 01 November 1993
Pages1693–1699OBJECTIVE: The goals of this longitudinal investigation were 1) to study the rate of development of irreversible dementia in elderly depressed patients with a dementia syndrome that subsided after improvement of depression and 2) to compare it with that ...
https://doi.org/10.1176/ajp.150.11.1693Publication date: 01 November 1993
Pages1700–1706OBJECTIVE: The purpose of this study was to ascertain whether group psychotherapy during radiotherapy for cancer significantly decreases patients' emotional and physical distress. METHOD: Twenty-four patients receiving radiotherapy were randomly selected ...
https://doi.org/10.1176/ajp.150.11.1700Publication date: 01 November 1993
Pages1707–1711OBJECTIVE: The goals of this study were to explore gender differences in demographic variables, psychiatric comorbidity, and personality disorders in individuals with substance use disorders. METHOD: A total of 100 treatment-seeking substance users (50 ...
https://doi.org/10.1176/ajp.150.11.1707Publication date: 01 November 1993
Pages1712–1717OBJECTIVE: The purpose of this study was to assess the functional significance of ventricle-brain ratio (VBR) in terms of how it might affect sensitivity to cocaine, an indirect dopamine agonist. METHOD: Relationships between VBR and subjective responses ...
https://doi.org/10.1176/ajp.150.11.1712Publication date: 01 November 1993
Pages1718–1724OBJECTIVE: This study explored the reliability and clinical correlates of the depressive personality in nonclinical subjects. In particular, the authors were interested in determining the relationship between depressive personality and mood disorders. ...
https://doi.org/10.1176/ajp.150.11.1718Article
Publication date: 01 November 1993
Pages1726–1727The authors compared Alz-50 immunoreactivity in the brain tissue of nine cognitively impaired elderly schizophrenic patients and 13 elderly comparison subjects, both without neuritic plaques or neurofibrillary tangles, and 13 patients with Alzheimer's ...
https://doi.org/10.1176/ajp.150.11.1726Publication date: 01 November 1993
Pages1728–1730Fifteen patients with DSM-III-R major depression and 15 matched comparison subjects underwent baclofen-induced growth hormone (GH) release and the dexamethasone suppression test (DST). The GH responses of the patients were significantly blunted, ...
https://doi.org/10.1176/ajp.150.11.1728Publication date: 01 November 1993
Pages1731–1733Plasma and platelet levels of excitatory amino acids were measured in 38 psychiatric out-patients and in 19 comparison subjects; the patients had DSM-III-R diagnoses of organic mental disorders (N = 3), mood disorders (N = 15), schizophrenia (N = 13), and ...
https://doi.org/10.1176/ajp.150.11.1731Publication date: 01 November 1993
Pages1734–1736The authors explored differences in the clinical characteristics of 17 male and 13 female patients experiencing their first admission for psychotic depression. Few differences were observed for most depressive and psychotic features, but fewer male than ...
https://doi.org/10.1176/ajp.150.11.1734Publication date: 01 November 1993
Pages1737–1738A computer-assisted telephone system using digitized human speech was developed to administer two rating scales for obsessive-compulsive disorder. For 18 patients, scores derived with this system agreed well with scores from human administration of the ...
https://doi.org/10.1176/ajp.150.11.1737Article
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Publication date: 01 November 1993
Pages1762-a–1762The following authors should be added to the reply of Rakesh Khanna, M.D., to the letter "Do Benzodiazepines Modify the Incidence of Neuroleptic-Induced Dystonia?" by Patricia I. Rosebush, M.Sc.N., et al. (March 1993, pp. 528-529): Arunava Das, M.D., and ...
https://doi.org/10.1176/ajp.150.11.1762-a