American Journal of Psychiatry
- Volume 150
- Number 4
- April 1993
Article
Publication date: 01 April 1993
Pages546–553Psychiatry has been essentially uninterested in cigarette smoking and nicotine. However, it is the view of this author that both cigarette smoking and smoking cessation are highly relevant to the clinical psychiatrist in the care of patients and that they ...
https://doi.org/10.1176/ajp.150.4.546Publication date: 01 April 1993
Pages554–561The authors argue that the concept of help-seeking pathways, defined generically, oriented toward institutional structures, and put at the forefront of research, can help integrate much of what we know about the use of mental health care and how to make ...
https://doi.org/10.1176/ajp.150.4.554Publication date: 01 April 1993
Pages562–565OBJECTIVE: This study sought to determine what proportion of relapses during continuation therapy with antidepressants can be attributed to loss of nonspecific placebo effects while the patients are taking the drugs. METHOD: Depressed patients were ...
https://doi.org/10.1176/ajp.150.4.562Publication date: 01 April 1993
Pages566–570OBJECTIVE: The authors' goal was to analyze the acute phase of antidepressant drug treatment to identify placebo responses. METHOD: Patients rated as improved after 6 weeks of double-blind treatment with imipramine or phenelzine were followed for an ...
https://doi.org/10.1176/ajp.150.4.566Publication date: 01 April 1993
Pages571–577OBJECTIVE: This study was done in an effort to determine whether there was a change over the past decade in the number and proportion of patients prescribed antidepressants by psychiatrists in private practice. METHOD: The authors analyzed data from the ...
https://doi.org/10.1176/ajp.150.4.571Publication date: 01 April 1993
Pages578–583OBJECTIVE: It has been argued that among the homeless many of the features of antisocial personality may be artifacts of homelessness and that strict application of the diagnostic criteria may be insensitive to social and cultural factors in this group. ...
https://doi.org/10.1176/ajp.150.4.578Publication date: 01 April 1993
Pages584–588OBJECTIVE: This study examined patients' attitudes toward their hallucinations by assessing their beliefs about the purposes served by hallucinations and the adverse effects of hallucinations. It also investigated whether these attitudes were related to ...
https://doi.org/10.1176/ajp.150.4.584Publication date: 01 April 1993
Pages589–594OBJECTIVE: Since individuals with schizophrenia often have difficulty with abstract tasks, they should have more problems recognizing abstract social cues (e.g., inferences regarding actors' affect and goals) than concrete cues (e.g., observations of ...
https://doi.org/10.1176/ajp.150.4.589Publication date: 01 April 1993
Pages595–599OBJECTIVE: A number of researchers have provided evidence that separation anxiety is an important antecedent or current affect in panic disorder. The objective of this pilot study was to test this hypothesis by comparing dreams, screen memories, and life ...
https://doi.org/10.1176/ajp.150.4.595Publication date: 01 April 1993
Pages600–607OBJECTIVE: This report examines the impact of panic disorder and/or generalized anxiety disorder on quality of life and the implications of these findings on nosological categories. METHOD: A total of 357 subjects with a current episode of panic disorder ...
https://doi.org/10.1176/ajp.150.4.600Publication date: 01 April 1993
Pages608–613OBJECTIVE: The effects of childhood exposure to parental problem drinking remain unclear because of inconsistent findings and methodologic difficulties in previous studies. The authors used a large community sample to examine whether exposure to parental ...
https://doi.org/10.1176/ajp.150.4.608Publication date: 01 April 1993
Pages614–619OBJECTIVE: After four decades of separation due to civil war, many people who had migrated to Taiwan from mainland China had the unexpected opportunity to briefly visit their families in mainland China. A study was conducted to examine psychiatric ...
https://doi.org/10.1176/ajp.150.4.614Publication date: 01 April 1993
Pages620–624OBJECTIVE: This study used a script-driven imagery technique, previously used with combat veterans, to assess physiologic responses of Israeli survivors of noncombat traumas. METHOD: Each subject had experienced an event meeting DSM-III-R criterion A for ...
https://doi.org/10.1176/ajp.150.4.620Publication date: 01 April 1993
Pages625–631OBJECTIVE: This paper describes the clinical roles of psychiatrists in U.S. organized outpatient mental health settings. METHOD: Data were analyzed from the 1986 National Institute of Mental Health Client/Patient Sample Survey. The authors determined the ...
https://doi.org/10.1176/ajp.150.4.625Publication date: 01 April 1993
Pages632–638OBJECTIVE: The authors examined the course of depression over 2 years for outpatients with and without a history of hypertension, a history of myocardial infarction, or current insulin-dependent diabetes. METHOD: Among outpatient visitors to the practices ...
https://doi.org/10.1176/ajp.150.4.632Publication date: 01 April 1993
Pages639–642OBJECTIVE: The psychopathology associated with early-onset dementia of the Alzheimer type was investigated by comparing the prevalence of psychiatric symptoms in younger subjects (mean age = 59 years) who had very mild or mild dementia with that in older ...
https://doi.org/10.1176/ajp.150.4.639Publication date: 01 April 1993
Pages643–646OBJECTIVE: Alzheimer's disease and other dementias may be associated with greater risk for physical abuse than other illnesses of the elderly. The authors examined the relationship between dementia and abusive behavior in a group of demented patients and ...
https://doi.org/10.1176/ajp.150.4.643Publication date: 01 April 1993
Pages647–649The authors found that buspirone added to the treatment of 33 patients with obsessive-compulsive disorder who were refractory to the serotonin reuptake inhibitor fluvoxamine was no better than placebo in reducing obsessive-compulsive, depressive, or ...
https://doi.org/10.1176/ajp.150.4.647Publication date: 01 April 1993
Pages650–652The authors report the frequency of side effects of light therapy in 105 patients with seasonal affective disorder treated with three intensities of light. Common symptoms to emerge during treatment were headache (19%), eyestrain (17%), and feeling "wired"...
https://doi.org/10.1176/ajp.150.4.650Publication date: 01 April 1993
Pages653–655Thirteen polydipsic and 40 nonpolydipsic chronic schizophrenic patients received the dexamethasone suppression test while stabilized on psychotropic medication regimens. Thirty-eight percent (N = 5) of those with polydipsia but only 5% (N = 2) of those ...
https://doi.org/10.1176/ajp.150.4.653Publication date: 01 April 1993
Pages656–657The authors measured CSF concentrations of corticotropin-releasing hormone (CRH) and arginine vasopressin in nine depressed patients before and after fluoxetine treatment. They found significant decreases in CSF CRH, CSF arginine vasopressin, and Hamilton ...
https://doi.org/10.1176/ajp.150.4.656Publication date: 01 April 1993
Pages658–660The authors compared scores on the Toronto Alexithymia Scale and the Anxiety Sensitivity Index of 27 patients with panic disorder and 31 patients with obsessive-compulsive disorder. Results suggest that patients with panic disorder constrict emotional ...
https://doi.org/10.1176/ajp.150.4.658Publication date: 01 April 1993
Pages661–663The authors compared scores on the Toronto Alexithymia Scale of 12 rape victims with PTSD, 12 rape victims without PTSD, and 12 nontraumatized comparison subjects. Rape victims were more alexithymic than were nontraumatized comparison subjects, and ...
https://doi.org/10.1176/ajp.150.4.661Article
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Publication date: 01 April 1993
Page685Henry A. Nasrallah, M.D., is a valued reviewer for The American Journal of Psychiatry. His name should be included in the list of reviewers acknowledged in J.C.N.'s "New Year's Greetings" editorial (January 1993, pp. 1-6).
https://doi.org/10.1176/ajp.150.4.685Publication date: 01 April 1993
Pages685-a–685Tana Annette Grady, M.D., should be included as a member of the Steering Committee on Practice Guidelines which participated in the preparation of the American Psychiatric Association's "Practice Guideline for Eating Disorders" (February 1993, pp. 207-228)...
https://doi.org/10.1176/ajp.150.4.685-aPublication date: 01 April 1993
Pages685-b–685In the letter "Relapse Following Lorazepam Withdrawal" (February 1993, pp. 348-349), the correct spelling of the first author's name is J. Daniel Kanofsky, M.D., M.P.H. Drs. Kanofsky and Lindenmayer believe the title "Relapse in a Clozapine Responder ...
https://doi.org/10.1176/ajp.150.4.685-bPublication date: 01 April 1993
Page686This statement was proposed by the Council on National Affairs.1 It was approved by the Assembly in November 1992 and by the Board of Trustees in December 1992.
https://doi.org/10.1176/ajp.150.4.686Publication date: 01 April 1993
Pages686-a–686This position statement was proposed by the Committee on Gay, Lesbian, and Bisexual Issues of the Council on National Affairs.1 It was approved by the Board of Trustees in December 1992.
https://doi.org/10.1176/ajp.150.4.686-aPast Issues
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