American Journal of Psychiatry
- Volume 150
- Number 8
- August 1993
Publication date: 01 August 1993
Pages1139–1148OBJECTIVE: The authors develop an exploratory, integrated etiologic model for the prediction of episodes of major depression in an epidemiologic sample of women. METHOD: Both members of 680 female- female twin pairs of known zygosity from a population-...
https://doi.org/10.1176/ajp.150.8.1139Publication date: 01 August 1993
Pages1149–1157OBJECTIVE: The purpose of this article is to offer a comprehensive, data-based explanation of the relationship between hyperventilation and panic disorder linking CO2 hypersensitivity, cognitive/behavioral factors, and the respiratory effects of antipanic ...
https://doi.org/10.1176/ajp.150.8.1149Publication date: 01 August 1993
Pages1158–1163OBJECTIVE: Anger attacks are sudden, intense spells of anger associated with a surge of autonomic arousal including such symptoms as tachycardia, sweating, flushing, and a feeling of being out of control. The purpose of this study was to determine whether ...
https://doi.org/10.1176/ajp.150.8.1158Publication date: 01 August 1993
Pages1164–1168OBJECTIVE: Neuroendocrine derangements have been reported in both depression and aggressive behavior. The purpose of this study was to evaluate whether the subset of depressed patients with anger attacks have a distinctive neuroendocrine abnormality. ...
https://doi.org/10.1176/ajp.150.8.1164Publication date: 01 August 1993
Pages1169–1175OBJECTIVE: The purpose of this study was to assess the efficacy of fluoxetine, a selective serotonergic antidepressant, in the treatment of dysthymia. METHOD: Thirty-five patients who met criteria for dysthymia, but not major depression, began randomized, ...
https://doi.org/10.1176/ajp.150.8.1169Publication date: 01 August 1993
Pages1176–1181OBJECTIVE: Patients with bipolar disorder differ from patients with unipolar depression by having family histories of mania with an earlier onset and by having more episodes over a lifetime. This study was designed to determine whether additional aspects ...
https://doi.org/10.1176/ajp.150.8.1176Publication date: 01 August 1993
Pages1182–1188OBJECTIVE: The purpose of this study was to investigate the long-term outcome of patients with functional psychoses. The functional status of patients with mood-congruent and mood-incongruent psychotic depression, schizoaffective disorder, and ...
https://doi.org/10.1176/ajp.150.8.1182Publication date: 01 August 1993
Pages1189–1193OBJECTIVE: There is extensive evidence that major depression, and particularly melancholia, is characterized by hypothalamic-pituitary- adrenal (HPA) axis hyperactivity as well as systemic immune activation, which may be accompanied by increased ...
https://doi.org/10.1176/ajp.150.8.1189Publication date: 01 August 1993
Pages1194–1198OBJECTIVE: The psychodynamic approach to understanding dysthymia has rarely been empirically tested. In this pilot study the Defense Mechanism Rating Scales were used to examine psychodynamic data from patients with dysthymia and patients with panic ...
https://doi.org/10.1176/ajp.150.8.1194Publication date: 01 August 1993
Pages1199–1202OBJECTIVE: The aim of the present study was to see how DSM-III-R criteria for a major depressive episode functioned in a representative sample of elderly subjects with and without dementia. METHOD: Data were used from a population-based study of ...
https://doi.org/10.1176/ajp.150.8.1199Publication date: 01 August 1993
Pages1203–1209OBJECTIVE: The authors examined the discriminant validity of the diagnosis of attention deficit disorder with hyperactivity. METHOD: They used standardized rating scales of life stresses and child and family functioning to assess psychosocial and family ...
https://doi.org/10.1176/ajp.150.8.1203Publication date: 01 August 1993
Pages1210–1215OBJECTIVE: The goals of this study were to assess the antipanic efficacy of a new, sustained-release formulation of alprazolam and to assess the safety and tolerability of once-a-day administration of 1-10 mg of sustained-release alprazolam. METHOD: One ...
https://doi.org/10.1176/ajp.150.8.1210Publication date: 01 August 1993
Pages1216–1218OBJECTIVE: The goal of this study was to test the validity of generalized anxiety disorder as an independent diagnostic entity and to evaluate the prevalence and type of other psychiatric disorders coexisting with generalized anxiety disorder. Although a ...
https://doi.org/10.1176/ajp.150.8.1216Publication date: 01 August 1993
Pages1219–1225OBJECTIVE: This study was designed to clarify the nature of the reduced function of the peripheral beta adrenoceptor system observed in panic disorder with agoraphobia. The authors hypothesized that this phenomenon reflected a regulatory and adaptive ...
https://doi.org/10.1176/ajp.150.8.1219Publication date: 01 August 1993
Pages1226–1232OBJECTIVE: The authors sought to determine the frequency of DSM-III personality disorders in subjects with obsessive-compulsive disorder, well comparison subjects, and their first-degree relatives. METHOD: Thirty-two subjects with obsessive-compulsive ...
https://doi.org/10.1176/ajp.150.8.1226Publication date: 01 August 1993
Pages1233–1236OBJECTIVE: Youths with conduct disorder extract an inordinate amount of time and money from the U.S. judicial system and taxpayers, yet studies pertaining to this population have been few. This study was undertaken to examine the co-occurrence of ...
https://doi.org/10.1176/ajp.150.8.1233Publication date: 01 August 1993
Pages1237–1243OBJECTIVE: The purpose of this study was to estimate the prevalence, concurrent validity, and stability of DSM-III-R personality disorders in a large community-based sample of adolescents. METHOD: A randomly selected community sample of 733 youths ranging ...
https://doi.org/10.1176/ajp.150.8.1237Publication date: 01 August 1993
Pages1246–1248In a group of 25 patients with major depression, the authors investigated the relationships among having a comorbid personality disorder, the severity of psychiatric disorder, and the outcome of dynamic psychotherapy. They found that 1) depressed patients ...
https://doi.org/10.1176/ajp.150.8.1246Publication date: 01 August 1993
Pages1249–1251A double-blind, placebo-controlled study of bethanechol was conducted in 26 elderly depressed patients being treated with nortriptyline. Patients receiving bethanechol had reduced subjective complaints of anticholinergic side effects and showed a trend ...
https://doi.org/10.1176/ajp.150.8.1249Publication date: 01 August 1993
Pages1252–1254Membrane phospholipids were measured in platelets of seven medication- free patients in the manic phase of bipolar affective disorder and seven healthy comparison subjects. The relative percentage of platelet membrane phosphatidylinositol-4,5-bisphosphate ...
https://doi.org/10.1176/ajp.150.8.1252Publication date: 01 August 1993
Pages1255–1256Ten alcoholic schizophrenic patients, 10 alcoholic patients, and 10 schizophrenic patients were rated on the Hamilton Rating Scale for Depression at admission to and discharge from a psychiatric hospital. In all three groups there were statistically ...
https://doi.org/10.1176/ajp.150.8.1255Publication date: 01 August 1993
Pages1257–1258The authors used the anxiety summary score described by Clayton and associates to assess anxious and nonanxious subtypes of depression in a group of 134 outpatients with major depression. Patients with anxious depression were only slightly less likely to ...
https://doi.org/10.1176/ajp.150.8.1257Publication date: 01 August 1993
Pages1259–1260The authors examined sleep improvement in subjects with primary insomnia who received triazolam plus behavioral therapy (N = 8) or triazolam plus sleep-related information (N = 7). At follow-up, total sleep and restedness in the morning showed greater ...
https://doi.org/10.1176/ajp.150.8.1259Article
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Publication date: 01 August 1993
Page1280In the first paragraph of "The Wender Utah Rating Scale: An Aid in the Retrospective Diagnosis of Childhood Attention Deficit Hyperactivity Disorder" by Mark F. Ward, M.D., et al. (June 1993 issue, pp. 885-890), the ratings on the Parents' Rating Scale ...
https://doi.org/10.1176/ajp.150.8.1280Publication date: 01 August 1993
Pages1281–1287The use of nonparental day care for children has increased over the past several decades and mirrors changes in the social and economic fabric of the United States. In the case of the early preschool child, precise understanding of the implications of day ...
https://doi.org/10.1176/ajp.150.8.1281