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American Journal of Psychiatry

  • Volume 150
  • Number 8
  • August 1993

Publication date: 01 August 1993

Pages1139–1148

OBJECTIVE: 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.150.8.1139

Publication date: 01 August 1993

Pages1149–1157

OBJECTIVE: 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.150.8.1149

Publication date: 01 August 1993

Pages1158–1163

OBJECTIVE: 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.150.8.1158

Publication date: 01 August 1993

Pages1164–1168

OBJECTIVE: 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.150.8.1164

Publication date: 01 August 1993

Pages1169–1175

OBJECTIVE: 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.150.8.1169

Publication date: 01 August 1993

Pages1176–1181

OBJECTIVE: 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.150.8.1176

Publication date: 01 August 1993

Pages1182–1188

OBJECTIVE: 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.150.8.1182

Publication date: 01 August 1993

Pages1189–1193

OBJECTIVE: 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.150.8.1189

Publication date: 01 August 1993

Pages1194–1198

OBJECTIVE: 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.150.8.1194

Publication date: 01 August 1993

Pages1199–1202

OBJECTIVE: 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.150.8.1199

Publication date: 01 August 1993

Pages1203–1209

OBJECTIVE: 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.150.8.1203

Publication date: 01 August 1993

Pages1210–1215

OBJECTIVE: 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.150.8.1210

Publication date: 01 August 1993

Pages1216–1218

OBJECTIVE: 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.150.8.1216

Publication date: 01 August 1993

Pages1219–1225

OBJECTIVE: 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.150.8.1219

Publication date: 01 August 1993

Pages1226–1232

OBJECTIVE: 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.150.8.1226

Publication date: 01 August 1993

Pages1233–1236

OBJECTIVE: 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.150.8.1233

Publication date: 01 August 1993

Pages1237–1243

OBJECTIVE: 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.150.8.1237

Publication date: 01 August 1993

Pages1246–1248

In 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.150.8.1246

Publication date: 01 August 1993

Pages1249–1251

A 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.150.8.1249

Publication date: 01 August 1993

Pages1252–1254

Membrane 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.150.8.1252

Publication date: 01 August 1993

Pages1255–1256

Ten 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.150.8.1255

Publication date: 01 August 1993

Pages1257–1258

The 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.150.8.1257

Publication date: 01 August 1993

Pages1259–1260

The 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.150.8.1259

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Publication date: 01 August 1993

Page1280

In 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.150.8.1280

Publication date: 01 August 1993

Pages1281–1287

The 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

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