American Journal of Psychiatry
- Volume 151
- Number 11
- November 1994
Publication date: 01 November 1994
Pages1571–1583OBJECTIVE: Lyme disease is a multisystemic illness that can affect the central nervous system (CNS), causing neurologic and psychiatric symptoms. The goal of this article is to familiarize psychiatrists with this spirochetal illness. METHOD: Relevant ...
https://doi.org/10.1176/ajp.151.11.1571Publication date: 01 November 1994
Pages1584–1591OBJECTIVE: The author reviewed the literature published since 1972 concerning restraint and seclusion. METHOD: The review began with a computerized literature search. Further sources were located through citations from articles identified in the original ...
https://doi.org/10.1176/ajp.151.11.1584Publication date: 01 November 1994
Pages1592–1599OBJECTIVE: This study evaluated elderly dysthymic patients in a late life depression clinic and compared their clinical features to previous findings in young adult dysthymic patients. METHOD: Of 224 consecutive elderly outpatients, 40 (17.9%) met ...
https://doi.org/10.1176/ajp.151.11.1592Publication date: 01 November 1994
Pages1600–1604OBJECTIVE: Previous studies have yielded conflicting results regarding the association of age, sex, and cognitive deficit with depression in the elderly. However, there is agreement about a relationship between depressive symptoms and disability. The ...
https://doi.org/10.1176/ajp.151.11.1600Publication date: 01 November 1994
Pages1605–1614OBJECTIVE: Self-reported symptoms of depression are commonly used in mental health research to assess current psychiatric state, yet wide variation in these symptoms among individuals has been found in both clinical and epidemiologic populations. The ...
https://doi.org/10.1176/ajp.151.11.1605Publication date: 01 November 1994
Pages1615–1622OBJECTIVE: Differentiation of stable, trait-like characteristics from more episodic or state-dependent disturbances will be helpful in gaining a better understanding of the pathophysiology of depression. However, research in this area has been complicated ...
https://doi.org/10.1176/ajp.151.11.1615Publication date: 01 November 1994
Pages1623–1625OBJECTIVE: There is an impressive literature implicating abnormalities in serotonergic neural systems in depression. Many investigators, but not all, have reported low numbers of platelet and brain serotonin (5- HT) transporter sites in drug-free ...
https://doi.org/10.1176/ajp.151.11.1623Publication date: 01 November 1994
Pages1626–1630OBJECTIVE: This double-blind study was undertaken to compare central serotonergic function in depressed patients and healthy comparison subjects by examining neuroendocrine and mood responses to intravenous infusion of the serotonin agonist m-...
https://doi.org/10.1176/ajp.151.11.1626Publication date: 01 November 1994
Pages1631–1636OBJECTIVE: This study was undertaken 1) to test the hypothesis that remission of depression results in an increase in desire for life- sustaining medical therapy and 2) to characterize patients whose desire for life-sustaining treatment increases ...
https://doi.org/10.1176/ajp.151.11.1631Publication date: 01 November 1994
Pages1637–1641OBJECTIVE: Cardiovascular events are the principal cause of medical morbidity in patients receiving ECT. To assess the risks of ECT for individuals with preexisting cardiovascular disease, the authors examined medical complications in older patients ...
https://doi.org/10.1176/ajp.151.11.1637Publication date: 01 November 1994
Pages1642–1645OBJECTIVE: Antidepressants have been associated with the induction of mania and rapid cycling. This study examined whether antidepressant- associated manic states differ in any way from spontaneous mania. METHOD: Forty-nine consecutive inpatients with ...
https://doi.org/10.1176/ajp.151.11.1642Publication date: 01 November 1994
Pages1646–1649OBJECTIVE: The aim of the study was to examine the relationship between age at onset of Alzheimer's disease and demographic and clinical characteristics in a large cohort of patients with Alzheimer's disease. METHOD: The subjects were 104 patients meeting ...
https://doi.org/10.1176/ajp.151.11.1646Publication date: 01 November 1994
Pages1650–1656OBJECTIVE: This study addressed three questions. Are female writers more likely to suffer from mental illness than members of a matched comparison group? If so, does a familial basis exist for their psychopathology and creativity? What factors predict ...
https://doi.org/10.1176/ajp.151.11.1650Publication date: 01 November 1994
Pages1657–1661OBJECTIVE: The objective was to analyze nationally representative data from the National Institute of Mental Health (NIMH) to update trends in the use of ECT in the United States. METHOD: The data are estimates from the NIMH Sample Survey Program for 1975,...
https://doi.org/10.1176/ajp.151.11.1657Publication date: 01 November 1994
Pages1662–1668OBJECTIVE: The authors report on results of systematic clinical assessment of psychopathology among HIV-positive and HIV-negative intravenous drug users. METHOD: As part of a multidisciplinary baseline assessment, 147 male (85 HIV-positive and 62 HIV-...
https://doi.org/10.1176/ajp.151.11.1662Publication date: 01 November 1994
Pages1669–1672OBJECTIVE: Previous studies of inpatient assault have relied on reports by ward staff, data from which are often incomplete. The authors observed patient-patient assaults with videocameras, obtaining previously unavailable data. In this article they ...
https://doi.org/10.1176/ajp.151.11.1669Publication date: 01 November 1994
Pages1673–1685OBJECTIVE: Optimal diagnostic thresholds were determined for DSM-IV attention deficit hyperactivity disorder, and the psychometric properties were compared to alternative definitions. METHOD: Structured diagnostic interviews of multiple informants for 380 ...
https://doi.org/10.1176/ajp.151.11.1673Article
Publication date: 01 November 1994
Pages1687–1690The relation between hopelessness and suicide attempts in the elderly was examined by studying the course of hopelessness in depressed patients. Sixty-three elderly patients with recurrent major depression were treated with nortriptyline and interpersonal ...
https://doi.org/10.1176/ajp.151.11.1687Publication date: 01 November 1994
Pages1691–1693Major depression is associated with hypercorticoidism, a risk factor for osteoporosis. However, it is unknown whether depressive disorders are associated with alterations in bone mineral density. The authors measured the density of trabecular bone from ...
https://doi.org/10.1176/ajp.151.11.1691Publication date: 01 November 1994
Pages1694–1696A low dose (0.5 mg) of thyrotropin-releasing hormone (TRH), a short- acting tripeptide with known analeptic properties, was administered to eight depressed patients 5 minutes after ECT session 3 or 4 in a double- blind, placebo-controlled crossover ...
https://doi.org/10.1176/ajp.151.11.1694Publication date: 01 November 1994
Pages1697–1700In a study of the prevalence of panic and other anxiety disorders in persons with complaints of dizziness, 87 patients referred to a clinic for vestibular disorders completed self-rating measures of anxiety and depression; 32 also underwent a structured ...
https://doi.org/10.1176/ajp.151.11.1697Publication date: 01 November 1994
Pages1701–1703The prolactin response to oral d-fenfluramine (30 mg) was measured in nine patients with late-onset Alzheimer's disease and in an elderly comparison group. The serotonin-mediated prolactin response was significantly greater in the patients with Alzheimer'...
https://doi.org/10.1176/ajp.151.11.1701Article
Article
Article
Past Issues
View Issues Archive
Vol. 181 | No. 7
Vol. 181 | No. 6
Vol. 181 | No. 5
