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American Journal of Psychiatry

  • Volume 151
  • Number 11
  • November 1994

Publication date: 01 November 1994

Pages1571–1583

OBJECTIVE: 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.151.11.1571

Publication date: 01 November 1994

Pages1584–1591

OBJECTIVE: 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.151.11.1584

Publication date: 01 November 1994

Pages1592–1599

OBJECTIVE: 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.151.11.1592

Publication date: 01 November 1994

Pages1600–1604

OBJECTIVE: 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.151.11.1600

Publication date: 01 November 1994

Pages1605–1614

OBJECTIVE: 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.151.11.1605

Publication date: 01 November 1994

Pages1615–1622

OBJECTIVE: 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.151.11.1615

Publication date: 01 November 1994

Pages1623–1625

OBJECTIVE: 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.151.11.1623

Publication date: 01 November 1994

Pages1626–1630

OBJECTIVE: 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.151.11.1626

Publication date: 01 November 1994

Pages1631–1636

OBJECTIVE: 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.151.11.1631

Publication date: 01 November 1994

Pages1637–1641

OBJECTIVE: 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.151.11.1637

Publication date: 01 November 1994

Pages1642–1645

OBJECTIVE: 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.151.11.1642

Publication date: 01 November 1994

Pages1646–1649

OBJECTIVE: 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.151.11.1646

Publication date: 01 November 1994

Pages1650–1656

OBJECTIVE: 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.151.11.1650

Publication date: 01 November 1994

Pages1657–1661

OBJECTIVE: 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.151.11.1657

Publication date: 01 November 1994

Pages1662–1668

OBJECTIVE: 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.151.11.1662

Publication date: 01 November 1994

Pages1669–1672

OBJECTIVE: 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.151.11.1669

Publication date: 01 November 1994

Pages1673–1685

OBJECTIVE: 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.151.11.1673

Article

Publication date: 01 November 1994

Pages1687–1690

The 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.151.11.1687

Publication date: 01 November 1994

Pages1691–1693

Major 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.151.11.1691

Publication date: 01 November 1994

Pages1694–1696

A 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.151.11.1694

Publication date: 01 November 1994

Pages1697–1700

In 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.151.11.1697

Publication date: 01 November 1994

Pages1701–1703

The 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.151.11.1701

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