American Journal of Psychiatry
- Volume 151
- Number 12
- December 1994
Publication date: 01 December 1994
Pages1723–1734OBJECTIVE: In this critical review the authors evaluate the literature regarding the relationship between lifelong DSM-III-R anxiety disorders and alcohol dependence. Many alcohol-dependent individuals demonstrate severe anxiety symptoms in the context of ...
https://doi.org/10.1176/ajp.151.12.1723Publication date: 01 December 1994
Pages1735–1739OBJECTIVE: The popularity of selective serotonin reuptake inhibitors stems from their apparent efficacy for numerous disorders and their favorable side effect profile. However, several studies have suggested that selective serotonin reuptake inhibitors ...
https://doi.org/10.1176/ajp.151.12.1735Publication date: 01 December 1994
Pages1740–1743OBJECTIVE: The purpose of this study was to determine treatment outcome in elderly patients with consecutively treated episodes of recurrent unipolar major depression. METHOD: Subjects were 32 "young" elderly patients with recurrent unipolar depression (...
https://doi.org/10.1176/ajp.151.12.1740Publication date: 01 December 1994
Pages1744–1752OBJECTIVE: This study addressed the unique clinical properties attributed to the atypical antipsychotic clozapine, including its efficacy in patients with treatment-refractory psychosis and against negative symptoms, its lack of acute extrapyramidal side ...
https://doi.org/10.1176/ajp.151.12.1744Publication date: 01 December 1994
Pages1753–1759OBJECTIVE: This study evaluated the feasibility and impact of gradually reducing relatively high doses of fluphenazine decanoate by one-half for chronically impaired, poor inner-city patients with schizophrenia. METHOD: Forty-three patients currently ...
https://doi.org/10.1176/ajp.151.12.1753Publication date: 01 December 1994
Pages1760–1766OBJECTIVE: This study was designed to examine the possibility that patients with panic disorder are especially vulnerable to alprazolam withdrawal, as well as to evaluate the efficacy of carbamazepine as adjunctive treatment during alprazolam ...
https://doi.org/10.1176/ajp.151.12.1760Publication date: 01 December 1994
Pages1767–1770OBJECTIVE: A quantitative study of shifts in states of mind was conducted to demonstrate a clinically useful mode of observation. This mode categorizes observations of a patient's mental state into well- modulated, overmodulated, undermodulated, and ...
https://doi.org/10.1176/ajp.151.12.1767Interpersonal outcome of cognitive behavioral treatment for chronically suicidal borderline patients
Publication date: 01 December 1994
Pages1771–1776OBJECTIVE: This study reports the efficacy of a cognitive behavioral outpatient treatment on interpersonal outcome variables for patients diagnosed with borderline personality disorder. METHOD: In a 1-year clinical trial, 26 female patients with ...
https://doi.org/10.1176/ajp.151.12.1771Publication date: 01 December 1994
Pages1777–1784OBJECTIVE: The authors examined the clinical significance of depressive symptoms below the threshold for depressive disorder in outpatient samples. METHOD: The subjects were 775 adult patients with current depressive disorder, 1,420 patients with ...
https://doi.org/10.1176/ajp.151.12.1777Publication date: 01 December 1994
Pages1785–1790OBJECTIVE: This study investigated how insurance coverage for mental health services affects outpatient mental health service utilization among those with and among those without a DSM-III psychiatric diagnosis. The authors used a representative community ...
https://doi.org/10.1176/ajp.151.12.1785Publication date: 01 December 1994
Pages1791–1796OBJECTIVE: Because the caudate nuclei receive inputs from cortical regions implicated in executive functioning and attentional tasks, caudate and total brain volumes were examined in boys with attention deficit hyperactivity disorder (ADHD) and normal ...
https://doi.org/10.1176/ajp.151.12.1791Publication date: 01 December 1994
Pages1797–1801OBJECTIVE: The authors investigated whether there is excessive opioid activity in infantile autism by measuring plasma beta-endorphin in patients with autism compared with patients who had Rett's syndrome and normal comparison subjects. METHODS: ...
https://doi.org/10.1176/ajp.151.12.1797Publication date: 01 December 1994
Pages1802–1808OBJECTIVE: This study was designed to examine the relationship between reason for referral and subsequent DSM-III-R diagnosis in institutionalized individuals with severe to profound mental retardation. A heavy emphasis was placed on articulating how ...
https://doi.org/10.1176/ajp.151.12.1802Article
Publication date: 01 December 1994
Pages1810–1812Over the past 30 years the incidence of suicide in older adolescents in the United States has shown marked gender and ethnic variations. The rate has remained largely stable among females of all ethnic groups. Among white males it reached a peak in 1988 ...
https://doi.org/10.1176/ajp.151.12.1810Publication date: 01 December 1994
Pages1813–1814Final Exit was a best-selling book that recommended poisoning and suffocation by plastic bag as lethal means of suicide for those with terminal medical illnesses. The authors sought to determine whether the number of suicides involving these methods ...
https://doi.org/10.1176/ajp.151.12.1813Publication date: 01 December 1994
Pages1815–1816Data were collected prospectively from psychiatric evaluations performed on 53 consecutive Eskimos in the Bering Strait region who attempted suicide. Depressive diagnoses were common (N = 49). Thirty- seven (70%) of the attempts were preceded by a recent ...
https://doi.org/10.1176/ajp.151.12.1815Publication date: 01 December 1994
Pages1817–1818Forty schizophrenic patients were treated with clozapine for 5 weeks. Patients were then classified as treatment responders or nonresponders according to a priori established criteria. After only 1 week of treatment, the responders showed a significant ...
https://doi.org/10.1176/ajp.151.12.1817Publication date: 01 December 1994
Pages1819–1821Sixty-two first-episode psychotic patients who were neuroleptic-naive were studied to examine predictors of acute dystonia after treatment with haloperidol. Twenty-three patients developed dystonia, two of them despite being treated with biperiden. ...
https://doi.org/10.1176/ajp.151.12.1819