American Journal of Psychiatry
- Volume 151
- Number 5
- May 1994
Publication date: 01 May 1994
Pages640–649OBJECTIVE: The author reviewed the epidemiology and comorbidity of anxiety disorders in the elderly. METHOD: Data from 1970 onward were obtained through a computerized literature search, a review of Index Medicus, and the bibliographies of retrieved ...
https://doi.org/10.1176/ajp.151.5.640Publication date: 01 May 1994
Pages650–657OBJECTIVE: As the nation debates issues of national health care reform, psychiatrists seek equal status with other medical colleagues. To defend psychiatry in the national arena, the accuracy of psychiatric diagnoses must be measured. Indexes of accuracy ...
https://doi.org/10.1176/ajp.151.5.650Publication date: 01 May 1994
Pages658–664OBJECTIVE: The authors examined the effects of chronic stimulant treatment on cerebral glucose metabolism in adults diagnosed with attention deficit hyperactivity disorder (ADHD), who were studied by means of positron emission tomography (PET) with [18F]...
https://doi.org/10.1176/ajp.151.5.658Publication date: 01 May 1994
Pages665–669OBJECTIVE: By means of quantitative neuroanatomic imaging the authors assessed the hypothesis that there are structural brain abnormalities relevant to frontal lobe circuitry in children with attention deficit hyperactivity disorder (ADHD). METHOD: The ...
https://doi.org/10.1176/ajp.151.5.665Publication date: 01 May 1994
Pages670–674OBJECTIVE: the authors' goal in this study was to examine the extent to which having been abused and/or neglected in childhood raises a person's risk for having an adult DSM-III-R diagnosis of antisocial personality disorder. METHOD: Children who had ...
https://doi.org/10.1176/ajp.151.5.670Publication date: 01 May 1994
Pages675–680OBJECTIVE: Tourette's syndrome is a chronic disorder of childhood onset that is characterized by motor and phonic tics and a broad range of associated behavior including obsessive-compulsive symptoms. Less well appreciated are the sensory and other ...
https://doi.org/10.1176/ajp.151.5.675Publication date: 01 May 1994
Pages681–686OBJECTIVE: Positron emission tomography and the fluorodeoxyglucose (FDG) method were used to determine the brain's metabolic response to neuroleptic challenge in a normal, disease-free state. METHOD: FDG measurements were obtained before and 12 hours ...
https://doi.org/10.1176/ajp.151.5.681Publication date: 01 May 1994
Pages687–693OBJECTIVE: Accumulating evidence suggests an association between abnormalities of the basal ganglia and affective disorders. The authors hypothesized that patients with bipolar disorder would demonstrate smaller basal ganglia volumes and a greater number ...
https://doi.org/10.1176/ajp.151.5.687Publication date: 01 May 1994
Pages694–700OBJECTIVE: The purpose of this study was to compare use of minor tranquilizers and antidepressant medications by depressed outpatients across different treatment settings. METHOD: The study subjects were 634 patients with current depressive disorder or ...
https://doi.org/10.1176/ajp.151.5.694Publication date: 01 May 1994
Pages701–706OBJECTIVE: The purpose of this study was to examine the predictive effect of the clinical activity of patients' alcohol use on the course of major depressive disorder. METHOD: One hundred seventy-six probands with Research Diagnostic Criteria (RDC) ...
https://doi.org/10.1176/ajp.151.5.701Publication date: 01 May 1994
Pages707–715OBJECTIVE: The authors seek to understand in general the sources of familial resemblance for alcoholism and in particular how parents transmit the vulnerability to alcoholism to their daughters. METHOD: The authors interviewed 1,030 pairs of female same-...
https://doi.org/10.1176/ajp.151.5.707Publication date: 01 May 1994
Pages716–721OBJECTIVE: This study examined the effects of nine axis I psychiatric disorders, as assessed by the Diagnostic Interview Schedule, on the risk of mortality over a 9-year period among a community sample of 3,560 men and women aged 40 and older. METHOD: The ...
https://doi.org/10.1176/ajp.151.5.716Publication date: 01 May 1994
Pages722–727OBJECTIVE: The authors investigated the administrative relationships in 1990 between medical school departments of psychiatry and community mental health centers (CMHCs). METHOD: A 20-item questionnaire was sent to the chairpersons of the 110 medical ...
https://doi.org/10.1176/ajp.151.5.722Publication date: 01 May 1994
Pages728–731OBJECTIVE: The somatic presentation of psychic distress among Africans is different from that in the West, and the prevalence of somatization symptoms suggests that they could be usefully incorporated in screening instruments. This report examines the ...
https://doi.org/10.1176/ajp.151.5.728Publication date: 01 May 1994
Pages732–737OBJECTIVE: This study was designed to assess the prevalence of childhood sexual abuse among women with bulimia nervosa in three countries: the United States, Austria, and Brazil. In addition, it assessed whether bulimic subjects might have experienced ...
https://doi.org/10.1176/ajp.151.5.732Publication date: 01 May 1994
Pages738–743OBJECTIVE: The purpose of this study was to provide an estimate of the rate of relapse in patients with bulimia nervosa and to attempt to identify indexes of functioning before or after treatment that predicted subsequent relapse. METHOD: The subjects ...
https://doi.org/10.1176/ajp.151.5.738Publication date: 01 May 1994
Pages744–750OBJECTIVE: Winter worsening of mood and eating symptoms, similar to that of seasonal affective disorder, has recently been reported in patients with bulimia nervosa. To assess the effectiveness of light therapy for treatment of bulimia nervosa, the ...
https://doi.org/10.1176/ajp.151.5.744Publication date: 01 May 1994
Pages752–755Magnetic resonance imaging was used to measure the volumes of the caudate, putamen, and globus pallidus of 25 schizophrenic patients (17 men and eight women) and 26 age- and sex-matched comparison subjects (18 men and eight women). Schizophrenic patients ...
https://doi.org/10.1176/ajp.151.5.752Publication date: 01 May 1994
Pages756–759Thirteen treatment-refractory schizophrenic patients (10 men and three women) who were receiving more than 50 mg/day of haloperidol and who had been hospitalized for more than 1 year successfully tolerated a mean dose reduction of 63% with consequent ...
https://doi.org/10.1176/ajp.151.5.756Publication date: 01 May 1994
Pages760–762The authors assessed tardive dyskinesia and the structure and physiology of speech apparatus, phonation, and articulation speech abnormalities in 27 chronically ill male psychiatric patients. Tardive dyskinesia was associated with impairment in phonation, ...
https://doi.org/10.1176/ajp.151.5.760Publication date: 01 May 1994
Pages763–765A structured, prospective telephone interview was used to assess the prevalence of akathisia in 24 cancer patients receiving metoclopramide or prochlorperazine during or after chemotherapy. Half of the patients reported subjective motor restlessness, and ...
https://doi.org/10.1176/ajp.151.5.763Publication date: 01 May 1994
Pages766–767Mitochondrial benzodiazepine receptors play a major role in steroidogenesis. The authors determined plasma cortisol levels, platelet levels of mitochondrial benzodiazepine receptors, and anxiety and depression scores in 11 civilians exposed to the Persian ...
https://doi.org/10.1176/ajp.151.5.766Publication date: 01 May 1994
Pages768–769This study is a retrospective evaluation of the usefulness of DSM-III axis III (physical disorders) and its ability to enhance clinical case description in general psychiatric patients. The subjects of this study consisted of two samples of 75 inpatients; ...
https://doi.org/10.1176/ajp.151.5.768Article
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Publication date: 01 May 1994
Pages795–796The diagnosis and management of patients with combined psychiatric and substance use disorders is an important aspect of modern psychiatry, and psychiatrists should be strongly encouraged to become involved in this area. These efforts should be supported ...
https://doi.org/10.1176/ajp.151.5.795Past Issues
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