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American Journal of Psychiatry

  • Volume 151
  • Number 7
  • July 1994

Publication date: 01 July 1994

Pages957–970

OBJECTIVE: The purpose of this study was to evaluate whether ECT causes structural brain damage. METHOD: The literature review covered the following areas: cognitive side effects, structural brain imaging, autopsies of patients who had received ECT, post-...

https://doi.org/10.1176/ajp.151.7.957

Publication date: 01 July 1994

Pages971–978

OBJECTIVE: The authors explore the possibility that psychiatrists inappropriately extend their views on suicide by the medically well to refusal of lifesaving treatment by the seriously medically ill. METHOD: The legal and bioethics literature on ...

https://doi.org/10.1176/ajp.151.7.971

Publication date: 01 July 1994

Pages979–986

OBJECTIVE: Major depression is a frequent and disabling psychiatric disorder in the United States. This report examines the prevalence and risk factor profile of both pure and comorbid major depression according to data from the National Comorbidity ...

https://doi.org/10.1176/ajp.151.7.979

Publication date: 01 July 1994

Pages987–994

OBJECTIVE: The authors conducted a prospective study to examine the sociodemographic and clinical characteristics of elderly inpatients with major depression and their response to acute psychiatric hospitalization. The relation between the descriptive ...

https://doi.org/10.1176/ajp.151.7.987

Publication date: 01 July 1994

Pages995–1000

OBJECTIVE: The current research was designed to investigate the relationship between affective disruption and psychosis in unipolar major depressive disorder and to evaluate whether some depressed patients are particularly vulnerable to subsequent ...

https://doi.org/10.1176/ajp.151.7.995

Publication date: 01 July 1994

Pages1001–1005

OBJECTIVE: The aims of this study were to determine the value of families' expressed emotion and patients' perception of family criticism in predicting relapse in Egyptian depressed patients and to evaluate transcultural differences in assessment of these ...

https://doi.org/10.1176/ajp.151.7.1001

Publication date: 01 July 1994

Pages1006–1009

OBJECTIVE: This study examined the prevalence and incidence of major depressive disorder in Alzheimer's disease. METHOD: The authors retrospectively reviewed two large Alzheimer's disease databases, one at the University of Texas Southwestern Medical ...

https://doi.org/10.1176/ajp.151.7.1006

Publication date: 01 July 1994

Pages1010–1014

OBJECTIVE: The authors assessed the prevalence of major depression (DSM- III-R) among Parkinson's disease patients and compared this rate with that of matched physically disabled subjects. METHOD: The 30-item General Health Questionnaire and measures of ...

https://doi.org/10.1176/ajp.151.7.1010

Publication date: 01 July 1994

Pages1015–1019

OBJECTIVE: This study's aim was to test the validity of rapid cycling, defined by criteria consistent with those proposed in the DSM-IV draft, as a course specifier for bipolar disorder. METHOD: The study was conducted at a university center for affective ...

https://doi.org/10.1176/ajp.151.7.1015

Publication date: 01 July 1994

Pages1020–1024

OBJECTIVE: The authors examined suicides of persons with bipolar disorder in aspects relevant to suicide prevention, including clinical features, treatment contacts, adequacy of treatment received, communication of suicidal intent, and suicide methods. ...

https://doi.org/10.1176/ajp.151.7.1020

Publication date: 01 July 1994

Pages1025–1030

OBJECTIVE: This study compared the efficacy of buprenorphine and methadone in the treatment of opioid dependence. METHOD: Participants (N = 164) were relatively treatment-naive, opioid-dependent applicants to a 26-week treatment program who were randomly ...

https://doi.org/10.1176/ajp.151.7.1025

Publication date: 01 July 1994

Pages1031–1037

OBJECTIVE: Methadone maintenance outcome as a function of detoxification phobia was examined. METHOD: Opiate addicts (N = 271) in a 1983 random sample of methadone maintenance patients from three diverse populations were studied. Subjects from an ...

https://doi.org/10.1176/ajp.151.7.1031

Publication date: 01 July 1994

Pages1038–1042

OBJECTIVE: Comparisons of alcoholic and control subjects have revealed potential differences on a variety of personality tests. However, these results are difficult to interpret because subgroups of alcoholic subjects with antisocial personality disorder ...

https://doi.org/10.1176/ajp.151.7.1038

Publication date: 01 July 1994

Pages1043–1047

OBJECTIVE: The present study examined the test-retest reliability of team consensus best-estimate diagnoses of axis I and II disorders. METHOD: As part of a series of family studies of outpatients with depressive and personality disorders, best-estimate ...

https://doi.org/10.1176/ajp.151.7.1043

Publication date: 01 July 1994

Pages1048–1054

OBJECTIVE: This study examined the reliability of symptom reporting by community children of elementary school age and their parents on a version of the Diagnostic Interview Schedule for Children-Revised (DISC- R). METHOD: A sample of 109 children aged 6-...

https://doi.org/10.1176/ajp.151.7.1048

Publication date: 01 July 1994

Pages1055–1062

OBJECTIVE: The aims of this study were to estimate the prevalence and investigate the comorbidity and potential consequences of DSM-III personality disorders in the community. METHOD: A total of 810 adults were examined in the second stage of the Eastern ...

https://doi.org/10.1176/ajp.151.7.1055

Publication date: 01 July 1994

Pages1063–1068

OBJECTIVE: By means of the psychological autopsy method and a case- control design, the authors examined the association of specific mental disorders and comorbidity with suicide among young men. METHOD: Seventy- five men aged 18-35 years whose deaths ...

https://doi.org/10.1176/ajp.151.7.1063

Publication date: 01 July 1994

Pages1069–1072

OBJECTIVE: The authors investigated trazodone as a hypnotic for depressed patients who had persistent, exacerbated, or new insomnia while taking either fluoxetine or bupropion. METHOD: Seventeen depressed patients who had insomnia while taking fluoxetine ...

https://doi.org/10.1176/ajp.151.7.1069

Article

Publication date: 01 July 1994

Pages1074–1076

The authors investigated dopamine transporter receptor binding in the post-mortem prefrontal cortex of 13 subjects with histories of cocaine use who had positive blood screens for cocaine at autopsy and 13 comparison subjects with no history of cocaine ...

https://doi.org/10.1176/ajp.151.7.1074

Publication date: 01 July 1994

Pages1077–1078

Eighty-nine of 178 consecutively admitted inpatients were administered the substance abuse sections of the Structured Clinical Interview for DSM-III-R--Patient Version (SCID-P). Patients also provided a urine sample for toxicologic analysis. In addition, ...

https://doi.org/10.1176/ajp.151.7.1077

Publication date: 01 July 1994

Pages1079–1080

The authors report results of an 8-week, open trial of desipramine in 42 patients with DSM-III-R dysthymia with a concurrent diagnosis of major depression ("double" depression) and 33 patients with dysthymia who had no other depressive diagnosis ("pure" ...

https://doi.org/10.1176/ajp.151.7.1079

Publication date: 01 July 1994

Pages1081–1083

The authors investigated the outcome of an alternating time schedule versus two fixed schedules (either morning or evening) of bright light treatment for seasonal affective disorder. The subjects were 31 patients who met DSM-III-R criteria for major ...

https://doi.org/10.1176/ajp.151.7.1081

Publication date: 01 July 1994

Pages1084–1086

A low dose of cisapride (5 mg b.i.d.) produced rapid relief from nausea elicited by the initiation of treatment with a selective serotonin reuptake inhibitor in eight patients. This effect of cisapride is presumably related to its serotonin3 antagonistic ...

https://doi.org/10.1176/ajp.151.7.1084

Publication date: 01 July 1994

Pages1087–1088

To determine if the suicides in a Finnish psychiatric hospital with a history of a suicide epidemic were clustered and if the sex distribution of the suicides followed a random pattern, the authors conducted statistical analyses of the temporal ...

https://doi.org/10.1176/ajp.151.7.1087

Article

Article

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