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American Journal of Psychiatry

  • Volume 151
  • Number 9
  • September 1994

Article

Publication date: 01 September 1994

Pages1272–1280

OBJECTIVE: The authors review the empirical data on generalized anxiety disorder, a diagnostic category that has been among the more conceptually challenging in psychiatric nosology. METHOD: Published studies and recent findings that were considered by ...

https://doi.org/10.1176/ajp.151.9.1272

Publication date: 01 September 1994

Pages1281–1288

OBJECTIVE: This article provides an overview of the volume, composition, and costs of outpatient psychotherapy in the United States. METHOD: Data were analyzed from the household section of the 1987 National Medical Expenditure Survey. The authors ...

https://doi.org/10.1176/ajp.151.9.1281

Publication date: 01 September 1994

Pages1289–1294

OBJECTIVE: The purpose of this article is to characterize the use of psychotherapy based on episode duration. METHOD: Data were analyzed from the household section of the 1987 National Medical Expenditure Survey. The authors determined the demographic ...

https://doi.org/10.1176/ajp.151.9.1289

Publication date: 01 September 1994

Pages1295–1299

OBJECTIVE: Cognitive behavioral treatment has been used extensively in the acute phase of depression. The purpose of this study was to determine the applicability and effectiveness of this treatment modality in addressing the residual symptoms of primary ...

https://doi.org/10.1176/ajp.151.9.1295

Publication date: 01 September 1994

Pages1300–1304

OBJECTIVE: The development of a new structured interview for depressive personality disorder is described. METHOD: A literature search yielded 32 traits associated with depressive personality; these traits were then used to develop the interview. ...

https://doi.org/10.1176/ajp.151.9.1300

Publication date: 01 September 1994

Pages1305–1311

OBJECTIVE: This exploratory study sought demographic and clinical correlates of self-mutilation (self-injury without suicidal intent) in borderline personality disorder. METHOD: Among 124 consecutively admitted inpatients with borderline personality ...

https://doi.org/10.1176/ajp.151.9.1305

Publication date: 01 September 1994

Pages1312–1315

OBJECTIVE: A previous comprehensive literature review indicated that suicide accounted for 18.9% of the deaths of 9,389 individuals with manic-depressive illness. The literature associates these deaths with the depressed phase of the disease. This study ...

https://doi.org/10.1176/ajp.151.9.1312

Publication date: 01 September 1994

Pages1316–1323

OBJECTIVE: This study identified potential risk factors for suicidal behavior in patients with borderline personality disorder defined by the Diagnostic Interview for Borderline Patients and by DSM-III-R criteria for patients who did and did not attempt ...

https://doi.org/10.1176/ajp.151.9.1316

Publication date: 01 September 1994

Pages1324–1328

OBJECTIVE: This study was conducted to determine whether trauma variables and certain behavioral correlates are differentially prevalent in borderline personality disorder patients with greater and those with lesser dissociative experience. METHOD: ...

https://doi.org/10.1176/ajp.151.9.1324

Publication date: 01 September 1994

Pages1329–1334

OBJECTIVE: This study attempted to determine the prevalence of somatic symptoms, somatization disorder, and medical interventions in patients with dissociative disorders. METHOD: Fourteen psychiatric inpatients with a DSM-III dissociative disorder were ...

https://doi.org/10.1176/ajp.151.9.1329

Publication date: 01 September 1994

Pages1335–1339

OBJECTIVE: The first execution in California since 1976 took place recently in the San Quentin Prison gas chamber. Eighteen journalists were invited as media eyewitnesses. The authors postulated that witnessing this execution was psychologically traumatic ...

https://doi.org/10.1176/ajp.151.9.1335

Publication date: 01 September 1994

Pages1340–1350

OBJECTIVE: To help evaluate the impact of proposed revisions to the chapter on mental and behavioral disorders for ICD-10, the World Health Organization (WHO) Division of Mental Health organized an international clinical field trial to evaluate draft ...

https://doi.org/10.1176/ajp.151.9.1340

Publication date: 01 September 1994

Pages1351–1360

OBJECTIVE: The frequency and ranking of DSM-IV sleep disorder diagnoses of clinical patients with complaints of insomnia, as well as rates of diagnostic agreement and disagreement between two types of interviewers, were investigated. METHOD: Interviewers ...

https://doi.org/10.1176/ajp.151.9.1351

Publication date: 01 September 1994

Pages1361–1367

OBJECTIVE: This project focused on the development of the definition of autism for DSM-IV. METHOD: Multiple sites were involved in obtaining information regarding 977 patients with the following clinician- assigned diagnoses: autism (N = 454), other ...

https://doi.org/10.1176/ajp.151.9.1361

Article

Publication date: 01 September 1994

Pages1369–1371

Serotonergic function in 22 patients with primary dysthymia and 22 normal volunteers was evaluated by measuring [3H]serotonin uptake and [3H]paroxetine binding in platelets. A significantly lower maximum rate of serotonin uptake was noted in the dysthymic ...

https://doi.org/10.1176/ajp.151.9.1369

Publication date: 01 September 1994

Pages1372–1374

Forty-one patients who had failed to respond to 8 weeks of treatment with 20 mg of fluoxetine were randomly assigned to one of three treatments for 4 weeks: 40-60 mg/day of fluoxetine, 20 mg/day of fluoxetine plus 25-50 mg/day of desipramine, and 20 mg/...

https://doi.org/10.1176/ajp.151.9.1372

Publication date: 01 September 1994

Pages1375–1376

The authors compared parental age, birth order, and sex ratio of siblings for 575 homosexual men and 284 heterosexual men, matched on age and education. They were originally part of Bell, Weinberg, and Hammersmith's large-scale study of male and female ...

https://doi.org/10.1176/ajp.151.9.1375

Publication date: 01 September 1994

Pages1377–1379

Seventeen male outpatients with premature ejaculation were randomly assigned to treatment with paroxetine (N = 8) or placebo (N = 9). After a first week dose of 20 mg/day, the paroxetine regimen was increased to 40 mg/day for 5 weeks. Patients and their ...

https://doi.org/10.1176/ajp.151.9.1377

Publication date: 01 September 1994

Pages1380–1382

The authors sought to identify diagnostic criteria that are relatively specific to borderline personality disorder in severely ill adolescent inpatients and that may predict a stable borderline personality disorder during this turbulent time. Twenty-one ...

https://doi.org/10.1176/ajp.151.9.1380

Publication date: 01 September 1994

Pages1383–1385

Propranolol, 60 mg or less, was administered daily between 5:30 and 6:00 a.m. to 33 patients with winter depression. After open treatment with a mean dose of 33 mg/day, 24 patients (73%) met the remission criteria; 23 completed double-blind continuation ...

https://doi.org/10.1176/ajp.151.9.1383

Article

Article

Publication date: 01 September 1994

Page1399

This statement was developed by the Committee on Abuse and Misuse of Psychiatry in the U.S.1 of the Council on National Affairs. It was approved by the Board of Trustees in March 1994 and by the Assembly in May 1994.

https://doi.org/10.1176/ajp.151.9.1399

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