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American Journal of Psychiatry

  • Volume 152
  • Number 3
  • March 1995

Publication date: 01 March 1995

Pages332–340

OBJECTIVE: Although alcoholism is one of the most common psychiatric diagnoses, understanding of its pathophysiology remains poor. Accumulating evidence suggests that neurophysiological and pathological effects of ethanol are mediated to a considerable ...

https://doi.org/10.1176/ajp.152.3.332

Publication date: 01 March 1995

Pages341–351

OBJECTIVE: The specific brain regions involved in the normal emotional states of transient sadness or happiness are poorly understood. The authors therefore sought to determine if H2(15)O positron emission tomography (PET) might demonstrate changes in ...

https://doi.org/10.1176/ajp.152.3.341

Publication date: 01 March 1995

Pages352–357

OBJECTIVE: The authors examined the overall health care costs associated with depression and anxiety among primary care patients. METHOD: Of 2,110 consecutive primary care patients in a health maintenance organization, 1,962 were screened with the 12-item ...

https://doi.org/10.1176/ajp.152.3.352

Publication date: 01 March 1995

Pages358–364

OBJECTIVE: The two purposes of this study were to provide a comprehensive description of the clinical features of patients who presented to an intake psychiatric setting with major depression and alcohol dependence and to determine which clinical features ...

https://doi.org/10.1176/ajp.152.3.358

Publication date: 01 March 1995

Pages365–372

OBJECTIVE: This 5-year follow-up study was designed to explore the factors that might lead to alcoholism in patients with bipolar disorder. METHOD: The authors studied patients with bipolar illness (70 with alcoholism and 161 without), their relatives, ...

https://doi.org/10.1176/ajp.152.3.365

Publication date: 01 March 1995

Pages373–378

OBJECTIVE: This study examined demographic, sociocultural, familial background, and health-related risk factors for major depression in a community sample of African Americans. METHOD: Data came from a probability sample of 865 urban African American ...

https://doi.org/10.1176/ajp.152.3.373

Publication date: 01 March 1995

Pages379–384

OBJECTIVE: A number of recent studies have questioned whether, despite modern treatment, the natural course of bipolar illness today still involves multiple relapses and impaired psychosocial functioning. This prospective follow-up study examined ...

https://doi.org/10.1176/ajp.152.3.379

Publication date: 01 March 1995

Pages385–390

OBJECTIVE: This analysis aimed to quantify the long-term stability of distinctions between nonbipolar, bipolar II, and bipolar I affective disorders and to determine the predictors of shifts in patients' diagnoses among these categories. METHOD: Probands ...

https://doi.org/10.1176/ajp.152.3.385

Publication date: 01 March 1995

Pages391–397

OBJECTIVE: The authors tested the hypothesis that fluoxetine, when used in combination with relapse prevention psychotherapy, directly reduces relapse frequency and severity for alcoholics. METHOD: The authors conducted a randomized, placebo-controlled ...

https://doi.org/10.1176/ajp.152.3.391

Publication date: 01 March 1995

Pages398–403

OBJECTIVE: Two smoking cessation studies provided venues to 1) look for differences in affective symptoms between cigarette smokers with and without a history of major depression or other psychiatric diagnoses who were not currently depressed and 2) ...

https://doi.org/10.1176/ajp.152.3.398

Publication date: 01 March 1995

Pages404–412

OBJECTIVE: The aim of this study was to compare the clinical effects of early-night and late-night partial sleep deprivation in patients with premenstrual dysphoric disorder and normal comparison subjects. METHOD: In the premenstrual phase of two ...

https://doi.org/10.1176/ajp.152.3.404

Publication date: 01 March 1995

Pages413–418

OBJECTIVE: The purpose of this study was to determine the occurrence of leukopenia and other blood dyscrasias associated with psychiatric use of carbamazepine and valproate. METHOD: Rates of WBC counts of 3,000- 4,000/mm3 (moderate leukopenia) and < 3,000/...

https://doi.org/10.1176/ajp.152.3.413

Publication date: 01 March 1995

Pages419–423

OBJECTIVE: Several studies suggest that a low cholesterol concentration is associated with a greater than normal risk of mortality from suicide. The authors sought to determine whether a low cholesterol level is associated with a history of serious ...

https://doi.org/10.1176/ajp.152.3.419

Publication date: 01 March 1995

Pages424–430

OBJECTIVE: The authors investigated the relationship between probands' age at onset of Alzheimer's disease with the risk of primary progressive dementia in the probands' first-degree relatives. METHOD: Two hundred probands with clinically diagnosed ...

https://doi.org/10.1176/ajp.152.3.424

Publication date: 01 March 1995

Pages431–435

OBJECTIVE: Although well-documented in clinical and epidemiological studies of attention deficit hyperactivity disorder (ADHD) in children, the familial nature of the adult syndrome has not been well investigated. One approach to evaluate the familial ...

https://doi.org/10.1176/ajp.152.3.431

Article

Publication date: 01 March 1995

Pages437–440

OBJECTIVE: Previous studies have demonstrated a relationship between obsessive-compulsive disorder or behavior and Gilles de la Tourette syndrome. It has been hypothesized that the serotonergic system is implicated in the etiology of obsessive-compulsive ...

https://doi.org/10.1176/ajp.152.3.437

Publication date: 01 March 1995

Pages441–443

OBJECTIVE: Family accommodation of patients with obsessive-compulsive disorder, i.e., participation in symptoms and modification of personal and family routines, was assessed in relation to family stress, functioning, and attitudes toward the patient. ...

https://doi.org/10.1176/ajp.152.3.441

Publication date: 01 March 1995

Pages444–446

OBJECTIVE: The authors measured the ratio of N-acetyl aspartate (a putative neuronal marker) to creatine-phosphocreatine in patients with first-episode psychosis by using proton magnetic resonance spectroscopy (MRS). METHOD: Temporal lobe 1H MRS was ...

https://doi.org/10.1176/ajp.152.3.444

Publication date: 01 March 1995

Pages447–449

OBJECTIVE: This study compared morphometric analyses of brain regions in elderly subjects with early- or late-onset schizophrenia to identify structural abnormalities responsible for schizophrenia. METHOD: Quantitative analyses of magnetic resonance ...

https://doi.org/10.1176/ajp.152.3.447

Publication date: 01 March 1995

Pages450–452

OBJECTIVE: Studies in Finland, England, and Denmark have reported that individuals exposed to the 1957 A2 influenza pandemic during their second trimester in utero are at greater risk for later schizophrenia. However, other studies in England, the United ...

https://doi.org/10.1176/ajp.152.3.450

Publication date: 01 March 1995

Pages453–455

OBJECTIVE: The authors sought to determine whether smoking is related to schizophrenia or neuroleptic treatment. METHOD: Cigarette smoking was measured in all patients hospitalized at a state hospital (N = 360) and compared in relation to gender and ...

https://doi.org/10.1176/ajp.152.3.453

Publication date: 01 March 1995

Pages456–458

OBJECTIVE: The authors sought to determine how substance abuse affects family relationships of persons with severe mental illness. METHOD: Patient reports of family relationships were compared between 101 psychiatric inpatients with a concurrent substance ...

https://doi.org/10.1176/ajp.152.3.456

Publication date: 01 March 1995

Pages459–461

OBJECTIVE: The authors' goal was to study subtyping, demographic variables, suicidality, diagnostic stability, and 2-year rehospitalization outcome for inpatients given the admission diagnosis of adjustment disorder at their institution. METHOD: They ...

https://doi.org/10.1176/ajp.152.3.459

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Publication date: 01 March 1995

Pages481–482

The American Psychiatric Association encourages psychiatrists to 1) diagnose and treat nicotine dependence, 2) recognize the possible role of nicotine and underlying neurochemical mechanisms in the understanding, diagnosis, and treatment of psychiatric ...

https://doi.org/10.1176/ajp.152.3.481

Publication date: 01 March 1995

Page482

This statement was proposed by the Committee on Women1 of the Council on National Affairs. It was approved by the Assembly in November 1994 and by the Board of Trustees in December 1994.

https://doi.org/10.1176/ajp.152.3.482

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