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American Journal of Psychiatry

  • Volume 152
  • Number 8
  • August 1995

Publication date: 01 August 1995

Pages1111–1123

OBJECTIVE: Clinical services for psychiatrically impaired populations have only recently been studied with scientifically valid designs to explore innovations in structure, accessibility, and financing. Health systems reform in the United States has ...

https://doi.org/10.1176/ajp.152.8.1111

Publication date: 01 August 1995

Pages1124–1129

OBJECTIVE: This study sought to describe the characteristics and consequences of untreated major depressive disorder. METHOD: As part of a family study of probands with major affective disorders, raters assessed 3,119 first-degree relatives, spouses, and ...

https://doi.org/10.1176/ajp.152.8.1124

Publication date: 01 August 1995

Pages1130–1138

OBJECTIVE: The longitudinal course of 51 patients with treatment- refractory bipolar disorder was examined to assess possible effects of heterocyclic antidepressants on occurrence of manic episodes and cycle acceleration. METHOD: Using criteria ...

https://doi.org/10.1176/ajp.152.8.1130

Publication date: 01 August 1995

Pages1139–1144

OBJECTIVE: Accumulating evidence suggests a greater number of T2 abnormalities in the brains of patients with bipolar I disorder. The authors sought to evaluate the presence of signal "hyperintensities" in both bipolar I and II subjects and systematically ...

https://doi.org/10.1176/ajp.152.8.1139

Publication date: 01 August 1995

Pages1145–1149

OBJECTIVE: This study was undertaken to obtain detailed measurements of the volume of the brain, using magnetic resonance imaging (MRI), in a carefully selected group of autistic subjects and comparison subjects. METHOD: Twenty-two male autistic subjects ...

https://doi.org/10.1176/ajp.152.8.1145

Publication date: 01 August 1995

Pages1150–1155

OBJECTIVE: This study was a 2-year follow-up in an ongoing prospective examination of development of trauma-related symptoms over time in a community group of veterans of Operation Desert Storm. METHOD: Sixty- two National Guard reservists, from one ...

https://doi.org/10.1176/ajp.152.8.1150

Publication date: 01 August 1995

Pages1156–1160

OBJECTIVE: In a previous paper the authors reported survival data for 20 panic disorder patients whose therapeutic doses of alprazolam were tapered by one of two methods: slow, flexible drug taper with supportive medical management or the same taper ...

https://doi.org/10.1176/ajp.152.8.1156

Publication date: 01 August 1995

Pages1161–1167

OBJECTIVE: The authors' goal was to determine the clinical characteristics of persistent users of alprazolam or lorazepam who wished to discontinue their medication. METHOD: Long-term users (daily use for more than 3 months) of alprazolam (N = 34) or ...

https://doi.org/10.1176/ajp.152.8.1161

Publication date: 01 August 1995

Pages1168–1173

OBJECTIVE: The authors examined the nocturnal breathing patterns of patients with panic disorder to determine whether these individuals had respiratory irregularities at a time when anxiety was not manifest. METHOD: Respiratory polysomnography was ...

https://doi.org/10.1176/ajp.152.8.1168

Publication date: 01 August 1995

Pages1174–1179

OBJECTIVE: The authors' goal was to determine if generalized anxiety diagnosed while a patient was hospitalized for stroke (early onset) had the same clinical correlates as anxiety beginning 3 months or more after the stroke (late onset). METHOD: Patients ...

https://doi.org/10.1176/ajp.152.8.1174

Publication date: 01 August 1995

Pages1180–1184

OBJECTIVE: The authors tested the prediction of temporal cortex activation during experimentally induced anxiety by using positron emission tomography and the [15O]H2O bolus-subtraction method to determine regional cerebral blood flow (CBF) changes in ...

https://doi.org/10.1176/ajp.152.8.1180

Publication date: 01 August 1995

Pages1185–1191

OBJECTIVE: Euthanasia and physician-assisted suicide have become prominent medical and social issues. This study investigated the prevalence of the desire for death in terminally ill patients, the stability of this desire over time, and its association ...

https://doi.org/10.1176/ajp.152.8.1185

Publication date: 01 August 1995

Pages1192–1196

OBJECTIVE: The authors' objective was to determine the efficacy of fluoxetine at high doses for the treatment of trichotillomania in a long-term, double-blind, placebo-controlled crossover trial. METHOD: Twenty-three adult chronic hair pullers agreed to ...

https://doi.org/10.1176/ajp.152.8.1192

Publication date: 01 August 1995

Pages1197–1202

OBJECTIVE: The purpose of the study was to ascertain whether phototherapy light visors provide an effective treatment for seasonal affective disorder. Previous studies have demonstrated a moderate response rate but have failed to find any difference in ...

https://doi.org/10.1176/ajp.152.8.1197

Publication date: 01 August 1995

Pages1204–1206

OBJECTIVE: The aim of the study was to assess cAMP-dependent endogenous phosphorylation in platelets from euthymic bipolar patients. METHOD: Platelets from 10 drug-free euthymic patients with bipolar disorder were compared with those from 10 age- and sex-...

https://doi.org/10.1176/ajp.152.8.1204

Publication date: 01 August 1995

Pages1207–1209

OBJECTIVE: This study investigated the prevalence and phenomenology of body dysmorphic disorder in patients with obsessive-compulsive disorder. METHOD: The authors studied 442 patients who participated in the DSM-IV field trial for obsessive-compulsive ...

https://doi.org/10.1176/ajp.152.8.1207

Publication date: 01 August 1995

Pages1210–1212

OBJECTIVE: The authors' goal was to determine whether higher doses of haloperidol improve antipsychotic response. METHOD: During a 2-week, double-blind, randomized fixed-dose study, 24 psychotic patients were given 4, 10, or 40 mg/day of haloperidol. ...

https://doi.org/10.1176/ajp.152.8.1210

Publication date: 01 August 1995

Pages1213–1215

OBJECTIVE: The authors conducted a dose-finding study of D-cycloserine, a partial agonist at the glycine site of the N-methyl-D-aspartate subtype of the glutamate receptor, added to conventional neuroleptics for schizophrenic patients with prominent ...

https://doi.org/10.1176/ajp.152.8.1213

Publication date: 01 August 1995

Pages1216–1218

OBJECTIVE: Although violent behavior is one of the most important factors that have a detrimental effect on quality of life, there are very few quantitative epidemiological studies published on this issue. In particular, female homicidal behavior has ...

https://doi.org/10.1176/ajp.152.8.1216

Publication date: 01 August 1995

Pages1219–1221

OBJECTIVE: The authors studied a large number of Japanese alcoholic patients and comparison subjects to establish the genotype frequencies of alcohol dehydrogenase-2 (ADH2) and mitochondrial aldehyde dehydrogenase (ALDH2) and to quantify the relative risk ...

https://doi.org/10.1176/ajp.152.8.1219

Publication date: 01 August 1995

Pages1222–1224

OBJECTIVE: The authors' goal was to investigate the rate of personality disorders (axis II diagnoses in DSM-III-R) among adults at risk for AIDS. METHOD: The Personality Disorder Examination was administered to 260 volunteers for HIV testing and ...

https://doi.org/10.1176/ajp.152.8.1222

Publication date: 01 August 1995

Pages1225–1227

OBJECTIVE: Most prevalence studies of seasonal changes in mood and behavior have come from Western countries. The authors' goal was to determine the prevalence of seasonal changes in mood and behavior in a randomly selected group of Japanese workers. ...

https://doi.org/10.1176/ajp.152.8.1225

Article

Article

Article

Publication date: 01 August 1995

Page1243

The "Position Statement on the Role of Psychiatrists in Assessing Driving Ability" (May 1995 issue, p. 819) was drafted by the joint Subcommittee on Driving of the Council on Psychiatry and Law and the Council on Aging. Members of the subcommittee were as ...

https://doi.org/10.1176/ajp.152.8.1243

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