American Journal of Psychiatry
- Volume 153
- Number 11
- November 1996
Article
Publication date: 01 November 1996
Pages1388–1397OBJECTIVE: The authors evaluate the forces that are changing psychiatric practice and propose options for redefining the clinical and educational goals of psychiatry within medicine. METHOD: An overview of current external and internal forces shaping ...
https://doi.org/10.1176/ajp.153.11.1388Publication date: 01 November 1996
Pages1398–1403OBJECTIVE: The shortage of primary care physicians is seen as an urgent health systems priority and is supported by a national consensus. Psychiatry is at a crossroad and must reevaluate the profession's role in primary care. This article supports the ...
https://doi.org/10.1176/ajp.153.11.1398Publication date: 01 November 1996
Pages1404–1410OBJECTIVE: Individuals with a history of depression are characterized by high levels of certain personality traits, particularly neuroticism, introversion, and interpersonal dependency. The authors examined the "scar hypothesis," i.e., the possibility ...
https://doi.org/10.1176/ajp.153.11.1404Publication date: 01 November 1996
Pages1411–1417OBJECTIVE: The authors' goal was to evaluate the association between impairment in daily function and subsyndromal depressive symptoms as well as major depression to determine the economic and societal significance of these conditions. METHOD: Using 12-...
https://doi.org/10.1176/ajp.153.11.1411Publication date: 01 November 1996
Pages1418–1422OBJECTIVE: The authors documented outcomes of elderly depressed patients requiring adjunctive medication during acute-phase pharmacotherapy because of slow or partial response to nortriptyline. Twenty-eight patients (17.7%) received inpatient care at some ...
https://doi.org/10.1176/ajp.153.11.1418Publication date: 01 November 1996
Pages1423–1429OBJECTIVE: The authors' goal was to determine whether the pattern and severity of depressive symptoms predict response to light treatment for seasonal affective disorder. METHOD: Subjects with winter depression (N = 103) were given bright light treatment. ...
https://doi.org/10.1176/ajp.153.11.1423Publication date: 01 November 1996
Pages1430–1437OBJECTIVE: The authors sought to determine whether rates of depressive symptoms change from early- to late-stage HIV-1 infection and to determine the predictors of depressive symptoms as AIDS develops. METHOD: The data for this study were from 911 HIV-...
https://doi.org/10.1176/ajp.153.11.1430Publication date: 01 November 1996
Pages1438–1443OBJECTIVE: The goal of this study was to define the recurrence or continuation of neuropsychiatric symptoms in patients with Alzheimer's disease who were observed serially for a 1-year period. METHOD: One hundred eighty-one patients with probable ...
https://doi.org/10.1176/ajp.153.11.1438Publication date: 01 November 1996
Pages1444–1449OBJECTIVE: The authors sought to replicate their previous finding of reduced response to diazepam in patients with panic disorder, to test whether this effect was specific for panic disorder, and to determine whether this reduced response was merely an ...
https://doi.org/10.1176/ajp.153.11.1444Publication date: 01 November 1996
Pages1450–1454OBJECTIVE: In obsessive-compulsive disorder, the relationship between blood levels of serotonin reuptake inhibitors and clinical outcome is unclear. In a multicenter trial, the authors examined the relationship between steady state plasma levels of ...
https://doi.org/10.1176/ajp.153.11.1450Publication date: 01 November 1996
Pages1455–1459OBJECTIVE: The purpose of this study was to assess the efficacy of the appetite suppressant d-fenfluramine in the treatment of binge eating disorder. METHOD: The authors conducted an 8-week double-blind, placebo- controlled clinical trial of the drug with ...
https://doi.org/10.1176/ajp.153.11.1455Publication date: 01 November 1996
Pages1460–1463OBJECTIVE: The authors examined serotonergic-mediated prolactin release in bipolar mania, using d-fenfluramine as a probe. METHOD: Hospitalized patients with bipolar disorder, currently manic, were matched for age and sex to healthy comparison subjects. ...
https://doi.org/10.1176/ajp.153.11.1460Publication date: 01 November 1996
Pages1464–1468OBJECTIVE: The authors studied all defendants in Baltimore City's circuit and district courts who pleaded not criminally responsible, Maryland's version of the not guilty by reason of insanity plea, during a 1-year period. The study was designed to ...
https://doi.org/10.1176/ajp.153.11.1464Publication date: 01 November 1996
Pages1469–1475OBJECTIVE: After passage, in November 1994, of Oregon's ballot measure legalizing physician-assisted suicide for terminally ill persons, the authors surveyed psychiatrists in Oregon to determine their attitudes toward assisted suicide, the factors ...
https://doi.org/10.1176/ajp.153.11.1469Article
Publication date: 01 November 1996
Pages1484–1486OBJECTIVE: This study sought to confirm in an independent, nonclinical study group previous work which demonstrated that the symptoms of complicated grief were distinct from the symptoms of bereavement related depression and anxiety. METHOD: Data used in ...
https://doi.org/10.1176/ajp.153.11.1484Publication date: 01 November 1996
Pages1487–1488OBJECTIVE: This study examined whether psychiatrists perform adequate diagnostic screening for syphilis in patients with chronic mental illness. METHOD: Two hundred patients with chronic mental illness underwent testing for syphilis with the commonly used ...
https://doi.org/10.1176/ajp.153.11.1487Publication date: 01 November 1996
Pages1489–1491OBJECTIVE: The purpose of this study was to extend previous findings on the relationship of V code conditions to use of psychiatric services and treatment outcome. METHOD: The group under study involved 2,542 outpatients from three community mental health ...
https://doi.org/10.1176/ajp.153.11.1489Publication date: 01 November 1996
Pages1492–1494OBJECTIVE: The authors examined the association of cognitive impairment with posttraumatic stress disorder (PTSD) and other psychiatric diagnoses known to affect cognitive functioning. METHOD: The results of standardized neuropsychological tests were ...
https://doi.org/10.1176/ajp.153.11.1492Article
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