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American Journal of Psychiatry

  • Volume 153
  • Number 8
  • August 1996

Article

Publication date: 01 August 1996

Pages974–984

OBJECTIVES: This article defines androgens (and anabolic steroids), describes their mechanisms of action, and summarizes their behavioral effects and relevance in animals and humans. METHOD: A MEDLINE-derived review of the literature on androgens and ...

https://doi.org/10.1176/ajp.153.8.974

Publication date: 01 August 1996

Pages985–992

OBJECTIVE: Traditionally, it has been widely assumed that the likelihood of response to ECT is independent of the adequacy of previous treatment with antidepressant medications. However, recent research has raised the possibility that medication-resistant ...

https://doi.org/10.1176/ajp.153.8.985

Publication date: 01 August 1996

Pages993–1000

OBJECTIVE: For decades, lithium has been prescribed to treat bipolar disorder. Its efficacy has been documented by clinical trials and by data from specialized clinics. An issue of considerable interest is the use of lithium in managed care systems. This ...

https://doi.org/10.1176/ajp.153.8.993

Publication date: 01 August 1996

Pages1001–1008

OBJECTIVE: Psychiatric illness is a potent risk factor for suicide, rates of which differ markedly with age. The purpose of this study was to examine whether the psychiatric diagnoses of suicide victims vary predictably with age. METHOD: DSM-III-R axis I ...

https://doi.org/10.1176/ajp.153.8.1001

Publication date: 01 August 1996

Pages1009–1014

OBJECTIVE: The aim of this study was to compare the prevalence and comorbidity patterns of psychiatric disorders in subjects making medically serious suicide attempts and in comparison subjects. METHOD: The association between mental disorders and the ...

https://doi.org/10.1176/ajp.153.8.1009

Publication date: 01 August 1996

Pages1015–1020

OBJECTIVE: The authors studied the 1-month frequency of suicidal feelings among very old people. METHOD: A population sample (N = 345) of nondemented 85-year-olds in Gothenburg, Sweden, were examined by a psychiatrist. Suicidal feelings were rated by the ...

https://doi.org/10.1176/ajp.153.8.1015

Publication date: 01 August 1996

Pages1021–1027

OBJECTIVE: The present study investigated gender differences in depressive symptoms during a naturalistic follow-up for outpatients with major depressive disorder in the National Institute of Mental Health Treatment of Depression Collaborative Research ...

https://doi.org/10.1176/ajp.153.8.1021

Publication date: 01 August 1996

Pages1028–1036

OBJECTIVE: The purpose of this study was to characterize the long-term course of patients with seasonal affective disorder. METHOD: The first 59 patients with winter seasonal affective disorder who had entered winter protocols were retrospectively ...

https://doi.org/10.1176/ajp.153.8.1028

Publication date: 01 August 1996

Pages1037–1042

OBJECTIVE: The author's intent was to evaluate the activity of the beta- adrenoceptor-linked, cAMP-dependent protein kinase (protein kinase A) in patients with major depression compared with a group of nondepressed volunteer subjects. METHOD: Skin ...

https://doi.org/10.1176/ajp.153.8.1037

Publication date: 01 August 1996

Pages1043–1049

OBJECTIVE: The relationships of stigma to both depression and somatization were studied in psychiatric patients in South India to test the hypothesis that stigma is positively related to depressive symptoms and negatively related to somatoform symptoms. ...

https://doi.org/10.1176/ajp.153.8.1043

Publication date: 01 August 1996

Pages1050–1059

OBJECTIVE: This study assessed relationships among psychological symptoms, past and current psychiatric disorder, functional impairment, somatic symptoms, chronic fatigue, and chronic fatigue syndrome. METHOD: A prospective cohort study was followed by a ...

https://doi.org/10.1176/ajp.153.8.1050

Publication date: 01 August 1996

Pages1060–1064

OBJECTIVE: The authors investigated the relationships between hypersensitivity to CO2 and familial-genetic risk for panic disorder in patients with panic disorder. METHOD: Morbidity risks for panic disorder were calculated for families of 203 patients ...

https://doi.org/10.1176/ajp.153.8.1060

Publication date: 01 August 1996

Pages1065–1073

OBJECTIVE: The authors investigated the clinical feasibility and the outcome for patients of a program designed as an alternative to acute hospitalization. METHOD: This was a random-design study comparing a conventional inpatient program for urban, poor, ...

https://doi.org/10.1176/ajp.153.8.1065

Publication date: 01 August 1996

Pages1074–1083

OBJECTIVE: The authors compared service utilization and costs for acutely ill psychiatric patients treated in a day hospital/crisis respite program or in a hospital inpatient program. METHOD: The patients (N = 197) were randomly assigned to one of the two ...

https://doi.org/10.1176/ajp.153.8.1074

Publication date: 01 August 1996

Pages1084–1087

A 33-year-old man presented with a 10-year history of psychosis and an imaginary companion; he carried a past diagnosis of chronic schizophrenia. He responded quickly to neuroleptic and was noted to be an easily engageable person. It is argued that ...

https://doi.org/10.1176/ajp.153.8.1084

Publication date: 01 August 1996

Pages1089–1091

OBJECTIVE: The authors examined gender differences in DSM-III-R personality disorders in adolescent psychiatric inpatients. METHODS: Structured diagnostic interviews were reliably performed with a series of 138 consecutively admitted adolescent ...

https://doi.org/10.1176/ajp.153.8.1089

Publication date: 01 August 1996

Pages1092–1094

OBJECTIVE: The authors' goal was to determine whether either of two 5- HT2A receptor polymorphisms, 102-T/C and 452-His/Tyr, are associated with clozapine response. METHOD: Brief Psychiatric Rating Scale (BPRS) ratings were obtained in 70 patients with ...

https://doi.org/10.1176/ajp.153.8.1092

Publication date: 01 August 1996

Pages1095–1096

OBJECTIVE: Because discharged methadone maintenance patients represent a population at particularly high public health risk, the authors studied such patients 1 year after their discharge from a methadone program. METHOD: The locations of 94 of 110 ...

https://doi.org/10.1176/ajp.153.8.1095

Publication date: 01 August 1996

Pages1097–1099

OBJECTIVE: The purpose of this study was to identify specific competencies that differentiated passing from failing performance on the American Board of Psychiatry and Neurology Part II oral board certification examination. METHOD: A total of 363 ...

https://doi.org/10.1176/ajp.153.8.1097

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