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American Journal of Psychiatry

  • Volume 155
  • Number 10
  • October 1998

Editorial

Images In Psychiatry

Special Article

Publication date: 01 October 1998

Pages1310–1318

Objective:The author summarizes current knowledge about the diagnosis and treatment of testosterone decline in healthy aging men and the associated clinical issues for psychiatry. Method:A MEDLINE search was conducted in which the search terms “male ...

https://doi.org/10.1176/ajp.155.10.1310

Regular Article

Publication date: 01 October 1998

Pages1319–1324

Objective:This study compared the mental health and cognitive development of 9- to 12-year-old Eritrean war orphans living in two orphanages that differed qualitatively in patterns of staff interaction and styles of child care management. Method:The ...

https://doi.org/10.1176/ajp.155.10.1319

Publication date: 01 October 1998

Pages1325–1331

Objective:The therapeutic effects of methylphenidate in the treatment of attention deficit disorder have been attributed to its ability to increase the synaptic concentration of dopamine by blocking the dopamine transporters. However, the levels of ...

https://doi.org/10.1176/ajp.155.10.1325

Publication date: 01 October 1998

Pages1332–1338

Objective:The SLC6A4 locus encodes the serotonin transporter, which in turn mediates the synaptic inactivation of the neurotransmitter serotonin. A polymorphism located in the 5′ promoter region of the gene is associated with altered transcriptional ...

https://doi.org/10.1176/ajp.155.10.1332

Publication date: 01 October 1998

Pages1339–1345

Objective:Because selective serotonin reuptake inhibitors (SSRIs) require 2–4 weeks to reach efficacy, the authors determined whether clonazepam augmentation of fluoxe­tine is superior to fluoxetine alone at the beginning of treatment for major ...

https://doi.org/10.1176/ajp.155.10.1339

Publication date: 01 October 1998

Pages1346–1351

Objective:The purpose of this study was to investigate the effect of pindolol to accelerate the onset of action of paroxetine in patients suffering from major depression.Method:Patients who met DSM-IV criteria for a nonpsychotic disorder, who had no ...

https://doi.org/10.1176/ajp.155.10.1346

Publication date: 01 October 1998

Pages1352–1357

Objective:The authors tested the hypothesis that eye tracking disorder in schizophrenia is associated with neurological signs.Method:The subjects were 93 normal comparison subjects and 59 schizophrenic patients. They were evaluated with the Neurological ...

https://doi.org/10.1176/ajp.155.10.1352

Publication date: 01 October 1998

Pages1358–1364

Objective:Studies of sex differences in neuropsychological performance in schizophrenia report inconsistent results, due in part to methodological artifacts. The study presented here was specifically designed to examine sex differences in ...

https://doi.org/10.1176/ajp.155.10.1358

Publication date: 01 October 1998

Pages1365–1375

Objective:This study set out to determine, in a homogeneous sample with nationwide coverage in Finland, whether siblings treated for schizophrenia are more often of the same sex than expected by chance, and whether this is especially so when the disorder ...

https://doi.org/10.1176/ajp.155.10.1365

Publication date: 01 October 1998

Pages1392–1397

Objective:Little is known about the relationship between insurance and care in the early course of psychosis. This study explored the insurance status of first-admission psychotic patients and the relationship between type of insurance and care received ...

https://doi.org/10.1176/ajp.155.10.1392

Publication date: 01 October 1998

Pages1398–1406

Objective:Although clinical trials have documented the importance of identifying individuals with major depression with atypical features, there are fewer epidemiological data. In a prior report, the authors used latent class analysis (LCA) to identify a ...

https://doi.org/10.1176/ajp.155.10.1398

Publication date: 01 October 1998

Pages1407–1414

Objective:The authors’ goal was to estimate the lifetime and 12-month rates of major depressive episodes and dysthymia for Chinese Americans who reside in Los Angeles. This effort, the Chinese American Psychiatric Epidemiological Study, is the first large-...

https://doi.org/10.1176/ajp.155.10.1407

Publication date: 01 October 1998

Pages1415–1422

Objective:The authors describe the timing of the first treatment contact following new-onset DSM-III-R mood, anxiety, and addictive disorders in community samples from the United States and Ontario, Canada, before and after passage of the Ontario Health ...

https://doi.org/10.1176/ajp.155.10.1415

Publication date: 01 October 1998

Pages1423–1428

Objective:The authors’ purpose in this study was to investigate the interrater agreement among psychiatrists in psychiatric emergency service settings. The interrater reliability of many of the key concepts in psychiatric emergency service settings has ...

https://doi.org/10.1176/ajp.155.10.1423

Clinical Case Conference

Brief Report

Publication date: 01 October 1998

Pages1434–1436

Objective:This study investigated risks for rapid cycling, as defined by DSM-IV, in women and men with bipolar disorders. Method:The results of 10 studies with a total of 2,057 bipolar patients were meta-analyzed by pooled contingency methods. Results:The ...

https://doi.org/10.1176/ajp.155.10.1434

Publication date: 01 October 1998

Pages1437–1439

Objective:The purpose of this study was to determine whether men and women with schizophrenia demonstrate differences in cognitive abilities.Method:Two cohorts of patients with schizophrenia, an acute first-episode and a chronically hospitalized group, ...

https://doi.org/10.1176/ajp.155.10.1437

Publication date: 01 October 1998

Pages1440–1442

Objective:The purpose of this study was to examine the relationship between the personality trait involving personal detachment and dopamine D2 receptor specific binding in healthy subjects.Method:Eighteen adult subjects completed the Karolinska Scales of ...

https://doi.org/10.1176/ajp.155.10.1440

Publication date: 01 October 1998

Pages1443–1445

Objective:The authors’ goal was to determine whether cognitive behavioral treatment of residual symptoms of depression might have a significant effect on relapse rate. Method:A 6-year follow-up assessment was conducted of 40 patients with primary major ...

https://doi.org/10.1176/ajp.155.10.1443

Publication date: 01 October 1998

Pages1446–1448

Objective:Clinical trials generally allocate patients to equal-sized treatment groups. The authors propose that it may be more efficient to allocate unequal proportions of the total sample size to treatments when more than two treatments are being ...

https://doi.org/10.1176/ajp.155.10.1446

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Letter to the Editor

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