American Journal of Psychiatry
- Volume 155
- Number 5
- May 1998
Editorial
Images in Neuroscience
Special Article
Publication date: 01 May 1998
Pages582–589At a time of strong biological emphasis in psychiatry, it is important to emphasize that relationships with important others may play a crucial role in individual outcome. Psychoanalytic theories in the form of object relations, self psychology, and ...
https://doi.org/10.1176/ajp.155.5.582Regular Article
Publication date: 01 May 1998
Pages590–595OBJECTIVE: Anticipation (i.e., the decrease in age at onset or the increase in severity of a disorder in successive generations) has recently been reappraised as a key to understanding the genetics of some familial illnesses. The purpose of this study was ...
https://doi.org/10.1176/ajp.155.5.590Publication date: 01 May 1998
Pages596–602OBJECTIVE: Panic disorder with or without agoraphobia has a chronic relapsing course. Factors associated with poor outcome include early onset of illness and phobic avoidance. Several, but not all, authors have found a worse clinical course for women. ...
https://doi.org/10.1176/ajp.155.5.596Publication date: 01 May 1998
Pages603–609OBJECTIVE: The purpose of this study was to compare the therapeutic effect of exercise for patients with panic disorder to a drug treatment of proven efficacy and to placebo. METHOD: Forty-six outpatients suffering from moderate to severe panic disorder ...
https://doi.org/10.1176/ajp.155.5.603Publication date: 01 May 1998
Pages610–612OBJECTIVE: Flumazenil is a benzodiazepine receptor antagonist that has been reported to provoke panic attacks in patients with panic disorder. This study was undertaken to compare the effects of flumazenil and sodium lactate, the most widely studied panic ...
https://doi.org/10.1176/ajp.155.5.610Publication date: 01 May 1998
Pages613–619OBJECTIVE: This article presents epidemiologic data on the distinction between social phobia characterized by pure speaking fears and that characterized by other social fears. METHOD: The data come from the National Comorbidity Survey (N=8,098). Social ...
https://doi.org/10.1176/ajp.155.5.613Publication date: 01 May 1998
Pages620–624OBJECTIVE: Using the DSM-IV diagnostic criteria for acute stress disorder, the authors examined whether the acute psychological effects of being a bystander to violence involving mass shootings in an office building predicted later posttraumatic stress ...
https://doi.org/10.1176/ajp.155.5.620Publication date: 01 May 1998
Pages625–629OBJECTIVE: The aim of this study was to index the frequency of occurrence of acute stress disorder following mild traumatic brain injury and to determine its utility in predicting posttraumatic stress disorder (PTSD). METHOD: Consecutive adult patients ...
https://doi.org/10.1176/ajp.155.5.625Publication date: 01 May 1998
Pages630–637OBJECTIVE: The purpose of this study was to prospectively evaluate the onset, overlap, and course of posttraumatic stress disorder (PTSD) and major depression following traumatic events. METHOD: The occurrence of PTSD and major depression and the ...
https://doi.org/10.1176/ajp.155.5.630Publication date: 01 May 1998
Pages638–645OBJECTIVE: Effects of long-term lithium treatment for depressive and manic phases of type I and type II bipolar disorders were compared. METHOD: Clinical research records of 317 patients with DSM-IV-defined bipolar disorder (188 with type I and 129 with ...
https://doi.org/10.1176/ajp.155.5.638Publication date: 01 May 1998
Pages646–652OBJECTIVE: The authors studied the 12-month course of illness following hospitalization for a manic or mixed episode of bipolar disorder to identify potential outcome predictors. METHOD: They recruited 134 patients with DSM-III-R bipolar disorder who were ...
https://doi.org/10.1176/ajp.155.5.646Publication date: 01 May 1998
Pages653–659OBJECTIVE: This study examined the 30-month stability of axis II conditions. METHOD: One hundred eight depressed outpatients received comprehensive, semistructured personality disorder assessments at baseline and at follow-up. RESULTS: The diagnostic ...
https://doi.org/10.1176/ajp.155.5.653Publication date: 01 May 1998
Pages660–665OBJECTIVE: The purpose of this study was to determine the cardiovascular effects of fluoxetine in depressed patients with cardiac disease. METHOD: Twenty-seven depressed patients (26% of whom were female and whose average age was 73 years) who had ...
https://doi.org/10.1176/ajp.155.5.660Publication date: 01 May 1998
Pages666–671OBJECTIVE: Heterotrimeric G proteins were previously implicated in the biochemical mechanisms underlying the pathophysiology and treatment of mood disorders. Low function and immunoreactivity of G proteins were observed in patients with major depression. ...
https://doi.org/10.1176/ajp.155.5.666Publication date: 01 May 1998
Pages672–677OBJECTIVE: The goal of this study was to examine cognitive antecedents of psychosis by determining whether variability in IQ during childhood was predictive of psychotic symptoms in adulthood. METHOD: Deviant responder analyses were used to examine ...
https://doi.org/10.1176/ajp.155.5.672Publication date: 01 May 1998
Pages678–685OBJECTIVE: A previous cross-sectional study of brain morphology in childhood-onset schizophrenia indicated sparing of the temporal lobes from processes reducing total cerebral volume in this population. In the present study, subjects with childhood-onset ...
https://doi.org/10.1176/ajp.155.5.678Clinical Case Conference
Images in Psychiatry
Brief Report
Publication date: 01 May 1998
Pages690–692OBJECTIVE: The authors' goal was to study the serum sertraline levels of breast-feeding mothers and their infants. METHOD: They obtained serum levels of sertraline and N-desmethylsertraline in nine mother-infant pairs. RESULTS: Sertraline levels were very ...
https://doi.org/10.1176/ajp.155.5.690Effectiveness and Tolerability of Tomoxetine in Adults With Attention Deficit Hyperactivity Disorder
Publication date: 01 May 1998
Pages693–695OBJECTIVE: The authors assessed the experimental noradrenergic compound tomoxetine as an alternative treatment for adult attention deficit hyperactivity disorder (ADHD). METHOD: They conducted a double-blind, placebo-controlled, crossover study of ...
https://doi.org/10.1176/ajp.155.5.693Publication date: 01 May 1998
Pages696–698OBJECTIVE: The authors' goal was to explore the nature of attention deficit hyperactivity disorder (ADHD) in African American children, which has received scant attention by psychiatric researchers. METHOD: Subjects were 19 African American children with ...
https://doi.org/10.1176/ajp.155.5.696Publication date: 01 May 1998
Pages698–700OBJECTIVE: The authors investigated the relationships between concentrations of two acute-phase proteins, α1-antichymotrypsin (ACT) and α2-macroglobulin (MAC), and cognitive impairment in the very old. METHOD: Concentrations of ACT and MAC were determined ...
https://doi.org/10.1176/ajp.155.5.698