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American Journal of Psychiatry

  • Volume 155
  • Number 7
  • July 1998

Editorial

Images in Neuroscience

Special Article

Publication date: 01 July 1998

Pages862–870

OBJECTIVE: The purpose of this article is to review critically the data on the adult outcomes of adolescent girls with antisocial behavior. METHOD: Five literature databases were searched for studies on the adult outcomes of girls with either conduct ...

https://doi.org/10.1176/ajp.155.7.862

Regular Article

Publication date: 01 July 1998

Pages871–877

OBJECTIVE: The authors examined whether depression is associated with greater use of health services by elderly medical patients before and during hospitalization. METHOD: Depression and recent use of health services were assessed in 542 patients aged 60 ...

https://doi.org/10.1176/ajp.155.7.871

Publication date: 01 July 1998

Pages878–882

OBJECTIVE: This study used a national employee survey to test the hypothesis that symptomatic individuals in general, and individuals with depressive symptoms in particular, are disproportionately enrolled in fee-for-service health care plans as compared ...

https://doi.org/10.1176/ajp.155.7.878

Publication date: 01 July 1998

Pages883–888

OBJECTIVE: Health policy makers lack accurate information about per capita spending for the treatment of major depression, the distribution of those expenditures, and the proportion of the health care dollar consumed by depression treatment. METHOD: The ...

https://doi.org/10.1176/ajp.155.7.883

Publication date: 01 July 1998

Pages889–894

OBJECTIVE: Use of ECT is highly variable, and previous study has linked its availability to the geographic concentration of psychiatrists. However, less than 8% of all U.S. psychiatrists provide ECT. The authors analyzed the characteristics of ...

https://doi.org/10.1176/ajp.155.7.889

Publication date: 01 July 1998

Pages895–898

OBJECTIVE: Several reports have raised concern that the discontinuation of lithium may result in treatment resistance following recurrence of affective disorder. This report explores this possibility. METHOD: The data derive from a large, naturalistic ...

https://doi.org/10.1176/ajp.155.7.895

Publication date: 01 July 1998

Pages899–904

OBJECTIVE: The purpose of this pilot study was to gain information about attitudes of individuals with bipolar disorder and their spouses toward some of the ethical and social issues arising from rapidly advancing genetic research on bipolar disorder. ...

https://doi.org/10.1176/ajp.155.7.899

Publication date: 01 July 1998

Pages905–909

OBJECTIVE: The authors compared hospital outcomes for depressed patients hospitalized between 1988 and 1996. METHOD: Between 1988 and 1996, 206 depressed patients in three cohorts were evaluated at admission; of these, 161 (78.2%) were evaluated at ...

https://doi.org/10.1176/ajp.155.7.905

Publication date: 01 July 1998

Pages910–913

OBJECTIVE: There is evidence from animal studies that fluoxetine may enhance the concentrations of neuroactive steroids. Therefore, the authors investigated whether clinically effective treatment with antidepressants may alter the concentrations of ...

https://doi.org/10.1176/ajp.155.7.910

Publication date: 01 July 1998

Pages914–920

OBJECTIVE: The purpose of this study was to compare the efficacy of olanzapine with that of chlorpromazine plus benztropine in patients with treatment-resistant schizophrenia. METHOD: One hundred three previously treatment-resistant patients with ...

https://doi.org/10.1176/ajp.155.7.914

Publication date: 01 July 1998

Pages921–928

OBJECTIVE: Olanzapine is a new atypical antipsychotic recently introduced for the treatment of schizophrenia. The purpose of this study was to investigate olanzapine's binding to the serotonin 5-HT2 and dopamine D2 receptors in schizophrenic patients ...

https://doi.org/10.1176/ajp.155.7.921

Publication date: 01 July 1998

Pages929–933

OBJECTIVE: This study analyzed questionnaire items that address complaints about sleep from the National Vietnam Veterans Readjustment Study, a nationally representative sample of the 3.1 million men and women who served in Vietnam. This study compared ...

https://doi.org/10.1176/ajp.155.7.929

Publication date: 01 July 1998

Pages934–938

OBJECTIVE: The purpose of this study was to determine predictors of posttraumatic stress disorder (PTSD) in health care workers exposed to a disaster, in order to facilitate early case identification and prevention of subsequent morbidity. METHOD: ...

https://doi.org/10.1176/ajp.155.7.934

Publication date: 01 July 1998

Pages939–946

OBJECTIVE: Although there have been many studies of the outcome of anorexia nervosa, methodological weaknesses limit their interpretation. The authors used a case-control design to try to improve knowledge about the outcome of anorexia nervosa. METHOD: ...

https://doi.org/10.1176/ajp.155.7.939

Publication date: 01 July 1998

Pages947–953

OBJECTIVE: The aim of this study was to evaluate the effectiveness of guided self-change for bulimia nervosa. METHOD: Sixty-two patients with DSM-III-R-defined bulimia nervosa were randomly assigned to 1) use of a self-care manual plus eight fortnightly ...

https://doi.org/10.1176/ajp.155.7.947

Publication date: 01 July 1998

Pages954–959

OBJECTIVE: The present study examined whether physical abuse functions as an additional risk factor for adolescent psychopathology after other important known risk factors are controlled for. METHOD: The authors recruited 99 adolescents aged 12 to 18 ...

https://doi.org/10.1176/ajp.155.7.954

Publication date: 01 July 1998

Pages960–963

OBJECTIVE: The authors explored the family history and psychiatric comorbidity of a group of compulsive buyers who volunteered for medication studies. Compulsive buying is characterized by inappropriate shopping and spending behavior that leads to ...

https://doi.org/10.1176/ajp.155.7.960

Clinical Case Conference

Images in Psychiatry

Brief Report

Publication date: 01 July 1998

Pages969–971

OBJECTIVE: The authors tested the hypotheses that medical illness burden is independently associated with depression and that this association is moderated by neuroticism. METHOD: Multiple regression techniques were used to determine the independent ...

https://doi.org/10.1176/ajp.155.7.969

Publication date: 01 July 1998

Pages972–973

OBJECTIVE: This study investigated the efficacy of verapamil in acute mania. METHOD: The study was a 3-week double-blind, random-assignment, parallel-group, placebo-controlled inpatient trial of verapamil for patients with acute mania. Of the 32 study ...

https://doi.org/10.1176/ajp.155.7.972

Publication date: 01 July 1998

Pages974–975

OBJECTIVE: This study was an uncontrolled trial to assess the efficacy of a smoking cessation group program modified for individuals with schizophrenia. METHOD: Fifty outpatients with schizophrenia were divided into five groups who met separately for ...

https://doi.org/10.1176/ajp.155.7.974

Publication date: 01 July 1998

Pages976–978

OBJECTIVE: Because both smooth pursuit eye tracking dysfunction and obstetrical complications are significant risk factors for schizophrenia, the authors tested the predictions of a two-factor model of how eye tracking dysfunction and obstetrical ...

https://doi.org/10.1176/ajp.155.7.976

Publication date: 01 July 1998

Pages979–981

OBJECTIVE: Although several lines of evidence suggest that stress plays a role in the course of schizophrenia, studies that have assessed stress-relevant neurobiological measures have not produced consistent results. The authors examined the effects of ...

https://doi.org/10.1176/ajp.155.7.979

Publication date: 01 July 1998

Pages982–984

OBJECTIVE: The authors investigated knowledge, attitudes, and beliefs about mental illness and providers held by a group of deaf adults. METHOD: The American Sign Language interviews of 54 deaf adults were analyzed. RESULTS: Recurrent themes included ...

https://doi.org/10.1176/ajp.155.7.982

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