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American Journal of Psychiatry

  • Volume 155
  • Number 9
  • September 1998

Editorial

Images In Neuroscience

Special Article

Publication date: 01 September 1998

Pages1152–1162

Objective: With recent advances in molecular genetics, the rate-limiting step in identifying susceptibility genes for psychiatric disorders has become phenotype definition. The success of psychiatric genetics may require the development of a “genetic ...

https://doi.org/10.1176/ajp.155.9.1152

Regular Article

Publication date: 01 September 1998

Pages1163–1171

Objective: There has been considerable controversy regarding the impact of the Holocaust on the second generation, but few empirical data are available that systematically document trauma exposure and psychiatric disorder in these individuals. To obtain ...

https://doi.org/10.1176/ajp.155.9.1163

Publication date: 01 September 1998

Pages1172–1177

Objective: The role of group therapy in treatment of posttraumatic stress disorder (PTSD) has been traditionally restricted to issues of self-esteem and interpersonal relationships, rather than primary symptoms of the disorder. In this study, the authors ...

https://doi.org/10.1176/ajp.155.9.1172

Publication date: 01 September 1998

Pages1178–1183

Objective: This study was undertaken to clarify earlier inconsistent findings in brain metabolic topography in panic disorder patients at rest.Method: Positron emission tomography (PET) with [18F]fluorodeoxyglucose was used to determine cerebral metabolic ...

https://doi.org/10.1176/ajp.155.9.1178

Publication date: 01 September 1998

Pages1184–1188

Objective: The authors investigated the role of genetic factors in 35% CO2-induced panic attacks.Method: Ninety twins recruited from general population were challenged with one-vital capacity inhalations of 35% CO2–65% O2. Probandwise concordance rates ...

https://doi.org/10.1176/ajp.155.9.1184

Publication date: 01 September 1998

Pages1189–1195

Objective: This study determined the efficacy and safety of sertraline in the treatment of patients with panic disorder. Method: The study was a randomized, double-blind, parallel-group, flexible-dose comparison of sertraline and placebo in outpatients ...

https://doi.org/10.1176/ajp.155.9.1189

Publication date: 01 September 1998

Pages1196–1201

Objective: Many studies have validated the grouping of schizophrenic symptoms into three independent dimensions: negative, psychotic, and disorganized. Negative symptoms are considered to be an important prognostic indicator, but this clinical observation ...

https://doi.org/10.1176/ajp.155.9.1196

Publication date: 01 September 1998

Pages1207–1213

Objective: Tardive dyskinesia is a movement disorder affecting 20%–40% of patients treated chronically with neuroleptic drugs. The dopamine supersensitivity hypothesis cannot account for the time course of tardive dyskinesia or for the persistence of ...

https://doi.org/10.1176/ajp.155.9.1207

Publication date: 01 September 1998

Pages1214–1220

Objective: The authors investigated whether nonpsychotic relatives of schizophrenic probands have an elevated risk of deficits in sustained attention as measured by the Continuous Performance Test (CPT), whether such deficits are associated with specific ...

https://doi.org/10.1176/ajp.155.9.1214

Publication date: 01 September 1998

Pages1221–1226

Objective: Patients with the deficit syndrome differ from other patients with schizophrenia relative to physiological correlates, course of illness, and response to treatment. Because of the abnormal seasonality of birth among persons with schizophrenia, ...

https://doi.org/10.1176/ajp.155.9.1221

Publication date: 01 September 1998

Pages1227–1233

Objective: Study 1 evaluated whether pregnancy is a stressful life event for teenagers and is associated with depression for teenagers with a pessimistic attributional style but not for those with an optimistic attributional style. Study 2 replicated ...

https://doi.org/10.1176/ajp.155.9.1227

Publication date: 01 September 1998

Pages1234–1240

Objective: While family and twin studies suggest that retrospectively reported premenstrual symptoms are heritable, these studies have not accounted for the unreliability of such measures. In addition, we know little about the relationship of the familial ...

https://doi.org/10.1176/ajp.155.9.1234

Publication date: 01 September 1998

Pages1241–1246

Objective: Subnormal prolactin responses to the serotonin-releasing agonist fenfluramine occur in depression. Since many measures of serotonin pathology occur in depression, abnormal responses to fenfluramine may occur in brain structures other than the ...

https://doi.org/10.1176/ajp.155.9.1241

Publication date: 01 September 1998

Pages1247–1253

Objective: The purpose of this study was to determine prospectively the optimal length of therapy in a long-term, placebo-controlled continuation study of patients who responded to acute fluoxetine treatment for major depression (defined by DSM-III-R). ...

https://doi.org/10.1176/ajp.155.9.1247

Publication date: 01 September 1998

Pages1254–1260

Objective: The purpose of this study was to determine what predicts patients’ perceptions of coercion surrounding admission to a psychiatric hospital.Method: For 171 cases, the authors integrated data from interviews with patients, admitting clinicians, ...

https://doi.org/10.1176/ajp.155.9.1254

Publication date: 01 September 1998

Pages1261–1264

Objective: This article brings to the present earlier bibliographies of books written by former mental patients. These books provide an inside view of mental disorder that can be useful in teaching, public education, theory, and research, and they have ...

https://doi.org/10.1176/ajp.155.9.1261

Clinical Case Conference

Images In Psychiatry

Brief Report

Publication date: 01 September 1998

Pages1275–1277

Objective: The molecular basis of neuroleptic malignant syndrome is unclear, but studies suggest that genetic factors are involved in its pathogenesis. Considering possible involvement of the serotonergic system in neuroleptic malignant syndrome, the ...

https://doi.org/10.1176/ajp.155.9.1275

Publication date: 01 September 1998

Pages1278–1280

Objective: The authors conducted a pilot study to develop preliminary data on the frequency of cytochrome P450-2D6 (CYP2D6) genotypes in state psychiatric hospital patients and to establish population sizes needed to determine potential clinical relevance ...

https://doi.org/10.1176/ajp.155.9.1278

Publication date: 01 September 1998

Pages1281–1284

Objective: The mismatch negativity, a negative component in the auditory event-related potential, is thought to index automatic processes involved in sensory or echoic memory. The authors’ goal in this study was to examine the topography of auditory ...

https://doi.org/10.1176/ajp.155.9.1281

Publication date: 01 September 1998

Pages1285–1287

Objective: Hypofrontality is a common but not invariable finding in schizophrenia. Inconsistencies in the literature may reflect, in part, the fact that abnormal physiological responses in the prefrontal cortex are best identified under conditions that ...

https://doi.org/10.1176/ajp.155.9.1285

Publication date: 01 September 1998

Pages1288–1290

Objective: The authors’ goal was to compare the size and linear density of Purkinje cells in the cerebellar vermis of subjects with and without schizophrenia. Method: Blocks of alcohol-fixed cerebellar vermis were dissected at autopsy from the brains of ...

https://doi.org/10.1176/ajp.155.9.1288

Book Forum: MOOD DISORDERS

Book Forum: SCHIZOPHRENIA SPECTRUM

Book Forum: STRESS AND DISSOCIATION

Book Forum: MEMORY

Letter to the Editor

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