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American Journal of Psychiatry

  • Volume 156
  • Number 3
  • March 1999

Editorial

Images In Neuroscience

Regular Article

Publication date: 01 March 1999

Pages353–359

OBJECTIVE: Disaster workers who work with deceased victims are at increased risk of posttraumatic stress disorder (PTSD). Identification with the deceased has been proposed as one of the mechanisms in this stress-illness relationship. To examine this ...

https://doi.org/10.1176/ajp.156.3.353

Publication date: 01 March 1999

Pages360–366

OBJECTIVE: In a group of crime victims recruited from the community, the authors investigated the ability of both a diagnosis of acute stress disorder and its component symptoms to predict posttraumatic stress disorder (PTSD) at 6 months. METHOD: A mixed-...

https://doi.org/10.1176/ajp.156.3.360

Publication date: 01 March 1999

Pages367–373

OBJECTIVE: This study was designed to assess the natural course of posttraumatic symptoms formation, as well as the degree to which acute stress reactions predict later posttraumatic stress disorder (PTSD) in injured traffic accident victims. METHOD: A ...

https://doi.org/10.1176/ajp.156.3.367

Publication date: 01 March 1999

Pages374–378

OBJECTIVE: Neurobehavioral symptoms are not uncommon after a traumatic brain injury. However, psychiatric syndromes per se have rarely been studied in patients with such an injury. The purpose of this study was to evaluate the type and extent of ...

https://doi.org/10.1176/ajp.156.3.374

Publication date: 01 March 1999

Pages379–385

OBJECTIVE: Research on the etiology of dissociation in adults has focused primarily on childhood sexual abuse. The role of co-occurring childhood stressors and of more chronic adverse conditions such as neglect is less clear. This study examined the level ...

https://doi.org/10.1176/ajp.156.3.379

Publication date: 01 March 1999

Pages386–392

OBJECTIVE: This study explored the neural circuitry used during recall of unstructured verbal material in schizophrenic patients and healthy volunteer subjects. METHOD: The subjects were 13 healthy volunteers and 14 schizophrenic patients. All patients ...

https://doi.org/10.1176/ajp.156.3.386

Publication date: 01 March 1999

Pages393–399

OBJECTIVE: The authors tested a model of hallucinated “voices” based on a neural network computer simulation of disordered speech perception. METHOD: Twenty-four patients with schizophrenia spectrum disorders who reported hallucinated voices were compared ...

https://doi.org/10.1176/ajp.156.3.393

Publication date: 01 March 1999

Pages400–405

OBJECTIVE: It has been suggested that level of cognitive functioning as assessed by formal neurocognitive tests may be as important as, or even more important than, symptoms in predicting level of community functioning for patients with schizophrenia. The ...

https://doi.org/10.1176/ajp.156.3.400

Publication date: 01 March 1999

Pages406–411

OBJECTIVE: Recent studies of negative symptoms in schizophrenia—specifically, those involving the deficit syndrome—have focused on uncovering the symptoms that are primary to the disease rather than secondary to the psychotic process. One of the foremost ...

https://doi.org/10.1176/ajp.156.3.406

Publication date: 01 March 1999

Pages412–418

OBJECTIVE: Dose reduction strategies for the maintenance treatment of schizophrenia are designed to maintain the benefits of antipsychotic drug therapy while reducing risks. Previous strategies with decanoate preparations have been based on the use of ...

https://doi.org/10.1176/ajp.156.3.412

Publication date: 01 March 1999

Pages419–425

OBJECTIVE: The authors’ objective was to assess the potential efficacy of fananserin (RP62203), a potent antagonist at the D4 and serotonin2A (5-HT2A) receptors, on symptoms of schizophrenia. METHOD: A double-blind, placebo-controlled study was conducted ...

https://doi.org/10.1176/ajp.156.3.419

Publication date: 01 March 1999

Pages426–430

OBJECTIVE: A substantial number of manic episodes include conspicuous depressive symptoms. Manic episodes have been clinically classified a posteriori using preset criteria. The aim of this study was to investigate the possibility that there might be a ...

https://doi.org/10.1176/ajp.156.3.426

Publication date: 01 March 1999

Pages431–437

OBJECTIVE: Depressed patients who had and had not been exposed to childhood sexual abuse were studied to determine differences in severity of depressed mood, lifetime histories of anxiety and depression, childhood environment, and disordered personality ...

https://doi.org/10.1176/ajp.156.3.431

Publication date: 01 March 1999

Pages438–444

OBJECTIVE: The purpose of this study was to examine the relationship between signal hyperintensities—a probable marker of underlying pathology—on T2-weighted magnetic resonance brain scans and neuropsychological test findings in elderly depressed and ...

https://doi.org/10.1176/ajp.156.3.438

Publication date: 01 March 1999

Pages445–450

OBJECTIVE: The practice patterns of international medical graduate (IMG) and U.S. medical graduate (USMG) psychiatrists were compared. METHOD: Using data from the 1996 National Survey of Psychiatric Practice, the authors compared IMGs and USMGs in terms ...

https://doi.org/10.1176/ajp.156.3.445

Publication date: 01 March 1999

Pages451–457

OBJECTIVE: The authors examine trends in the composition and duration of visits to psychiatrists in office-based psychiatric practice. METHOD: An analysis was performed of physician-reported data from the 1985 and 1995 National Ambulatory Medical Care ...

https://doi.org/10.1176/ajp.156.3.451

Clinical Case Conference

Images In Psychiatry

Brief Report

Publication date: 01 March 1999

Pages467–469

OBJECTIVE: Glutamatergic neurotransmission is important for memory and cognition and is severely affected in Alzheimer’s disease. d-Cycloserine exhibits partial agonist activity at the glycine site of N-methyl-d-aspartate subtype glutamate receptor, ...

https://doi.org/10.1176/ajp.156.3.467

Publication date: 01 March 1999

Pages470–473

OBJECTIVE: This study tested the hypothesis that regional cerebral glucose metabolism during neuronal activation is a more sensitive index of neuronal dysfunction and clinical severity in Alzheimer’s disease than is glucose metabolism at rest. METHOD: The ...

https://doi.org/10.1176/ajp.156.3.470

Publication date: 01 March 1999

Pages474–476

OBJECTIVE: The authors investigated frequencies and clinical correlates of multiple associations of panic disorder, obsessive-compulsive disorder (OCD), and social phobia in patients with severe mood disorders. METHOD: Subjects were 77 consecutively ...

https://doi.org/10.1176/ajp.156.3.474

Publication date: 01 March 1999

Pages477–479

OBJECTIVE: The authors assessed the association between depressive symptoms and health costs for a national Veterans Administration (VA) sample. METHOD: The Rand Depression Index was administered to 1,316 medical or surgical inpatients over the age of 60 ...

https://doi.org/10.1176/ajp.156.3.477

Publication date: 01 March 1999

Pages480–482

OBJECTIVE: This study tested the hypothesis that female subjects may exhibit a higher prevalence than male subjects of depression associated with somatic symptoms but not a higher prevalence of depression not associated with these other symptoms. METHOD: ...

https://doi.org/10.1176/ajp.156.3.480

Publication date: 01 March 1999

Pages483–485

OBJECTIVE: This study compared the discovery of posttraumatic stress disorder (PTSD) symptoms by means of the Structured Clinical Interview for DSM-III-R (SCID) with a semistructured, psychodynamic clinical interview in a long-term follow-up of the ...

https://doi.org/10.1176/ajp.156.3.483

Book Forum: FORENSIC PSYCHIATRY

Book Forum: TRAUMA AND ABUSE

Book Forum: SCHIZOPHRENIA

Book Forum: NEUROPSYCHIATRY

Book Forum

Book Forum: SLEEP DISORDERS

Letter to the Editor

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