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American Journal of Psychiatry

  • Volume 156
  • Number 6
  • June 1999

Editorial

Images in Neuroscience

Special Article

Publication date: 01 June 1999

Pages816–828

OBJECTIVE: Depression is twice as common in women as in men, but the reason for this sexual dimorphism is unknown. This article reviews recent studies of the role of childhood sexual abuse in the subsequent development of major depressive disorder, and ...

https://doi.org/10.1176/ajp.156.6.816

Publication date: 01 June 1999

Pages829–836

OBJECTIVE: This article examines the role of placebos in evaluating the efficacy of psychiatric drugs. Also addressed are the identification of placebo effects on drugs, the relevance of active placebo, the need for placebo groups in psychotherapy studies,...

https://doi.org/10.1176/ajp.156.6.829

Regular Article

Publication date: 01 June 1999

Pages837–841

OBJECTIVE: Stressful life events are associated with the onset of episodes of major depression. However, exposure to stressful life events is influenced by genetic factors, and these factors are correlated with those that predispose to major depression. ...

https://doi.org/10.1176/ajp.156.6.837

Publication date: 01 June 1999

Pages842–848

OBJECTIVE: Both age and gender are being increasingly recognized as important factors influencing CNS structure and function. However, there are relatively few data on actual neurochemical differences between the sexes in human subjects or on their ...

https://doi.org/10.1176/ajp.156.6.842

Publication date: 01 June 1999

Pages849–856

OBJECTIVE: The goal of this study was to examine the lifetime prevalence of antisocial personality disorder according to five diagnostic systems and the prevalence of psychopa­thy in a study group of women. The relationship between antisocial personality ...

https://doi.org/10.1176/ajp.156.6.849

Publication date: 01 June 1999

Pages857–862

OBJECTIVE: The goal of this study was to test the hypothesis that maternal smoking during pregnancy is associated with greater risk for criminal behavior of the offspring in adulthood. METHOD: An unselected, general population cohort composed of 11,017 ...

https://doi.org/10.1176/ajp.156.6.857

Publication date: 01 June 1999

Pages863–868

OBJECTIVE: The purpose of this study was to examine rehospitalization rates of people receiving risperidone or clozapine who had been discharged from state psychiatric hospitals in Maryland. METHOD: Rehospitalization status was monitored for all patients ...

https://doi.org/10.1176/ajp.156.6.863

Publication date: 01 June 1999

Pages869–875

OBJECTIVE: Multicenter trials with the novel antipsychotic risperidone have suggested a standard dose of 6 mg/day. However, a dose producing the highest response rate in fixed-dose studies is likely to exceed the minimal effective dose in most patients. ...

https://doi.org/10.1176/ajp.156.6.869

Publication date: 01 June 1999

Pages876–884

OBJECTIVE: In an attempt to understand the basis of early relapse after antipsychotic withdrawal, the objective of this study was to determine whether the low occupancy of dopamine D2 receptors by clozapine and by quetiapine, as seen by brain imaging, ...

https://doi.org/10.1176/ajp.156.6.876

Publication date: 01 June 1999

Pages885–890

OBJECTIVE: After discontinuation of neuroleptic drugs, their antipsychotic and antiparkinsonian effects are still present for a prolonged period. It is not known whether the extended effects of neuroleptic drugs in humans are due to the continued presence ...

https://doi.org/10.1176/ajp.156.6.885

Publication date: 01 June 1999

Pages891–896

OBJECTIVE: Functional magnetic resonance imaging (MRI) was used to investigate the hypothesis that attention deficit hyperactivity disorder (ADHD) is associated with a dysfunction of prefrontal brain regions during motor response inhibition and motor ...

https://doi.org/10.1176/ajp.156.6.891

Publication date: 01 June 1999

Pages897–901

OBJECTIVE: Little is known about the validity of the DSM-IV criteria for alcohol use disorders when applied to adolescents. This report describes a group of “diagnostic orphans,” adolescents with one or two DSM-IV alcohol dependence symptoms who do not ...

https://doi.org/10.1176/ajp.156.6.897

Publication date: 01 June 1999

Pages902–907

OBJECTIVE: With the exception of a few reports of higher rates of childhood trauma in Vietnam veterans with posttraumatic stress disorder (PTSD), little is known about the influence of previous exposure to trauma on the PTSD effects of subsequent trauma. ...

https://doi.org/10.1176/ajp.156.6.902

Publication date: 01 June 1999

Pages908–911

OBJECTIVE: The authors’ goal was to construct a short screening scale for DSM-IV posttraumatic stress disorder (PTSD). METHOD: They used data from the Detroit Area Survey of Trauma, which is a representative population sample of 2,181 subjects 18–45 years ...

https://doi.org/10.1176/ajp.156.6.908

Publication date: 01 June 1999

Pages912–919

OBJECTIVE: Progress in resuscitation medicine allows an increasing proportion of patients to survive an out-of-hospital cardiac arrest. However, little is known about long-term adaptation to the vital breakdown. The present study assessed the long-term ...

https://doi.org/10.1176/ajp.156.6.912

Publication date: 01 June 1999

Pages920–927

OBJECTIVE: This study examined the mental health service utilization and costs of 321 discharged state hospital patients during a 3-year follow-up period compared with costs if the patients had remained in the hospital. METHOD: The study subjects were ...

https://doi.org/10.1176/ajp.156.6.920

Publication date: 01 June 1999

Pages928–934

OBJECTIVE: The purpose of this study was to ascertain the degree of underutilization of services for mental health problems among urban and rural Mexican American adults. METHOD: A probability sample (N=3,012) was used to represent the Mexican American ...

https://doi.org/10.1176/ajp.156.6.928

Clinical Case Conference

Images In Psychiatry

Brief Report

Publication date: 01 June 1999

Pages943–945

OBJECTIVE: Later age at onset of depression appears to be a risk factor for early recurrence. Therefore, the authors examined the 2-year outcomes of elderly patients with first-episode major depression following discontinuation of their maintenance ...

https://doi.org/10.1176/ajp.156.6.943

Publication date: 01 June 1999

Pages946–948

OBJECTIVE: The efficacy and safety of left prefrontal repetitive transcranial magnetic stimulation (rTMS) for treating resistant major depression were examined in a double-blind, controlled study. METHOD: Eighteen medication-resistant depressed subjects ...

https://doi.org/10.1176/ajp.156.6.946

Publication date: 01 June 1999

Pages949–951

OBJECTIVE: Current hypotheses hold that mechanisms underlying abnormal hypothalamic-pituitary-adrenocortical (HPA) function are causal factors in the precipitation of depression. If this is the case, then normalization of initially disturbed HPA ...

https://doi.org/10.1176/ajp.156.6.949

Publication date: 01 June 1999

Pages955–957

OBJECTIVE: Although major advances have been made in the diagnosis and treatment of mental disorders in primary care, few population-based investigations have focused on the obstetrical sector. This study examines the occurrence of chart-recorded ...

https://doi.org/10.1176/ajp.156.6.955

Publication date: 01 June 1999

Pages958–960

OBJECTIVE: Patients with polydipsia and intermittent hyponatremia have greater ventricle-brain ratios (VBRs) than matched patients without polydipsia and intermittent hyponatremia and normal subjects. Unlike previous studies, this study controlled for the ...

https://doi.org/10.1176/ajp.156.6.958

Book Forum: CONFRONTING MENTAL ILLNESS

Book Forum: PSYCHOTHERAPY

Book Forum: FORENSIC PSYCHIATRY

Book Forum: SUICIDE

Letter to the Editor

Correction

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