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American Journal of Psychiatry

  • Volume 156
  • Number 9
  • September 1999

Editorial

Images in Neuroscience

Special Article

Publication date: 01 September 1999

Pages1312–1321

OBJECTIVE: The authors examined the evidence for the effectiveness of psychotherapy for personality disorders in psychotherapy outcome studies. METHOD: Fifteen studies were located that reported data on pretreatment-to-postreatment effects and/or recovery ...

https://doi.org/10.1176/ajp.156.9.1312

Publication date: 01 September 1999

Pages1322–1327

The unprecedented inclusion of culture-bound syndromes in DSM-IV provides the opportunity for highlighting the need to study such syndromes and the occasion for developing a research agenda to study them. The growing ethnic and cultural diversity of the ...

https://doi.org/10.1176/ajp.156.9.1322

Regular Article

Publication date: 01 September 1999

Pages1328–1335

OBJECTIVE: Subtle behavioral and intellectual abnormalities are often present in apparently healthy adolescents who later develop schizophrenia. The authors investigated whether these abnormalities can predict vulnerability for schizophrenia before the ...

https://doi.org/10.1176/ajp.156.9.1328

Publication date: 01 September 1999

Pages1336–1341

OBJECTIVE: The primary purpose of this article was to determine if cognitive abilities ­decline, remain unchanged, or modestly improve throughout the course of schizophrenic illness. METHOD: Forty-two patients with a first hospitalization for ...

https://doi.org/10.1176/ajp.156.9.1336

Publication date: 01 September 1999

Pages1342–1348

OBJECTIVE: Whether cognitive function in schizophrenia deteriorates, improves, or remains stable is a crucial question. Few studies have examined the longitudinal stability of cognitive function and the relationship between cognitive performance and ...

https://doi.org/10.1176/ajp.156.9.1342

Publication date: 01 September 1999

Pages1349–1357

OBJECTIVE: The major purposes of this study were 1) to examine whether neurological signs predict cognitive performance in both schizophrenic patients and healthy subjects and 2) to determine the ability of neurological signs and neuropsychological tests ...

https://doi.org/10.1176/ajp.156.9.1349

Publication date: 01 September 1999

Pages1358–1366

OBJECTIVE: Memory impairment is well documented in schizophrenia. Less is known, however, about the exact magnitude, pattern, and extent of the impairment. The effect of potential moderator variables, such as medication status and duration of illness, is ...

https://doi.org/10.1176/ajp.156.9.1358

Publication date: 01 September 1999

Pages1367–1373

OBJECTIVE: Patients with schizophrenia consistently show performance deficits on measures of visual backward masking, but the nature of these deficits is not well understood. Performance deficits on backward masking tasks may indicate an underlying ...

https://doi.org/10.1176/ajp.156.9.1367

Publication date: 01 September 1999

Pages1374–1379

OBJECTIVE: The purpose of this study was to evaluate the clinical safety and efficacy of risperidone compared to haloperidol in patients with treatment-refractory schizophrenia. METHOD: Sixty-seven medication-unresponsive subjects were randomly assigned ...

https://doi.org/10.1176/ajp.156.9.1374

Publication date: 01 September 1999

Pages1380–1384

OBJECTIVE: The capacities of depressed patients to consent to research have been questioned by commentators who fear that the cognitive effects of a disorder may impair subjects’ abilities to protect their interests. This study used a new instrument for ...

https://doi.org/10.1176/ajp.156.9.1380

Publication date: 01 September 1999

Pages1385–1391

OBJECTIVE: An influential rationale for involuntary hospitalization is that prospective patients who refuse hospitalization at the time it is offered are likely to change their belief about the necessity of hospitalization after receiving hospital ...

https://doi.org/10.1176/ajp.156.9.1385

Publication date: 01 September 1999

Pages1392–1396

OBJECTIVE: The goals of this study were to validate a new rating scale for measuring severity of jet lag and to compare the efficacy of contrasting melatonin regimens to alleviate jet lag. METHOD: This was a randomized, double-blind trial of placebo and ...

https://doi.org/10.1176/ajp.156.9.1392

Publication date: 01 September 1999

Pages1397–1402

OBJECTIVE: The number of U.S. medical graduates choosing careers in psychiatry is in decline. In order to determine whether this disinclination toward psychiatry occurs before versus during medical school, this study surveyed medical students at the start ...

https://doi.org/10.1176/ajp.156.9.1397

Publication date: 01 September 1999

Pages1403–1408

OBJECTIVE: This study characterizes the responses to placebo medication of patients with premenstrual syndrome (PMS) who were randomly assigned in controlled treatment trials. Possible predictors of placebo response were also examined. METHOD: Subjects ...

https://doi.org/10.1176/ajp.156.9.1403

Publication date: 01 September 1999

Pages1409–1416

OBJECTIVE: No consistent predictors of outcome have been identified for the pharmacotherapy of obsessive-compulsive disorder (OCD). Recent factor analytic studies have identified meaningful symptom dimensions that may be related to response to serotonin ...

https://doi.org/10.1176/ajp.156.9.1409

Publication date: 01 September 1999

Pages1417–1420

OBJECTIVE: Disturbance in glucose homeostasis in psychiatric populations has been suggested since the early part of this century. Increased comorbidity of diabetes mellitus in persons with major mood disorders has also been suggested. The goal of this ...

https://doi.org/10.1176/ajp.156.9.1417

Publication date: 01 September 1999

Pages1421–1424

OBJECTIVE: This study tested the reliability and validity of four definitions of rapid cycling. METHOD: Two trained psychiatrists, using the Schedule for Affective Disorders and Schizophrenia, independently assessed 210 patients with bipolar disorder. ...

https://doi.org/10.1176/ajp.156.9.1421

Publication date: 01 September 1999

Pages1425–1431

OBJECTIVE: The purpose of this study was to compare the clinical and demographic profiles of patients who deliberately harmed themselves, either by jumping from a great height or by using firearms, and survived. METHOD: The study consisted of an 18-year ...

https://doi.org/10.1176/ajp.156.9.1425

Clinical Case Conference

Images in Psychiatry

Brief Report

Publication date: 01 September 1999

Pages1440–1443

OBJECTIVE: This study assessed whether brain dopamine D2 receptor levels, which show significant intersubject variability, predict reinforcing responses to psychostimulants in humans. METHOD: [11C]Raclopride and positron emission tomography were used to ...

https://doi.org/10.1176/ajp.156.9.1440

Publication date: 01 September 1999

Pages1444–1446

OBJECTIVE: During early abstinence, many cocaine-dependent individuals experience symptoms such as anhedonia, craving, fatigue, insomnia, and dysphoria. While several studies have shown an association between depressive symptoms and negative treatment ...

https://doi.org/10.1176/ajp.156.9.1444

Publication date: 01 September 1999

Pages1447–1449

OBJECTIVE: In humans, interindividual variation in sensitivity to benzodiazepine drugs may correlate with behavioral variation, including vulnerability to disease states such as alcoholism. In the rat, variation in alcohol and benzodiazepine sensitivity ...

https://doi.org/10.1176/ajp.156.9.1447

Publication date: 01 September 1999

Pages1450–1452

OBJECTIVE: A functional polymorphism in the transcriptional control region upstream of the coding sequence of the 5-hydroxytryptamine transporter (5-HTT) has been reported. This polymorphism has been shown to influence the antidepressant response to ...

https://doi.org/10.1176/ajp.156.9.1450

Publication date: 01 September 1999

Pages1453–1455

OBJECTIVE: An association between the type 4 dopamine receptor (DRD4) gene and the behavioral trait of novelty seeking has been reported, but several studies have failed to replicate this finding. In the present study, the authors tested for this ...

https://doi.org/10.1176/ajp.156.9.1453

Book Forum: SOMATIC TREATMENTS AND THEIR EVALUATION

Book Forum: PSYCHOANALYSIS/PSYCHOTHERAPY

Book Forum: ALCOHOLISM

Book Forum: CHILD PSYCHIATRY

Book Forum: ADHD

Book Forum: SEXUALITY

Letter to the Editor

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