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American Journal of Psychiatry

  • Volume 157
  • Number 11
  • November 2000

Editorial

Reviews and Overviews

Publication date: 01 November 2000

Pages1731–1737

OBJECTIVE: This article is a discussion of the use of large clinical databases in population-based research on psychiatric disorders. METHOD: The authors review uses of large clinical databases in research on the etiology, impact, and treatment of ...

https://doi.org/10.1176/appi.ajp.157.11.1731

Publication date: 01 November 2000

Pages1738–1751

OBJECTIVE: The purpose of this review is to integrate insights regarding novel neurotransmitters or neuromodulators of neuropsychiatric significance. METHOD: Evolving concepts of neurotransmitter criteria are reviewed in light of the unexpected properties ...

https://doi.org/10.1176/appi.ajp.157.11.1738

Images in Neuroscience

Introspections

Clinical Case Conference

Images in Psychiatry

Presidential Paper

Article

Publication date: 01 November 2000

Pages1772–1781

OBJECTIVE: Neurodegenerative or traumatic lesions of the frontal lobes often lead to abnormally aggressive behavior. The authors hypothesized that the imaginal evoking of scenarios involving aggressive behavior would be associated with a modulation of the ...

https://doi.org/10.1176/appi.ajp.157.11.1772

Publication date: 01 November 2000

Pages1782–1788

OBJECTIVE: The goal of this study was to assess brain glucose metabolism and its relationship to dissociation measures and clinical symptoms in DSM-IV depersonalization disorder. METHOD: Positron emission tomography scans coregistered with magnetic ...

https://doi.org/10.1176/appi.ajp.157.11.1782

Publication date: 01 November 2000

Pages1789–1798

OBJECTIVE: Cocaine-related cues have been hypothesized to perpetuate drug abuse by inducing a craving response that prompts drug-seeking behavior. However, the mechanisms, underlying neuroanatomy, and specificity of this neuroanatomy are not yet fully ...

https://doi.org/10.1176/appi.ajp.157.11.1789

Publication date: 01 November 2000

Pages1799–1805

OBJECTIVE: The purpose of this study was to examine the role of perfectionism as a phenotypic trait in anorexia nervosa and its relevance across clinical subtypes of this illness. METHOD: The Multidimensional Perfectionism Scale and the perfectionism ...

https://doi.org/10.1176/appi.ajp.157.11.1799

Publication date: 01 November 2000

Pages1806–1810

OBJECTIVE: Involuntary treatment of any psychiatric disorder has always been controversial, especially for eating disorders. Patients with an eating disorder of life-threatening severity frequently refuse hospitalization. In this study, the authors ...

https://doi.org/10.1176/appi.ajp.157.11.1806

Publication date: 01 November 2000

Pages1811–1823

OBJECTIVE: Both thalamic and glutamatergic dysfunction have been implicated in the pathophysiology of schizophrenia. The authors examined ionotropic glutamate receptor expression in postmortem samples from patients with schizophrenia and comparison ...

https://doi.org/10.1176/appi.ajp.157.11.1811

Publication date: 01 November 2000

Pages1824–1828

OBJECTIVE: The purpose of the study was to determine whether the duration of illness before antipsychotic drug treatment for schizophrenia was associated with the severity of cognitive deficits and volumetric brain structure anomalies observed in some ...

https://doi.org/10.1176/appi.ajp.157.11.1824

Publication date: 01 November 2000

Pages1829–1834

OBJECTIVE: Structural magnetic resonance imaging (MRI) studies that focus on first-episode psychosis avoid some common confounds, such as chronicity of illness, treatment effects, and long-term substance abuse. However, such studies may select subjects ...

https://doi.org/10.1176/appi.ajp.157.11.1829

Publication date: 01 November 2000

Pages1835–1842

OBJECTIVE: Schizophrenic patients have high rates of cigarette smoking. The authors compared the outcomes of two group psychotherapy programs for smoking cessation in patients with schizophrenia or schizoaffective disorder who were also treated with the ...

https://doi.org/10.1176/appi.ajp.157.11.1835

Publication date: 01 November 2000

Pages1843–1846

OBJECTIVE: Although previous studies have suggested that sexual orientation is influenced by familial factors, which may be partly genetic, these studies have relied on unrepresentative and potentially biased samples. The authors attempted to estimate the ...

https://doi.org/10.1176/appi.ajp.157.11.1843

Publication date: 01 November 2000

Pages1847–1850

OBJECTIVE: The purpose of this study was to examine the ability of phallometry to discriminate among homicidal child molesters, nonhomicidal child molesters, and a comparison group of nonoffenders. METHOD: Twenty-seven child molesters who had committed or ...

https://doi.org/10.1176/appi.ajp.157.11.1847

Publication date: 01 November 2000

Pages1851–1857

OBJECTIVE: The study examined the relationship between mental disorders and the use of complementary and alternative medicine. METHOD: Data from a national household telephone survey conducted in 1997–1998 (N=9,585) were used to examine the relationships ...

https://doi.org/10.1176/appi.ajp.157.11.1851

Publication date: 01 November 2000

Pages1858–1863

OBJECTIVE: The authors investigated the reliability and convergent and discriminant validity of the DSM-IV Global Assessment of Functioning Scale and two experimental DSM-IV axis V global rating scales, the Global Assessment of Relational Functioning ...

https://doi.org/10.1176/appi.ajp.157.11.1858

Brief Report

Publication date: 01 November 2000

Pages1864–1866

OBJECTIVE: The authors’ goal was to replicate a previous finding that smokers have lower brain monoamine oxidase B (MAO-B) levels than comparison nonsmoking subjects and to determine if levels recover after overnight cigarette abstinence. METHOD: Brain ...

https://doi.org/10.1176/appi.ajp.157.11.1864

Publication date: 01 November 2000

Pages1867–1869

OBJECTIVE: Characteristics of the subsequent treatment received by people who screened positive for depression in the 1996 National Depression Screening Day were investigated. METHOD: A follow-up telephone survey was completed by 1,502 randomly selected ...

https://doi.org/10.1176/appi.ajp.157.11.1867

Publication date: 01 November 2000

Pages1869–1872

OBJECTIVE: The authors’ goal was to investigate the treatment received before receipt of a disability pension for major depression in a representative sample of depressed patients. METHOD: The medical statements for a random sample of 277 subjects drawn ...

https://doi.org/10.1176/appi.ajp.157.11.1869

Publication date: 01 November 2000

Pages1876–1878

OBJECTIVE: The authors’ goals were to examine predictors of suicidal behavior and provide guidelines for assessing suicide risk in patients with panic disorder. METHOD: Four hundred ninety-eight patients with panic disorder were followed for 5 years. ...

https://doi.org/10.1176/appi.ajp.157.11.1876

Publication date: 01 November 2000

Pages1878–1880

OBJECTIVE: This report contains preliminary data from an open trial of brief psychodynamic psychotherapy for panic disorder. METHOD: Fourteen patients with primary DSM-IV panic disorder completed a 24-session, twice-weekly course of psychodynamic ...

https://doi.org/10.1176/appi.ajp.157.11.1878

Publication date: 01 November 2000

Pages1881–1883

OBJECTIVE: People with alcoholic relatives have high rates of alcohol abuse and dependence as adults, but their patterns of problems earlier in life are less clear. Many studies have not controlled for parental disorders other than alcoholism or for ...

https://doi.org/10.1176/appi.ajp.157.11.1881

Letter to the Editor

Book Forum: Addictions

Book Forum: Schizophrenia and Paranoid/Delusional Disorders

Book Forum: Mood Disorders

Book Forum: Creativity

Book Forum: Mental Health Outcomes

Correction

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