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American Journal of Psychiatry

  • Volume 157
  • Number 7
  • July 2000

Editorial

Reviews and Overviews

Publication date: 01 July 2000

Pages1041–1050

OBJECTIVE: The authors assess implications of DSM criteria for schizophrenia by reviewing the criteria’s 1) emphasis on psychotic features, 2) dissociation of symptoms from their etiology, 3) exclusive reliance on clinical features but exclusion of ...

https://doi.org/10.1176/appi.ajp.157.7.1041

Clinical Case Conference

Images in Psychiatry

Regular Article

Publication date: 01 July 2000

Pages1058–1064

OBJECTIVE: Point mutations in mitochondrial DNA (mtDNA) are one mechanism that could explain the apparent excess maternal transmission of bipolar affective disorder observed in some families. The authors sequenced the mtDNA from probands with bipolar ...

https://doi.org/10.1176/appi.ajp.157.7.1058

Publication date: 01 July 2000

Pages1065–1070

OBJECTIVE: The authors estimated the prevalence of psychoses among the Hutterites in Manitoba, Canada, who lived in 102 communal farms or colonies. The study stemmed from an earlier epidemiological survey of North American Hutterite colonies (1950–1953), ...

https://doi.org/10.1176/appi.ajp.157.7.1065

Publication date: 01 July 2000

Pages1071–1076

OBJECTIVE: The deficit syndrome is a subtype of schizophrenia characterized by primary and enduring negative features of psychopathology. It appears to reflect a distinct subtype within the syndrome of schizophrenia. Little is known about the familial or ...

https://doi.org/10.1176/appi.ajp.157.7.1071

Publication date: 01 July 2000

Pages1077–1083

OBJECTIVE: Because attention deficit hyperactivity disorder (ADHD) is relatively infrequent among girls, little is known about the causes of ADHD in girls. To help fill this gap in the literature, the authors assessed the familial transmission of ADHD in ...

https://doi.org/10.1176/appi.ajp.157.7.1077

Publication date: 01 July 2000

Pages1084–1088

OBJECTIVE: Over 30,000 people a year commit suicide in the United States. Prior attempted suicide and hopelessness are the most powerful clinical predictors of future completed suicide. The authors hypothesized that “reasons for living” might protect or ...

https://doi.org/10.1176/appi.ajp.157.7.1084

Publication date: 01 July 2000

Pages1089–1094

OBJECTIVE: Prescriptions of antidepressant medications have increased significantly over the past 15 years across the life cycle. One overall correlate of medication use in older adults is race, with African Americans using fewer medications than whites. ...

https://doi.org/10.1176/appi.ajp.157.7.1089

Publication date: 01 July 2000

Pages1095–1100

OBJECTIVE: At least three studies have indicated that patients with psychotic major depression studied under non-drug-free conditions differ from patients with nonpsychotic major depression and healthy comparison subjects on several measures of ...

https://doi.org/10.1176/appi.ajp.157.7.1095

Publication date: 01 July 2000

Pages1108–1114

OBJECTIVE: Increased dopaminergic neurotransmission has been implicated in the pathophysiology of bipolar disorder. However, it remains unclear whether the abnormality is due to increased dopamine release or enhanced postsynaptic receptor sensitivity. In ...

https://doi.org/10.1176/appi.ajp.157.7.1108

Publication date: 01 July 2000

Pages1115–1119

OBJECTIVE: The authors’ goal was to study the contribution of predeployment personality traits and exposure to traumatic events during deployment to the development of symptoms of posttraumatic stress disorder (PTSD) in individuals involved in military ...

https://doi.org/10.1176/appi.ajp.157.7.1115

Publication date: 01 July 2000

Pages1120–1126

OBJECTIVE: Animals exposed to stress exhibit a decrease in benzodiazepine receptor binding in the frontal cortex. No studies have examined central benzodiazepine receptor binding in patients with posttraumatic stress disorder (PTSD). The purpose of this ...

https://doi.org/10.1176/appi.ajp.157.7.1120

Publication date: 01 July 2000

Pages1127–1133

OBJECTIVE: The authors investigated the occurrence of pathological gambling among cocaine-dependent outpatients, its influence on short-term outcome of treatment, and comparative characteristics of patients with and without pathological gambling.METHOD: ...

https://doi.org/10.1176/appi.ajp.157.7.1127

Publication date: 01 July 2000

Pages1134–1140

OBJECTIVE: Recent work has underscored the role of serotonergic neurotransmission in chronic neural adaptations to cocaine dependence. The authors tested for evidence of serotonergic dysfunction during acute abstinence from cocaine, a period of high risk ...

https://doi.org/10.1176/appi.ajp.157.7.1134

Publication date: 01 July 2000

Pages1141–1149

OBJECTIVE: Multiple quantifiable biologic abnormalities have been localized to the hippocampus in schizophrenia. Alterations in glutamate-mediated transmission at N-methyl-d-aspartic acid (NMDA)-sensitive receptors in hippocampus have been implicated in ...

https://doi.org/10.1176/appi.ajp.157.7.1141

Publication date: 01 July 2000

Pages1150–1155

OBJECTIVE: The authors studied the incidence of tardive dyskinesia in elderly institutionalized patients with dementia being treated with risperidone.METHOD: After participating in a 12-week multicenter double-blind study during which they received ...

https://doi.org/10.1176/appi.ajp.157.7.1150

Publication date: 01 July 2000

Pages1156–1159

OBJECTIVE: The purpose of this research was to determine if adults can provide a true rating of their own childhood and current symptoms of attention deficit hyperactivity disorder (ADHD).METHOD: The authors conducted two studies. In study 1, 50 adult ...

https://doi.org/10.1176/appi.ajp.157.7.1156

Brief Report

Publication date: 01 July 2000

Pages1160–1161

OBJECTIVE: Obsessive-compulsive disorder (OCD) is a psychiatric condition for which strong evidence of a genetic component and serotonergic system involvement exists. Recent studies have shown that sumatriptan, a selective ligand of the serotonin (5-HT)...

https://doi.org/10.1176/appi.ajp.157.7.1160

Publication date: 01 July 2000

Pages1162–1164

OBJECTIVE: The authors explored the association between abuse of 3,4-methylenedioxymethamphetamine (MDMA, or “Ecstasy”) and high-risk sexual behaviors among gay and bisexual men.METHOD: An anonymous questionnaire was completed by 169 gay and bisexual men ...

https://doi.org/10.1176/appi.ajp.157.7.1162

Publication date: 01 July 2000

Pages1164–1166

OBJECTIVE: The authors’ goal was to determine if the reported clinical adverse interaction of flunitrazepam and buprenorphine was caused by inhibition of drug metabolism.METHOD: Inhibition of flunitrazepam metabolism by buprenorphine and norbuprenorphine ...

https://doi.org/10.1176/appi.ajp.157.7.1164

Publication date: 01 July 2000

Pages1167–1169

OBJECTIVE: Although several neuropsychological studies have supported the notion of frontal and parietal lobe involvement in unawareness of illness in schizophrenia, neuroanatomic differences have not been examined.METHOD: Thirty patients with ...

https://doi.org/10.1176/appi.ajp.157.7.1167

Publication date: 01 July 2000

Pages1175–1177

OBJECTIVE: Anterior cingulate dysfunction has been implicated in the pathophysiology of posttraumatic stress disorder (PTSD). The authors hypothesized that integrity of the anterior cingulate may be affected in childhood PTSD.METHOD: Single voxel proton ...

https://doi.org/10.1176/appi.ajp.157.7.1175

Letter to the Editor

Book Forum: Emotion and Mood Disorders

Book Forum: Ethical Issues

Book Forum: Sleeping and Dreaming

Book Forum: A Voice From the Past

Correction

Past Issues

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