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American Journal of Psychiatry

  • Volume 157
  • Number 8
  • August 2000

Editorial

Reviews and Overviews

Publication date: 01 August 2000

Pages1195–1203

OBJECTIVE: Classification of the depressive disorders has long been controversial. The dominant current model is unitarian, with disorders largely distinguished on the basis of severity. Both the unitarian and the contrasting binarian views (of two ...

https://doi.org/10.1176/appi.ajp.157.8.1195

Publication date: 01 August 2000

Pages1204–1211

OBJECTIVE: The author sought to illustrate the invalidity of meta-analyses that claim to quantitatively compare the benefits of psychotherapy to pharmacotherapy in patients with psychiatric disorders. METHOD: Studies included in four meta-analyses were ...

https://doi.org/10.1176/appi.ajp.157.8.1204

Images in Neuroscience

Introspections

Clinical Case Conference

Images in Psychiatry

Article

Publication date: 01 August 2000

Pages1221–1228

OBJECTIVE: This study examined prospectively the effects of stressful events, depressive symptoms, social support, coping methods, and cortisol levels on progression of HIV-1 infection. METHOD: Eighty-two homosexual men with HIV type-1 infection without ...

https://doi.org/10.1176/appi.ajp.157.8.1221

Publication date: 01 August 2000

Pages1229–1235

OBJECTIVE: This study examined the experiential factors and interacting vulnerabilities that contribute to the development of posttraumatic stress disorder (PTSD) in children and adolescents. METHOD: Of 100 consecutive referrals to an inner-city child and ...

https://doi.org/10.1176/appi.ajp.157.8.1229

Publication date: 01 August 2000

Pages1236–1242

OBJECTIVE: The authors evaluated the neurohormonal and subjective mood response of children with anxiety disorders who were challenged with yohimbine. METHOD: Seventeen children with DSM-IV diagnoses of anxiety disorders and 15 normal comparison children ...

https://doi.org/10.1176/appi.ajp.157.8.1236

Publication date: 01 August 2000

Pages1243–1251

OBJECTIVE: Although previous evidence has suggested that the etiologic role of stressful life events in major depression is reduced in recurrent versus first-onset cases, this question deserves reexamination because of potential methodological limitations ...

https://doi.org/10.1176/appi.ajp.157.8.1243

Publication date: 01 August 2000

Pages1252–1259

OBJECTIVE: The study examined the association between cortisol and putative risk factors for posttraumatic stress disorder (PTSD) in a sample of subjects at increased risk for the development of PTSD. METHOD: Twenty-four-hour urinary cortisol excretion ...

https://doi.org/10.1176/appi.ajp.157.8.1252

Publication date: 01 August 2000

Pages1260–1266

OBJECTIVE: This study longitudinally described rates of posttraumatic stress disorder (PTSD) in two groups with different levels of severity of exposure to an earthquake in North China. The effects of diagnostic criteria on the frequency of detected PTSD ...

https://doi.org/10.1176/appi.ajp.157.8.1260

Publication date: 01 August 2000

Pages1267–1273

OBJECTIVE: The authors examine patterns in utilization of psychiatric inpatient services by children and adolescents in general hospitals during 1988–1995. METHOD: National Hospital Discharge Survey data were used to describe utilization patterns for ...

https://doi.org/10.1176/appi.ajp.157.8.1267

Publication date: 01 August 2000

Pages1274–1278

OBJECTIVE: Employers are playing an increasingly influential role in determining the scope and character of health coverage in the United States. This study compares the health and disability costs of depressive illness with those of four other chronic ...

https://doi.org/10.1176/appi.ajp.157.8.1274

Publication date: 01 August 2000

Pages1279–1284

OBJECTIVE: This study was designed to determine whether hypnosis can modulate color perception. Such evidence would provide insight into the nature of hypnosis and its underlying mechanisms. METHOD: Eight highly hypnotizable subjects were asked to see a ...

https://doi.org/10.1176/appi.ajp.157.8.1279

Publication date: 01 August 2000

Pages1285–1290

OBJECTIVE: It has been reported that the human temperament dimensions of novelty seeking and harm avoidance are associated with polymorphisms in the D4 dopamine receptor gene (D4DR) and the serotonin-transporter-linked promoter region (5-HTTLPR), ...

https://doi.org/10.1176/appi.ajp.157.8.1285

Publication date: 01 August 2000

Pages1291–1296

OBJECTIVE: Muscle dysmorphia is a form of body dysmorphic disorder in which individuals develop a pathological preoccupation with their muscularity. METHOD: The authors interviewed 24 men with muscle dysmorphia and 30 normal comparison weightlifters, ...

https://doi.org/10.1176/appi.ajp.157.8.1291

Publication date: 01 August 2000

Pages1297–1301

OBJECTIVE: The authors tested the hypothesis that men in modern Western societies would desire to have a much leaner and more muscular body than the body they actually had or perceived themselves to have. METHOD: The height, weight, and body fat of ...

https://doi.org/10.1176/appi.ajp.157.8.1297

Publication date: 01 August 2000

Pages1302–1308

OBJECTIVE: The aim of this study was to discover clinically useful predictors of attrition and outcome in the treatment of bulimia nervosa with cognitive behavior therapy. METHOD: Pretreatment, course of treatment, and outcome data were gathered on 194 ...

https://doi.org/10.1176/appi.ajp.157.8.1302

Publication date: 01 August 2000

Pages1309–1316

OBJECTIVE: Impaired attention has frequently been observed in studies of unaffected siblings of patients with schizophrenia. To assess the suitability of impaired attention for use as an intermediate phenotype in genetic studies, the authors estimated the ...

https://doi.org/10.1176/appi.ajp.157.8.1309

Publication date: 01 August 2000

Pages1317–1328

OBJECTIVE: Cognitive adaptation training is a novel psychosocial treatment approach designed to improve adaptive functioning by using compensatory strategies in the home or work environment to bypass the cognitive deficits associated with schizophrenia. ...

https://doi.org/10.1176/appi.ajp.157.8.1317

Brief Report

Publication date: 01 August 2000

Pages1324–1326

OBJECTIVE: Little is known about the progression of cognitive deficits in older, community-dwelling patients with schizophrenia, especially in comparison to healthy subjects. METHOD: The authors examined the relationship of age to performance on the ...

https://doi.org/10.1176/appi.ajp.157.8.1324

Publication date: 01 August 2000

Pages1327–1329

OBJECTIVE: Schizophrenia may be associated with hyperthermic syndromes such as febrile catatonia, neuroleptic malignant syndrome, and heatstroke. The authors hypothesized that an exercise-heat tolerance test would disclose abnormal thermoregulation in ...

https://doi.org/10.1176/appi.ajp.157.8.1327

Publication date: 01 August 2000

Pages1329–1331

OBJECTIVE: N-methyl-d-aspartate (NMDA) receptor antagonists are known to produce a syndrome resembling schizophrenia, probably due to their blockade of NMDA receptors. The NMDA receptor 2B (NR2B) subunit has been identified as one of the major proteins in ...

https://doi.org/10.1176/appi.ajp.157.8.1329

Publication date: 01 August 2000

Pages1332–1334

OBJECTIVE: This was an investigation of whether treatment with fluoxetine is useful for individuals with bulimia nervosa who do not respond to psychotherapy or relapse afterward. METHOD: Twenty-two patients with bulimia nervosa who had not responded to, ...

https://doi.org/10.1176/appi.ajp.157.8.1332

Publication date: 01 August 2000

Pages1334–1337

OBJECTIVE: The primary objective of this investigation was to examine the acute antidepressant effects of intravenous hydrocortisone and ovine corticotropin releasing hormone (CRH) infusions in patients with major depression. METHOD: Twenty-two patients ...

https://doi.org/10.1176/appi.ajp.157.8.1334

Publication date: 01 August 2000

Pages1337–1340

OBJECTIVE: The authors determined the frequency of anxiety disorders in a large group of depressed outpatients seeking treatment. METHOD: The Structured Clinical Interview for DSM-IV was administered to 373 depressed outpatients. RESULTS: More than one-...

https://doi.org/10.1176/appi.ajp.157.8.1337

Letter to the Editor

Book Forum: Textbook

Book Forum: Personal Accounts

Book Forum: Psychoanalysis

Book Forum: Childhood

Book Forum: Trauma and Dissociation

Correction

Past Issues

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