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American Journal of Psychiatry

  • Volume 158
  • Number 6
  • June 2001

Editorial

Reviews and Overviews

Publication date: 01 June 2001

Pages839–847

OBJECTIVE: Until now, prospective studies of aging have begun with 50–60-year-olds, not adolescents. Premature death, childhood variables, and alcohol abuse have been often ignored, as has successful aging. METHOD: The authors reviewed the existing ...

https://doi.org/10.1176/appi.ajp.158.6.839

Publication date: 01 June 2001

Pages848–856

OBJECTIVE: The authors developed a methodological basis for investigating how risk factors work together. Better methods are needed for understanding the etiology of disorders, such as psychiatric syndromes, that presumably are the result of complex ...

https://doi.org/10.1176/appi.ajp.158.6.848

Publication date: 01 June 2001

Pages857–864

OBJECTIVE: The authors reviewed the evidence for the claim that the Chinese tend to deny depression or express it somatically, examined the possible determinants of those characteristics, and explored implications of the findings for the diagnosis and ...

https://doi.org/10.1176/appi.ajp.158.6.857

Images in Neuroscience

Clinical Case Conference

Images in Psychiatry

Article

Publication date: 01 June 2001

Pages872–877

OBJECTIVE: The study examined the usefulness and clinical correlates of specific diagnostic criteria for apathy in Alzheimer’s disease. Whereas apathy is a frequent behavioral change in patients with Alzheimer’s disease, the lack of standardized ...

https://doi.org/10.1176/appi.ajp.158.6.872

Publication date: 01 June 2001

Pages885–891

OBJECTIVE: Stressful life events, long-term difficulties, and high neuroticism are established risk factors for depression. Less is known about their role in late-life depression, how they modify or mediate one another’s effects, and whether this differs ...

https://doi.org/10.1176/appi.ajp.158.6.885

Publication date: 01 June 2001

Pages892–898

OBJECTIVE: While benzodiazepine treatment is known to increase the risk of hip fracture in older populations, controversy persists over which characteristics of benzodiazepine use (e.g., elimination half-life, dosage, duration of use) are most associated ...

https://doi.org/10.1176/appi.ajp.158.6.892

Publication date: 01 June 2001

Pages906–912

OBJECTIVE: This study compared the efficacy and safety of paroxetine and imipramine with that of placebo in the treatment of bipolar depression in adult outpatients stabilized on a regimen of lithium. METHOD: In a double-blind, placebo-controlled study, ...

https://doi.org/10.1176/appi.ajp.158.6.906

Publication date: 01 June 2001

Pages913–917

OBJECTIVE: Puerperal psychosis, an episode of mania or psychosis precipitated by childbirth, follows approximately one in 1,000 deliveries. The evidence of clinical, outcome, and genetic studies supports the hypothesis that the majority of puerperal ...

https://doi.org/10.1176/appi.ajp.158.6.913

Publication date: 01 June 2001

Pages918–925

OBJECTIVE: Aberrant cholinergic inputs and synaptic neurotransmission in the prefrontal cortex induce cognitive impairment, which is a central feature of schizophrenia. Postsynaptic excitatory muscarinic cholinergic M1 and M4 receptors are the major ...

https://doi.org/10.1176/appi.ajp.158.6.918

Publication date: 01 June 2001

Pages926–930

OBJECTIVE: The authors’ goal was to test the hypothesis of extrastriatal D2 receptor selectivity as the mechanism of action of clozapine. METHOD: Positron emission tomography (PET) was used to examine extrastriatal as well as striatal dopamine D2 receptor ...

https://doi.org/10.1176/appi.ajp.158.6.926

Publication date: 01 June 2001

Pages931–937

OBJECTIVE: Clozapine has been found to be superior to typical neuroleptics in ameliorating the symptoms of refractory schizophrenia. This study evaluated clozapine’s effect on the rate of death due to suicide. METHOD: All patients over a 4-year period who ...

https://doi.org/10.1176/appi.ajp.158.6.931

Publication date: 01 June 2001

Pages938–943

OBJECTIVE: Previous research has noted functional and structural temporal lobe abnormalities in schizophrenia that relate to symptoms such as auditory hallucinations and thought disorder. The goal of the study was to determine whether the functional ...

https://doi.org/10.1176/appi.ajp.158.6.938

Publication date: 01 June 2001

Pages944–948

OBJECTIVE: Schizophrenia impairs performance on explicit, but not implicit, memory tasks, indicating that conscious awareness at retrieval is a critical determinant of impaired memory. The authors investigated implicit learning, i.e., knowledge ...

https://doi.org/10.1176/appi.ajp.158.6.944

Brief Report

Publication date: 01 June 2001

Pages949–951

OBJECTIVE: The authors’ goal was to determine what effect dyslipidemia has on clozapine’s plasma distribution. METHOD: [3H]Clozapine plus cold clozapine (335 ng/ml) were incubated in plasma samples with varying total cholesterol, lipoprotein cholesterol, ...

https://doi.org/10.1176/appi.ajp.158.6.949

Publication date: 01 June 2001

Pages952–954

OBJECTIVE: Previous imaging studies have described focal cortical changes in schizophrenia, with predominant findings of abnormalities in the temporal and frontal regions. The current study hypothesized that cerebellar regions involved in feedback and ...

https://doi.org/10.1176/appi.ajp.158.6.952

Publication date: 01 June 2001

Pages955–958

OBJECTIVE: Repeated functional magnetic resonance imaging (fMRI) studies of schizophrenic subjects may identify brain activity changes in response to interventions. To interpret the findings, however, it is crucial to know the test-retest reliability of ...

https://doi.org/10.1176/appi.ajp.158.6.955

Publication date: 01 June 2001

Pages958–960

OBJECTIVE: Most phosphorus-31 magnetic resonance spectroscopy (31P-MRS) studies have described measures of lower membrane anabolism or greater catabolism in the frontal lobes of patients with schizophrenia. The purpose of the present study was to evaluate ...

https://doi.org/10.1176/appi.ajp.158.6.958

Publication date: 01 June 2001

Pages960–962

OBJECTIVE: Serious defects in social skills acquired during childhood may be associated with aggressive behavior in later life. The authors studied whether being an only child was associated with criminality in adulthood and, secondly, if parental factors ...

https://doi.org/10.1176/appi.ajp.158.6.960

Letter to the Editor

Book Forum: Child Psychiatry

Book Forum: Religion and Ethics

Book Forum: History: Changes and Challenges

Book Forum: Social Issues

Correction

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