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American Journal of Psychiatry

  • Volume 158
  • Number 9
  • September 2001

Editorial

Reviews and Overviews

Publication date: 01 September 2001

Pages1367–1377

OBJECTIVE: Research has implicated dysfunction of glutamatergic neurotransmission in the pathophysiology of schizophrenia. This review evaluates evidence from preclinical and clinical studies that brain glutamatergic neurotransmission is altered in ...

https://doi.org/10.1176/appi.ajp.158.9.1367

Publication date: 01 September 2001

Pages1378–1383

OBJECTIVE: Psychiatrists are under immense ethical pressure when practicing in circumstances that reasonable, informed colleagues would regard as not “good enough” in that they do not adequately meet the needs of patients and patients’ families. This ...

https://doi.org/10.1176/appi.ajp.158.9.1378

Images in Neuroscience

Clinical Case Conference

Images in Psychiatry

Article

Publication date: 01 September 2001

Pages1393–1399

OBJECTIVE: Recent investigations of schizophrenia have targeted glutamatergic neurotransmission, since phencyclidine, an N-methyl-d-aspartate (NMDA) receptor antagonist, can induce schizophreniform psychosis. The authors previously reported alterations in ...

https://doi.org/10.1176/appi.ajp.158.9.1393

Publication date: 01 September 2001

Pages1400–1410

OBJECTIVE: The N-methyl-d-aspartic acid (NMDA) class of glutamate receptors has received attention in the pathophysiology of schizophrenia because of the similarity between some schizophrenic symptoms and symptoms caused by NMDA antagonists. To determine ...

https://doi.org/10.1176/appi.ajp.158.9.1400

Publication date: 01 September 2001

Pages1411–1422

OBJECTIVE: Neuronal number in the mediodorsal thalamic nucleus, the principal source of thalamic projections to the prefrontal cortex, has been reported to be lower in subjects with schizophrenia. The authors tested the hypothesis that schizophrenia is ...

https://doi.org/10.1176/appi.ajp.158.9.1411

Publication date: 01 September 2001

Pages1423–1428

OBJECTIVE: The authors examined brain activity associated with the internal monitoring of performance to test the hypothesis that error-related activity in the anterior cingulate cortex is impaired in patients with schizophrenia. METHOD: Seventeen ...

https://doi.org/10.1176/appi.ajp.158.9.1423

Publication date: 01 September 2001

Pages1429–1436

OBJECTIVE: The authors sought to identify brain mechanisms underlying the well-documented facial affect recognition deficit in patients with schizophrenia. Since this deficit is stable over the course of the illness and relatively specific for ...

https://doi.org/10.1176/appi.ajp.158.9.1429

Publication date: 01 September 2001

Pages1437–1440

OBJECTIVE: Dichotic listening techniques have been used to study hemispheric dominance for language in schizophrenia. The authors’ goal was to compare subjects with paranoid and undifferentiated subtypes of schizophrenia. METHOD: The Fused Rhymed Words ...

https://doi.org/10.1176/appi.ajp.158.9.1437

Publication date: 01 September 2001

Pages1441–1448

OBJECTIVE: Follow-up studies of cognitive functions of poor-outcome (long-term institutionalized) elderly patients with schizophrenia have demonstrated deterioration over time, while stable cognitive functions over time have been reported for younger, ...

https://doi.org/10.1176/appi.ajp.158.9.1441

Publication date: 01 September 2001

Pages1449–1454

OBJECTIVE: The assumption that psychotic patients assigned to placebo in clinical trials of antipsychotics are exposed to substantial morbidity and mortality is not based on data about what actually happens to such patients. This study assesses symptoms ...

https://doi.org/10.1176/appi.ajp.158.9.1449

Publication date: 01 September 2001

Pages1455–1460

OBJECTIVE: Binge eating disorder was introduced in DSM-IV as a psychiatric disorder needing further study. This community-based study describes the relationship between race and clinical functioning in black and white women with and without binge eating ...

https://doi.org/10.1176/appi.ajp.158.9.1455

Publication date: 01 September 2001

Pages1461–1466

OBJECTIVE: This study reported pregnancy complications and neonatal outcomes for 49 live births in a group of women with eating disorders who were prospectively followed. METHOD: Subjects were recruited from 246 women participating in a longitudinal study ...

https://doi.org/10.1176/appi.ajp.158.9.1461

Publication date: 01 September 2001

Pages1467–1473

OBJECTIVE: Reliance on the categorical model of psychiatric disorders has led to neglected study of posttraumatic sequelae that fall short of full criteria for posttraumatic stress disorder (PTSD). Substantial disability and suicidal risk is associated ...

https://doi.org/10.1176/appi.ajp.158.9.1467

Publication date: 01 September 2001

Pages1474–1479

OBJECTIVE: The authors examined the longitudinal changes in posttraumatic stress disorder (PTSD) symptom levels and prevalence rates over a 4-year time period among American former prisoners of war (POWs) from World War II and the Korean War. ...

https://doi.org/10.1176/appi.ajp.158.9.1474

Publication date: 01 September 2001

Pages1480–1485

OBJECTIVE: Meeting criterion A2 for the diagnosis of posttraumatic stress disorder (PTSD) in DSM-IV requires that an individual have high levels of distress during or after the traumatic event. Because of the paucity of valid and reliable instruments for ...

https://doi.org/10.1176/appi.ajp.158.9.1480

Publication date: 01 September 2001

Pages1486–1491

OBJECTIVE: Women have higher rates of posttraumatic stress disorder (PTSD) than men. The authors examined prior trauma, PTSD, major depression, anxiety disorder not including PTSD, and peritraumatic dissociation; current peritraumatic dissociation; and ...

https://doi.org/10.1176/appi.ajp.158.9.1486

Publication date: 01 September 2001

Pages1492–1499

OBJECTIVE: There is growing interest in distinguishing the biological bases of sex differences in behavior from environmental influences. Sex hormone levels seem to be related to some cognitive abilities, particularly memory, and the dopaminergic system ...

https://doi.org/10.1176/appi.ajp.158.9.1492

Publication date: 01 September 2001

Pages1500–1505

OBJECTIVE: The characteristics of male and female gamblers utilizing a gambling helpline were examined to identify gender-related differences. METHOD: The authors performed logistic regression analyses on data obtained in 1998–1999 from callers to a ...

https://doi.org/10.1176/appi.ajp.158.9.1500

Brief Report

Publication date: 01 September 2001

Pages1506–1508

OBJECTIVE: The effects of a treatment program targeting debilitating grief symptoms were tested in a pilot study. METHOD: Twenty-one individuals experiencing traumatic grief were recruited for participation, and 13 completed the full 4-month protocol. The ...

https://doi.org/10.1176/appi.ajp.158.9.1506

Publication date: 01 September 2001

Pages1509–1511

OBJECTIVE: This study assessed the relationship between posttraumatic stress symptoms and salivary cortisol levels after a severe ice storm. METHOD: Posttraumatic stress symptoms (Impact of Event Scale scores) and salivary cortisol levels were determined ...

https://doi.org/10.1176/appi.ajp.158.9.1509

Publication date: 01 September 2001

Pages1511–1514

OBJECTIVE: The authors’ goal was to conduct a double-blind trial of vitamin B6 in the treatment of tardive dyskinesia in patients with schizophrenia. METHOD: Fifteen inpatients with schizophrenia who met research diagnostic criteria for tardive dyskinesia ...

https://doi.org/10.1176/appi.ajp.158.9.1511

Publication date: 01 September 2001

Pages1514–1516

OBJECTIVE: Preclinical evidence exists for the anxiolytic activity of atrial natriuretic peptide, which is released during lactate-induced panic attacks. Atrial natriuretic peptide receptor modulation may have antipanic activity in patients with panic ...

https://doi.org/10.1176/appi.ajp.158.9.1514

Publication date: 01 September 2001

Pages1517–1519

OBJECTIVE: Age-related decrease in dopamine D2 receptors is associated with cognitive decline in healthy elderly individuals. This study was an investigation of whether the dopamine receptor agonist piribedil improves global cognitive function in patients ...

https://doi.org/10.1176/appi.ajp.158.9.1517

Publication date: 01 September 2001

Pages1519–1521

OBJECTIVE: The authors examined trends in the prevalence of substance use and its relationship to attributes of life style among college students over a 30-year period. METHOD: They distributed anonymous questionnaires to 796 seniors at a large New ...

https://doi.org/10.1176/appi.ajp.158.9.1519

Publication date: 01 September 2001

Pages1521–1524

OBJECTIVE: It is established that patients with bipolar disorder have an excess of births in winter or early spring. The authors investigated a link between season of birth and white matter lesions with magnetic resonance imaging (MRI). METHOD: T2-...

https://doi.org/10.1176/appi.ajp.158.9.1521

Publication date: 01 September 2001

Pages1524–1526

OBJECTIVE: The characteristics of patients who cycle from mania to major depression and the frequencies of these cycles remain poorly understood. METHOD: This study compared 28 patients with a first episode of mania who cycled into a major depressive ...

https://doi.org/10.1176/appi.ajp.158.9.1524

Letter to the Editor

Book Forum: Psychopharmacology

Book Forum: Alternative Medicine

Book Forum: Cultural and Ethnic Issues

Book Forum: Sleep and Dreaming

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