American Journal of Psychiatry
- Volume 160
- Number 7
- July 2003
In This Issue
Editorial
Reviews and Overviews
Publication date: 01 July 2003
Pages1209–1222OBJECTIVE: The authors performed a systematic review and meta-analysis of studies of the potential of new-generation antipsychotic drugs to improve adherence and decrease relapse rates in patients with schizophrenia. METHOD: Randomized, controlled trials ...
https://doi.org/10.1176/appi.ajp.160.7.1209Publication date: 01 July 2003
Pages1223–1232OBJECTIVE: The authors conducted a meta-analysis to address the effectiveness of psychodynamic therapy and cognitive behavior therapy in the treatment of personality disorders. METHOD: Studies of psychodynamic therapy and cognitive behavior therapy that ...
https://doi.org/10.1176/appi.ajp.160.7.1223Publication date: 01 July 2003
Pages1233–1241OBJECTIVE: The authors assess the present position of catatonia in diagnostic classification systems and consider the merits of designating catatonia as a separate diagnostic category with defined criteria. METHOD: Following the logical steps to establish ...
https://doi.org/10.1176/appi.ajp.160.7.1233Images in Neuroscience
Introspections
Clinical Case Conference
Images in Psychiatry
Article
Publication date: 01 July 2003
Pages1252–1262OBJECTIVE: While guidelines for treating patients with bipolar depression recommend discontinuing antidepressants within 6 months after remission, few studies have assessed the implications of this strategy on the risk for depressive relapse. This study ...
https://doi.org/10.1176/appi.ajp.160.7.1252Publication date: 01 July 2003
Pages1263–1271OBJECTIVE: Few double-blind trials have compared longer-term efficacy and safety of medications for bipolar disorder. The authors report a 47-week comparison of olanzapine and divalproex. METHOD: This 47-week, randomized, double-blind study compared ...
https://doi.org/10.1176/appi.ajp.160.7.1263Publication date: 01 July 2003
Pages1272–1276OBJECTIVE: The use of placebos is a necessary, if controversial, part of determining the efficacy of new antidepressants in randomized clinical trials. Such studies need to convey accurate and useful risk-benefit information to subjects since effective ...
https://doi.org/10.1176/appi.ajp.160.7.1272Publication date: 01 July 2003
Pages1277–1285OBJECTIVE: There have been few placebo-controlled trials of selective serotonin reuptake inhibitors for depressed elderly patients. This placebo-controlled study of sertraline was designed to confirm the results of non-placebo-controlled trials. METHOD: ...
https://doi.org/10.1176/appi.ajp.160.7.1277Publication date: 01 July 2003
Pages1286–1290OBJECTIVE: This study assessed treatment rates and expenditures for behavioral health care by employers and behavioral health care patients in a large national database of employer-sponsored health insurance claims. METHOD: Insurance claims from 1996 from ...
https://doi.org/10.1176/appi.ajp.160.7.1286Publication date: 01 July 2003
Pages1291–1298OBJECTIVE: Previous studies using the 1.0-mg dexamethasone suppression test (DST) in subjects with personality disorders have produced mixed results. However, these studies focused on major depression and did not consider the possible effects of the ...
https://doi.org/10.1176/appi.ajp.160.7.1291Publication date: 01 July 2003
Pages1298–1304OBJECTIVE: Neurological abnormalities are frequently seen in patients with first-episode psychotic disorders but are generally considered to be diagnostically nonspecific, neurologically nonlocalizing, and, hence, “soft.” This study examined the ...
https://doi.org/10.1176/appi.ajp.160.7.1298Publication date: 01 July 2003
Pages1305–1312OBJECTIVE: In patients with schizophrenia, impaired hippocampal activation either during encoding or recognition tasks has been observed in a few functional imaging experiments. In this fMRI study, the authors report results of word encoding and ...
https://doi.org/10.1176/appi.ajp.160.7.1305Publication date: 01 July 2003
Pages1313–1319OBJECTIVE: Clinical, familial, and, more recently, genetic linkage studies suggest that overlapping genetic susceptibility might contribute to both schizophrenia and bipolar disorder. To identify a potential psychotic dimension common to families of both ...
https://doi.org/10.1176/appi.ajp.160.7.1313Publication date: 01 July 2003
Pages1320–1325OBJECTIVE: Regular measurement of craving during treatment for cocaine dependence can monitor patients’ clinical status and potentially assess their risk for drug use in the near future. Effective treatment can reduce the correlation between craving and ...
https://doi.org/10.1176/appi.ajp.160.7.1320Publication date: 01 July 2003
Pages1326–1331OBJECTIVE: Epidemiological studies of eating disorders in the United States have focused on white women and girls, and the prevalence of eating disorders in ethnic minority groups is unknown. This study examined the prevalence of anorexia nervosa, bulimia ...
https://doi.org/10.1176/appi.ajp.160.7.1326Publication date: 01 July 2003
Pages1332–1336OBJECTIVE: In the Netherlands, it is considered good medical practice to offer patients with gender identity disorder the option to undergo hormonal and surgical sex reassignment therapy. A liberalization of treatment guidelines now allows for such ...
https://doi.org/10.1176/appi.ajp.160.7.1332Brief Report
Publication date: 01 July 2003
Pages1337–1339OBJECTIVE: The authors prospectively examined the power of peritraumatic dissociation and acute stress symptoms in predicting posttraumatic stress disorder (PTSD) symptoms. METHOD: Thirty-five assault victims were assessed with the Peritraumatic ...
https://doi.org/10.1176/appi.ajp.160.7.1337Publication date: 01 July 2003
Pages1339–1341OBJECTIVE: Earlier studies have shown that symptoms of traumatic grief are distinct from those of bereavement-related depression and anxiety. This study was an attempt to replicate that finding. METHOD: Data were derived from 103 patients. Traumatic grief ...
https://doi.org/10.1176/appi.ajp.160.7.1339Publication date: 01 July 2003
Pages1342–1345OBJECTIVE: The authors assessed the relationship between the hypothalamic-pituitary-adrenal (HPA) axis response to interferon-alpha (IFN-α) and the development of major depression during IFN-α treatment. METHOD: Adrenocorticotropic hormone (ACTH), ...
https://doi.org/10.1176/appi.ajp.160.7.1342Publication date: 01 July 2003
Pages1345–1347OBJECTIVE: This study investigated whether the functional abnormalities in prefrontal systems observed in adult bipolar disorder are manifested in adolescents with this illness. METHOD: Ten adolescents with bipolar disorder and 10 healthy comparison ...
https://doi.org/10.1176/appi.ajp.160.7.1345Publication date: 01 July 2003
Pages1348–1350OBJECTIVE: The authors compared the new extended-release and standard preparations of divalproex sodium. METHOD: Twelve patients with DSM-IV bipolar disorder or schizoaffective disorder who were clinically stable while taking the standard form of ...
https://doi.org/10.1176/appi.ajp.160.7.1348Publication date: 01 July 2003
Pages1350–1353OBJECTIVE: The authors prospectively examined inpatient psychiatric hospitalization and mortality rates of psychiatric patients seen in the emergency room of a large Department of Veterans Affairs medical center. METHOD: Charts of 504 patients receiving ...
https://doi.org/10.1176/appi.ajp.160.7.1350Publication date: 01 July 2003
Pages1353–1354OBJECTIVE: This government-commissioned survey gauged the prevalence of problem and pathological gambling in the general population of Hong Kong and advised the government on preventative and treatment services. METHOD: A modified Chinese version of the ...
https://doi.org/10.1176/appi.ajp.160.7.1353