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American Journal of Psychiatry

  • Volume 160
  • Number 8
  • August 2003

In This Issue

Editorial

Reviews and Overviews

Publication date: 01 August 2003

Pages1373–1384

OBJECTIVE: Only in the last 30 years has psychiatry begun to develop empirical approaches to conceptualizing and assessing positive mental health. Six models of mental health are reviewed here. METHOD: The author points out pitfalls in research on mental ...

https://doi.org/10.1176/appi.ajp.160.8.1373

Publication date: 01 August 2003

Pages1385–1391

OBJECTIVE: In the past few decades about 1,000 controlled studies have examined the effects of mental health prevention programs, but few studies have examined the effects of such programs on the incidence of new cases of mental disorders defined ...

https://doi.org/10.1176/appi.ajp.160.8.1385

Images in Neuroscience

Introspections

Images in Psychiatry

Article

Publication date: 01 August 2003

Pages1405–1412

OBJECTIVE: Most controlled studies comparing second-generation and conventional antipsychotics have focused on the acute treatment of schizophrenia. The authors compared symptom outcomes, side effects, and social adjustment in stable schizophrenia ...

https://doi.org/10.1176/appi.ajp.160.8.1405

Publication date: 01 August 2003

Pages1421–1427

OBJECTIVE: The study was designed to assess the predictive relationship between brain structure volume and positive and negative symptom response to clozapine and haloperidol. METHOD: Partially responsive outpatients with schizophrenia who participated in ...

https://doi.org/10.1176/appi.ajp.160.8.1421

Publication date: 01 August 2003

Pages1428–1431

OBJECTIVE: This study characterized infant drug doses and breast-milk-to-plasma area-under-the-curve ratios for olanzapine and determined plasma concentrations and effects of this drug on breast-feeding infants. METHOD: Seven mother-infant nursing pairs ...

https://doi.org/10.1176/appi.ajp.160.8.1428

Publication date: 01 August 2003

Pages1432–1438

OBJECTIVE: Recently, pharmacological treatment guidelines for panic disorder have changed as newer treatment options have become available. The authors examined how the use of psychotropic drugs has shifted over the course of 10 years to determine if ...

https://doi.org/10.1176/appi.ajp.160.8.1432

Publication date: 01 August 2003

Pages1439–1441

OBJECTIVE: This study examined neural activation of facial stimuli in autism when the salience of emotional cues was increased by prosodic information. METHOD: Regional cerebral blood flow (rCBF) was measured while eight high-functioning men with autism ...

https://doi.org/10.1176/appi.ajp.160.8.1439

Publication date: 01 August 2003

Pages1442–1452

OBJECTIVE: The diagnosis of bipolar disorder in juveniles is controversial. This study was designed to compare proton magnetic resonance spectroscopy (1H MRS) in patients with bipolar disorder or intermittent explosive disorder, two groups with ...

https://doi.org/10.1176/appi.ajp.160.8.1442

Publication date: 01 August 2003

Pages1453–1460

OBJECTIVE: This study examined the prevalence of a history of various combinations of childhood maltreatment types (physical abuse, sexual abuse, and witnessing of maternal battering) among adult members of a health maintenance organization (HMO) and ...

https://doi.org/10.1176/appi.ajp.160.8.1453

Publication date: 01 August 2003

Pages1461–1469

OBJECTIVE: Many youths with conduct and substance use problems experience abuse and neglect. A valid measure of the severity of abuse-neglect events could facilitate research and clinical care. The authors’ goal was to examine the discriminative validity, ...

https://doi.org/10.1176/appi.ajp.160.8.1461

Publication date: 01 August 2003

Pages1470–1478

OBJECTIVE: Violence and homicide are more prevalent in Colombia, South America, than in the United States, but the role of psychosocial factors in the violent behavior of Colombian adolescents remains unclear. The objective of the study was to identify ...

https://doi.org/10.1176/appi.ajp.160.8.1470

Publication date: 01 August 2003

Pages1479–1485

OBJECTIVE: This study compared ratings for self-reported behavioral and emotional problems in adolescents from seven countries. METHOD: Youth Self-Report scores were analyzed for 7,137 adolescents ages 11–18 years from general population samples from ...

https://doi.org/10.1176/appi.ajp.160.8.1479

Publication date: 01 August 2003

Pages1486–1493

OBJECTIVE: The authors sought to determine 1) whether the risk for familial transmission of suicidal behavior is greater with increased family loading for suicide attempts, and 2) whether the transmission of suicidal behavior is mediated by impulsive ...

https://doi.org/10.1176/appi.ajp.160.8.1486

Publication date: 01 August 2003

Pages1494–1500

OBJECTIVE: The authors compared the characteristics of suicide attempters with and without comorbid psychiatric and personality disorders to identify factors that explain the high suicide risk associated with psychiatric comorbidity. METHOD: A ...

https://doi.org/10.1176/appi.ajp.160.8.1494

Publication date: 01 August 2003

Pages1501–1508

OBJECTIVE: Research on deliberate self-harm (intentionally injuring oneself without suicidal intent) has focused on clinical and forensic populations. Studying only these populations, which typically have serious psychopathology, may lead to inflated ...

https://doi.org/10.1176/appi.ajp.160.8.1501

Publication date: 01 August 2003

Pages1509–1513

OBJECTIVE: This study compared patients with kleptomania, patients with alcohol abuse or dependence, and psychiatric patients without impulse-control disorders or substance-related disorders on several key psychopathological dimensions. In addition, the ...

https://doi.org/10.1176/appi.ajp.160.8.1509

Brief Report

Publication date: 01 August 2003

Pages1514–1516

OBJECTIVE: The authors’ goal was to explore whether clozapine given as the first antipsychotic treatment favorably affects the course of schizophrenia. METHOD: Thirty-four inpatients experiencing their first episode of schizophrenia or schizoaffective ...

https://doi.org/10.1176/appi.ajp.160.8.1514

Publication date: 01 August 2003

Pages1516–1518

OBJECTIVE: The purpose of this study was to investigate the effect of antidepressant treatment on hippocampal volumes in patients with major depression. METHOD: For 38 female outpatients, the total time each had been in a depressive episode was divided ...

https://doi.org/10.1176/appi.ajp.160.8.1516

Publication date: 01 August 2003

Pages1519–1522

OBJECTIVE: The authors examined the effect of a 4-week course of estrogen therapy on depression in perimenopausal and postmenopausal women. METHOD: Twenty-two depressed women who were either perimenopausal (N=10) or postmenopausal (N=12) received open-...

https://doi.org/10.1176/appi.ajp.160.8.1519

Publication date: 01 August 2003

Pages1522–1524

OBJECTIVE: This study investigated the effect of estrogen on brain serotonin 2A (5-HT2A) receptors in postmenopausal women and whether there was any correlation of receptor changes with cognition and mood. METHOD: Ten postmenopausal subjects underwent ...

https://doi.org/10.1176/appi.ajp.160.8.1522

Publication date: 01 August 2003

Pages1525–1526

OBJECTIVE: The aim was to compare the rates of suicide in family members of suicide victims and comparison subjects who died of other causes. METHOD: The Swedish cause of death register identified all suicides in subjects born between 1949 and 1969 (N=8,...

https://doi.org/10.1176/appi.ajp.160.8.1525

Publication date: 01 August 2003

Pages1527–1529

OBJECTIVE: To explore the ways in which psychiatry residents conceptualize the terms “mood” and “affect,” a 14-item questionnaire was sent to residency programs in New York. METHOD: The questions consisted of possible definitions of mood and affect; all ...

https://doi.org/10.1176/appi.ajp.160.8.1527

Book Forum: Psychotherapy

Book Forum: Clinical Practice

Book Forum: The Patient’s Perspective

Book Forum: Medical Psychiatry

Correction

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