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American Journal of Psychiatry

  • Volume 161
  • Number 3
  • March 2004

In This Issue

Editorial

Reviews and Overviews

Publication date: 01 March 2004

Pages398–413

OBJECTIVE: This overview focuses on neurobiological abnormalities found in subjects with schizotypal personality disorder, the prototype of the schizophrenia spectrum disorders, and chronic schizophrenia in the context of common vulnerabilities shared by ...

https://doi.org/10.1176/appi.ajp.161.3.398

Publication date: 01 March 2004

Pages414–425

OBJECTIVE: Based on lower rates of acute extrapyramidal side effects associated with second-generation antipsychotics, compared to first-generation antipsychotics, and based on preliminary data, second-generation antipsychotics are expected to cause less ...

https://doi.org/10.1176/appi.ajp.161.3.414

Images in Neuroscience

Introspections

Clinical Case Conference

Images in Psychiatry

Article

Publication date: 01 March 2004

Pages437–443

OBJECTIVE: Individuals with a differing number of past suicide attempts are generally considered a homogeneous group, despite emerging evidence to the contrary. The current study aimed to test the hypothesis that multiple suicide attempters would exhibit ...

https://doi.org/10.1176/appi.ajp.161.3.437

Publication date: 01 March 2004

Pages444–451

OBJECTIVE: Borrowing from recent dimensional models of psychopathology, the authors conducted analyses that optimized the common variance shared by internalizing (depression, anxiety) and externalizing (antisocial personality, substance dependence) ...

https://doi.org/10.1176/appi.ajp.161.3.444

Publication date: 01 March 2004

Pages452–458

OBJECTIVE: Data on risk factors for suicide in blacks in the United States are needed, given the dramatic increase in the black suicide rate from 1980 to 1997. The 1993 National Mortality Followback Survey represented an unprecedented opportunity to ...

https://doi.org/10.1176/appi.ajp.161.3.452

Publication date: 01 March 2004

Pages459–465

OBJECTIVE: Men are more violent than women in the general population, but this has not been found to be the case among psychiatric inpatients. The reason for this exception is poorly understood. The present study investigated gender differences in violent ...

https://doi.org/10.1176/appi.ajp.161.3.459

Publication date: 01 March 2004

Pages466–472

OBJECTIVE: The authors examined the relationship of neurocognitive function with duration of untreated psychosis, premorbid illness factors, and clinical symptoms to determine whether long duration of untreated psychosis independently compromises ...

https://doi.org/10.1176/appi.ajp.161.3.466

Publication date: 01 March 2004

Pages473–479

OBJECTIVE: Follow-up studies have found that a substantial number of patients with schizophrenia achieve full recovery (i.e., sustained improvement in both symptoms and social/vocational functioning) when examined decades after an index admission. This ...

https://doi.org/10.1176/appi.ajp.161.3.473

Publication date: 01 March 2004

Pages490–500

OBJECTIVE: It has been suggested that increased variability of prefrontal physiological responses may represent a fundamental mechanism underlying frontal lobe deficits in schizophrenia. Increased response variability (“noise”) is thought to result from ...

https://doi.org/10.1176/appi.ajp.161.3.490

Publication date: 01 March 2004

Pages501–506

OBJECTIVE: The purpose of the study was to assess the independent influences of gender and cannabis use on milestones of early course in schizophrenia. METHOD: In this population-based, first-contact incidence study conducted in The Hague, the Netherlands,...

https://doi.org/10.1176/appi.ajp.161.3.501

Publication date: 01 March 2004

Pages507–514

OBJECTIVE: Accurate information regarding the psychopathological consequences of surviving traumatic injury is of great importance for effective health service design and planning. Regrettably, existing studies vary dramatically in reported prevalence ...

https://doi.org/10.1176/appi.ajp.161.3.507

Publication date: 01 March 2004

Pages515–524

OBJECTIVE: The efficacy of repetitive transcranial magnetic stimulation (rTMS) of the right prefrontal cortex was studied in patients with posttraumatic stress disorder (PTSD) under double-blind, placebo-controlled conditions. METHOD: Twenty-four patients ...

https://doi.org/10.1176/appi.ajp.161.3.515

Publication date: 01 March 2004

Pages525–531

OBJECTIVE: A functional polymorphism has been described in the promoter region of the gene (SLC6A4) coding for the serotonin transporter protein (SERT). This polymorphism has two common alleles, designated as long and short. Each allele has been linked ...

https://doi.org/10.1176/appi.ajp.161.3.525

Publication date: 01 March 2004

Pages532–538

OBJECTIVE: Alzheimer’s disease pathology includes both histologic changes and neurotransmitter deficits. The cholinergic deficit contributes to both cognitive and behavioral disturbances, and cholinesterase inhibitors may improve behavior in Alzheimer’s ...

https://doi.org/10.1176/appi.ajp.161.3.532

Publication date: 01 March 2004

Pages539–546

OBJECTIVE: The broader autism phenotype includes relatives of individuals with autism who display social and language deficits that are qualitatively similar to those of autism but less severe. In previous studies of monozygotic twins discordant for ...

https://doi.org/10.1176/appi.ajp.161.3.539

Publication date: 01 March 2004

Pages547–555

OBJECTIVE: In a previous controlled study of offspring at risk for anxiety disorders, the authors found that parental panic disorder with comorbid major depression was associated with child behavioral inhibition, the temperamental tendency to be quiet and ...

https://doi.org/10.1176/appi.ajp.161.3.547

Publication date: 01 March 2004

Pages556–561

OBJECTIVE: The authors’ goal was to determine whether treatments known to be effective for bulimia nervosa in specialized treatment centers can be used successfully in primary health care settings. They examined the benefits of two treatments for bulimia: ...

https://doi.org/10.1176/appi.ajp.161.3.556

Brief Report

Publication date: 01 March 2004

Pages562–563

OBJECTIVE: Attempted suicide is the strongest known predictor of completed suicide. However, suicide risk declines over time after an attempt, and it is unclear how long the risk persists. Risk estimates are almost exclusively based on studies of less ...

https://doi.org/10.1176/appi.ajp.161.3.562

Publication date: 01 March 2004

Pages564–566

OBJECTIVE: Previous studies suggest that the dopamine agonist pramipexole may possess antidepressant properties. The authors conducted a preliminary randomized, placebo-controlled trial to determine the safety and antidepressant efficacy of pramipexole in ...

https://doi.org/10.1176/appi.ajp.161.3.564

Publication date: 01 March 2004

Pages567–569

OBJECTIVE: This study examined the association between the dietary intake of omega-3 fatty acids and low mood, major depression, and suicide. METHOD: A total of 29,133 men ages 50 to 69 years participated in a population-based trial in Finland. The intake ...

https://doi.org/10.1176/appi.ajp.161.3.567

Publication date: 01 March 2004

Pages569–572

OBJECTIVE: Association between the low-activity variant of a polymorphism in the transcriptional control region of the serotonin transporter (5-HTTLPR) and neuroticism or harm avoidance was found in several but not all studies. The authors analyzed the ...

https://doi.org/10.1176/appi.ajp.161.3.569

Publication date: 01 March 2004

Pages573–575

OBJECTIVE: This study used diffusion tensor imaging to examine fractional anisotropy in the anterior cingulum and posterior cingulum bundles in patients with schizophrenia. METHOD: Twenty-one male patients and 20 healthy comparison men were studied. ...

https://doi.org/10.1176/appi.ajp.161.3.573

Publication date: 01 March 2004

Pages576–578

OBJECTIVE: The authors present preliminary findings from the first nonhuman primate neuropathological study of ECT to use perfusion fixation and adequate controls and the first to compare ECT with magnetic seizure therapy, to their knowledge. METHOD: ...

https://doi.org/10.1176/appi.ajp.161.3.576

Letter to the Editor

Book Forum: Psychoneuroimmunology

Book Forum: Psychometric Testing

Book Forum: Neural Mechanisms of Illness

Book Forum: Substance Abuse and Comorbidity

Book Forum: Epidemiology

APA Official Actions

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