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American Journal of Psychiatry

  • Volume 161
  • Number 4
  • April 2004

In This Issue

Editorial

Reviews and Overviews

Publication date: 01 April 2004

Pages598–607

OBJECTIVE: A number of studies have used magnetic resonance imaging to examine volumetric differences in temporal structures in subjects suffering from major depressive disorder. Studies have reported lower hippocampal and amygdala volume, but results ...

https://doi.org/10.1176/appi.ajp.161.4.598

Publication date: 01 April 2004

Pages608–620

OBJECTIVE: Bipolar disorder affects 0.5%–1.5% of individuals in the United States. The typical age at onset is late adolescence or early adulthood, placing women at risk for episodes throughout their reproductive years. General guidelines for the ...

https://doi.org/10.1176/appi.ajp.161.4.608

Images in Neuroscience

Introspections

Images in Psychiatry

Article

Publication date: 01 April 2004

Pages625–630

OBJECTIVE: The age at onset of bipolar disorder is associated with clinical features of the illness, including duration, severity, and pattern of comorbidity with other disorders. Age at onset is familial and heritable, and it correlates inversely with ...

https://doi.org/10.1176/appi.ajp.161.4.625

Publication date: 01 April 2004

Pages631–636

OBJECTIVE: Three potent risk factors for major depression are female sex, the personality trait of neuroticism, and adversity resulting from exposure to stressful life events. Little is known about how they interrelate in the etiology of depressive ...

https://doi.org/10.1176/appi.ajp.161.4.631

Publication date: 01 April 2004

Pages637–645

OBJECTIVE: Prior studies showed that subjects with major depression have deficits in hippocampal-based verbal declarative memory (e.g., recall of a paragraph) and in hippocampal and prefrontal cortical functioning and structure. The purpose of the present ...

https://doi.org/10.1176/appi.ajp.161.4.637

Publication date: 01 April 2004

Pages646–653

OBJECTIVE: The validity of the distinctions between dysthymic disorder, chronic major depressive disorder, and episodic major depressive disorder was examined in a family study of a large community sample of young adults. METHOD: First-degree relatives (N=...

https://doi.org/10.1176/appi.ajp.161.4.646

Publication date: 01 April 2004

Pages654–661

OBJECTIVE: Most depression treatment guidelines emphasize treatment with antidepressant medication and recommend that benzodiazepine use be minimized, particularly among elderly patients. However, little is known about patterns of benzodiazepine use in ...

https://doi.org/10.1176/appi.ajp.161.4.654

Publication date: 01 April 2004

Pages662–669

OBJECTIVE: Autism/autistic disorder (MIM number 209850) is a complex, largely genetic psychiatric disorder. The authors recently mapped a susceptibility locus for autism to chromosome region 2q24-q33 (MIM number 606053). In the present study, genes across ...

https://doi.org/10.1176/appi.ajp.161.4.662

Publication date: 01 April 2004

Pages670–676

OBJECTIVE: The relationship of parental alcohol or drug diagnosis to offspring personality was examined in a population-based sample of 17-year-old twins (568 girls and 479 boys) participating in the Minnesota Twin Family Study. Whether offspring ...

https://doi.org/10.1176/appi.ajp.161.4.670

Publication date: 01 April 2004

Pages677–684

OBJECTIVE: This study determined the long-term safety and effectiveness of risperidone in treating severe disruptive behavior in children with subaverage intelligence. METHOD: This 48-week, open-label extension included 107 children ages 5–12 years with ...

https://doi.org/10.1176/appi.ajp.161.4.677

Publication date: 01 April 2004

Pages685–691

OBJECTIVE: Children of fathers with substance use disorders are at increased risk for psychopathology, including conduct disorder, attention deficit hyperactivity disorder (ADHD), major depressive disorder, and anxiety disorders. This study examined the ...

https://doi.org/10.1176/appi.ajp.161.4.685

Publication date: 01 April 2004

Pages692–699

OBJECTIVE: The authors’ goal was to evaluate the relationship between adherence to treatment with antipsychotic medication and health expenditures. A secondary objective was to identify risk factors predictive of nonadherence. METHOD: Data included ...

https://doi.org/10.1176/appi.ajp.161.4.692

Publication date: 01 April 2004

Pages700–706

OBJECTIVE: Since use of multiple drugs to treat psychiatric patients is increasing, and research on this practice is rare, the authors carried out a retrospective case-control study of multiple versus single antipsychotic treatment in psychiatric ...

https://doi.org/10.1176/appi.ajp.161.4.700

Publication date: 01 April 2004

Pages707–715

Background: Previous studies have reported evidence of structural and functional abnormalities in the anterior cingulate cortex of patients with schizophrenia. METHOD: The authors studied 19 male patients with chronic schizophrenia and 15 healthy male ...

https://doi.org/10.1176/appi.ajp.161.4.707

Publication date: 01 April 2004

Pages716–727

OBJECTIVE: This study examined the pattern of criminal convictions in persons with schizophrenia over a 25-year period marked by both radical deinstitutionalization and increasing rates of substance abuse problems among persons with schizophrenia in the ...

https://doi.org/10.1176/appi.ajp.161.4.716

Publication date: 01 April 2004

Pages728–735

OBJECTIVE: A modified autonomous response (e.g., electrodermal activity) in subjects with alexithymia (a reduced ability to identify and communicate emotions) while processing emotional information is well known. However, the functional and ...

https://doi.org/10.1176/appi.ajp.161.4.728

Brief Report

Publication date: 01 April 2004

Pages736–738

OBJECTIVE: This study characterized cognitive functioning in elderly patients with bipolar disorder. METHOD: The cognitive functioning of 18 euthymic patients with a history of bipolar disorder I or II, ages 60 years and older, was tested with the Mini-...

https://doi.org/10.1176/appi.ajp.161.4.736

Publication date: 01 April 2004

Pages739–742

OBJECTIVE: Inhibition mediated by γ-aminobutyric acid at the axon initial segment of pyramidal neurons appears to be altered in the prefrontal cortex in schizophrenia. This study examined the densities and laminar distribution of axon initial segments ...

https://doi.org/10.1176/appi.ajp.161.4.739

Publication date: 01 April 2004

Pages742–744

OBJECTIVE: Morphological indications of abnormal circuitry have been detected in the prefrontal neuropil of patients with schizophrenia. The authors tested the hypothesis that schizophrenia is associated with smaller dendritic field size in layer V ...

https://doi.org/10.1176/appi.ajp.161.4.742

Publication date: 01 April 2004

Pages745–747

OBJECTIVE: Although it is well established that cerebral activation increases with higher task load, the potential effects of training have been investigated over brief periods only. Training is of potential clinical relevance since training programs are ...

https://doi.org/10.1176/appi.ajp.161.4.745

Publication date: 01 April 2004

Pages751–755

OBJECTIVE: Alcoholism carries a liability of balance and gait instability that persists with sobriety. Such deficits are less well documented in schizophrenia and may be compounded by comorbidity with alcoholism, which is prevalent in schizophrenia. ...

https://doi.org/10.1176/appi.ajp.161.4.751

Letter to the Editor

Book Forum: Psychosomatic Medicine

Book Forum: Other Subspecialties

Book Forum: Mind and Brain

Book Forum: Textbooks

Book Forum: Consulting Psychology

Correction

Publication date: 01 April 2004

Pages776-a–776https://doi.org/10.1176/ajp.161.4.776-a

Publication date: 01 April 2004

Pages776-b–776https://doi.org/10.1176/ajp.161.4.776-b

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