American Journal of Psychiatry
- Volume 161
- Number 8
- August 2004
In This Issue
Editorial
Reviews and Overviews
Publication date: 01 August 2004
Pages1324–1333OBJECTIVE: The aim of this article is to offer recommendations and rationale for gender-specific antipsychotic treatment. METHOD: The author summarizes reviews of recent literature in psychiatric clinical trials, pharmacology, drug safety, toxicology, ...
https://doi.org/10.1176/appi.ajp.161.8.1324Publication date: 01 August 2004
Pages1334–1349OBJECTIVE: Schizophrenia is associated with several chronic physical illnesses and a shorter life expectancy, compared with life expectancy in the general population. One approach to improving the health of patients with schizophrenia is to improve the ...
https://doi.org/10.1176/appi.ajp.161.8.1334Publication date: 01 August 2004
Pages1350–1365OBJECTIVE: Personality disorder researchers are currently evaluating a range of potential solutions to problems with the DSM-IV diagnostic categories. This article proposes changes to the diagnostic categories and criteria based on empirical findings from ...
https://doi.org/10.1176/appi.ajp.161.8.1350Images in Neuroscience
Introspections
Images in Psychiatry
Article
Publication date: 01 August 2004
Pages1370–1376OBJECTIVE: The events of Sept. 11, 2001, highlighted the importance of understanding the effects of trauma on disaster workers. To better plan for the health care of disaster workers, this study examined acute stress disorder, posttraumatic stress ...
https://doi.org/10.1176/appi.ajp.161.8.1370Publication date: 01 August 2004
Pages1377–1383OBJECTIVE: This study examined patterns of psychotropic medication use after the Sept. 11, 2001, terrorist attacks. METHOD: It drew from two large pharmacy data sets, one providing nationally representative aggregate projections for all U.S. prescriptions ...
https://doi.org/10.1176/appi.ajp.161.8.1377Publication date: 01 August 2004
Pages1384–1389OBJECTIVE: A wave of bombings struck France in 1995 and 1996, killing 12 people and injuring more than 200. The authors conducted follow-up evaluations with the victims in 1998 to determine the prevalence of and factors associated with posttraumatic ...
https://doi.org/10.1176/appi.ajp.161.8.1384Publication date: 01 August 2004
Pages1390–1396OBJECTIVE: Posttraumatic stress disorder (PTSD) and major depression occur frequently following traumatic exposure, both as separate disorders and concurrently. This raises the question of whether PTSD and depression are separate disorders in the ...
https://doi.org/10.1176/appi.ajp.161.8.1390Publication date: 01 August 2004
Pages1397–1403OBJECTIVE: Enhanced negative feedback and reduced adrenal output are two different models that have been put forth to explain the paradoxical observations of increased release of corticotropin-releasing factor in the face of low cortisol levels in ...
https://doi.org/10.1176/appi.ajp.161.8.1397Publication date: 01 August 2004
Pages1404–1410OBJECTIVE: One night of sleep deprivation induces a transient improvement in about 60% of depressed patients. Since depression is associated with abnormalities of the hypothalamic-pituitary-adrenal (HPA) axis, the authors measured cortisol secretion ...
https://doi.org/10.1176/appi.ajp.161.8.1404Publication date: 01 August 2004
Pages1411–1416OBJECTIVE: The phenomenology of grief among children and adolescents is not well studied. A syndrome of traumatic grief, distinct from depression and anxiety, has been described among bereaved adults. The purpose of this study was to describe the symptoms ...
https://doi.org/10.1176/appi.ajp.161.8.1411Publication date: 01 August 2004
Pages1417–1425OBJECTIVE: Data from depressed women with and without a history of childhood sexual abuse were used to characterize clinical features that distinguished the two groups and to examine relationships of childhood sexual abuse to lifetime deliberate self-harm ...
https://doi.org/10.1176/appi.ajp.161.8.1417Publication date: 01 August 2004
Pages1426–1432OBJECTIVE: The authors’ goal was to compare the efficacy of a manualized cognitive behavior therapy that addresses both posttraumatic stress disorder (PTSD) and substance abuse (seeking safety) with a manualized cognitive behavior therapy that addresses ...
https://doi.org/10.1176/appi.ajp.161.8.1426Publication date: 01 August 2004
Pages1433–1441OBJECTIVE: The authors investigated the predictive potential of a stress-diathesis model for suicidal behavior based on correlates of past suicidal acts. In this model, suicidal acts are precipitated by stressors such as life events or a major depressive ...
https://doi.org/10.1176/appi.ajp.161.8.1433Publication date: 01 August 2004
Pages1442–1446OBJECTIVE: Factors contributing to therapists’ severe distress after the suicide of a patient were investigated. METHOD: Therapists for 34 patients who died by suicide completed a semistructured questionnaire about their reactions, wrote case narratives, ...
https://doi.org/10.1176/appi.ajp.161.8.1442Publication date: 01 August 2004
Pages1447–1454OBJECTIVE: The purpose of the study was to examine potential correlates of outcome in patients treated for bipolar disorder. METHOD: During a 1-year period, 258 patients with DSM-IV bipolar disorder or schizoaffective disorder were rated with the ...
https://doi.org/10.1176/appi.ajp.161.8.1447Publication date: 01 August 2004
Pages1455–1462OBJECTIVE: The authors sought to determine whether integrated mental health services or enhanced referral to specialty mental health clinics results in greater engagement in mental health/substance abuse services by older primary care patients. METHOD: ...
https://doi.org/10.1176/appi.ajp.161.8.1455Publication date: 01 August 2004
Pages1463–1470OBJECTIVE: The aim of this study was to compare the effectiveness of three treatment models for personality disorder: 1) a long-term psychoanalytically oriented residential specialist program, 2) a phased “step-down” specialist psychosocial program that ...
https://doi.org/10.1176/appi.ajp.161.8.1463Publication date: 01 August 2004
Pages1471–1476OBJECTIVE: Telepsychiatry is an increasingly common method of providing psychiatric care, but randomized trials of telepsychiatric treatment compared to in-person treatment have not been done. The primary objective of this study was to compare treatment ...
https://doi.org/10.1176/appi.ajp.161.8.1471Publication date: 01 August 2004
Pages1477–1482OBJECTIVE: This study was designed to compare psychiatrists with other physicians on measures of academic performance before, during, and after medical school. METHOD: More than three decades of data for graduates of Jefferson Medical College (N=5,701) ...
https://doi.org/10.1176/appi.ajp.161.8.1477Brief Report
Publication date: 01 August 2004
Pages1483–1485OBJECTIVE: This study evaluated the psychopathological consequences of a single rape occurring in adult women. METHOD: The psychiatric symptoms reported by 40 women who were victims of rape during the previous 9 months as decided by a court of law were ...
https://doi.org/10.1176/appi.ajp.161.8.1483Publication date: 01 August 2004
Pages1485–1487OBJECTIVE: Placebo effects in treatment of three anxiety disorders were compared. METHOD: Treatment response and patients’ treatment expectancy were examined by using data from 70 patients with obsessive-compulsive disorder, social phobia, or panic ...
https://doi.org/10.1176/appi.ajp.161.8.1485Publication date: 01 August 2004
Pages1488–1490OBJECTIVE: Because elevated cortisol levels inhibit memory retrieval in healthy human subjects, the present study investigated whether cortisol administration might also reduce excessive retrieval of traumatic memories and related symptoms in patients ...
https://doi.org/10.1176/appi.ajp.161.8.1488Publication date: 01 August 2004
Pages1490–1493OBJECTIVE: The frequency and nature of sustained remission of schizophrenia are controversial. METHOD: The authors assessed the prevalence of sustained remission among 155 middle-aged and elderly outpatients living independently. They compared patients ...
https://doi.org/10.1176/appi.ajp.161.8.1490Publication date: 01 August 2004
Pages1494–1496OBJECTIVE: Schizophrenia is characterized by high suicide risk and low awareness of disorder. Although awareness has benefits for medication compliance and clinical outcome, it is unclear how it may relate to suicide risk in this population. METHOD: This ...
https://doi.org/10.1176/appi.ajp.161.8.1494Publication date: 01 August 2004
Pages1496–1498OBJECTIVE: In vivo imaging studies have revealed deregulated presynaptic or postsynaptic function of the midbrain dopaminergic system in patients with schizophrenia. To further delineate the neuropathological involvement of the presynaptic and ...
https://doi.org/10.1176/appi.ajp.161.8.1496Letter to the Editor
Book Forum: Personality Disorders
Book Forum: Drug and Alcohol Abuse
Book Forum: Psychology
Book Forum: Childhood Disorders
Correction
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