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American Journal of Psychiatry

  • Volume 161
  • Number 8
  • August 2004

In This Issue

Editorial

Reviews and Overviews

Publication date: 01 August 2004

Pages1324–1333

OBJECTIVE: 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.161.8.1324

Publication date: 01 August 2004

Pages1350–1365

OBJECTIVE: 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.161.8.1350

Images in Neuroscience

Introspections

Images in Psychiatry

Article

Publication date: 01 August 2004

Pages1370–1376

OBJECTIVE: 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.161.8.1370

Publication date: 01 August 2004

Pages1377–1383

OBJECTIVE: 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.161.8.1377

Publication date: 01 August 2004

Pages1384–1389

OBJECTIVE: 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.161.8.1384

Publication date: 01 August 2004

Pages1390–1396

OBJECTIVE: 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.161.8.1390

Publication date: 01 August 2004

Pages1397–1403

OBJECTIVE: 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.161.8.1397

Publication date: 01 August 2004

Pages1404–1410

OBJECTIVE: 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.161.8.1404

Publication date: 01 August 2004

Pages1411–1416

OBJECTIVE: 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.161.8.1411

Publication date: 01 August 2004

Pages1426–1432

OBJECTIVE: 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.161.8.1426

Publication date: 01 August 2004

Pages1433–1441

OBJECTIVE: 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.161.8.1433

Publication date: 01 August 2004

Pages1442–1446

OBJECTIVE: 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.161.8.1442

Publication date: 01 August 2004

Pages1447–1454

OBJECTIVE: 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.161.8.1447

Publication date: 01 August 2004

Pages1463–1470

OBJECTIVE: 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.161.8.1463

Publication date: 01 August 2004

Pages1471–1476

OBJECTIVE: 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.161.8.1471

Publication date: 01 August 2004

Pages1477–1482

OBJECTIVE: 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.161.8.1477

Brief Report

Publication date: 01 August 2004

Pages1483–1485

OBJECTIVE: 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.161.8.1483

Publication date: 01 August 2004

Pages1485–1487

OBJECTIVE: 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.161.8.1485

Publication date: 01 August 2004

Pages1488–1490

OBJECTIVE: 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.161.8.1488

Publication date: 01 August 2004

Pages1490–1493

OBJECTIVE: 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.161.8.1490

Publication date: 01 August 2004

Pages1496–1498

OBJECTIVE: 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.161.8.1496

Letter to the Editor

Book Forum: Personality Disorders

Book Forum: Drug and Alcohol Abuse

Book Forum: Psychology

Book Forum: Childhood Disorders

Correction

APA Official Actions

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