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American Journal of Psychiatry

  • Volume 162
  • Number 4
  • April 2005

In This Issue

Editorial

Reviews and Overviews

Publication date: 01 April 2005

Pages648–655

OBJECTIVE: The use of the terms “mind” and “brain” in psychiatry is often associated with a set of polarities. Concepts such as environment, psychosocial, and psychotherapy are linked with “mind,” while genes, biology, and medication are often associated ...

https://doi.org/10.1176/appi.ajp.162.4.648

Publication date: 01 April 2005

Pages656–662

OBJECTIVE: The purpose of this study was to assess the evidence base for the efficacy of light therapy in treating mood disorders. METHOD: The authors systematically searched PubMed (January 1975 to July 2003) to identify randomized, controlled trials of ...

https://doi.org/10.1176/appi.ajp.162.4.656

Images in Neuroscience

Introspections

Images in Psychiatry

Article

Publication date: 01 April 2005

Pages667–675

OBJECTIVE: Mild cognitive impairment has been regarded as a pre-Alzheimer condition, but some patients do not develop dementia. Given the available therapies for Alzheimer’s disease, early diagnosis is of paramount importance. The authors’ objective was ...

https://doi.org/10.1176/appi.ajp.162.4.667

Publication date: 01 April 2005

Pages676–682

OBJECTIVE: The only approved pharmacological approach for the symptomatic treatment of Alzheimer’s disease in Japan is the use of a cholinesterase inhibitor, donepezil hydrochloride. Recent in vivo and in vitro studies raise the possibility that ...

https://doi.org/10.1176/appi.ajp.162.4.676

Publication date: 01 April 2005

Pages691–698

OBJECTIVE: Executive dysfunction, possibly related to vascular pathology, has been well documented in patients with a first episode of major depressive disorder in later life (late-onset geriatric major depression). However, it is unclear whether the ...

https://doi.org/10.1176/appi.ajp.162.4.691

Publication date: 01 April 2005

Pages699–705

OBJECTIVE: Previous studies have found associations of magnetic resonance imaging (MRI) signal hyperintensities with depression in the elderly. The present study investigates the association in a younger community sample (age 60–64 years) of depressed ...

https://doi.org/10.1176/appi.ajp.162.4.699

Publication date: 01 April 2005

Pages705–710

OBJECTIVE: Antidepressant use increased substantially among older adults with the introduction of the new-generation medications such as the selective serotonin reuptake inhibitors. The authors analyzed data from two follow-up intervals—1986–1987 to 1989–...

https://doi.org/10.1176/appi.ajp.162.4.705

Publication date: 01 April 2005

Pages711–717

OBJECTIVE: The authors examine national patterns in psychotherapy for older adults with a diagnosis of depression and analyze correlates of psychotherapy use that is consistent with Agency for Health Care Policy and Research guidelines for duration of ...

https://doi.org/10.1176/appi.ajp.162.4.711

Publication date: 01 April 2005

Pages718–724

OBJECTIVE: This study compared time to first remission for elderly depressed patients in primary care for practices that implemented a care management model versus those providing usual care. In addition, it sought to identify risk factors for ...

https://doi.org/10.1176/appi.ajp.162.4.718

Publication date: 01 April 2005

Pages725–731

Contrary to popular belief, receiving a diagnosis of a devastating fatal disease does not exacerbate, and may even alleviate, the risk of suicide. Suicidal ideation was examined in 4,171 individuals in the Huntington Study Group database. Participants ...

https://doi.org/10.1176/appi.ajp.162.4.725

Publication date: 01 April 2005

Pages748–752

OBJECTIVE: Although anorexia nervosa was once thought to occur only in affluent societies, cases have now been documented across the globe. To examine whether anorexia nervosa emerges in societies undergoing socioeconomic transition, the authors studied ...

https://doi.org/10.1176/appi.ajp.162.4.748

Publication date: 01 April 2005

Pages753–757

OBJECTIVE: Most previous studies of mortality in anorexia nervosa patients have shown an increased risk of premature death but have been limited by methodological constraints. This study aimed to overcome some of these constraints by having a large ...

https://doi.org/10.1176/appi.ajp.162.4.753

Publication date: 01 April 2005

Pages758–766

OBJECTIVE: Schizophrenia is generally considered to be a neurodevelopmental disorder reflected in findings of neuropsychological impairments and neurological abnormality in patients and their relatives. The authors investigated whether neuropsychological ...

https://doi.org/10.1176/appi.ajp.162.4.758

Publication date: 01 April 2005

Pages767–773

OBJECTIVE: The authors examined the relationship between maternal antibody to toxoplasmosis and the risk of schizophrenia and other schizophrenia spectrum disorders in offspring. Toxoplasmosis is known to adversely affect fetal brain development. METHOD: ...

https://doi.org/10.1176/appi.ajp.162.4.767

Publication date: 01 April 2005

Pages781–787

OBJECTIVE: The inability to blind research participants to their experimental conditions is the Achilles’ heel of mental health services research. When one experimental condition receives more disappointed participants, or more satisfied participants, ...

https://doi.org/10.1176/appi.ajp.162.4.781

Brief Report

Publication date: 01 April 2005

Pages788–790

OBJECTIVE: The inability to taste phenylthiocarbamide (PTC) has been associated with medical and neurological illnesses not typically related to taste. The authors examined PTC sensitivity in schizophrenia patients and their non-ill relatives to determine ...

https://doi.org/10.1176/appi.ajp.162.4.788

Publication date: 01 April 2005

Pages790–792

OBJECTIVE: The authors’ goal was to investigate the distribution of metabolites and voxel composition in the pons and three cerebellar subregions and compare metabolite integral values and differences in voxel composition between patients with ...

https://doi.org/10.1176/appi.ajp.162.4.790

Publication date: 01 April 2005

Pages793–795

OBJECTIVE: This study longitudinally assessed previously validated dimensions of thought disorder—verbal underproductivity and disconnection—in geriatric schizophrenia and replicated previous cross-sectional differences in communication disorders. METHOD: ...

https://doi.org/10.1176/appi.ajp.162.4.793

Publication date: 01 April 2005

Pages796–798

OBJECTIVE: The authors’ goal was to determine if prescription of antidepressant medication plus olanzapine initiates a more rapid response than prescription of antidepressant alone. METHOD: Twenty patients with major depression were studied. For 2 weeks ...

https://doi.org/10.1176/appi.ajp.162.4.796

Publication date: 01 April 2005

Pages799–802

OBJECTIVE: The authors’ goal was to investigate whether there is a greater suicide risk in the placebo arms of placebo-controlled studies of active medication for the treatment of acute manic episode and the prevention of manic/depressive episode. If so, ...

https://doi.org/10.1176/appi.ajp.162.4.799

Publication date: 01 April 2005

Pages802–804

OBJECTIVE: The authors examined platelet serotonin reuptake inhibition and response to selective serotonin reuptake inhibitor (SSRI) treatment in depressed adolescents. METHOD: Twenty-three depressed adolescents participating in pharmacokinetic studies of ...

https://doi.org/10.1176/appi.ajp.162.4.802

Publication date: 01 April 2005

Pages805–807

OBJECTIVE: Data suggest the involvement of serotonergic and neurotrophic systems in major depressive disorder. To investigate their potential interaction, the authors studied changes in serum levels of brain-derived neurotrophic factor (BDNF) during ...

https://doi.org/10.1176/appi.ajp.162.4.805

Publication date: 01 April 2005

Pages807–809

OBJECTIVE: Neuroticism is a predisposing factor for major depression. The increase in salivary cortisol that follows waking provides a reliable measure of adrenocortical activity, and this response is increased in recovered depressed patients. This study ...

https://doi.org/10.1176/appi.ajp.162.4.807

Letter to the Editor

Book Forum: Ethics, Values, and Religion

Book Forum: Psychoanalysis

Book Forum: Psychopathology

Book Forum: Mental Health Services

Correction

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