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American Journal of Psychiatry

  • Volume 163
  • Number 3
  • March 2006

In This Issue

Editorials

Reviews and Overviews

Publication date: 01 March 2006

Pages365–373

OBJECTIVE: A growing body of evidence supports the use of cognitive behavior therapy for the treatment of schizophrenia. A course of cognitive behavior therapy, added to the antipsychotic regimen, is now considered to be an appropriate standard of care in ...

https://doi.org/10.1176/appi.ajp.163.3.365

Introspections

Treatment in Psychiatry

Clinical Case Conference

Images in Psychiatry

Article

Publication date: 01 March 2006

Pages396–401

OBJECTIVE: Long-acting injectable risperidone represents the first clinically available depot atypical antipsychotic. The present study used positron emission tomography (PET) to evaluate its dopamine D2 binding profile at doses of 25, 50, or 75 mg ...

https://doi.org/10.1176/appi.ajp.163.3.396

Publication date: 01 March 2006

Pages402–410

OBJECTIVE: The authors compared the effects of maintenance versus withdrawal of risperidone treatment in children and adolescents with symptoms of disruptive behavior disorder. METHOD: Patients with disruptive behavior disorder (5–17 years of age and a ...

https://doi.org/10.1176/appi.ajp.163.3.402

Publication date: 01 March 2006

Pages411–417

OBJECTIVE: There is growing interest in identifying and surmounting barriers to employment for people with schizophrenia. The authors examined factors associated with participation in competitive employment or other vocational activities in a large group ...

https://doi.org/10.1176/appi.ajp.163.3.411

Publication date: 01 March 2006

Pages418–425

OBJECTIVE: Impairments in adaptive life skills are a major source of disability in patients with schizophrenia. The relationship between adaptive life skills in real-world settings and performance on neuropsychological tests may be complicated by other ...

https://doi.org/10.1176/appi.ajp.163.3.418

Publication date: 01 March 2006

Pages426–432

OBJECTIVE: Interview-based measures of cognition may serve as potential coprimary measures in clinical trials of cognitive-enhancing drugs for schizophrenia. However, there is no such valid scale available. Interviews of patients and their clinicians are ...

https://doi.org/10.1176/appi.ajp.163.3.426

Publication date: 01 March 2006

Pages433–441

OBJECTIVE: This study assessed the relationship between symptoms and cognitive measures at intake and functional outcome 2–8 years later (average 3 years) in first-episode and previously treated schizophrenia patients. METHOD: A composite cognitive score ...

https://doi.org/10.1176/appi.ajp.163.3.433

Publication date: 01 March 2006

Pages442–447

OBJECTIVE: Deficits in emotion processing are a hallmark of schizophrenia, with consequences for social functioning and subjective well-being. However, their specificity and characteristics have not been ascertained psychometrically. The authors’ purpose ...

https://doi.org/10.1176/appi.ajp.163.3.442

Publication date: 01 March 2006

Pages448–454

OBJECTIVE: The potential of social cognition as a mediator of relations between neurocognition and functional status in schizophrenia has been suggested by correlational studies that link neurocognition to social cognition or link social cognition to ...

https://doi.org/10.1176/appi.ajp.163.3.448

Publication date: 01 March 2006

Pages455–462

OBJECTIVE: Schizophrenia impairs many cognitive functions, including face perception. Veridical face perception is critical for social interaction, including distinguishing friend from foe and familiar from unfamiliar faces. The main aim of this study was ...

https://doi.org/10.1176/appi.ajp.163.3.455

Publication date: 01 March 2006

Pages463–469

OBJECTIVE: Functional and structural magnetic resonance imaging (MRI) was used to investigate relationships among structure, functional activation, and cognitive deficits related to the thalamus in individuals with schizophrenia and healthy comparison ...

https://doi.org/10.1176/appi.ajp.163.3.463

Publication date: 01 March 2006

Pages470–477

OBJECTIVE: Normal sex differences in language functions are disrupted in schizophrenia. However, identification of specific language components most vulnerable in schizophrenia and how they may differ by sex remain unexamined. The current study ...

https://doi.org/10.1176/appi.ajp.163.3.470

Publication date: 01 March 2006

Pages488–493

OBJECTIVE: Despite the clinical observation that antipsychotics can produce negative symptoms, no previous controlled study, to our knowledge, has evaluated this action in healthy subjects. The present study assessed observer-rated and self-rated negative ...

https://doi.org/10.1176/appi.ajp.163.3.488

Publication date: 01 March 2006

Pages494–499

OBJECTIVE: Antipsychotic-induced erectile dysfunction is a significant clinical problem and is a common reason for poor medication compliance. This report studied the efficacy and tolerability of sildenafil citrate in patients with antipsychotic-induced ...

https://doi.org/10.1176/appi.ajp.163.3.494

Publication date: 01 March 2006

Pages500–506

OBJECTIVE: “Therapeutic misconception,” or conflation of goals and procedures of clinical research with those of usual clinical care, is an important topic in research ethics because it may impede informed consent. How best to assess therapeutic ...

https://doi.org/10.1176/appi.ajp.163.3.500

Publication date: 01 March 2006

Pages507–511

OBJECTIVE: The 32-bp deletion allele in chemokine receptor CCR5 has been associated with several immune-mediated diseases and might be implicated in schizophrenia as well. METHOD: The authors genotyped DNA samples from 268 schizophrenia patients and 323 ...

https://doi.org/10.1176/appi.ajp.163.3.507

Publication date: 01 March 2006

Pages512–520

OBJECTIVE: The authors’ goal was to improve the diagnosis of schizophrenia by using virtual reality technology to build a complex, multimodal environment in which cognitive functions can be studied (and measured) in parallel. METHOD: The authors studied ...

https://doi.org/10.1176/appi.ajp.163.3.512

Publication date: 01 March 2006

Pages521–528

OBJECTIVE: Individuals with schizophrenia and their relatives tend to have either higher or lower than expected prevalences of autoimmune disorders, especially rheumatoid arthritis, celiac disease, autoimmune thyroid diseases, and type 1 diabetes. The ...

https://doi.org/10.1176/appi.ajp.163.3.521

Brief Report

Publication date: 01 March 2006

Pages529–531

OBJECTIVE: All antipsychotics act on the dopamine D2 receptor. The present study extends prior pharmacogenetic investigations of the D2 receptor gene (DRD2) by examining, in first-episode schizophrenia patients, promoter region variation as a predictor of ...

https://doi.org/10.1176/appi.ajp.163.3.529

Publication date: 01 March 2006

Pages532–534

OBJECTIVE: Converging evidence has demonstrated an association between variants in the dysbindin gene (DTNBP1) and schizophrenia. Recently, a DTNBP1 risk haplotype, associated with both schizophrenia and neurocognitive dysfunction, has been identified. ...

https://doi.org/10.1176/appi.ajp.163.3.532

Publication date: 01 March 2006

Pages534–537

OBJECTIVE: In the prefrontal cortex of subjects with schizophrenia, decreased signaling mediated by brain-derived neurotrophic factor (BDNF) and its receptor tyrosine kinase (TrkB) appears to contribute to the reduced expression of mRNA encoding the 67-...

https://doi.org/10.1176/appi.ajp.163.3.534

Publication date: 01 March 2006

Pages537–539

OBJECTIVE: Previous studies linking the catechol O-methyltransferase (COMT) functional polymorphism to the specific phenotype in 22q11.2 deletion syndrome (22q11.2DS) have yielded inconsistent results. The goal of the present study was to replicate a ...

https://doi.org/10.1176/appi.ajp.163.3.537

Publication date: 01 March 2006

Pages540–542

OBJECTIVE: The authors’ goals were to establish the cellular origin of the reduced cortical reelin expression that occurs in schizophrenia and to relate it to markers of synaptic pathology. METHOD: In situ hybridization was used to quantify reelin mRNA in ...

https://doi.org/10.1176/appi.ajp.163.3.540

Publication date: 01 March 2006

Pages543–545

OBJECTIVE: Deficiency in antisaccade performance has been proposed as a schizophrenia endophenotype. METHOD: The authors assessed performance on an antisaccade task (and a prosaccade control condition) by 10 monozygotic twin pairs discordant for DSM-IV ...

https://doi.org/10.1176/appi.ajp.163.3.543

Letter to the Editor

Correction

Book Forum

Books Received

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