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Previous Issue Next Issue

American Journal of Psychiatry

Volume 155, Issue 5

May 1998

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Editorial

May 1998

Good Old Science

Pages:579–580
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.579

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Images in Neuroscience

May 1998

Brain Development, II: Establishing Synaptic Connections

Carol A. Tamminga, M.D., Editor

Page:581
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.581

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Special Article

May 1998

For Better or Worse: Interpersonal Relationships and Individual Outcome

Jerry M. Lewis, M.D.

Pages:582–589
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.582

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At a time of strong biological emphasis in psychiatry, it is important to emphasize that relationships with important others may play a crucial role in individual outcome. Psychoanalytic theories in the form of object relations, self psychology, and ...

Regular Article

May 1998

Anticipation of Age at Onset in Panic Disorder

Marco Battaglia, M.D.,
Silvana Bertella, M.D.,
Sonia Bajo, M.D.,
Flora Binaghi, Ph.D., and
Laura Bellodi, M.D.

Pages:590–595
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.590

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OBJECTIVE: Anticipation (i.e., the decrease in age at onset or the increase in severity of a disorder in successive generations) has recently been reappraised as a key to understanding the genetics of some familial illnesses. The purpose of this study was ...

May 1998

Is the Course of Panic Disorder the Same in Women and Men?

Kimberly A. Yonkers, M.D.,
Caron Zlotnick, Ph.D.,
Jenifer Allsworth, A.B.,
Meredith Warshaw, M.S.S., M.A.,
Tracie Shea, Ph.D., and
Martin B. Keller, M.D.

Pages:596–602
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.596

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OBJECTIVE: Panic disorder with or without agoraphobia has a chronic relapsing course. Factors associated with poor outcome include early onset of illness and phobic avoidance. Several, but not all, authors have found a worse clinical course for women. ...

May 1998

Comparison of Aerobic Exercise, Clomipramine, and Placebo in the Treatment of Panic Disorder

Andreas Broocks, M.D.,
Borwin Bandelow, M.D.,
Gunda Pekrun, M.A.,
Annette George, M.D.,
Tim Meyer, M.D.,
Uwe Bartmann, M.A.,
Ursula Hillmer-Vogel, M.D., and
Eckart Rüther, M.D.

Pages:603–609
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.603

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OBJECTIVE: The purpose of this study was to compare the therapeutic effect of exercise for patients with panic disorder to a drug treatment of proven efficacy and to placebo. METHOD: Forty-six outpatients suffering from moderate to severe panic disorder ...

May 1998

Effect of Flumazenil in Lactate-Sensitive Patients With Panic Disorder

Andreas Ströhle, M.D.,
Michael Kellner, M.D.,
Alexander Yassouridis, Ph.D.,
Florian Holsboer, M.D., Ph.D., and
Klaus Wiedemann, M.D.

Pages:610–612
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.610

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OBJECTIVE: Flumazenil is a benzodiazepine receptor antagonist that has been reported to provoke panic attacks in patients with panic disorder. This study was undertaken to compare the effects of flumazenil and sodium lactate, the most widely studied panic ...

May 1998

Social Phobia Subtypes in the National Comorbidity Survey

Ronald C. Kessler, Ph.D.,
Murray B. Stein, M.D., and
Patricia Berglund, M.B.A.

Pages:613–619
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.613

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OBJECTIVE: This article presents epidemiologic data on the distinction between social phobia characterized by pure speaking fears and that characterized by other social fears. METHOD: The data come from the National Comorbidity Survey (N=8,098). Social ...

May 1998

Acute Stress Disorder as a Predictor of Posttraumatic Stress Symptoms

Catherine Classen, Ph.D.,
Cheryl Koopman, Ph.D.,
Robert Hales, M.D., and
David Spiegel, M.D.

Pages:620–624
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.620

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OBJECTIVE: Using the DSM-IV diagnostic criteria for acute stress disorder, the authors examined whether the acute psychological effects of being a bystander to violence involving mass shootings in an office building predicted later posttraumatic stress ...

May 1998

Relationship Between Acute Stress Disorder and Posttraumatic Stress Disorder Following Mild Traumatic Brain Injury

Richard A. Bryant, Ph.D., and
Allison G. Harvey, Ph.D.

Pages:625–629
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.625

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OBJECTIVE: The aim of this study was to index the frequency of occurrence of acute stress disorder following mild traumatic brain injury and to determine its utility in predicting posttraumatic stress disorder (PTSD). METHOD: Consecutive adult patients ...

May 1998

Prospective Study of Posttraumatic Stress Disorder and Depression Following Trauma

Arieh Y. Shalev, M.D.,
Sara Freedman, M.A.,
Tuvia Peri, Ph.D.,
Dalia Brandes, M.Sc.,
Tali Sahar, M.Sc.,
Scott P. Orr, Ph.D., and
Roger K. Pitman, M.D.

Pages:630–637
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.630

Abstract
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OBJECTIVE: The purpose of this study was to prospectively evaluate the onset, overlap, and course of posttraumatic stress disorder (PTSD) and major depression following traumatic events. METHOD: The occurrence of PTSD and major depression and the ...

May 1998

Lithium Maintenance Treatment of Depression and Mania in Bipolar I and Bipolar II Disorders

Leonardo Tondo, M.D.,
Ross J. Baldessarini, M.D.,
John Hennen, Ph.D., and
Gianfranco Floris, M.D.

Pages:638–645
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.638

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OBJECTIVE: Effects of long-term lithium treatment for depressive and manic phases of type I and type II bipolar disorders were compared. METHOD: Clinical research records of 317 patients with DSM-IV-defined bipolar disorder (188 with type I and 129 with ...

May 1998

12-Month Outcome of Patients With Bipolar Disorder Following Hospitalization for a Manic or Mixed Episode

Paul E. Keck, M.D.,
Susan L. McElroy, M.D.,
Stephen M. Strakowski, M.D.,
Scott A. West, M.D.,
Kenji W. Sax, Ph.D.,
John M. Hawkins, M.D.,
Michelle L. Bourne, B.A., and
Patrick Haggard, B.S.

Pages:646–652
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.646

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OBJECTIVE: The authors studied the 12-month course of illness following hospitalization for a manic or mixed episode of bipolar disorder to identify potential outcome predictors. METHOD: They recruited 134 patients with DSM-III-R bipolar disorder who were ...

May 1998

30-Month Stability of Personality Disorder Diagnoses in Depressed Outpatients

Tova Ferro, Ph.D.,
Daniel N. Klein, Ph.D.,
Joseph E. Schwartz, Ph.D.,
Karen L. Kasch, M.A., and
Julie B. Leader, M.A.

Pages:653–659
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.653

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OBJECTIVE: This study examined the 30-month stability of axis II conditions. METHOD: One hundred eight depressed outpatients received comprehensive, semistructured personality disorder assessments at baseline and at follow-up. RESULTS: The diagnostic ...

May 1998

Cardiovascular Effects of Fluoxetine in Depressed Patients With Heart Disease

Steven P. Roose, M.D.,
Alexander H. Glassman, M.D.,
Evelyn Attia, M.D.,
Sally Woodring, R.N., M.A.,
Elsa-Grace V. Giardina, M.D., and
J. Thomas Bigger, M.D.

Pages:660–665
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.660

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OBJECTIVE: The purpose of this study was to determine the cardiovascular effects of fluoxetine in depressed patients with cardiac disease. METHOD: Twenty-seven depressed patients (26% of whom were female and whose average age was 73 years) who had ...

May 1998

Dynamics of ECT Normalization of Low G Protein Function and Immunoreactivity in Mononuclear Leukocytes of Patients With Major Depression

Sofia Avissar, Ph.D.,
Yakov Nechamkin, M.D.,
Gregori Roitman, M.D., and
Gabriel Schreiber, M.D., Ph.D.

Pages:666–671
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.666

Abstract
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OBJECTIVE: Heterotrimeric G proteins were previously implicated in the biochemical mechanisms underlying the pathophysiology and treatment of mood disorders. Low function and immunoreactivity of G proteins were observed in patients with major depression. ...

May 1998

IQ Decline During Childhood and Adult Psychotic Symptoms in a Community Sample: A 19-Year Longitudinal Study

William S. Kremen, Ph.D.,
Stephen L. Buka, Sc.D.,
Larry J. Seidman, Ph.D.,
Jill M. Goldstein, Ph.D.,
Danny Koren, Ph.D., and
Ming T. Tsuang, M.D., Ph.D., D.Sc.

Pages:672–677
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.672

Abstract
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OBJECTIVE: The goal of this study was to examine cognitive antecedents of psychosis by determining whether variability in IQ during childhood was predictive of psychotic symptoms in adulthood. METHOD: Deviant responder analyses were used to examine ...

May 1998

Progressive Reduction of Temporal Lobe Structures in Childhood-Onset Schizophrenia

Leslie K. Jacobsen, M.D.,
Jay N. Giedd, M.D.,
F. Xavier Castellanos, M.D.,
A. Catherine Vaituzis,
Susan D. Hamburger, M.A., M.S.,
Sanjiv Kumra, M.D.,
Marge C. Lenane, M.S.W., and
Judith L. Rapoport, M.D.

Pages:678–685
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.678

Abstract
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OBJECTIVE: A previous cross-sectional study of brain morphology in childhood-onset schizophrenia indicated sparing of the temporal lobes from processes reducing total cerebral volume in this population. In the present study, subjects with childhood-onset ...

Clinical Case Conference

May 1998

Integrating Pharmacotherapy and Psychotherapy in the Treatment of a Bipolar Patient

Carl Salzman, M.D.

Pages:686–688
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.686

First Page
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Images in Psychiatry

May 1998

Stella Chess, M.D.

Page:689
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.689

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Brief Report

May 1998

Serum Sertraline and N-Desmethylsertraline Levels in Breast-Feeding Mother-Infant Pairs

Katherine L. Wisner, M.D.,
James M. Perel, Ph.D., and
Jeffrey Blumer, M.D., Ph.D.

Pages:690–692
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.690

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OBJECTIVE: The authors' goal was to study the serum sertraline levels of breast-feeding mothers and their infants. METHOD: They obtained serum levels of sertraline and N-desmethylsertraline in nine mother-infant pairs. RESULTS: Sertraline levels were very ...

May 1998

Effectiveness and Tolerability of Tomoxetine in Adults With Attention Deficit Hyperactivity Disorder

Thomas Spencer, M.D.,
Joseph Biederman, M.D.,
Timothy Wilens, M.D.,
Jeffry Prince, M.D.,
Mary Hatch, B.A.,
Janice Jones, B.A.,
Margaret Harding, B.A.,
Stephen V. Faraone, Ph.D., and
Larry Seidman, Ph.D.

Pages:693–695
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.693

Abstract
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OBJECTIVE: The authors assessed the experimental noradrenergic compound tomoxetine as an alternative treatment for adult attention deficit hyperactivity disorder (ADHD). METHOD: They conducted a double-blind, placebo-controlled, crossover study of ...

May 1998

Clinical Characteristics of Attention Deficit Hyperactivity Disorder in African American Children

Valerie J. Samuel, Ph.D.,
Joseph Biederman, M.D.,
Stephen V. Faraone, Ph.D.,
Patricia George, B.A.,
Eric Mick, B.A.,
Ayanna Thornell, B.A.,
Shannon Curtis, B.A.,
Andrea Taylor, B.A., and
Deborah Brome, Ph.D.

Pages:696–698
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.696

Abstract
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OBJECTIVE: The authors' goal was to explore the nature of attention deficit hyperactivity disorder (ADHD) in African American children, which has received scant attention by psychiatric researchers. METHOD: Subjects were 19 African American children with ...

May 1998

Association of Elevated α₁-Antichymotrypsin With Cognitive Impairment in a Prospective Study of the Very Old

Steven M. Gabriel, Ph.D.,
Deborah B. Marin, M.D.,
Paul S. Aisen, M.D.,
Melinda Lantz, M.D.,
Larry D. Altstiel, M.D.,
Kenneth L. Davis, M.D., and
Richard C. Mohs, Ph.D.

Pages:698–700
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.698

Abstract
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OBJECTIVE: The authors investigated the relationships between concentrations of two acute-phase proteins, α₁-antichymotrypsin (ACT) and α₂-macroglobulin (MAC), and cognitive impairment in the very old. METHOD: Concentrations of ACT and MAC were determined ...

Book Forum: DEVELOPMENTAL PSYCHOPATHOLOGY

May 1998

Do They Grow Out of It? Long-Term Outcomes of Childhood Disorders

JENNIFER BREMER, M.D., Boston, Mass.

Page:701
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.701

First Page
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Book Forum

May 1998

Delayed Posttraumatic Stress Disorders From Infancy: The Two Trauma Mechanism

ROBERT CANCRO, M.D., New York, N.Y.

Pages:701a–702
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.701a

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Book Forum: TEXTBOOKS

May 1998

Psychiatric Diagnosis, 5th ed.

JAMES S. EATON, M.D., Washington, D.C.

Pages:702–703
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.702

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Book Forum

May 1998

Hughes' Outline of Modern Psychiatry, 4th revised ed.

IAN STEVENSON, M.D., Charlottesville, Va.

Pages:703–704
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.703

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Book Forum: ADDICTIONS

May 1998

Psychotherapy, Psychological Treatments and the Addictions

MARC A. SCHUCKIT, M.D., San Diego, Calif.

Page:704
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.704

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Book Forum

May 1998

The Pharmacology of Alcohol and Alcohol Dependence

JOSEPH WESTERMEYER, M.D., PH.D., Minneapolis, Minn.

Pages:704a–705
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.704a

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Book Forum: SIGMUND FREUD

May 1998

Wittgenstein Reads Freud: The Myth of the Unconscious

RICHARD D. CHESSICK, M.D., PH.D., Evanston, Ill.

Pages:705–707
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.705

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Book Forum

May 1998

Freud and the Child Woman: The Memoirs of Fritz Wittels

DAVID V. FORREST, M.D., New York, N.Y.

Page:707
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.707

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Letter to the Editor

May 1998

Anorexia Nervosa in One Monozygotic Twin

P. Gorwood, M.D., Ph.D.,
J. Adès, M.D., and
G. M Parmentier, ., Paris, France

Page:708
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.708

First Page
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May 1998

Dissociative Symptoms in Children

Joyanna L. Silberg, Ph.D., Towson, Md., and
Elaine D. Nemzer, M.D., Columbus, Ohio

Pages:708a–709
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.708a

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May 1998

Psychomotor Symptoms in Depression

Mathias R. Lemke, M.D., and
A.C. Hesse, M.D., Kiel, Germany

Page:709
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.709

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May 1998

Dr. Sobin Replies

Christina Sobin, Ph.D., New York, N.Y.

Pages:709a–710
Published Online:1 May 1998

https://doi.org/10.1176/ajp.155.5.709a

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