American Journal of Psychiatry

Volume 150, Issue 10

October 1993

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October 1993

Mental illness awareness and self-awareness: advocacy and action

Pages:1443–1444
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1443

October 1993

The report of the National Advisory Mental Health Council

Pages:1445–1446
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1445

October 1993

Health care reform for Americans with severe mental illnesses: report of the National Advisory Mental Health Council

Pages:1447–1465
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1447

Preview Abstract

This report was produced in response to a request by the Senate Committee on Appropriations that the National Advisory Mental Health Council prepare and submit a report on the cost of insurance coverage of medical treatment for severe mental illness ...

October 1993

Is weight phobia always necessary for a diagnosis of anorexia nervosa?

Pages:1466–1471
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1466

Preview Abstract

Several reviews of the history of anorexia nervosa have concluded that weight phobia, a basic diagnostic criterion for the disorder, did not emerge as a predominant motive for food refusal until around 1930. In addition, investigators have reported cases ...

October 1993

Association of binge eating disorder and psychiatric comorbidity in obese subjects [published erratum appears in Am J Psychiatry 1993 Dec;150(12):1910]

Pages:1472–1479
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1472

Preview Abstract

OBJECTIVE: The authors determined the prevalence of binge eating disorder in a self-referred study group of moderately and severely obese subjects and investigated whether binge eating disorder was associated with psychiatric disorders, a history of ...

October 1993

The effect of acetazolamide on ventilation in panic disorder patients

Pages:1480–1484
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1480

Preview Abstract

OBJECTIVE: Patients with panic disorder are behaviorally hypersensitive to CO2 inhalation and may also be biologically hypersensitive. A report by Mathew et al. showed, however, that administration of the carbonic anhydrase inhibitor acetazolamide, which ...

October 1993

Discontinuation of benzodiazepine treatment: efficacy of cognitive- behavioral therapy for patients with panic disorder

Pages:1485–1490
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1485

Preview Abstract

OBJECTIVE: The primary disadvantage of high-potency benzodiazepine treatment for panic disorder is the difficulty of discontinuing the treatment. During treatment discontinuation, new symptoms may emerge and anxiety may return, preventing many patients ...

October 1993

Chronic life stress and treatment outcome in agoraphobia with panic attacks

Pages:1491–1495
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1491

Preview Abstract

OBJECTIVE: Factors associated with response to treatment for agoraphobia are as of yet poorly understood. The authors investigated the relationship between chronic forms of life stress and clinical improvement and recovery in subjects with agoraphobia. ...

October 1993

Agoraphobia without panic: clinical reappraisal of an epidemiologic finding

Pages:1496–1501
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1496

Preview Abstract

OBJECTIVE: In the United States, the consensus among clinicians and researchers, reflected in DSM-III-R, is that agoraphobia is a conditioned response to panic attacks and almost never occurs without panic attacks. The predominant view in the United ...

October 1993

Histories of sexual victimization in patients with irritable bowel syndrome or inflammatory bowel disease

Pages:1502–1506
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1502

Preview Abstract

OBJECTIVE: Two reports have suggested a possible association between a history of sexual trauma and irritable bowel syndrome, but several factors in their study designs limited their generalizability. The authors used a more rigorous methodology to ...

October 1993

Briquet's syndrome, dissociation, and abuse

Pages:1507–1511
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1507

Preview Abstract

OBJECTIVE: To help clarify the complex association between childhood abuse and adult psychopathology, the authors examined the relationship among abuse, Briquet's syndrome (somatization disorder), and dissociative symptoms. METHOD: Ninety-nine female ...

October 1993

Quality of life and dissociation in anxiety disorder patients with histories of trauma or PTSD

Pages:1512–1516
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1512

Preview Abstract

OBJECTIVE: The purpose of this analysis was to examine quality of life and dissociation in anxiety disorder subjects with histories of trauma, some of whom met criteria for posttraumatic stress disorder (PTSD). METHOD: Subjects came from a prospective, ...

October 1993

Community patterns of psychiatric disorders after the Exxon Valdez oil spill

Pages:1517–1523
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1517

Preview Abstract

OBJECTIVE: This study examined the relationship between exposure to the Exxon Valdez oil spill and subsequent cleanup efforts and the prevalence of generalized anxiety disorder, posttraumatic stress disorder (PTSD), and depressive symptoms in 13 Alaska ...

October 1993

Trauma-related symptoms in veterans of Operation Desert Storm: a preliminary report

Pages:1524–1528
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1524

Preview Abstract

OBJECTIVE: This study was designed to examine prospectively the development of trauma-related symptoms over time in two reserve units of Operation Desert Storm veterans. METHOD: One month and 6 months after returning from the Persian Gulf area, 84 ...

October 1993

Daytime alertness in patients with primary insomnia

Pages:1529–1534
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1529

Preview Abstract

OBJECTIVE: In the absence of clear distinctions in alertness between patients with primary insomnia and normal subjects, the goal of this study was to identify psychometric and electrophysiological measures that would distinguish these two groups. METHOD: ...

Article

October 1993

Clifford W. Beers

HOWARD H. GOLDMAN

Page:1535
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1535

October 1993

Polydipsia and tardive dyskinesia in chronic psychiatric patients-- related disorders?

Pages:1536–1538
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1536

Preview Abstract

Dopamine supersensitivity, presumably playing a role in tardive dyskinesia, has been implicated in the unexplained polydipsia occurring in chronic psychiatric patients. To investigate this hypothesis, the authors compared laboratory measurements ...

October 1993

Long-term outcome of treatment-resistant depression in older adults

Pages:1539–1540
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1539

Preview Abstract

Seventeen elderly patients with treatment-resistant depression were reassessed 15 months and 4 years after treatment with an antidepressant agent or ECT. At 15 months 47% (seven of 15) were clinically improved, and at the 4-year follow-up 71% (10 of 14) ...

October 1993

Tricyclic dose requirements across pregnancy

Pages:1541–1542
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1541

Preview Abstract

In a series of eight pregnant women, the authors found that the doses of tricyclic antidepressants required to achieve remission of symptoms and adequate serum levels increased during the second half of pregnancy. During the final trimester, the mean dose ...

October 1993

A reappraisal of the role of caffeine in ECT

Pages:1543–1545
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1543

Preview Abstract

Caffeine lengthens ECT seizures, perhaps by lowering the convulsive threshold. The authors assessed the impact of caffeine on the convulsive threshold and seizure duration. The convulsive threshold and seizure durations of 12 inpatients receiving right ...

October 1993

Effect of history of alcoholism or major depression on smoking cessation

Pages:1546–1547
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1546

Preview Abstract

The authors examined the influence of a history of alcoholism or major depression on smoking cessation for 220 subjects. The success rate of recovering alcoholics was comparable to that of nonalcoholics, comorbidity of alcoholism and major depression ...

October 1993

Depressive mania associated with nonresponse to antimanic agents

Pages:1548–1551
Published Online:1 April 2006

https://doi.org/10.1176/ajp.150.10.1548

Preview Abstract

Of 39 patients consecutively admitted for the treatment of primary mania, 21 (53.8%) simultaneously met the Research Diagnostic Criteria for major depressive disorder ("mixed" or "depressive" mania). Only nine (42.9%) of the 21 patients with depressive ...