American Journal of Psychiatry

Volume 159, Issue 3

March 2002

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Editorial

March 2002

Considering Disruptive Behaviors

Fred Volkmar,M.D.

Pages:349–350
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.349

Reviews and Overviews

March 2002

Can a Valid Diagnosis of Disruptive Behavior Disorder Be Made in Preschool Children?

Kate Keenan,Ph.D., and
Lauren S. Wakschlag,Ph.D.

Pages:351–358
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.351

Preview Abstract

OBJECTIVE: Disruptive behavior problems are the most common reason preschool children come to mental health clinics. Yet consensus on the conceptualization and measurement of such problems in young children is lacking. DSM-IV is the most widely used ...

March 2002

Personality Pathology and Treatment Outcome in Major Depression: A Review

Roger T. Mulder,M.B., Ch.B., Ph.D., F.R.A.N.Z.C.P.

Pages:359–371
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.359

Preview Abstract

OBJECTIVE: A longstanding belief among many clinicians is that patients with depression and comorbid personality pathology have a worse response to standard depression treatment. This presents potentially significant treatment implications, since ...

Images in Neuroscience

March 2002

The Human Genome: Detecting Chromosomal Deletions: Angelman and Prader-Willi Syndromes

Deborah J. Morris-Rosendahl,PH.D., and
Eike Back,M.D.,Frieburg, Germany

Page:372
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.372

Clinical Case Conference

March 2002

Consultation-Liaison Psychiatry: A Longitudinal and Integrated Approach

Pages:373–378
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.373

Images in Psychiatry

March 2002

Johann Bernhard Aloys von Gudden, 1824–1886

Jürgen L. Müller,M.D.

Page:379
Published Online:1 March 2002

https://doi.org/10.1176/ajp.159.3.379

Article

March 2002

Should the DSM-IV Diagnostic Criteria for Conduct Disorder Consider Social Context?

Jerome C. Wakefield,D.S.W., Ph.D.,
Kathleen J. Pottick,Ph.D., and
Stuart A. Kirk,D.S.W.

Pages:380–386
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.380

Preview Abstract

OBJECTIVE: The text of the DSM-IV states that a diagnosis of conduct disorder should be made only if symptoms are caused by an internal psychological dysfunction and not if symptoms are a reaction to a negative environment. However, the DSM-IV diagnostic ...

March 2002

Childhood Adversity and the Endogenous Versus Nonendogenous Distinction in Women With Major Depression

Kate L. Harkness,Ph.D., and
Scott M. Monroe,Ph.D.

Pages:387–393
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.387

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OBJECTIVE: Previous research has reported an association between childhood adversity and the nonendogenous subtype of depression. The present study sought to address this association by 1) investigating the relationship between depression subtype and ...

March 2002

Childhood Adversities Associated With Risk for Eating Disorders or Weight Problems During Adolescence or Early Adulthood

Pages:394–400
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.394

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OBJECTIVE: A community-based prospective longitudinal study was conducted to investigate the association between childhood adversities and problems with eating or weight during adolescence and early adulthood. METHOD: A community-based sample of 782 ...

March 2002

Pathways of Self-Reported Problem Behaviors From Adolescence Into Adulthood

Pages:401–407
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.401

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OBJECTIVE: The authors determined the impact of different pathways of psychopathological development on adult outcome in subjects followed from ages 11–18 to ages 21–28. METHOD: Problem behaviors of subjects from a general population sample were assessed ...

March 2002

Self-Injurious Behavior in Women With Eating Disorders

Pages:408–411
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.408

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OBJECTIVE: The authors assessed lifetime and 6-month occurrence and phenomenology of self-injurious behavior in patients with eating disorders. METHOD: Women (N=376) in inpatient treatment for an eating disorder (anorexia: N=119, bulimia: N=137, eating ...

March 2002

Latent Structure of Eating Disorder Symptoms: A Factor Analytic and Taxometric Investigation

Pages:412–418
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.412

Preview Abstract

OBJECTIVE: The latent structure of eating disorder symptoms, as defined by DSM-IV, was tested in a group of 341 women with and without an eating disorder diagnosis. METHOD: The study group consisted of 201 participants with a diagnosis of anorexia nervosa,...

March 2002

Higher Expression of Serotonin 5-HT_2A Receptors in the Postmortem Brains of Teenage Suicide Victims

Pages:419–429
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.419

Preview Abstract

OBJECTIVE: Abnormalities of serotonin (5-HT) receptor subtypes have been observed in the postmortem brains of adult suicide victims; however, their role in teenage suicide is unexplored. The authors examined whether 5-HT_2A receptor subtypes are altered in ...

March 2002

Greater Loss of 5-HT_2A Receptors in Midlife Than in Late Life

Pages:430–435
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.430

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OBJECTIVE: Earlier work has shown markedly lower density of serotonin 2A (5-HT_2A) receptors in elderly subjects than in young healthy subjects. In this study the authors used positron emission tomography (PET) and [¹⁸F]altanserin, a ligand with high ...

March 2002

Differential Evolution of Cognitive Impairment in Nondemented Older Persons: Results From the Kungsholmen Project

Katie Palmer,M.Sc.,
Hui-Xin Wang,Ph.D.,
Lars Bäckman,Ph.D.,
Bengt Winblad,M.D., Ph.D., and
Laura Fratiglioni,M.D., Ph.D.

Pages:436–442
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.436

Preview Abstract

OBJECTIVE: This study was a prospective, population-based examination of the evolution of cognitive impairment, no dementia (CIND). METHOD: Subjects 75 years old or older living in Stockholm were assessed at baseline and 3 and 6 years later. The severity ...

March 2002

Are Cognitive Impairments Associated With Sensitivity to Stress in Schizophrenia? An Experience Sampling Study

Pages:443–449
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.443

Preview Abstract

OBJECTIVE: Patients with a diagnosis of schizophrenia display cognitive impairments and abnormal sensitivity to stress. However, little is known about the relationship between these two endophenotypes. METHOD: Neuropsychological tests were administered to ...

March 2002

Mental Disorder in Elderly Suicides: A Case-Control Study

Margda Wærn,M.D., Ph.D.,
Bo S. Runeson,M.D., Ph.D.,
Peter Allebeck,M.D., Ph.D.,
Jan Beskow,M.D., Ph.D.,
Eva Rubenowitz,M.D., Ph.D.,
Ingmar Skoog,M.D., Ph.D., and
Katarina Wilhelmsson,M.D.

Pages:450–455
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.450

Preview Abstract

OBJECTIVE: The authors’ goal was to study the importance of different psychiatric disorders in relation to suicide in individuals 65 years old or older. METHOD: The psychological autopsy approach was used to study 85 cases of suicide among subjects who ...

March 2002

Low Testosterone Levels in Elderly Men With Dysthymic Disorder

Pages:456–459
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.456

Preview Abstract

OBJECTIVE: A decline in hypothalamic-pituitary-gonadal (HPG) axis function is often seen in elderly men, and dysthymic disorder is common. Symptoms of both HPG axis hypofunction and dysthymic disorder include dysphoria, fatigue, and low libido. The ...

March 2002

Comparison of Citalopram, Perphenazine, and Placebo for the Acute Treatment of Psychosis and Behavioral Disturbances in Hospitalized, Demented Patients

Pages:460–465
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.460

Preview Abstract

OBJECTIVE: Until recently, conventional antipsychotics were the standard pharmacotherapy for psychosis and behavioral disturbances associated with dementia. This double-blind, placebo-controlled study compared the acute efficacy of the selective serotonin ...

March 2002

Combined Pharmacotherapy and Psychotherapy as Maintenance Treatment for Late-Life Depression: Effects on Social Adjustment

Pages:466–468
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.466

Preview Abstract

OBJECTIVE: This study examined the effects of maintenance treatment for late-life depression on social adjustment. The authors hypothesized that elderly patients recovering from depression would have better social adjustment with medication and ...

March 2002

Are Subjects in Pharmacological Treatment Trials of Depression Representative of Patients in Routine Clinical Practice?

Pages:469–473
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.469

Preview Abstract

OBJECTIVE: The methods used to evaluate the efficacy of antidepressants differ from treatment for depression in routine clinical practice. The rigorous inclusion/exclusion criteria used to select subjects for participation in efficacy studies potentially ...

Brief Report

March 2002

Combined Analysis of CSF Tau Levels and [¹²³I]Iodoamphetamine SPECT in Mild Cognitive Impairment: Implications for a Novel Predictor of Alzheimer’s Disease

Pages:474–476
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.474

Preview Abstract

OBJECTIVE: The aim of this study was to establish an objective and reliable index to predict the development of Alzheimer’s disease in a large pool of elderly patients with mild cognitive impairment. METHOD: Twenty-three patients with probable Alzheimer’s ...

March 2002

Addition of Omega-3 Fatty Acid to Maintenance Medication Treatment for Recurrent Unipolar Depressive Disorder

Boris Nemets,M.D.,
Ziva Stahl,M.Sc., and
R. H. Belmaker,M.D.

Pages:477–479
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.477

Preview Abstract

OBJECTIVE: Studies have reported that countries with high rates of fish oil consumption have low rates of depressive disorder. The authors studied a specific omega-3 fatty acid, the ethyl ester of eicosapentaenoic acid (E-EPA), as an adjunct to treatment ...

March 2002

Placebo-Controlled Trial of d-Cycloserine Added to Conventional Neuroleptics, Olanzapine, or Risperidone in Schizophrenia

Pages:480–482
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.480

Preview Abstract

OBJECTIVE: The authors investigated the clinical effects of d-cycloserine when added to treatment with conventional neuroleptics, olanzapine, or risperidone for treatment-resistant schizophrenia. METHOD: Twenty-four patients participated in a double-blind,...

March 2002

Neuropsychological Function in Children With Maltreatment-Related Posttraumatic Stress Disorder

Sue R. Beers,Ph.D., and
Michael D. De Bellis,M.D., M.P.H.

Pages:483–486
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.483

Preview Abstract

OBJECTIVE: Studies in adults have reported changes in concentration, learning, and memory in individuals with posttraumatic stress disorder (PTSD). However, there are few studies of cognitive function in children with PTSD. The goal of the current study ...

March 2002

Pilot Study of Spirituality and Mental Health in Twins

Pages:486–488
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.486

Preview Abstract

OBJECTIVE: The goal of this study was to investigate associations between empirically defined dimensions of spirituality, personality variables, and psychiatric disorders in Vietnam era veterans. METHOD: One hundred pairs of male twins from the Vietnam ...

March 2002

Personality Factors Associated With Dissociation: Temperament, Defenses, and Cognitive Schemata

Pages:489–491
Published Online:1 March 2002

https://doi.org/10.1176/appi.ajp.159.3.489

Preview Abstract

OBJECTIVE: The purpose of this study was to investigate temperamental, psychodynamic, and cognitive factors associated with dissociation. METHOD: Fifty-three subjects with DSM-IV-defined depersonalization disorder and 22 healthy comparison subjects were ...