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American Journal of PsychiatryRegular Article01 May 1998

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

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. ... 
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American Journal of PsychiatryRegular Article01 July 1998

Lithium Discontinuation and Subsequent Effectiveness

OBJECTIVE: Several reports have raised concern that the discontinuation of lithium may result in treatment resistance following recurrence of affective disorder. This report explores this possibility. METHOD: The data derive from a large, naturalistic ... 
OBJECTIVE: Pharmacologic prescriptions for anxiety disorders have changed significantly in the last decade. This article investigates whether psychosocial treatments, as reported by 362 subjects in the Harvard/Brown Anxiety Disorders Research Program from ... 
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American Journal of PsychiatryRegular Article01 February 1999

Prospective Study of Fluoxetine Treatment and Suicidal Behavior in Affectively Ill Subjects

OBJECTIVE: There has been speculation in the literature about a link between fluoxetine use and suicidal behavior. The authors of this study hypothesized that there is no elevation in risk of suicidal behavior associated with use of fluoxetine. METHOD: ... 
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American Journal of PsychiatryRegular Article01 July 1999

Recurrence After Recovery From Major Depressive Disorder During 15 Years of Observational Follow-Up

OBJECTIVE: The recurrence of an affective disorder in people who initially recover from major depressive disorder was characterized by using the unique longitudinal prospective follow-up data from the National Institute of Mental Health Collaborative ... 
OBJECTIVE: The authors’ goals were to examine predictors of suicidal behavior and provide guidelines for assessing suicide risk in patients with panic disorder. METHOD: Four hundred ninety-eight patients with panic disorder were followed for 5 years. ... 
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American Journal of PsychiatryRegular Article01 February 2000

Multiple Recurrences of Major Depressive Disorder

OBJECTIVE: The authors of this study examined multiple recurrences of unipolar major depressive disorder. METHOD: A total of 318 subjects with unipolar major depressive disorder were prospectively followed for 10 years within a multicenter naturalistic ... 
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American Journal of PsychiatryArticle01 June 2000

Lost Human Capital From Early-Onset Chronic Depression

OBJECTIVE: Chronic depression starts at an early age for many individuals and could affect their accumulation of “human capital” (i.e., education, higher amounts of which can broaden occupational choice and increase earnings potential). The authors ... 
OBJECTIVE: The authors examined gender differences in treatment response to sertraline, a selective serotonin reuptake inhibitor (SSRI), and to imipramine, a tricyclic antidepressant, in chronic depression. METHOD: A total of 235 male and 400 female ... 
OBJECTIVE: This study investigated the influence of incomplete recovery from first lifetime major depressive episodes on long-term outcome. METHOD: After their first lifetime major depressive episode, patients were divided into asymptomatic (N=70) and ... 
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American Journal of PsychiatryBrief Report01 January 2002

Predictors of Treatment Utilization Among Women With Anorexia and Bulimia Nervosa

OBJECTIVE: The authors sought predictors of treatment utilization among women with eating disorders. METHOD: Women diagnosed with either anorexia or bulimia nervosa (N=246) completed prospective evaluations of eating disorder status, comorbid disorders, ... 
OBJECTIVE: Personality disorders are defined as enduring patterns of maladaptive behaviors and traits that are stable over time. This study prospectively examined the stability of four personality disorders (schizotypal, borderline, avoidant, and ... 
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American Journal of PsychiatryBrief Report01 November 2003

Unipolar Mania Over the Course of a 20-Year Follow-Up Study

OBJECTIVE: Using data from a longitudinal study of the mood disorders, the investigators address the phenomenon of unipolar mania. METHOD: Subjects diagnosed as having Research Diagnostic Criteria mania at intake into the study were prospectively followed ... 
OBJECTIVE: This observational study examined the effectiveness of somatic antidepressant treatments as administered in the community. METHOD: The study group consisted of 285 subjects with an intake diagnosis of major depressive disorder who had entered ... 
OBJECTIVE: Recently, pharmacological treatment guidelines for panic disorder have changed as newer treatment options have become available. The authors examined how the use of psychotropic drugs has shifted over the course of 10 years to determine if ... 
OBJECTIVE: The authors sought to observe the long-term clinical course of anxiety disorders over 12 years and to examine the influence of comorbid psychiatric disorders on recovery from or recurrence of panic disorder, generalized anxiety disorder, and ... 
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American Journal of PsychiatryNew Research01 January 2011

Subthreshold Hypomanic Symptoms in Progression From Unipolar Major Depression to Bipolar Disorder

Objective: The authors assessed whether subthreshold hypomanic symptoms in patients with major depression predicted new-onset mania or hypomania.Method: The authors identified 550 individuals followed for at least 1 year in the National Institute of Mental ...
The FDA in 2009 warned of increased suicidality with all antiepileptic drugs, regardless of the illness being treated. Longitudinal clinical observations of 199 bipolar patients taking carbamazepine, lamotrigine, or valproate in five U.S. medical centers ... 
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American Journal of PsychiatryNew Research01 September 2014

Longitudinal Trajectories and Associated Baseline Predictors in Youths With Bipolar Spectrum Disorders

Objective The authors sought to identify and evaluate longitudinal mood trajectories and associated baseline predictors in youths with bipolar disorder.Method A total of 367 outpatient youths (mean age, 12.6 years) with bipolar disorder with at least 4 ...
OBJECTIVE: Social phobia is a chronic disorder with a higher prevalence among women than men. Data from an eight-year longitudinal study were analyzed to investigate the course of social phobia and to explore potential sex differences in the course and ... 

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