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294 results on '"Koran, Lorrin M."'

10. Double-blind switch study of imipramine or sertraline treatment of antidepressant-resistant chronic depression. (Original Article)

Author

Thase, Michael E., Rush, A. John, Howland, Robert H., Kornstein, Susan G., Kocsis, James H., Gelenberg, Alan J., Schatzberg, Alan F., Koran, Lorrin M., Keller, Martin B., Russell, James M., Hirschfeld, Robert M.A., LaVange, Lisa M., Klein, Daniel N., Fawcett, Jan, and Harrison, Wilma

Subjects
Imipramine -- Testing, Sertraline -- Testing, Antidepressants -- Testing, Chronic diseases -- Drug therapy, Depression, Mental -- Drug therapy, Drug therapy -- Testing, Experimental design -- Usage, Health, Psychology and mental health
Published
2002

22. A Comparison of Nefazodone, the Cognitive Behavioral-Analysis System of Psychotherapy, and Their Combination for the Treatment of Chronic Depression

Author

Keller, Martin B., McCullough, James P., Klein, Daniel N., Arnow, Bruce, Dunner, David L., Gelenberg, Alan J., Markowitz, John C., Nemeroff, Charles B., Russell, James M., Thase, Michael E., Trivedi, Madhukar H., Zajecka, John, Blalock, Janice A., Borian, Francis E., DeBattista, Charles, Fawcett, Jan, Hirschfeld, Robert, Jody, Darlene N., Keitner, Gabor, Kocsis, James H., Koran, Lorrin M., Kornstein, Susan G., Manber, Rachel, Miller, Ivan, Ninan, Philip T., Rothbaum, Barbara, Rush, A. John, Schatzberg, Alan F., and Vivian, Dina.

Published
2000
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24. Does psychosocial functioning improve independent of depressive symptoms? a comparison of nefazodone, psychotherapy, and their combination

Author

Hirschfeld, Robert M.A, Dunner, David L, Keitner, Gabor, Klein, Daniel N, Koran, Lorrin M, Kornstein, Susan G, Markowitz, John C, Miller, Ivan, Nemeroff, Charles B, Ninan, Philip T, Rush, A.John, Schatzberg, Alan F, Thase, Michael E, Trivedi, Madhukar H, Borian, Frances E, Crits-Christoph, Paul, and Keller, Martin B

Published
2002
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32. A national study of psychiatrists' professional activities

Author

Dorwart, Robert A., Chartok, Lee R., Dial, Thomas, Fenton, Wayne, Knesper, David, Koran, Lorrin M., Leaf, Philip J., Pincus, Harold, Savage, Richard, Weissman, Sidney, and Winkelmeyer, Richard

Subjects
Psychiatrists -- Practice, Psychotherapy patients -- Evaluation, Psychiatric services -- Evaluation, Health, Psychology and mental health
Abstract

Objective and Method: A mail survey was conducted in 1988-1989 to study the professional activities of U.S. psychiatrists. Data from the 19,431 active respondents are reported. Results: Nineteen percent of the psychiatrists were women, an increase from the 17% reported in 1982. The median age of the respondents was 50 years. Nearly one-third of the respondents expressed interest in each of the following areas of subspecialization: adolescent psychiatry, substance abuse, geriatrics, and consultation-liaison psychiatry. More than one-fifth reported formal fellowship training in child/adolescent psychiatry. The psychiatrists worked an average of 48 hours per week - two-thirds in direct patient care - in an average of 2.3 different settings. The proportion of psychiatrists reporting private practice as their primary work setting showed a marked decline from 53% in 1982 to 45% in 1988. There was an increase from 4% in 1982 to 11% in 1988 in those whose primary work setting was a private psychiatric hospital. The typical caseload was over 60 patients, with roughly half that number seen each week. For inpatients treated, the two most common diagnoses were affective disorders and schizophrenic disorders. In a typical weekly psychiatrists treated about one-half of their outpatients with individual psychotherapy; three-fifths of these were also treated with medications. The average net income for psychiatrists working 35 hours or more per week was $99,850 for men and $73,174 for women. Conclusions: Major trends evident from this study are subspecialization, medicalization, privatization, feminization, and organizational diversification. (Am J Psychiatry 1992: 149:1499-1505)

Published
1992

33. Pharmacologic and cognitive-behavioral treatment for bulimia nervosa: a controlled comparison

Author

Agras, W. Stewart, Rossiter, Elise M., Arnow, Bruce, Schneider, John A., Telch, Christy F., Raeburn, Susan D., Bruce, Bonnie, Perl, Mark, and Koran, Lorrin M.

Subjects
Combined modality therapy -- Analysis, Psychotropic drugs -- Research, Cognitive therapy -- Research, Desipramine -- Research, Psychotherapy patients -- Care and treatment, Bulimia -- Research, Health, Psychology and mental health
Abstract

Objective: This study examined the relative effectiveness of desipramine, cognitive-behavioral therapy, and their combination in the treatment of bulimia nervosa, together with the effects of withdrawing medication after two different lengths of treatment. Method: Seventy-one patients meeting DSM-III-R criteria for bulimia nervosa, recruited from an eating disorders clinic or by advertisements, were assigned at random to one of five groups: desipramine (withdrawn at 16 or 24 weeks), combined treatment (medication withdrawn at 16 or 24 weeks), and cognitive-behavioral therapy (15 sessions). All treatments were conducted individually in an outpatient clinic. The primary outcome measures were binge eating and purging rates assessed at pretreatment, 16, 24, and 32 weeks. The results were analyzed as three groups (medication, cognitive-behavioral therapy, and combined treatment) at 16 weeks and as five groups at subsequent assessments. Results: At 16 weeks, both cognitive-behavioral therapy and the combined treatment were superior to medication given for 16 weeks in reducing binge eating and purging. At 32 weeks, however, only the combined 24-week treatment was superior to medication given for 16 weeks. The combined treatment was also more effective in reducing dietary preoccupation and hunger. Continuing cognitive-behavioral therapy appeared to prevent relapse in patients withdrawn from medication at 16 weeks. Conclusions: Overall, the results favor the use of a combination of medication and cognitive-behavioral therapy in the treatment of bulimia nervosa, with medication continued for at least 24 weeks.

Published
1992

35. Teaching Medical Students About Observer Variation

Author

Koran, Lorrin M.

Abstract

To fully develop their diagnostic skills, medical students must recognize the limited reliability of the observations on which diagnoses are based. Study of 36 second-year students shows multiple sources of observer variation in readings of systolic and diastolic blood pressures. (LBH)

Published
1978

38. Excoriation (skin-picking) disorder in adults:a cross-cultural survey of Israeli Jewish and Arab samples

Author

Leibovici, Vera, Koran, Lorrin M, Murad, Sari, Siam, Ihab, Odlaug, Brian Lawrence, Mandelkorn, Uri, Feldman-Weisz, Vera, Keuthen, Nancy J, Leibovici, Vera, Koran, Lorrin M, Murad, Sari, Siam, Ihab, Odlaug, Brian Lawrence, Mandelkorn, Uri, Feldman-Weisz, Vera, and Keuthen, Nancy J

Abstract

OBJECTIVE: We sought to estimate the lifetime prevalence of Excoriation (Skin-Picking) Disorder (SPD) in the Israeli adult population as a whole and compare SPD prevalence in the Jewish and Arab communities. We also explored demographic, medical and psychological correlates of SPD diagnosis.METHODS: Questionnaires and scales screening for SPD, and assessing the severity of perceived stress, depression, obsessive-compulsive disorder (OCD), body dysmorphic disorder (BDD), alcohol use, illicit drug use, and medical disorders were completed in a sample of 2145 adults attending medical settings.RESULTS: The lifetime prevalence of SPD was 5.4% in the total sample; it did not differ between genders or within Jewish and Arab subsamples. Severity of depression (p<0.001), OCD (p<0.001) and perceived stress (p=<0.001) were greater in the SPD positive sample. Similarly, diagnoses of BDD (p=0.02) and generalized anxiety (p=0.03) were significantly more common in the SPD-positive respondents. Alcohol use and illicit substance use were significantly more common among SPD positive respondents in the total sample (both p's=0.01) and the Jewish subsample (p=0.03 and p=0.02, respectively). Hypothyroidism was more prevalent in the SPD-positive Jewish subsample (p=0.02). In the total sample, diabetes mellitus was more common in women than in men (p=0.04).CONCLUSION: Lifetime SPD appears to be relatively common in Israeli adults and associated with other mental disorders. Differences in the self-reported medical and psychiatric comorbidities between the Jewish and Arab subsamples suggest the possibility of cross-cultural variation in the correlates of this disorder.

Published
2015

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