About This Journal FREE

Mission Statement: The Archives of General Psychiatry strives to publish original, state-of-the-art studies and commentaries of general interest to clinicians, scholars, and research scientists in psychiatry, mental health, behavioral science, and allied fields. The Archives seeks to inform and to educate its readers as well as to stimulate debate and further exploration into the nature, causes, treatment, and public health importance of mental illness.

Editor: Joseph T. Coyle, MD McLean Hospital 115 Mill St Belmont, MA 02478 Phone: (617) 855-2170 Fax: (617) 855-2579 archgenpsychiatry@jama-archives.org

Associate Editor: Stephan H. W. Heckers, MD Belmont, Mass

Editorial Assistant: Frances MacNeil, Belmont, Mass

Web Editor: Ronald J. Steingard, MD

Ross J. Baldessarini, MD, Belmont, Mass Floyd E. Bloom, MD, La Jolla, Calif David L. Braff, MD, San Diego, Calif William T. Carpenter, Jr, MD, Baltimore, Md Kenneth C. Davis, MD, New York, NY Raymond J. Dolan, MD, London, England Felton Earls, MD, Cambridge, Mass Ellen Frank, PhD, Pittsburgh, Pa James C. Harris, MD, Baltimore, Md Fritz A. Henn, PhD, MD, Mannheim, Germany Kenneth S. Kendler, MD, Richmond, Va Ronald C. Kessler, PhD, Boston, Mass Helena Chmura Kraemer, PhD, Stanford, Calif David J. Kupfer, MD, Pittsburgh, Pa Herbert Y. Meltzer, MD, Nashville, Tenn Kathleen Ries Merikangas, PhD, Bethesda, Md Charles P. O'Brien, PhD, Philadelphia, Pa Michael J. Owen, PhD, FRCPsych, FMed Sci, Cardiff, Wales Judith L. Rapoport, MD, Bethesda, Md Alan F. Schatzberg, MD, Stanford, Calif Ronald J. Steingard, MD, Worcester, Mass Ming T. Tsuang, MD, PhD, Boston, Mass Myrna M. Weissman, PhD, New York, NY Kenneth B. Wells, MD, MPH, Los Angeles, Calif Charles F. Zorumski, MD, St Louis, Mo

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Catherine D. DeAngelis, MD, MPH Editor in Chief, Scientific Publications & Multimedia Applications

Cheryl Iverson, Managing Editor

Department Director: Paula Glitman Manuscript Editing Manager: Brenda Gregoline Senior Manuscript Editor: Vickey Golden Manuscript Editors: Tracy Frey, Kristine Simmons, Mahsa M. Tousi Freelance Manuscript Editing Manager: Diane L. Cannon Freelance Manuscript Editing Coordinators: Connie Manno, Cheryl L. Tobey Freelance Copy Editors and Copyreaders: Catherine A. Alden, Karen L. Boyd, Lisa M. Cluver, Mary Coerver-Connolly, Allison Esposito, Laura King, Mary A. Kingzette, Nicole C. Netter, Caroline Woods Editorial Systems Managers: Paul Frank, Monica Mungle Systems Programmer/Internet Specialist: J.D. Neff Editorial Assistant: Wanda Hill

Executive Assistant to the Editor: Marla A. Hall

Director: Margaret Winker, MD Electronic Media Department Director: Michelle Kurzynski Associate Web Editors: Erin M. Giannini, Peter Kim Web Office Manager: Nadine Siewnarine

VP & Group Publisher: Nawin Gupta, PhD Assistant Publisher: Geoffrey Flick VP Office Staff: Paul Gasiecki, Terri Hanley, Christine Hearne

Publisher: Bonnie Chi-Lum, MD, MPH

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Division Director: Vanessa Hayden Directors: Karen Adams-Taylor, Sue Sherrill, Carmela Ware Managers: David Antos, Karen Branham, Suzanne J. Bukovsky, Debbie Camp, Diane Darnell, Karl Elvin, Betty Frigerio, Linda Gardner, Charl Jensen, Mary Ellen Johnston, Mark Matura, Michael McGraw, Phil O'Leary, Susan Price, Alfred Tomaselli, Stacy Tucker Advertising and Production Services: Susan Chiara, Linda Christian, Mary Anne Donley, Euwanaha Joiner-Smith, Brian McCartney, Sean O'Donnell, Noemi Olmo, Ryan Patella, Carole Piszker, Cindy Rendlen, Denise Steinhauser, Ellen Yoshihara Circulation Processing: Bernadette Bauer, Julie Burton, Rosa Eng, Felicia Kyles, Lawrence Majkszak, Kathryn Osten Composition and New Media: Rebecca Aiken, Gail Barrett, Regina Brownlee, Brenda Chandler-Grayer, Amy Evers, Domenic Fosco, Angela Kim, Mary Ann Kuranda, Sandra Lopez, Bruce McGregor, Ted Piwowar, La'son Diggs Sledge, George Thomson Graphics: Joe Amft, Fred Furtner, Carolyn Hall, Maria Kowalkowski, Chris Meyer, JoAnne Weiskopf Proofreading: Carol Joy Farrell, Daniel James, Judith A. Literskis, Teresa H. Omiotek, Barbara Wojtowicz, Agnes A. Zarkadas

Michael D. Maves, MD, MBA, Executive Vice President, Chief Executive Officer Robert A. Musacchio, PhD, Senior Vice President, Publishing & Business Services

All articles published, including editorials, letters, and book reviews, represent the opinions of the authors and do not reflect the policy of the American Medical Association, the Editorial Board, or the institution with which the author is affiliated, unless this is clearly specified.

Copyright 2005 by the American Medical Association. All rights reserved. Reproduction without permission is prohibited.