Must Anita, Janka Zoltan, Horvath Szatmar
Szegedi Tudományegyetem, Pszichiátriai Klinika, Szeged, Hungary.
Neuropsychopharmacol Hung. 2011 Dec;13(4):211-7.
Psychotic, cognitive and affective symptoms defining schizophrenia may, though much less severe, manifest themselves in up to 10 to 20% of the general population. What explains the fact that in certain cases the symptoms require even constant medical supervision, while others are capable of living a normal life within social conventions? Which factors lead to the transition of mild, subclinical manifestations and vulnerability indicators towards the outburst of one of the most severe and depriving mental disorders? Genetic susceptibility is undoubtedly crucial. More recent research findings emphasize the modifying effect of specific environmental factors on gene expression. The gene-environment interplay may induce so-called epigenetic alterations which may manifest themselves over several generations. Future integrative, multi-dimensional and flexible schizophrenia research approaches focusing on the identification of neurobiological and cognitive outcomes are much needed to understand disease vulnerability, susceptibility mechanisms, periods and interactions. Research methods may differ, but our aim is common - establishing more effective diagnostic and therapeutic interventions.
定义精神分裂症的精神病性、认知和情感症状,尽管严重程度要低得多,但在高达10%至20%的普通人群中也可能会出现。如何解释在某些情况下这些症状甚至需要持续的医疗监督,而另一些人却能够在社会规范内过正常生活这一事实呢?哪些因素会导致轻微的亚临床症状和易感性指标转变为最严重、最具剥夺性的精神障碍之一的爆发呢?遗传易感性无疑至关重要。最近的研究结果强调了特定环境因素对基因表达的调节作用。基因与环境的相互作用可能会诱发所谓的表观遗传改变,这种改变可能会在几代人身上显现出来。未来迫切需要综合、多维度且灵活的精神分裂症研究方法,专注于识别神经生物学和认知结果,以了解疾病易感性、易感性机制、时期及相互作用。研究方法可能不同,但我们的目标是一致的——建立更有效的诊断和治疗干预措施。