Szoke Andrei
Pôle de psychiatrie, AP-HP, groupe hospitalier Henri-Mondor, 94000 Créteil, France.
Rev Prat. 2013 Mar;63(3):331-5.
Schizophrenia is a relatively common pathology with onset at adolescence or early adulthood, more frequent in men than women. By describing distribution of cases in different populations and the factors that influence this distribution, epidemiology contributes to our understanding of the disease. Several risk factors for schizophrenia have been uncovered both genetic and environmental. The environmental factors can act at individual level (obstetric complications, season of birth, urbanicity, childhood trauma, cannabis, migration) or at population/area levels (socio-economic level, social fragmentation and social capital, ethnic density, etc.). An integrative and dynamic model based on the "vulnerability-persistence-impairment" paradigm is useful in integrating the findings about the risk factors and their complex relationships.
精神分裂症是一种相对常见的病症,发病于青春期或成年早期,男性比女性更为多发。通过描述不同人群中病例的分布情况以及影响这种分布的因素,流行病学有助于我们了解该疾病。已经发现了精神分裂症的多种危险因素,包括遗传因素和环境因素。环境因素可在个体层面起作用(产科并发症、出生季节、城市化、童年创伤、大麻、移民),也可在人群/地区层面起作用(社会经济水平、社会碎片化和社会资本、种族密度等)。基于“易感性-持续性-损害”范式的综合动态模型,有助于整合有关危险因素及其复杂关系的研究结果。