Center for Life Course Health Research, University of Oulu, Finland.
Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Finland.
Schizophr Bull. 2018 Aug 20;44(5):1151-1158. doi: 10.1093/schbul/sbx165.
Delayed motor developmental milestones have been reported to be associated with schizophrenia in previous studies, but no study has examined the relationship between early motor developmental milestones and schizotypy. We have examined this relationship in a prospective birth cohort.In the Northern Finland Birth Cohort 1966, data on 9 early motor developmental milestones were collected prospectively from visits to child welfare centers, and data on adult schizotypy were collected through a questionnaire (N = 4557-4674). Positive schizotypy was measured by the Perceptual Aberration Scale (PAS), negative schizotypy was measured by Physical Anhedonia Scale (PhAS) and Social Anhedonia Scale (SAS). Three related scales were included: Schizoidia Scale (SCHD), Hypomanic Personality Scale (HPS), and Bipolar II Scale (BIP2). We examined the milestone-schizotypy associations before and after excluding cases of schizophrenia from this population-based sample. Hierarchical regression analyses adjusted for covariates and separately for both genders were performed. In men, each extra month of delay in achievement of touching thumb with index finger, sitting unsupported, standing up, walking with support, or walking unsupported was associated with an increase in PAS, PhAS, or SCHD scores, or decrease in BIP2 score (P < .05). In women, each extra month of delay in achievement of turning from back to tummy was associated with an increase in PhAS and SAS scores (P < .05). Schizotypy is associated with delayed motor developmental milestones in early-life, but there is some heterogeneity with regards to types of milestones and gender. These findings suggest delayed motor development confers risk across the continuum of schizophrenia syndrome.
先前的研究报告指出,运动发育迟缓与精神分裂症有关,但尚无研究探讨早期运动发育里程碑与精神分裂症特质之间的关系。我们在一项前瞻性出生队列研究中检验了这种关系。在 1966 年芬兰北部出生队列中,前瞻性地从儿童福利中心的访问中收集了 9 项早期运动发育里程碑的数据,并通过问卷收集了成人精神分裂症特质的数据(N=4557-4674)。阳性精神分裂症特质由知觉异常量表(PAS)测量,阴性精神分裂症特质由躯体快感缺乏量表(PhAS)和社交快感缺乏量表(SAS)测量。还包括 3 个相关量表:分裂特质量表(SCHD)、轻躁狂人格量表(HPS)和双相Ⅱ型量表(BIP2)。我们在排除该基于人群的样本中的精神分裂症病例后,分别在男性和女性中检验了里程碑与精神分裂症特质之间的关联。对协变量进行了分层回归分析,并分别对男性和女性进行了分析。在男性中,触摸拇指和食指、独坐、站立、扶着行走或独立行走的每一个月延迟与 PAS、PhAS 或 SCHD 评分增加或 BIP2 评分降低相关(P<0.05)。在女性中,从背部翻到腹部的每一个月延迟与 PhAS 和 SAS 评分增加相关(P<0.05)。在生命早期,精神分裂症特质与运动发育迟缓有关,但在里程碑类型和性别方面存在一些异质性。这些发现表明,运动发育迟缓在精神分裂症综合征的连续体中具有风险。