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夜行动物习性说:一种精神分裂症的行为学理论。

Nocturnalism: an ethological theory of schizophrenia.

作者信息

Feierman J R

出版信息

Med Hypotheses. 1982 Nov;9(5):455-79. doi: 10.1016/0306-9877(82)90016-0.

Abstract

Schizophrenia is a human behavioral variant with a 1% phenotypic population frequency. As the major "mental illness" affecting human beings, it has defied all previous attempts to explain, predict or prevent its devastating clinical manifestations. In addition to unidentified nongenetic determinants, schizophrenia has genetic determinants in the absence of known specific neuropathological or biochemical correlates found in other entities conceptualized as genetic diseases. The fitness of schizophrenics is 0.7 of nonschizophrenics, and a 1% phenotypic population frequency is difficult to explain by mutation rate alone. An ethological theory of schizophrenia has been developed in which the genetic determinant is the nocturnal character of a postulated polymorphic trait termed when active. The nongenetic determinant is simply a sufficient intensity of specific frequencies of environmental light. According to the author's theory, a schizophrenic individual could be processing information while awake and exposed to light with a brain that is processing information as though he were asleep. The empirical data from which the theory is constructed are presented. THe theory is capable of explaining clinical schizophrenia within an ethological paradigm and makes several predictions, the most significant of which is that the absence of a sufficient intensity of specific frequencies of environmental light should ameliorate the major symptoms of clinical schizophrenia in individuals who possess its genetic determinant.

摘要

精神分裂症是一种人类行为变异体,其表型在人群中的出现频率为1%。作为影响人类的主要“精神疾病”,它一直无法用以往的任何方法来解释、预测或预防其具有破坏性的临床表现。除了尚未明确的非遗传决定因素外,精神分裂症还存在遗传决定因素,而在其他被视为遗传性疾病的病症中并未发现与之相关的已知特定神经病理学或生化特征。精神分裂症患者的适应性仅为非精神分裂症患者的0.7,仅靠突变率很难解释1%的表型人群出现频率。一种关于精神分裂症的行为学理论已经形成,其中遗传决定因素是一种假定的多态性特征的夜间特性,该特征被称为“活跃时”。非遗传决定因素仅仅是环境光特定频率的足够强度。根据作者的理论,一个精神分裂症患者在清醒且暴露于光线下时,其大脑处理信息的方式就如同他处于睡眠状态一样。文中呈现了构建该理论所依据的实证数据。该理论能够在行为学范式内解释临床精神分裂症,并做出了若干预测,其中最重要的一点是,对于具有精神分裂症遗传决定因素的个体而言,缺乏环境光特定频率的足够强度应该会减轻临床精神分裂症的主要症状。

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