Hanson D R, Gottesman I I
J Autism Child Schizophr. 1976 Sep;6(3):209-34. doi: 10.1007/BF01543463.
A critical examination of the data for and against genetic factors in early infantile autism and childhood schizophrenia is presented. The extreme rareness of both disorders made analysis difficult. No strong evidence exists implicating genetics in the development of childhood psychoses that begin before the age of 5. Family pedigree data fail to support psychogenic transmission because very few siblings of early onset cases are affected. Biological but not genetic etiological agents are more likely. Genetic factors are implicated in the development of psychoses that begin near pubescence and such factors appear to overlap with those for adult schizophrenia. Reevaluation of the minimum age of onset for adult-type schizophrenia is suggested.
本文对支持和反对早期婴儿自闭症及儿童精神分裂症存在遗传因素的数据进行了批判性审视。这两种疾病都极为罕见,使得分析工作颇具难度。目前尚无有力证据表明遗传学因素与5岁前发病的儿童期精神病的发生有关。家族谱系数据无法支持精神源性传播,因为早发型病例的同胞很少受到影响。更有可能的病因是生物学因素而非遗传因素。遗传学因素与青春期前后发病的精神病的发生有关,而且这些因素似乎与成人精神分裂症的因素存在重叠。建议重新评估成人型精神分裂症的最小发病年龄。