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精神分裂症不一致的单卵双胞胎中妊娠并发症与轻微身体异常之间的联系。

Link between pregnancy complications and minor physical anomalies in monozygotic twins discordant for schizophrenia.

作者信息

Cantor-Graae E, McNeil T F, Torrey E F, Quinn P, Bowler A, Sjöström K, Rawlings R

机构信息

Department of Psychiatry, Lund University, Sweden.

出版信息

Am J Psychiatry. 1994 Aug;151(8):1188-93. doi: 10.1176/ajp.151.8.1188.

Abstract

OBJECTIVE

The aim of the current study was to explore the relevancy of early pregnancy complications for the development of minor physical anomalies in monozygotic twins discordant and concordant for schizophrenia.

METHOD

Pregnancy complications and minor physical anomalies were independently assessed in 22 discordant, 10 concordant, and six normal comparison monozygotic twin pairs.

RESULTS

Complications occurring during early pregnancy were associated with a higher frequency of minor physical anomalies in the total group and in the discordant twin pairs particularly. While no significant differences in anomaly rates were observed among the discordant, concordant, and normal comparison groups, the discordant ill twins showed a trend toward having more anomalies than their well co-twins.

CONCLUSIONS

Complications occurring early in pregnancy are relevant for the development of minor physical anomalies and may be of particular importance for the development of these anomalies in twin pairs discordant for schizophrenia.

摘要

目的

本研究旨在探讨早孕并发症与精神分裂症同卵双生子中身体轻微异常发育的相关性,这些双生子有的患精神分裂症,有的未患。

方法

对22对患精神分裂症的不一致性同卵双生子、10对一致性同卵双生子以及6对正常对照同卵双生子独立评估其妊娠并发症和身体轻微异常情况。

结果

早孕期间出现的并发症与整个研究组尤其是不一致性双生子对中身体轻微异常的较高发生率相关。虽然在不一致性双生子对、一致性双生子对和正常对照组之间未观察到异常发生率的显著差异,但患精神分裂症的不一致性双生子比其未患病的孪生同胞有更多异常的趋势。

结论

早孕期间出现的并发症与身体轻微异常的发育相关,并且对于患精神分裂症的不一致性双生子对中这些异常的发育可能尤为重要。

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