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孕期及生命早期的社会剥夺会增加日后患精神分裂症的风险吗?

Does social deprivation during gestation and early life predispose to later schizophrenia?

作者信息

Castle D J, Scott K, Wessely S, Murray R M

机构信息

Genetics Section, Institute of Psychiatry, London, UK.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 1993 Feb;28(1):1-4. doi: 10.1007/BF00797825.

Abstract

We employed a case-control study design to investigate whether schizophrenic patients differed from non-psychotic psychiatric patients in terms of place of birth and paternal occupation. "Cases" were first-contact schizophrenic patients ascertained from the Camberwell Cumulative Psychiatric Case Register. "Controls" were the next (non-psychotic) patient on the Register matched for age and sex. In comparison with controls, cases were more likely to have: (1) been born in the deprived inner-city Camberwell catchment area (odds ratio 2.3), and (2) had fathers who had "manual" as opposed to "non-manual" occupations (odds ratio 2.1). The results were compatible with the notion that socio-economic deprivation during gestation and early life predisposes to later schizophrenia.

摘要

我们采用病例对照研究设计,以调查精神分裂症患者与非精神病性精神科患者在出生地和父亲职业方面是否存在差异。“病例组”为从坎伯韦尔累积精神病病例登记册中确定的首次就诊的精神分裂症患者。“对照组”为登记册上与病例组年龄和性别匹配的下一位(非精神病性)患者。与对照组相比,病例组更有可能:(1)出生在贫困的市中心坎伯韦尔集水区(优势比为2.3),以及(2)父亲从事“体力”而非“非体力”职业(优势比为2.1)。这些结果与孕期和早年的社会经济剥夺易导致后期精神分裂症这一观点相符。

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