Hyllested A
Psykiatrisk afdeling A, Psykiatrisk Hospital i Arhus.
Ugeskr Laeger. 1996 Jul 22;158(30):4273-7.
Recent biological research on the aetiology of schizophrenia is reviewed. High risk studies, family studies, twin studies, adoption studies, molecular genetics and studies on the pre- and perinatal environmental factors are reviewed and it is concluded that the diathesis-stress-model is still the predominant aetiological hypothesis, although the biological environmental factors seem to play a minor role. It is also concluded that the international diagnostic systems although valid for clinical diagnostic purposes are insufficient for the aetiological research of schizophrenia. With a view to finding aetiologically valid phenotypes, future research areas with the aim of broadening the phenotype or finding endophenotypes are discussed.
本文综述了近期关于精神分裂症病因学的生物学研究。回顾了高危研究、家族研究、双生子研究、收养研究、分子遗传学以及产前和围产期环境因素的研究,得出结论:素质-应激模型仍然是主要的病因假说,尽管生物学环境因素似乎起次要作用。还得出结论,国际诊断系统虽然对临床诊断有效,但对精神分裂症的病因学研究并不充分。为了找到病因学上有效的表型,讨论了旨在拓宽表型或寻找内表型的未来研究领域。