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精神分裂症患者的后代。II. 围产期因素与智商。

The offspring of schizophrenics. II. Perinatal factors and IQ.

作者信息

Rieder R O, Broman S H, Rosenthal D

出版信息

Arch Gen Psychiatry. 1977 Jul;34(7):789-99. doi: 10.1001/archpsyc.1977.01770190051004.

Abstract

Within a sample of 60 children of schizophrenic parents, IQ and the correlates of IQ were examined. The Wechsler Intelligence Scale for Children was administered at age 7. The offspring of parents with schizophrenia were found to have a slightly lower IQ than their matched controls. This deficit could be attributed entirely to the male offspring. Using a second comparison group numbering several thousand, we computed correlations for various perinatal and socioeconomic factors with seven-year IQ. These correlations were also computed for the children of schizophrenics, and the difference in correlations was examined. IQs for the offspring of "continuous schizophrenics" (chronic, borderline, and chronic schizo-affective schizophrenics) were found to have lower correlations with socioeconomic indices and higher correlations, in a negative direction, with certain perinatal events. The findings were found to a lesser, nonsignificant degree among the small sample of offspring of acute schizophrenics. If these perinatal events are more negatively correlated with IQ because the children of continuous schizophrenics are specifically susceptible to them, it is possible that these factors are also influential in the later development of schizophrenia.

摘要

在一个由60名精神分裂症患者的子女组成的样本中,对智商及其相关因素进行了研究。在这些孩子7岁时实施了韦氏儿童智力量表测试。结果发现,精神分裂症患者的子女智商略低于与之匹配的对照组。这种缺陷完全可归因于男性后代。我们使用了一个由数千人组成的第二对照组,计算了各种围产期和社会经济因素与7岁时智商的相关性。也对精神分裂症患者的子女计算了这些相关性,并对相关性差异进行了研究。结果发现,“持续性精神分裂症患者”(慢性、边缘性和慢性精神分裂症伴情感障碍患者)的子女智商与社会经济指标的相关性较低,而与某些围产期事件的相关性较高(呈负相关)。在急性精神分裂症患者的少量子女样本中,这些发现的程度较小且无统计学意义。如果这些围产期事件与智商的负相关性更强是因为持续性精神分裂症患者的子女对其特别敏感,那么这些因素在精神分裂症的后期发展中可能也具有影响力。

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