Approaches for adolescents with an affected family member with schizophrenia

被引:7
作者
Diwadkar V.A. [1 ]
Prasad K.M. [1 ]
Keshavan M.S. [1 ]
机构
[1] Department of Psychiatry, Univ. of Pittsburgh School of Med., Pittsburgh, PA 15213
关键词
Schizophrenia; High Risk Subject; Adoptive Family; Spatial Work Memory Task; Young Offspring;
D O I
10.1007/s11920-004-0080-2
中图分类号
学科分类号
摘要
Prospective studies of adolescents at risk for schizophrenia (high-risk studies) can shed light on the possible premorbid precursors of schizophrenia. Recent studies have provided evidence of neurobehavioral, brain structural, physiologic, and neurochemical deficits in adolescent nonpsychotic high-risk relatives that may date back to childhood or earlier. These results are collectively providing a critical window into the inter-relationships between genetic predisposition, neurodevelopment, and premorbid indicators of risk in schizophrenia. Convergent approaches are inherently powerful in mutually informing each other in enriching the knowledge of the risk factors that predict the eventual onset of schizophrenia. Defining such reliable predictors of the onset of schizophrenia may provide us with the tools to better understand the etiology and pathophysiology of the illness, and may pave the way for innovative methods of treatment and possibly prevention. The authors review the relevant literature in this promising field of inquiry and summarize recent findings from high-risk studies. Copyright © 2004 by Current Science Inc.
引用
收藏
页码:296 / 302
页数:6
相关论文
共 72 条
  • [11] Malmberg A., Premorbid adjustment and personality in people with schizophrenia, Br. J. Psychiatry, 172, pp. 308-313, (1998)
  • [12] Weinberger D.R., The biological basis of schizophrenia: New directions, J. Clin. Psychiatry, 58, pp. 22-27, (1997)
  • [13] Feinberg I., Schizophrenia: Caused by a fault in programmed synaptic elimination during adolescence?, J. Psychiatr. Res., 17, pp. 319-334, (1982)
  • [14] Keshavan M.S., Anderson S., Pettegrew J.W., Is schizophrenia due to excessive synaptic pruning in the prefrontal cortex?, J. Psychiatr. Res., 28, pp. 239-265, (1994)
  • [15] Murray R.M., Fearon P., The developmental 'risk factor' model of schizophrenia, J. Psychiatr. Res., 33, pp. 497-499, (1999)
  • [16] Chua S.E., Murray R.M., The neurodevelopmental theory of schizophrenia: Evidence concerning structure and neuropsychology, Ann. Med., 28, pp. 547-555, (1996)
  • [17] Rakic P.T., The importance of being well placed and having the right connections, Ann. N Y Acad. Sci., 882, pp. 90-106, (1999)
  • [18] Rubenstein J.L., Rakic P., Genetic control of cortical development, Cereb. Cortex, 9, pp. 521-523, (1999)
  • [19] Case R., The role of the frontal lobes in the regulation of cognitive development, Brain Cogn., 20, pp. 51-73, (1992)
  • [20] Gottesman I.I., Schizophrenia Genesis: The Origins of Madness, (1991)