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The Presence of Minor Physical Anomalies of a Hand in Patients with Mental Disorders
Paula Marinovic1, Laura Pavicic, Nikola Prpic
1Department of Psychiatry and Psychological Medicine, University Hospital Center Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia, paula.marinovic77@gmail.com.
Insights
Minor physical anomalies (MPA) in the hand showed significant differences between patients with psychosis and healthy individuals. However, specific MPA patterns did not distinguish schizophrenia from other psychotic disorders.
Area of Science:
- Psychiatry
- Developmental Psychology
- Medical Genetics
Background:
- Minor physical anomalies (MPA) are subtle prenatal morphological deviations.
- MPA may indicate concurrent prenatal brain structural changes.
- Investigating hand MPA as potential diagnostic markers in psychiatric disorders.
Purpose of the Study:
- To determine if hand MPA can differentiate psychotic patients from non-psychotic patients and healthy controls.
- To explore the diagnostic utility of MPA in distinguishing psychiatric conditions.
Main Methods:
- Case-control study involving 100 psychiatric patients and 100 healthy controls.
- Blind examination of hand's dorsal and palmar sides for specific MPA.
- Assessed MPA included thenar crease, transverse crease, joint anomalies, and digital flexibility.
Main Results:
- Significant differences in the quantity of MPA were observed between patient and control groups.
- Distinguishable differences in MPA quantity were found between psychotic patients and healthy subjects.
Conclusions:
- This study did not find specific MPA distributions characteristic of schizophrenia.
- All examined MPA were equally prevalent in schizophrenia and other psychotic disorders.
- Hand MPA quantity differs between psychiatric patients and controls, but specific patterns lack diagnostic power for psychosis subtypes.
Introduction:
Minor physical anomalies (MPA) are subtle morphological deviations with little to none clinical significance that are developed prenatally and therefore could be an indicator of structural changes in the brain developing at the same time. Aim of this study was to determine whether the MPA of the hand can distinguish psychotic patients from patients with non-psychotic diagnoses as well as from the healthy individuals.
Subjects And Methods:
100 consecutive patients from the University Hospital Center Zagreb, Department of psychiatry, were included in this case-control study along with 100 healthy control subjects. Investigators examined the dorsal and palmar side of the hand and were blind to the patient's diagnoses previous to the examination. Examined MPA included thenar crease, proximal transverse crease, proximal interphalangeal joint, eponychium of the middle digit, fingernail size and digital flexibility.
Results:
Results showed significant differences in the quantity of MPA between the patients and the control group, as well as differences between patients with psychosis and the healthy subjects.
Conclusions:
Despite the fact that previous studies demonstrated characteristic distribution of specific MPA in schizophrenia, this study did not prove such results. Moreover, this study showed that all the MPA are equally common in both schizophrenia and other psychoses.
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