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Published on: July 12, 2024
Stress, Environment and Early Psychosis
Lida-Alkisti Xenaki1, Stefanos Dimitrakopoulos1, Mirjana Selakovic1
1First Department of Psychiatry, School of Medicine, Eginition Hospital, National and Kapodistrian University of Athens, 72 Vas. Sophias Ave., Athens, 115 28, Greece.
Stress dysregulation and environmental factors are closely linked to psychosis onset. Early life stress can increase vulnerability in genetically susceptible individuals, impacting neurobiology and brain development.
Area of Science:
- Neuroscience
- Psychiatry
- Environmental Health
Background:
- Existing literature highlights the strong connection between stress, environmental factors, and the development of psychosis.
- Early life stress can prime genetically vulnerable individuals to later stress, increasing their risk for psychotic phenomena.
Approach:
- This review synthesizes evidence on the neurobiological mechanisms linking environmental insults to psychosis.
- It examines the roles of hypothalamic-pituitary-adrenal axis dysregulation, inflammation, oxidative stress, gut microbiome, and brain signaling.
- The review considers the cumulative and repeated effects of early and later-life exposures during critical neurodevelopmental periods.
Key Points:
- Environmental hazards like birth complications, trauma, psychosocial stressors, and cannabis use can disrupt brain development and stress systems.
- These factors interact with life events to precipitate psychosis in susceptible individuals.
- Understanding these complex interactions is crucial for identifying potential targets for intervention.
Conclusions:
- The relationship between stress, environment, and psychosis is dynamic and multifaceted.
- Identifying and modifying risk factors may enhance resilience and influence an individual's susceptibility to psychosis.
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