1957年A2型流感流行病的产前暴露后的精神分裂症
E O'Callaghan1, P Sham, N Takei
1Department of Psychological Medicine, Institute of Psychiatry, London, UK.
Lancet (London, England)
|May 25, 1991
概括
1957年流感流行可能会增加精神分裂症的风险. 疫情高峰5个月后的分娩显示,后来被诊断患有精神分裂症的人数增加了88%.
科学领域:
- 神经科学是一个神经科学.
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- 精神分裂症的发病过程复杂,涉及遗传和环境因素.
- 产前暴露越来越被认为是神经发育障碍的潜在贡献者.
- 1957年A2型流感 (亚洲流感) 疫情为研究环境对大脑发育的影响提供了一个独特的历史事件.
研究的目的:
- 调查1957年流感A2流行病与随后的精神分裂症发展之间的潜在关联.
- 为了确定是否有一个特定的出生队伍受到流行病的影响.
主要方法:
- 对英格兰和威尔士八个卫生区域的精神分裂性住院患者的出生日期进行了回顾性分析.
- 在1957年流感疫情高峰后的时期与对照时期的出生率的比较.
主要成果:
- 在1957年A2型流感流行病的峰值流行后5个月,人们观察到,后来患上精神分裂症的个体的出生率显著增加了88%.
- 这一发现与赫尔辛基的出生数据一致,并支持现有的临床和神经病理证据.
结论:
- 1957年A2型流感疫情可能是精神分裂症的重要环境风险因素.
- 在产前暴露于流感期间异常的胎儿大脑发育可能是精神分裂症发病的关键机制.
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