在精神分裂症的第一次发作后复发的多基因基础
Àlex-González Segura1, Llucia Prohens1, Patricia Gassó2
1Department of Clinical Foundations, Pharmacology Unit, University of Barcelona, Barcelona, Spain.
概括
对认知功能的遗传风险可能预测精神分裂症复发. 教育成就的多基因风险得分较高与精神分裂症患者的复发风险较低和晚发症有关.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 遗传学 是一个遗传学.
背景情况:
- 对精神分裂症复发的遗传倾向仍然不太了解.
- 以前的研究将认知和精神病理特征的多基因风险评分 (PRS) 与疾病表现联系起来.
研究的目的:
- 调查PRS从主要精神障碍和认知在预测精神分裂症复发中的作用.
- 探索与复发发病和复发频率相关的遗传风险因素.
主要方法:
- 来自2EPs项目的114名患者的分析与3年的随访数据.
- 对精神分裂症 (PRS-SZ),双相情感障碍 (PRS-BD),教育成就 (PRS-EA) 和认知表现 (PRS-CP) 的PRS计算.
主要成果:
- 较高的PRS-EA与明显较低的复发风险相关 (OR=0.29,95% CI [0.11-0.73]).
- 患有较高PRS-EA的患者经历了较晚的复发 (30.96±1.74个月 vs 23.12±1.14个月,p=0.007).
结论:
- 与神经认知功能相关的遗传因素,特别是教育程度,可能成为精神分裂症复发的预测因素.
- 通过适当的治疗来准认知症状可以改善长期的临床结果,并减少复发率.
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