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Obstetrical complications and subsequent schizophrenia in adolescent and young adult offsprings: is there a relationship?

Identifieur interne : 000053 ( PascalFrancis/Curation ); précédent : 000052; suivant : 000054

Obstetrical complications and subsequent schizophrenia in adolescent and young adult offsprings: is there a relationship?

Auteurs : Georges Boog [France]

Source :

RBID : Pascal:04-0287737

Descripteurs français

English descriptors

Abstract

Schizophrenia is a psychiatric disease affecting around 1% of the population, the negative signs of which are correlated with inactivity of the prefrontal dorsolateral cortex, while an increased, more deeply localized, activity in the mesolimbic pathway may explain the positive signs Several events occurring during pregnancy are likely to be involved in its genesis: hormonal supplementation by diethylstilbestrol. severe maternal denutrition, exposure to influenza virus, repeated psychological stress. From multicentric studies and meta-analyses in the psychiatric literature, the risk of schizophrenia appears to he multiplied by two if pregnancy is complicated, mainly by diabetes, Rhesus incompatibility, bleeding, preeclampsia, premature rupture of membranes and preterm birth. When delivery is linked to an abnormal presentation or happens via a caesarean birth for acute foetal distress the time when the first signs of psychosis appear seems to be earlier in adolescence or in early adulthood. Cerebral imaging of schizophrenic patients shows ventriculomegaly and gray matter reduction, mainly in hippocampal volumes and in the dorsolateral prefrontal cortex. Similar alterations in the neuronal pathways have been experimentally reproduced in rats after repeated prenatal stress and perinatal hypoxia, A region on the distal portion of chromosome I has shown evidence for linkage to schizophrenia. Therefore, a two factor model seems to be able to explain the onset of schizophrenia in which obstetrical complications may interact with a genetic liability and in which the consequences of hypoxic events may lie on a continuum ranging from cerebral palsy in some children to subtle cognitive and behavioural disturbances in others.
pA  
A01 01  1    @0 0301-2115
A02 01      @0 EOGRAL
A03   1    @0 Eur. j. obstet. gynecol. reprod. biol.
A05       @2 114
A06       @2 2
A08 01  1  ENG  @1 Obstetrical complications and subsequent schizophrenia in adolescent and young adult offsprings: is there a relationship?
A11 01  1    @1 BOOG (Georges)
A14 01      @1 Department of Obstetrics and Gynecology, Pavilion Mère et Enfant 7, Quai Moncousu @2 44093 Nantes @3 FRA @Z 1 aut.
A20       @1 130-136
A21       @1 2004
A23 01      @0 ENG
A43 01      @1 INIST @2 15646 @5 354000110284390020
A44       @0 0000 @1 © 2004 INIST-CNRS. All rights reserved.
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A66 01      @0 IRL
C01 01    ENG  @0 Schizophrenia is a psychiatric disease affecting around 1% of the population, the negative signs of which are correlated with inactivity of the prefrontal dorsolateral cortex, while an increased, more deeply localized, activity in the mesolimbic pathway may explain the positive signs Several events occurring during pregnancy are likely to be involved in its genesis: hormonal supplementation by diethylstilbestrol. severe maternal denutrition, exposure to influenza virus, repeated psychological stress. From multicentric studies and meta-analyses in the psychiatric literature, the risk of schizophrenia appears to he multiplied by two if pregnancy is complicated, mainly by diabetes, Rhesus incompatibility, bleeding, preeclampsia, premature rupture of membranes and preterm birth. When delivery is linked to an abnormal presentation or happens via a caesarean birth for acute foetal distress the time when the first signs of psychosis appear seems to be earlier in adolescence or in early adulthood. Cerebral imaging of schizophrenic patients shows ventriculomegaly and gray matter reduction, mainly in hippocampal volumes and in the dorsolateral prefrontal cortex. Similar alterations in the neuronal pathways have been experimentally reproduced in rats after repeated prenatal stress and perinatal hypoxia, A region on the distal portion of chromosome I has shown evidence for linkage to schizophrenia. Therefore, a two factor model seems to be able to explain the onset of schizophrenia in which obstetrical complications may interact with a genetic liability and in which the consequences of hypoxic events may lie on a continuum ranging from cerebral palsy in some children to subtle cognitive and behavioural disturbances in others.
C02 01  X    @0 002B20
C02 02  X    @0 002B18C06A
C03 01  X  FRE  @0 Schizophrénie @5 01
C03 01  X  ENG  @0 Schizophrenia @5 01
C03 01  X  SPA  @0 Esquizofrenia @5 01
C03 02  X  FRE  @0 Complication @5 02
C03 02  X  ENG  @0 Complication @5 02
C03 02  X  SPA  @0 Complicación @5 02
C03 03  X  FRE  @0 Adolescent @5 03
C03 03  X  ENG  @0 Adolescent @5 03
C03 03  X  SPA  @0 Adolescente @5 03
C03 04  X  FRE  @0 Adulte jeune @5 05
C03 04  X  ENG  @0 Young adult @5 05
C03 04  X  SPA  @0 Adulto joven @5 05
C03 05  X  FRE  @0 Descendance @5 06
C03 05  X  ENG  @0 Progeny @5 06
C03 05  X  SPA  @0 Descendencia @5 06
C03 06  X  FRE  @0 Supplémentation @5 08
C03 06  X  ENG  @0 Supplementation @5 08
C03 06  X  SPA  @0 Suplementación @5 08
C03 07  X  FRE  @0 Prénatal @5 09
C03 07  X  ENG  @0 Prenatal @5 09
C03 07  X  SPA  @0 Prenatal @5 09
C03 08  X  FRE  @0 Stress @5 11
C03 08  X  ENG  @0 Stress @5 11
C03 08  X  SPA  @0 Estrés @5 11
C03 09  X  FRE  @0 Mère @5 12
C03 09  X  ENG  @0 Mother @5 12
C03 09  X  SPA  @0 Madre @5 12
C03 10  X  FRE  @0 Dénutrition @5 14
C03 10  X  ENG  @0 Denutrition @5 14
C03 10  X  SPA  @0 Desnutrición @5 14
C03 11  X  FRE  @0 Gynécologie @5 15
C03 11  X  ENG  @0 Gynecology @5 15
C03 11  X  SPA  @0 Ginecología @5 15
C03 12  X  FRE  @0 Obstétrique @5 17
C03 12  X  ENG  @0 Obstetrics @5 17
C03 12  X  SPA  @0 Obstétrico @5 17
C07 01  X  FRE  @0 Homme
C07 01  X  ENG  @0 Human
C07 01  X  SPA  @0 Hombre
C07 02  X  FRE  @0 Psychose @5 37
C07 02  X  ENG  @0 Psychosis @5 37
C07 02  X  SPA  @0 Psicosis @5 37
N21       @1 180
N44 01      @1 OTO
N82       @1 OTO

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Pascal:04-0287737

Le document en format XML

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