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Un análisis preliminar del subtipo esquizofrénico, la estacionalidad del nacimiento y la clase social

Published online by Cambridge University Press:  12 May 2020

Bemard J. Gallagher III ,
Brian J. Jones ,
Joseph A. McFalls Jr.  and
Anthony M. Pisa
Bemard J. Gallagher III
Affiliation:
Universidad de Villanova, Departamento de Sociología, Villanova, PA, 19085, EE.UU.
Brian J. Jones
Affiliation:
Universidad de Villanova, Departamento de Sociología, Villanova, PA, 19085, EE.UU.
Joseph A. McFalls Jr.
Affiliation:
Universidad de Villanova, Departamento de Sociología, Villanova, PA, 19085, EE.UU.
Anthony M. Pisa
Affiliation:
Psicólogo Clínico, Práctica privada, EE.UU.
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Resumen

Objetivo.

El modelo neuroevolutivo de la esquizofrenia incluye el impacto etiológico de los factores generadores de estrés cerebral fetal conectados posiblemente con la estacionalidad del nacimiento. La especificación de la clase social de origen (ESE) como un factor de riesgo relacionado no se ha examinado, como tampoco el tipo de esquizofrenia en tanto que variable de evolución. El objetivo de este estudio era examinar una interconexión entre el ESE, el tipo de esquizofrenia y la estacionalidad de nacimiento.

Métodos.

Se separó a los pacientes (n = 436) de un hospital psiquiátrico de Estados Unidos en la presentación de déficit/de no déficit y se los dividió en ESE pobre/no pobre. La estacionalidad del nacimiento se evaluó según los meses hipotéticamente conectados con los trimestres de gestación relacionados con el invierno.

Resultados.

Los resultados mostraron que hay una diferencia significativa (p = 0,0411) en los patrones de nacimiento mensuales de los pacientes pobres frente a no pobres y que la diferencia se relaciona con la probabilidad de la esquizofrenia de déficit frente a la esquizofrenia de no déficit. Específicamente, una proporción elevada de pacientes con esquizofrenia de déficit nació de mujeres pobres que probablemente concibieron en enero. Los hallazgos se confirmaron por múltiples niveles de evaluación estadística, incluido el análisis log lineal.

Conclusión.

El modelo resultante indica la ubicación en el entorno (el ESE bajo) y el momento (la concepción invernal) de la esquizofrenia adulta con mala evolución (déficit).

Keywords

DéficitDe no déficitClase socialEstacionalidad del nacimiento
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 14 , Issue 6 , September 2007 , pp. 297 - 303
Copyright
Copyright © European Psychiatric Association 2007

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References

Bibliografía

[1]AbdelMalik, P, Husted, J, Chow, EWC, Bassett, AS. Childhood head injury and expression of schizophrenia in multiply affected families. Arch Gen Psychiatry 2003;60:231–6.CrossRefGoogle ScholarPubMed
[2]American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd ed. Washington, DC: American Psychiatric Press; 1987.Google Scholar
[3]Andreasen, NC, Olsen, S. Negative versas positive schizophrenia: defmition and validations. Arch Gen Psychiatry 1982;39:789–94.CrossRefGoogle Scholar
[4]Andreason, NC, Amdt, S, Alliger, R, Miller, D, Flaum, M. Symptoms of schizophrenia: methods, meaning and mechanisms. Arch Gen Psychiatry 1995;52:341–51.CrossRefGoogle Scholar
[5]Andreasen, NC. Understanding causes of schizophrenia. N Engl J Med 1999;340:645–7.CrossRefGoogle ScholarPubMed
[6]Bagalkote, H, Pang, D, Jones, PB. Maternal influenza and schizophrenia. Int J Ment Health 2001;29:3-21.CrossRefGoogle Scholar
[7]Boydell, J, Murray, R. Urbanization, migration and risk of schizophrenia. In: Murray, RM, Jones, PB, Susser, E, van Os, J, Cannon, M, editors. The epidemiology of schizophrenia. Cambridge: Cambridge University Press; 2003. pp. 49-67.Google Scholar
[8]Bresnahan, M, Susser, E. Investigating socioenvironmental influences in schizophrenia: conceptual and design issues. In: Murray, RM, Jones, PB, Susser, E, van Os, J, Cannon, M, editors. The epidemiology of schizophrenia. Cambridge: Cambridge University Press; 2003. pp. 5-17.Google Scholar
[9]Brixey, SN, Gallagher, BJ, McFalls, JA, Parmelee, LF. Gestational and neonatal factors in the etiology of schizophrenia. J Clin Psychol 1993;49:447–56.3.0.CO;2-4>CrossRefGoogle ScholarPubMed
[10]Brown, AS, Schaefer, CA, Wyatt, RJ, Goetz, R. Maternal exposure to respiratory infections and adult schizophrenia spectrum disorders: a prospective birth cohort study. Schizophr Bull 2003;26:287–99.CrossRefGoogle Scholar
[11]Brown, AS, Susser, ES, Jandorf, L, Bromet, EJ. Social class of origin and cardinal symptoms of schizophrenic disorders over the early illness course. Soc Psychiatry Psychiatr Epidemiol 2000;35:53-60.CrossRefGoogle ScholarPubMed
[12]Brown, AS, Cohén, P, Harkavy-Fredman, J, Babulas, V, Malaspin, D, Gorman, JM, et al. Prenatal rubella, premorbid abnormalities, and adult schizophrenia. Biol Psychiatry 2001;49:473–86.CrossRefGoogle ScholarPubMed
[13]Brown, AS, Begg, MD, Gravenstein, S, Schaefer, CA, Wyatt, RJ, Bresuahan, M, et al.. Serologic evidence of prenatal influenza in the etiology of schizophrenia. Arch Gen Psychiatry 2004;61:774–80.CrossRefGoogle ScholarPubMed
[14]Brown, AS, Hooton, J, Schaefer, CA, Zhang, H, Petkova, E, Babulas, U, et al.. Elevated maternal interleukin-8 levels and risk of schizophrenia in adult offspring. Am J Psychiatry 2004;161:889–95.CrossRefGoogle ScholarPubMed
[15]Cannon, M, Kendell, R, Susser, E, Jones, P. Prenatal and perinatal risk factors for schizophrenia. In: Murray, RM, Jones, PB, Susser, E, van Os, J, Cannon, M, editors. The epidemiology of schizophrenia. Cambridge: Cambridge University Press; 2003. pp. 74-99.Google Scholar
[16]Carpenter, WT. The déficit syndrome. Am J Psychiatry 1994;151:327–9.Google ScholarPubMed
[17]Foreword Carpenter, W. In: Murray, RM, Jones, PB, Susser, E, van Os, J, Cannon, M, editors. The epidemiology of schizophrenia. Cambridge: Cambridge University Press; 2003. p. XV.Google Scholar
[18]Centers for Disease Control and Prevention. Influenza: the disease. Washington, DC: US Government Printing Office; 2004.Google Scholar
[19]Crow, TJ, Done, DJ, Johnstone, EC. Schizophrenia and influenza. Lancet 1991;38:116–27.CrossRefGoogle Scholar
[20]Davey Smith, G. The uses of ‘Uses of Epidemiology’. Int J Epidemiol 2001;30:1146–55.CrossRefGoogle Scholar
[21]Davies, G, Welham, J, Chant, D, Torrey, EF, McGrath, J. A systematic review and meta-analysis of Northern Hemisphere season of birth studies in schizophrenia. Schizophr Bull 2003;29:587–93.CrossRefGoogle Scholar
[22]Davis, J, Phelps, J, Bracha, H. Prenatal development of monozygotic twins and concordance for schizophrenia. Schizophr Bull 1995;21:357–66.CrossRefGoogle Scholar
[23]Dollfus, S, Petit, M. Principal component analyses of a PANSS and SANS-SAPS in schizophrenia: their stability in an acute phase. Eur Psychiatry 1995;10:97-106.CrossRefGoogle Scholar
[24]Edwards, J, McGorry, PD, Waddell, FM, Harrigan, SM. Enduring negative symptom in first-episode psychosis: comparison of six methods using follow-up data. Schizophr Res 1999;40:147–58.CrossRefGoogle ScholarPubMed
[25]Gallagher, BJ, McFalls, JA, Jones, BJ. Racial factors in birth seasonality among schizophrenics: a preliminary analysis. J Abnorm Psychol 1983;92:524–7.CrossRefGoogle ScholarPubMed
[26]Gallagher, BJ, Jones, BJ, McFalls, JA. The winter-bom phenomenon among schizophrenics: differences between blacks and whites. J Clin Psychol 1984;40:1151–9.3.0.CO;2-E>CrossRefGoogle ScholarPubMed
[27]Gallagher, BJ, McFalls, JA, Jones, BJ, Pisa, AM. Prenatal illness and subtypes of schizophrenia: the ‘winter pregnancy phenomenon'. J Clin Psychol 1999;55:915–22.3.0.CO;2-5>CrossRefGoogle Scholar
[28]Gallagher, BJ. The sociology of mental illness. 4th ed. Upper Saddle River, NJ: Prentice Hall; 2002.Google Scholar
[29]Gallagher, BJ, Jones, BJ, McFalls, JA, Pisa, AM. Social class and type of schizophrenia. Eur Psychiatry 2006;21:233–7.CrossRefGoogle ScholarPubMed
[30]Harper, SA, Fukuda, K, Uyeki, TM, Cox, NJ, Bridges, CB. Prevention and control of influenza. National Center for Infectious Diseases 2004;53(RR06): 1-40.Google ScholarPubMed
[31]Hollingshead, AB. Four factor index of social position. New Haven, CN: Yale University Press; 1975.Google Scholar
[32]Huttunen, M, Niskanen, P. Parental loss of father and psychiatric disorders. Arch Gen Psychiatry 1978;35:427–31.CrossRefGoogle Scholar
[33]Huttman, CM, Ohman, A. Perinatal characteristics and schizophrenia: electrodermal activity as a mediating link in a vulnerabilitystress perspective. Int J Dev Neurosci 1998;16:307–16.CrossRefGoogle Scholar
[34]Jones, PB, Rantakallio, P, Hartikainen, AL. Schizophrenia as a longterm outcome of pregnancy delivery and perinatal complications: a 28-year follow-up of the 1966 North Finland general population birth cohort. Am J Psychiatry 1998;155:355–64.CrossRefGoogle Scholar
[35]Kay, SR, Opler, LA, Fiszlein, A. Positive and negative syndrome scale. New Haven, CN: Multi-Health Systems, Inc.; 1992.Google Scholar
[36]Keltner, NL, James, CA, Darling, RJ, Findley, LS, Oliver, K. Nature vs. nurture: two brothers with schizophrenia. Perspect Psychiatr Care 2001;37:86-94.Google ScholarPubMed
[37]Kinney, DK. Prenatal stress and risk for schizophrenia. Int J Mental Health 2001;29:62-72.CrossRefGoogle Scholar
[38]Kirkpatrick, B, Buchanan, RW, McKenney, PD, Alphis, LD, Carpenter, WT. The schedule for the déficit syndrome: an instrument for research in schizophrenia. J Psychiatr Res 1989;30:119–23.CrossRefGoogle Scholar
[39]Kirkpatrick, B, Herrera Castañedo, S, Vazquez-Barquero, . Summer birth and déficit schizophrenia: Cantabria, Spain. J Nerv Ment Dis 2002;190:526–32.CrossRefGoogle ScholarPubMed
[40]Kirkpatrick, B, Messias, N, Conley, R, Roberts, R. Interstitial cells of the white matter in the dorsolateral prefrontal cortex in déficit and nondeficit schizophrenia. J Nerv Ment Dis 2003;191:563–7.CrossRefGoogle ScholarPubMed
[41]Knoke, D, Burke R Log-linear models. Beverly Hills, CA: Sage Publications; 1981.Google Scholar
[42]Laing, P, Knight, JG, Wright, Irving WL. Disruption of fetal brain development by maternal antibodies as an etiological factor in schizophrenia. In: Mednick, SA, Hollister, JM, editors. Neural development and schizophrenia: theory and research. New York: Plenum Press; 1995. pp. 215-46.CrossRefGoogle Scholar
[43]Liao, T. Interpreting probability models: logit, probit and other generalized linear models. Beverly Hills, CA: Sage Publications; 1994.CrossRefGoogle Scholar
[44]Lynberg, M, Khoury, M, Lu, X, Cocian, T. Maternal flu, fever, and the risk of neural tube defects: a population-based case-control study. Am J Epidemiol 1994;140:244–55.CrossRefGoogle ScholarPubMed
[45]Lyon, M, Barr, C. Possible interactions of obstetrical complications and abnormal fetal brain development in schizophrenia. In: Mednick, S, Cannon, T, Barr, C, Lyon, M, editors. Fetal neural development and adult schizophrenia. Cambridge: Cambridge University Press; 1991. pp. 134-49.Google Scholar
[46]Machón, RA, Mednick, SA, Huttunen, MO. Fetal viral infection and adult schizophrenia: empirical findings and interpretation. In: Mednick, SA, Hollister, JM, editors. Neural development and schizophrenia: theory and research. New York: Plenum Press; 1995. pp. 191-202.CrossRefGoogle Scholar
[47]Malla, AK, Norman, RMG, Takhar, J, Manchanda, R, Townsen, L, Schotten, D, et al.. Can patients at risk for persistent negative symptoms be identified during their first episode of psychosis? J Nerv Ment Dis 2004;192:455–63.CrossRefGoogle ScholarPubMed
[48]McGrath, J. Prevention of schizophrenia—not an impossible dream. In: Murray, RM, Jones, PB, Susser, E, van Os, J, Cannon, M, editors. The epidemiology of schizophrenia. Cambridge: Cambridge University Press; 2003. pp. 427-39.Google Scholar
[49]Messias, E, Kirkpatrick, B. Summer birth and déficit schizophrenia in the Epidemiological Catchment Area Study. J Nerv Ment Dis 2001;189:608–12.CrossRefGoogle ScholarPubMed
[50]Messias, E, Kirkpatrick, B, Bromet, E, Ross, D, Buchanan, RW, Carpenter, WT, et al.. Summer déficit and schizophrenia: a pooled analysis from six countries. Arch Gen Psychiatry 2004;61:985–99.CrossRefGoogle Scholar
[51]Myhrman, A, Rantakallio, P, Isohanni, M, Jones, PB, Partanen, U. Does unwantedness of a pregnancy predict schizophrenia? Br J Psychiatry 1996;169:637–40.CrossRefGoogle Scholar
[52]Nasrallah, HA, Weinberger, DR. Neurology of schizophrenia. In: Nasrallah, HA, Weinberger, DR, editors. Handbook of schizophrenia, vol. 1. Amsterdam: Elsevier; 1990.Google Scholar
[53]Olney, JW, Wozniak, DF. Small amounts of alcohol or anesthetics may damage the developing brain. Proceedings of the American Association for the Advancement of Science. Seattle, WA; 2004.Google Scholar
[54]Opler, GA, Brown, AS, Graziano, J, Desai, M, Zheng, W, Schaefer, C, et al.. Prenatal lead exposure, S-aminolevulinic acid, and schizophrenia. Environ Health Perspect 2004;112:548–52.CrossRefGoogle Scholar
[55]Sorenson, HJ, Mortensen, EL, Reinisch, JM, Mednick, SA. Do hypertension and diaretic treatment in pregnancy increase the risk of schizophrenia in offspring? Am J Psychiatry 2003;160:464–8.CrossRefGoogle Scholar
[56]Strous, RD, Maayan, R, Lapidas, R, Stryjer, R, Lustig, M, Kotler, M, et al.. Dehydroeplondrosterone augmentation in the management of negative, depressive and anxiety symptoms in schizophrenia. Arch Gen Psychiatry 2003;60:133–41.Google Scholar
[57]Susser, E, Lin SR Schizophrenia after prenatal exposure to the Dutch Hunger Winter of 1944-1945. Arch Gen Psychiatry 1992;49:983–8.CrossRefGoogle Scholar
[58]Susser, E, Neugebauer, R, Hock, HW, Brown, AS. Schizophrenia after prenatal famine. Arch Gen Psychiatry 1996;53:25-31.CrossRefGoogle ScholarPubMed
[59]Susser, EB, Brown, AS, Mattle, TD. Prenatal factors and adult mental and physical health. Can J Psychiatry 1999;44:326–34.Google ScholarPubMed
[60]Tek, C, Kirkpatrick, B, Kelly, C, McCreadie, RG. Summer birth and déficit schizophrenia in Nithsdale, Scotland. J Nerv Ment Dis 2001;189:613–7.CrossRefGoogle ScholarPubMed
[61]Torrey, EF, Bowler, AE, Rawlings, R. An influenza epidemic and the seasonality of schizophrenic births. In: Kurstak, E, editor. Second World Coogress on Virases and Menta! Health. New York: Plenum; 1991.Google Scholar
[62]US Bureau of the Census. Censas of population: Classified index of industries and occupations. Washington, DC: US Government Printing Office; 1971.Google Scholar
[63]van Os, J, Setten, J-P. Prenatal exposure to maternal stress and later schizophrenia: The May 1940 invasión of the Netherlands. Br J Psychiatry 1998;172:324–6.CrossRefGoogle Scholar
[64]Young, D, Zakzanis, K, Bailey, C, Davila, R, Griese, J, Sartory, G, et al.. Further parameters of insight and neuropsychological déficit in schizophrenia and other chronic mental disease. J Nerv Ment Dis 1998;186:44-50.CrossRefGoogle ScholarPubMed