Childhood Mental Disorders and Risk of Schizophrenia

W. Liang, T. Chikritzhs
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Abstract

Problem statement: Schizophrenia is one of the most serious forms of mental diseases, but the etiology of schizophrenia is still not well understood. Investigations are required to gain better understanding of the pre-onset course of schizophrenia. Approach: This study was a population-based birth-cohort study of males born between 1980 and 1984 in Western Australia (WA). Males were identified using birth registry records and followed-up until December 31st, 2009 or death using linked health data available through the Western Australian Data Linkage System (WADLS). Results: Children who developed a mental disorder before the age of 12 yrs had about at twice the risk of developing schizophrenia compared to those without a diagnosis. Increased risks appeared to be greatest for specific delays in development and hyperkinetic syndrome of childhood. Conclusion: Children with childhood mental disorders are at higher risk of being diagnosed with schizophrenia later in life. These findings provide further evidence to support the hypothesis that schizophrenia is a neurodevelopmental disorder.
儿童精神障碍和精神分裂症的风险
问题说明:精神分裂症是最严重的精神疾病之一,但精神分裂症的病因尚不清楚。需要进行调查以更好地了解精神分裂症发病前的病程。方法:本研究是一项以人口为基础的出生队列研究,研究对象是1980年至1984年出生在西澳大利亚州(WA)的男性。使用出生登记记录确定男性,并随访至2009年12月31日,或使用通过西澳大利亚数据链接系统(WADLS)提供的相关健康数据确定死亡。结果:在12岁之前患有精神疾病的儿童患精神分裂症的风险是未确诊儿童的两倍。增加的风险似乎是最大的特定发育迟缓和儿童多动综合症。结论:患有儿童精神障碍的儿童在以后的生活中被诊断为精神分裂症的风险更高。这些发现为精神分裂症是一种神经发育障碍的假设提供了进一步的证据。
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