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Risk Factors In Schizophrenia Research

Decent Essays

Introduction Schizophrenia (SCH) is a chronic mental disorder affecting around 1% of the population (Andreasen & Black, 2006), it is considered to be one of the most burdening disorders for the individuals, with it being recognised as one of the top 10 causes of disability(van Os & Kapur, 2009). Therefore investigating and developing a further understanding into the disorder has great benefits. Schizophrenia research incorporates various methods of investigation, which have all contributed to understanding of various aspects such as the etiology of disorder and its progression. Known risk factors of SCH range from genetics (Owen, Craddock & O’Donovan, 2010), neural disconnectivity (Friston & Frith, 1995), neurodevelopmental (Weinberger, 1986). …show more content…

In the beginnings of structural imaging research, CT scanning revealed reduced cerebral ventricle sizes in schizophrenia (Johnstone et al., 1976). Current MRI studies adopt either a region of interest (ROI) technique or a whole brain approach. In chronic SCH sufferers, structural ROI research has identified physiological abnormalities of the limbic and paralimbic system (Tomasino et al., 2011; Levitt et al., 2010) and volumetric reductions of several brain areas such as; the superior temporal gyrus (Tosato et al., 2012), the insula (Saze et al., 2007) and the basal ganglia (Levitt et al., 2010). The research has provided valuable insight into the progression of schizophrenia and is a valuable measure at detecting early brain structure alterations. Meta-analyses of structural imaging studies have strongly suggested that volumetric and brain regional anomalies present at the initial phase of the illness, progress over time with the influence of age of onset, illness duration, pharmacological treatment, and clinical outcome (Olabi et al., …show more content…

Brain abnormalities associated with schizophrenia has been proposed to be due to neurodevelopmental and neurodegenerative causes (Shenton et al., 2001; Weinberger & Mcclure, 2005). The neurodegenerative hypothesis, first proposed by Emil Kraepelin (1909), with the concept of dementia praecox. The detection of volumetric brain abnormalities in first episode schizophrenia using MRI in comparison to research healthy controls has indicated that structural brain abnormalities are antecedent to the emergence of psychotic symptoms, which is supportive of the neurodegerentaive hypothesis (Van Haren et al., 2008). Also neuroimaging has shown progressive depletion and alteration in grey matter in chronic schizophrenia (Hulshoff Pol et al., 2002) and reductions in the frontal (Niznikiewicz et al., 2003) and temporal lobe (Shenton et al, 2001). Other long term follow up studies have found subtle brain alterations, including lateral ventricular enlargement and a decrease in hemispheric, frontal, and temporal volumes (Lieberman et al., 2001). Furthermore, studies have found that these deteriorations occur rapidly after diagnosis (Pantelis et al., 2003), providing strong evidence for the neurodegenerative hypothesis. These studies support the argument of the progressive neurodevelopmental nature of the disorder. Although structural imaging has indicated a relative loss of brain tissue in the progression of

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