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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
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).
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- Copyright © European Psychiatric Association 2007
References
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