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1.
Sci Rep ; 7: 45463, 2017 04 04.
Article in English | MEDLINE | ID: mdl-28374745

ABSTRACT

Optical and electrical properties of complex semiconducting alloys like Cu(In,Ga)Se2 (CIGS) are strongly influenced by the reaction pathways occurring during their deposition process. This makes it desirable to observe and control these properties in real-time during the deposition. Here we show for the first time the evolution of the band gap and the sub-band-gap defect absorption of CIGS thin film as well as surface roughness during a three-stage co-evaporation process by means of an optical analysis technique, based on white light reflectometry (WLR). By simultaneously recording structural information with in-situ energy dispersive X-ray diffraction and X-ray fluorescence we can directly correlate the evolution of opto-electronic material parameters with the structural properties of the film during growth. We find that the surface roughness and the sub-gap light absorption can be correlated with the phase evolution during the transformation from (In,Ga)2Se3 to Cu(In,Ga)Se2 by the incorporation of Cu into the film. Sub-bandgap light absorption is found to be influenced by the Cu-saturated growth phase and is lowered close to the points of stoichiometry, allowing for an advanced process design.

2.
Microsc Microanal ; 17(5): 728-51, 2011 Oct.
Article in English | MEDLINE | ID: mdl-21906418

ABSTRACT

The present work shows results on elemental distribution analyses in Cu(In,Ga)Se2 thin films for solar cells performed by use of wavelength-dispersive and energy-dispersive X-ray spectrometry (EDX) in a scanning electron microscope, EDX in a transmission electron microscope, X-ray photoelectron, angle-dependent soft X-ray emission, secondary ion-mass (SIMS), time-of-flight SIMS, sputtered neutral mass, glow-discharge optical emission and glow-discharge mass, Auger electron, and Rutherford backscattering spectrometry, by use of scanning Auger electron microscopy, Raman depth profiling, and Raman mapping, as well as by use of elastic recoil detection analysis, grazing-incidence X-ray and electron backscatter diffraction, and grazing-incidence X-ray fluorescence analysis. The Cu(In,Ga)Se2 thin films used for the present comparison were produced during the same identical deposition run and exhibit thicknesses of about 2 µm. The analysis techniques were compared with respect to their spatial and depth resolutions, measuring speeds, availabilities, and detection limits.

3.
Phys Rev Lett ; 105(11): 116802, 2010 Sep 10.
Article in English | MEDLINE | ID: mdl-20867594

ABSTRACT

The unusual optoelectronic properties of chalcopyrite grain boundaries (GBs) have become the subject of an intense debate in recent years. In this work we investigate the defect density at GBs of Cu(In,Ga)Se2 by scanning tunneling spectroscopy. Contrary to our expectation, our results give evidence for a reduced density of deep level defects and point to an increased density of defect levels in resonance with the lower conduction band at GBs. Our findings imply low recombination activity at GBs, and thus can explain the low impact of GBs on the efficiency of chalcopyrite based solar cells.

4.
Am J Med Genet ; 105(1): 20-2, 2001 Jan 08.
Article in English | MEDLINE | ID: mdl-11424985

ABSTRACT

The transmission/disequilibrium test was used for fine mapping of the linkage of schizophrenia to the chromosome 15q13-14 region, the site of a candidate gene, the alpha7 nicotinic acetylcholine receptor subunit gene (CHRNA7), in parent-child triads from the NIMH Schizophrenia Genetics Initiative families. This candidate gene was identified from neurobiological studies of deficits in schizophrenics of the inhibitory gating of the P50 auditory evoked potential. The neurobiological deficit was also used as a phenotype for subsequent linkage analysis. In the present study, significant genotype-wise disequilibrium (P < 0.007) was found at D15S165, a polymorphic simple sequence marker physically located within 1 megabase of both CHRNA7 and a partially duplicated, expressed sequence that includes exons 5-10 of CHRNA7. Replication of this result was found in an additional set of families. The results support this region as a chromosomal location involved in the genetic transmission of schizophrenia.


Subject(s)
Chromosomes, Human, Pair 15 , Linkage Disequilibrium , Receptors, Nicotinic/genetics , Schizophrenia/genetics , Chromosomes, Human, Pair 15/genetics , Genetic Markers , Humans , Pedigree , alpha7 Nicotinic Acetylcholine Receptor
5.
Am J Psychiatry ; 158(3): 440-6, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11229986

ABSTRACT

OBJECTIVE: Schizophrenia following a traumatic brain injury could be a phenocopy of genetic schizophrenia or the consequence of a gene-environment interaction. Alternatively, traumatic brain injury and schizophrenia could be spuriously associated if those who are predisposed to develop schizophrenia have greater amounts of trauma for other reasons. The authors investigated the relationship between traumatic brain injury and psychiatric diagnoses in a large group of subjects from families with at least two biologically related first-degree relatives with schizophrenia, schizoaffective disorder, or bipolar disorder. METHOD: The Diagnostic Interview for Genetic Studies was used to determine history of traumatic brain injury and diagnosis for 1,275 members of multiplex bipolar disorder pedigrees and 565 members of multiplex schizophrenia pedigrees. RESULTS: Rates of traumatic brain injury were significantly higher for those with a diagnosis of schizophrenia, bipolar disorder, and depression than for those with no mental illness. However, multivariate analysis of within-pedigree data showed that mental illness was related to traumatic brain injury only in the schizophrenia pedigrees. Independent of diagnoses, family members of those with schizophrenia were more likely to have had traumatic brain injury than were members of the bipolar disorder pedigrees. The members of the schizophrenia pedigrees also failed to show the gender difference for traumatic brain injury (more common in men than in women) that was expected and was present in the bipolar disorder pedigrees. Subjects with a schizophrenia diagnosis who were members of the bipolar disorder pedigrees (and thus had less genetic vulnerability to schizophrenia) were less likely to have had traumatic brain injury (4.5%) than were subjects with schizophrenia who were members of the schizophrenia pedigrees (and who had greater genetic vulnerability to schizophrenia) (19.6%). CONCLUSIONS: Members of the schizophrenia pedigrees, even those without a schizophrenia diagnosis, had greater exposure to traumatic brain injury compared to members of the bipolar disorder pedigrees. Within the schizophrenia pedigrees, traumatic brain injury was associated with a greater risk of schizophrenia, consistent with synergistic effects between genetic vulnerability for schizophrenia and traumatic brain injury. Posttraumatic-brain-injury schizophrenia in multiplex schizophrenia pedigrees does not appear to be a phenocopy of the genetic disorder.


Subject(s)
Bipolar Disorder/genetics , Brain Injuries/epidemiology , Family , Schizophrenia/genetics , Adult , Bipolar Disorder/epidemiology , Comorbidity , Female , Humans , Male , Mental Disorders/epidemiology , Mental Disorders/genetics , Middle Aged , Multivariate Analysis , Odds Ratio , Pedigree , Risk , Schizophrenia/epidemiology
6.
Am J Med Genet ; 105(8): 794-800, 2001 Dec 08.
Article in English | MEDLINE | ID: mdl-11803533

ABSTRACT

Schizophrenia is assumed to have complex inheritance because of its high prevalence and sporadic familial transmission. Findings of linkage on different chromosomes in various studies corroborate this assumption. It is not known whether these findings represent heterogeneous inheritance, in which various ethnic groups inherit illness through different major gene effects, or multigenic inheritance, in which affected individuals inherit several common genetic abnormalities. This study therefore examined inheritance of schizophrenia at different genetic loci in a nationally collected European American and African American sample. Seventy-seven families were previously genotyped at 458 markers for the NIMH Schizophrenia Genetics Initiative. Initial genetic analysis tested a dominant model, with schizophrenia and schizoaffective disorder, depressed type, as the affected phenotype. The families showed one genome-wide significant linkage (Z = 3.97) at chromosome 15q14, which maps within 1 cM of a previous linkage at the alpha 7-nicotinic receptor gene. Chromosome 10p13 showed suggestive linkage (Z = 2.40). Six others (6q21, 9q32, 13q32, 15q24, 17p12, 20q13) were positive, with few differences between the two ethnic groups. The probability of each family transmitting schizophrenia through two genes is greater than expected from the combination of the independent segregation of each gene. Two trait-locus linkage analysis supports a model in which genetic alleles associated with schizophrenia are relatively common in the general population and affected individuals inherit risk for illness through at least two different loci.


Subject(s)
Schizophrenia/genetics , Alleles , Chromosomes, Human, Pair 10/genetics , Chromosomes, Human, Pair 13/genetics , Chromosomes, Human, Pair 15/genetics , Chromosomes, Human, Pair 17/genetics , Chromosomes, Human, Pair 20/genetics , Chromosomes, Human, Pair 6/genetics , Chromosomes, Human, Pair 9/genetics , Family Health , Gene Frequency , Genetic Linkage , Genotype , Humans , Lod Score , Microsatellite Repeats , Multifactorial Inheritance
7.
Psychiatry Res ; 98(3): 163-75, 2000 May 15.
Article in English | MEDLINE | ID: mdl-10821999

ABSTRACT

The hippocampus is a site of previously reported structural and functional abnormalities in schizophrenia. We used magnetic resonance imaging (MRI) and proton magnetic resonance spectroscopy (MRS) to measure gray matter volumes, the neuronal marker N-acetylaspartate (NAA), and the combination of glutamate (Glu), glutamine (Gln), and gamma-aminobutyric acid (GABA), designated Glx. Measurements were obtained of the medial temporal lobe, centered on the hippocampus, in 10 male patients with schizophrenia (3 neuroleptic-medicated and 7 medication-free), and 10 matched normal volunteers. MRI volumetric measurements and MRS data obtained with short echo time (TE=20 ms) one-dimensional STEAM chemical shift imaging (CSI) on a GE 1.5 Tesla Signa system were analyzed. A laterality index ¿(L-R)/(L+R) was generated from the ratio of Glx to choline-containing compounds (Cho) to test asymmetry changes. Reliability of the MRS measures was assessed with five test-retest studies of healthy volunteers and showed coefficients of variation (CV) in the range of 36-44% for the MRS ratios and standard deviations (S.D.) of 0.15-0.17 for the laterality indices. The Glx/Cho laterality index showed a relative right-sided excess in this region in the patients (-0.23+/-0.20) compared to the controls (+0.06+/-0.20), which was not confounded by tissue composition or placement variability of the MRS voxels. Hippocampal volume deficit and asymmetry were not significant, and other MRS measures showed no differences between patients and controls. The preliminary finding of a lateralized abnormality in Glx is consistent with postmortem findings of asymmetric neurochemical temporal lobe abnormalities in schizophrenia.


Subject(s)
Dominance, Cerebral , Hippocampus/metabolism , Schizophrenia/metabolism , Schizophrenia/pathology , Adult , Aspartic Acid/analogs & derivatives , Aspartic Acid/metabolism , Case-Control Studies , Glutamic Acid/metabolism , Glutamine/metabolism , Hippocampus/pathology , Humans , Magnetic Resonance Imaging , Magnetic Resonance Spectroscopy , Male , gamma-Aminobutyric Acid/metabolism
8.
Am J Psychiatry ; 156(8): 1276-8, 1999 Aug.
Article in English | MEDLINE | ID: mdl-10450275

ABSTRACT

OBJECTIVE: This study compares demographic and clinical characteristics of 52 individuals with schizophrenia or schizoaffective disorder who had attempted suicide with those of 104 individuals with schizophrenia or schizoaffective disorder who had not made a suicide attempt. METHOD: Participants were interviewed with the Diagnostic Interview for Genetic Studies. RESULTS: Most suicide attempts were of moderate to severe lethality, required medical attention, and involved significant suicidal intent. Individuals who had and had not attempted suicide did not differ with respect to demographic variables, duration of illness, rate of depression, or substance abuse. The two groups are affected differentially when depressed. CONCLUSIONS: Biopsychosocial assessments and interventions are essential for reducing the risk for suicidal behavior in individuals with schizophrenia.


Subject(s)
Schizophrenia/diagnosis , Schizophrenic Psychology , Suicide, Attempted/statistics & numerical data , Adult , Age Factors , Age of Onset , Comorbidity , Depressive Disorder/diagnosis , Depressive Disorder/epidemiology , Depressive Disorder/psychology , Female , Hospitalization/statistics & numerical data , Humans , Male , Psychiatric Status Rating Scales , Psychotic Disorders/diagnosis , Psychotic Disorders/epidemiology , Psychotic Disorders/psychology , Risk Factors , Schizophrenia/epidemiology , Sex Factors , Substance-Related Disorders/diagnosis , Substance-Related Disorders/epidemiology , Substance-Related Disorders/psychology , Suicide, Attempted/prevention & control , Suicide, Attempted/psychology
9.
Am J Med Genet ; 81(4): 275-81, 1998 Jul 10.
Article in English | MEDLINE | ID: mdl-9674971

ABSTRACT

Schizophrenia has a complex pattern of inheritance, indicative of interactions among multiple genes and environmental factors. The detection and replication of specific susceptibility loci for such complex disorders are facilitated by the availability of large samples of affected sib pairs and their nuclear families, along with standardized assessment and systematic ascertainment procedures. The NIMH Genetics Initiative on Schizophrenia, a multisite collaborative study, was established as a national resource with a centralized clinical data base and cell repository. The Millennium Schizophrenia Consortium has completed a genome-wide scan to detect susceptibility loci for schizophrenia in 244 individuals from the nuclear families of 92 independent pairs of schizophrenic sibs ascertained by the NIMH Genetics Initiative. The 459 marker loci used in the scan were spaced at 10-cM intervals on average. Individuals of African descent were higher than those of European descent in their average heterozygosity (79% vs. 76%, P < .0001) and number of alleles per marker (9.2 vs. 8.4, P < .0001). Also, the allele frequencies of 73% of the marker loci differed significantly (P < .01) between individuals of European and African ancestry. However, regardless of ethnic background, this sample was largely comprised of schizophrenics with more than a decade of psychosis associated with pervasive social and occupational impairment.


Subject(s)
Schizophrenia/genetics , Adolescent , Adult , Chromosome Mapping , Confidentiality , Female , Genetic Predisposition to Disease , Genome, Human , Genotype , Humans , Male , National Institutes of Health (U.S.) , Racial Groups/genetics , Schizophrenia/diagnosis , Schizophrenia/ethnology , United States
10.
Am J Med Genet ; 81(4): 282-9, 1998 Jul 10.
Article in English | MEDLINE | ID: mdl-9674972

ABSTRACT

The NIMH Genetics Initiative is a multi-site collaborative study designed to create a national resource for genetic studies of complex neuropsychiatric disorders. Schizophrenia pedigrees have been collected at three sites: Washington University, Columbia University, and Harvard University. This article-one in a series that describes the results of a genome-wide scan with 459 short-tandem repeat (STR) markers for susceptibility loci in the NIMH Genetics Initiative schizophrenia sample-presents results for African-American pedigrees. The African-American sample comprises 30 nuclear families and 98 subjects. Seventy-nine of the family members were considered affected by virtue of having received a DSMIII-R diagnosis of schizophrenia (n = 71) or schizoaffective disorder, depressed (n = 8). The families contained a total of 42 independent sib pairs. While no region demonstrated evidence of significant linkage using the criteria suggested by Lander and Kruglyak, several regions, including chromosomes 6q16-6q24, 8pter-8q12, 9q32-9q34, and 15p13-15q12, showed evidence consistent with linkage (P = 0.01-0.05), providing independent support of findings reported in other studies. Moreover, the fact that different genetic loci were identified in this and in the European-American samples, lends credence to the notion that these genetic differences together with differences in environmental exposures may contribute to the reported differences in disease prevalence, severity, comorbidity, and course that has been observed in different racial groups in the United States and elsewhere.


Subject(s)
Black People/genetics , Genetic Linkage , Schizophrenia/genetics , Adolescent , Adult , Black or African American/psychology , Chromosome Mapping , Chromosomes, Human, Pair 15 , Chromosomes, Human, Pair 19 , Chromosomes, Human, Pair 4 , Chromosomes, Human, Pair 6 , Chromosomes, Human, Pair 8 , Chromosomes, Human, Pair 9 , Female , Genetic Markers , Genetic Predisposition to Disease , Humans , Male , Middle Aged , National Institutes of Health (U.S.) , Pedigree , Repetitive Sequences, Nucleic Acid , United States
11.
Am J Med Genet ; 81(4): 308-12, 1998 Jul 10.
Article in English | MEDLINE | ID: mdl-9674976

ABSTRACT

Linkage of a neurophysiological deficit associated with schizophrenia, i.e., the failure to inhibit the auditory P50 response, was previously reported at chromosome 15q14. The marker with the highest pairwise lod score, D15S1360, was isolated from a yeast artificial chromosome containing a candidate gene, the alpha7-nicotinic acetylcholine receptor gene. In the present study, this linkage was further investigated in a subset of the NIMH Genetics Initiative schizophrenia families. These families have not been studied neurophysiologically, as were the families in the original report. Therefore, the DSMIII-R diagnosis of schizophrenia was used as the affected phenotype. Twenty families fulfilled the criteria of at least one sibpair concordant for schizophrenia, along with their two parents or another affected relative outside the nuclear family, available for genotyping. Sibpair analysis showed a significant proportion of D15S1360 alleles shared identical-by-descent (0.58; P < 0.0024). The results further support the involvement of this chromosomal locus in the genetic transmission of schizophrenia.


Subject(s)
Chromosomes, Human, Pair 15 , Schizophrenia/genetics , Female , Follow-Up Studies , Genetic Linkage , Genetic Markers , Genotype , Humans , Male , National Institutes of Health (U.S.) , Schizophrenia/diagnosis , United States
12.
Am J Med Genet ; 74(3): 275-80, 1997 May 31.
Article in English | MEDLINE | ID: mdl-9184310

ABSTRACT

Anticipation is a genetic phenomenon wherein age of disease onset decreases and/ or severity increases in successive generations. Anticipation has been demonstrated for several neuropsychiatric disorders with expanding trinucleotide repeats recently identified as the underlying molecular mechanism. We report here the results of an analysis of anticipation performed with multiplex families segregating schizophrenia. Thirty-three families were identified through the NIMH Genetics Initiative that met the following criteria: had at least two affected members in successive generations and were not bilineal. Affectation diagnoses included schizophrenia, schizoaffective disorder-depressed, and psychosis NOS. Additional analyses included the Cluster A personality disorders. Three indices of age of onset were used. Disease severity was measured by several different indices. Four sampling schemes as suggested by McInnis et al. were tested, as well as additional analysis using pairs ascertained through the parental generation. Anticipation was demonstrated for age of onset, regardless of the index or sampling scheme used (P<0.05). Anticipation was not supported for disease severity. Analyses that took into account drug use and diminished fecundity did not affect the results. While the data strongly support intergenerational differences in disease onset consistent with anticipation, they must be viewed cautiously given unavoidable biases attending these analyses.


Subject(s)
Schizophrenia/genetics , Age of Onset , Bias , Family/psychology , Female , Humans , Male , National Institute of Mental Health (U.S.) , Severity of Illness Index , Statistics as Topic , United States
13.
Clin Neuropharmacol ; 19(5): 415-9, 1996 Oct.
Article in English | MEDLINE | ID: mdl-8889284

ABSTRACT

Concentrations of pros-methylimidazoleacetic acid (p-MIAA) were measured in cerebrospinal fluid of 30 patients with chronic schizophrenia. Levels of p-MIAA correlated negatively with mean scores of the Psychiatric Symptom Assessment Scale for positive symptoms (r = -0.48), but not negative symptoms, and with ventricular brain ratios (r = -0.48). Patients with abnormal ventricular enlargements had much lower concentrations of p-MIAA than those with normal ventricles. These results suggest that processes that reduce accumulation of p-MIAA in CSF may be associated with increased severity of symptoms among patients with chronic schizophrenia.


Subject(s)
Cerebral Ventricles/metabolism , Imidazoles/cerebrospinal fluid , Psychiatric Status Rating Scales , Schizophrenia/cerebrospinal fluid , Schizophrenia/urine , Adult , Chronic Disease , Female , Humans , Male , Middle Aged , Regression Analysis , Urine
14.
Psychol Med ; 26(4): 775-83, 1996 Jul.
Article in English | MEDLINE | ID: mdl-8817712

ABSTRACT

We examined the reliability of the OPCRIT system from ratings produced by 30 USA and European clinicians involved in molecular genetic research. The OPCRIT system facilitates a polydiagnostic approach to research on severe psychiatric disorders. OPCRIT comprises a 90-item checklist of signs and symptoms and a suite of computer programs, which together generate diagnoses according to the operational criteria of 12 major classificatory systems (e.g. DSM-III, DSM-III-R, RDC, ICD-10). Thirty summaries of actual cases ranging in signs and symptoms, taken from independent sources, were rated by participants from research centres across Europe and the USA using the OPCRIT system. Each rating was then compared to a standard rating using a kappa statistic. Good levels of reliability were observed within all classifications (e.g. DSM-III-R, kappa = 0.73, RDC, kappa = 0.71; ICD-10, kappa = 0.70) and a similar pattern of ratings was found in both the European and USA samples. We conclude that the OPCRIT system, is both flexible and practicable retaining the 'top-down' advantage of operational definitions as well as the 'bottom-up' potential offered by well defined signs, symptoms and other component items. Within the limitations of an international, multicentre design this study shows that the OPCRIT system affords good reliability with raters from a variety of geographical and theoretical backgrounds.


Subject(s)
Diagnosis, Computer-Assisted , Mental Disorders/diagnosis , Observer Variation , Psychiatric Status Rating Scales , Humans , Mental Disorders/psychology
15.
Schizophr Res ; 19(2-3): 171-6, 1996 May.
Article in English | MEDLINE | ID: mdl-8789915

ABSTRACT

Concentrations of norepinephrine and metabolites of biogenic amines were measured in lumbar cerebrospinal fluid of 30 patients with chronic schizophrenia, nine of whom were polyuric. The mean level of norepinephrine was two-fold higher (p < or = 0.025) in polyuric patients than in patients whose excretion of urine was within the normal range. CSF levels of histamine's primary metabolite, tele-methylhistamine, an index of brain histaminergic activity, were positively correlated (p < 0.005) with daily urine volume. These results are consistent with the known influence of norepinephrine and histamine on fluid regulation and suggest that norepinephrine and histamine may be involved in psychogenic polydipsia-polyuria in schizophrenic patients.


Subject(s)
Biogenic Amines/cerebrospinal fluid , Norepinephrine/cerebrospinal fluid , Polyuria/physiopathology , Schizophrenia/physiopathology , Water-Electrolyte Balance/physiology , 3,4-Dihydroxyphenylacetic Acid/cerebrospinal fluid , Adult , Chronic Disease , Drinking/physiology , Female , Histamine/cerebrospinal fluid , Homovanillic Acid/cerebrospinal fluid , Humans , Hydroxyindoleacetic Acid/cerebrospinal fluid , Male , Methoxyhydroxyphenylglycol/cerebrospinal fluid , Methylhistamines/cerebrospinal fluid , Middle Aged , Reference Values , Schizophrenia/diagnosis
16.
Psychol Med ; 26(2): 401-10, 1996 Mar.
Article in English | MEDLINE | ID: mdl-8685296

ABSTRACT

The dominant, contemporary paradigm for developing and refining diagnoses relies heavily on assessing reliability with kappa coefficients and virtually ignores a core component of psychometric practice: the theory of latent structures. This article describes a psychometric approach to psychiatric nosology that emphasizes the diagnostic accuracy and confusability of diagnostic categories. We apply these methods to the Diagnostic Interview for Genetic Studies (DIGS), a structured psychiatric interview designed by the NIMH Genetics Initiative for genetic studies of schizophrenia and bipolar disorder. Our results show that sensitivity and specificity were excellent for both DSM-III-R and RDC diagnoses of major depression, bipolar disorder, and schizophrenia. In contrast, diagnostic accuracy was substantially lower for subtypes of schizoaffective disorder-especially for the DSM-III-R definitions. Both the bipolar and depressed subtypes of DSM-III-R schizoaffective disorder had excellent specificity but poor sensitivity. The RDC definitions also had excellent specificity but were more sensitive than the DSM-III-R schizoaffective diagnoses. The source of low sensitivity for schizoaffective subtypes differed for the two diagnostic systems. For RDC criteria, the schizoaffective subtypes were frequently confused with one another; they were less frequently confused with other diagnoses. In contrast, the DSM-III-R subtypes were often confused with schizophrenia, but not with each other.


Subject(s)
Bipolar Disorder/genetics , Personality Assessment/statistics & numerical data , Schizophrenia/genetics , Schizophrenic Psychology , Bipolar Disorder/diagnosis , Bipolar Disorder/psychology , Depressive Disorder/diagnosis , Depressive Disorder/genetics , Depressive Disorder/psychology , Humans , Psychiatric Status Rating Scales/statistics & numerical data , Psychometrics , Psychotic Disorders/diagnosis , Psychotic Disorders/genetics , Psychotic Disorders/psychology , Reproducibility of Results , Risk Factors , Schizophrenia/diagnosis
17.
J Nerv Ment Dis ; 184(2): 71-85, 1996 Feb.
Article in English | MEDLINE | ID: mdl-8596115

ABSTRACT

Emerging evidence indicates that schizophrenia may in some cases be a neurodevelopmental disorder, resulting in part from the effects of prenatal exposures. Studies by our group have focused attention on the potential role of prenatal nutritional deficiency as a potential etiological factor. Therefore, we sought to examine the biological plausibility of prenatal nutritional deprivation in the etiopathogenesis of schizophrenia. We conducted a review of the pertinent literature. Four lines of evidence support prenatal nutritional deficiencies as a plausible set of risk factors for schizophrenia: a) their effects are not incompatible with the epidemiology of schizophrenia; b) they have adverse effects on brain development; c) general malnutrition results in neuropathological anomalies of brain regions implicated in schizophrenia; and d) prenatal malnutrition affects maternal systems critical to the developing fetal nervous system. There is sufficient evidence to warrant further studies of prenatal nutritional deficits as risk factors for schizophrenia. A strategy for testing these hypotheses is outlined.


Subject(s)
Nutrition Disorders/epidemiology , Pregnancy Complications/epidemiology , Prenatal Exposure Delayed Effects , Schizophrenia/etiology , Brain/embryology , Brain/growth & development , Female , Folic Acid Deficiency/complications , Humans , Infant, Newborn , Iodine/deficiency , Maternal Exposure , Nutrition Disorders/complications , Pregnancy , Risk Factors , Schizophrenia/epidemiology , Stress, Psychological/complications , Stress, Psychological/epidemiology , Thyroid Hormones/deficiency , Zinc/deficiency
18.
Psychiatry Res ; 57(3): 231-9, 1995 Aug 28.
Article in English | MEDLINE | ID: mdl-7501733

ABSTRACT

The typical onset of schizophrenia during late adolescence and early adulthood has stimulated interest in the potential contribution of hypothalamo-pituitary-gonadal (HPG) axis abnormalities to this disorder. Previous investigations of reproductive hormone function in men with schizophrenia suggest diminished activity of the HPG axis. These studies have been hampered, however, by methodologic limitations. We have attempted to address these limitations by rigorous determination of gonadotropin and gonadal hormone levels, and attention to demographic and diagnostic variables. In contrast to prior studies, our results indicate that schizophrenic patients do not show statistically significant differences from healthy volunteers with respect to luteinizing hormone pulsatility, response to gonadotropin-releasing hormone challenge, and testosterone secretion. Due to the small number of subjects, however, these findings must be regarded as preliminary and warrant further study.


Subject(s)
Gonadal Steroid Hormones/blood , Hypothalamo-Hypophyseal System/physiopathology , Schizophrenia/physiopathology , Schizophrenic Psychology , Testis/innervation , Adult , Circadian Rhythm/physiology , Gonadotropin-Releasing Hormone , Haloperidol/adverse effects , Haloperidol/therapeutic use , Humans , Hypothalamo-Hypophyseal System/drug effects , Luteinizing Hormone/blood , Male , Reference Values , Schizophrenia/diagnosis , Schizophrenia/drug therapy , Testosterone/blood
19.
Am J Psychiatry ; 152(6): 932-5, 1995 Jun.
Article in English | MEDLINE | ID: mdl-7755128

ABSTRACT

OBJECTIVE: The purposes of this study were to compare right ear (left hemisphere) advantage for dichotic words in schizophrenia and depression and to assess its association with antipsychotic medication, symptom ratings, and gender. METHOD: Thirty-two schizophrenic patients and 65 patients with major depression were given the Fused Rhymed Words Test, a dichotic listening measure of hemispheric dominance for language. RESULTS: An earlier finding of smaller left hemisphere advantage in schizophrenic patients was replicated. There was no significant change in ear advantage in a subgroup of the schizophrenic patients tested when they were taking neuroleptics and when they were not. The smaller left hemisphere advantage in the schizophrenic patients was not dependent on gender but was related to symptom ratings on the Positive and Negative Syndrome Scale. CONCLUSIONS: The findings are consistent with a left hemisphere dysfunction in schizophrenia, which is associated with positive symptoms.


Subject(s)
Dichotic Listening Tests , Functional Laterality , Schizophrenia/diagnosis , Adult , Antipsychotic Agents/pharmacology , Antipsychotic Agents/therapeutic use , Brain/physiopathology , Depressive Disorder/diagnosis , Female , Humans , Male , Middle Aged , Schizophrenia/drug therapy , Schizophrenia/physiopathology , Schizophrenic Psychology , Sex Factors
20.
J Neuropsychiatry Clin Neurosci ; 7(2): 197-206, 1995.
Article in English | MEDLINE | ID: mdl-7626963

ABSTRACT

Increasing evidence suggests that smooth pursuit eye movement (SPEM) dysfunction may serve as an endophenotype or genetic marker of schizophrenia. The authors tested SPEM and visual fixation (VF) in 31 patients with schizophrenia, 33 of their first-degree relatives, and 24 patients with major depressive disorder. A high rate of abnormal VF was found in schizophrenic patients and their first-degree relatives, but not in affective disorder patients with or without psychotic features. Rate of VF abnormality distinguished schizophrenic patients from acutely depressed mood disorder patients; SPEM did not. VF and SPEM performance correlated only moderately, suggesting that the pathophysiologies of these two eye movement abnormalities may be partially independent. Implications for identifying a schizophrenia endophenotype are discussed.


Subject(s)
Fixation, Ocular/genetics , Pursuit, Smooth/genetics , Schizophrenia/genetics , Schizophrenic Psychology , Adult , Aged , Bipolar Disorder/diagnosis , Bipolar Disorder/genetics , Bipolar Disorder/psychology , Depression/diagnosis , Depression/genetics , Depression/psychology , Depressive Disorder/diagnosis , Depressive Disorder/genetics , Depressive Disorder/psychology , Female , Genetic Markers , Humans , Male , Middle Aged , Phenotype , Psychotic Disorders/diagnosis , Psychotic Disorders/genetics , Psychotic Disorders/psychology , Reference Values , Reproducibility of Results , Schizophrenia/diagnosis , Sensitivity and Specificity
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