Early Environmental Upheaval and the Risk for Schizophrenia.
|Title||Early Environmental Upheaval and the Risk for Schizophrenia.|
|Publication Type||Journal Article|
|Year of Publication||2021|
|Authors||Paquin V, Lapierre M, Veru F, King S|
|Journal||Annu Rev Clin Psychol|
|Date Published||2021 Feb 05|
Why does prenatal exposure to wars, natural disasters, urbanicity, or winter increase the risk for schizophrenia? Research from the last two decades has provided rich insight about the underlying chains of causation at play during environmental upheaval, from conception to early infancy. In this review, we appraise the evidence linking schizophrenia spectrum disorder to prenatal maternal stress, obstetric complications, early infections, and maternal nutrition and other lifestyle factors. We discuss putative mechanisms, including the maternal stress system, perinatal hypoxia, and maternal-offspring immune activation. We propose that gene-environment interactions, timing during development, and sex differentiate the neuropsychiatric outcomes. Future research should pursue the translation of animal studies to humans and the longitudinal associations between early exposures, intermediate phenotypes, and psychiatric disorders. Finally, to paint a comprehensive model of risk and to harness targets for prevention, we argue that risk factors should be situated within the individual's personal ecosystem. Expected final online publication date for the , Volume 17 is May 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.
|Alternate Journal||Annu Rev Clin Psychol|