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Fracaso en la identificación clínica de un subgrupo de esquizofrénicos varones nacidos en invierno

Published online by Cambridge University Press:  12 May 2020

J Modestin
Affiliation:
Clínica Psiquiátrica Universitaria de Zurich
O Würmle
Affiliation:
Clínica Psiquiátrica Universitaria de Berna, Suiza
R Ammann
Affiliation:
Clínica Psiquiátrica Universitaria de Berna, Suiza
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Resumen

Se estudió la distribución según su mes de nacimiento de 282 y 224 pacientes esquizofrénicos de acuerdo con los Criterios Diagnósticos para la Investigación (RDC) y el DSM III-R, respectivamente. Se confirmó la mayor tasa de nacimiento en invierno-primavera, con un máximo de enero a marzo. Se compararon los esquizofrénicos nacidos en invierno y en verano. No se encontraron diferencias convincentes con respecto a un conjunto mayor de variables demográficas, psicosociales y clínicas en comparaciones univariadas, ni conseguimos separar e identificar un subgrupo especial de esquizofrenia nacido en invierno utilizando el método de análisis cluster. Se obtuvieron resultados negativos a pesar del hecho de que muchas de las variables incluidas reflejaban el curso de la enfermedad y el grado de cronicidad. O bien el conjunto de variables que utilizamos no ha sido lo bastante “correcto”, o bien la separación de un subgrupo nacido en invierno no es posible clínicamente.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 1996

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References

BIBLIOGRAFIA

d’Amato, TRochet, TDaléry, JChauchat, JHMartin, JPMarie-Cardine, M. Seasonality of birth and ventricular enlargement in chronic schizophrenia. Psychiatry Res: Neuroimaging 1994; 55: 6573.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, third edition, revised. Washington DC: American Psychiatric Association, 1987.Google Scholar
Baron, MGruen, R. Risk factors in schizophrenia. Season of birth and family history. Br J Psychiatry 1988; 152: 460–5.CrossRefGoogle ScholarPubMed
Barry, HBarry, H jr. Season of birth in schizophrenics. Its relation to social class. Arch Gen Psychiatry 1964; 11: 385–91.CrossRefGoogle ScholarPubMed
Beckmann, HFranzek, E. Deficit of birth rates in winter and spring months in distinct subgroups of mainly genetically determined schizophrenia. Psychopathology 1992; 25: 5764.CrossRefGoogle Scholar
Bradbury, TNMiller, GA. Season of birth in schizophrenia: a review of evidence, methodology, and etiology. Psychol Bull 1985; 98: 569–94.CrossRefGoogle ScholarPubMed
Dalen, P. Season of birth. A study of schizophrenia and other mental disorders. Amsterdam, Oxford: North- Holland, 1975.Google Scholar
Degreef, GMukherjee, SBilder, RSchnur, D. Season of birth and CT sean findings in schizophrenic patients. Biol Psychiatry 1988; 24: 461–4.CrossRefGoogle Scholar
Dilling, HWeyerer, S. Epidemiologie psychischer Storungen und psychiatrische Versorgung. Munchen, Wien, Baltimore: Urban und Schwarzenberg, 1978.Google Scholar
di Michele, Vde Cataldo, SRossi, ACasacchia, M. Minimal brain damage and seasonality of birth in schizophrenic disorders. Eur Psychiatry 1992; 7: 91–2.Google Scholar
Fossey, EShapiro, CM. Seasonality in psychiatry - a review. Can J Psychiatry 1992; 7: 299308.CrossRefGoogle Scholar
Franzek, EBeckmann, H. Season-of-birth effect reveais the existence of etiologically different groups of schizophrenia. Biol Psychiatry 1992; 32: 375–8.CrossRefGoogle ScholarPubMed
Gallagher, BJJones, BJMcFalls, JA. The ‘winter phenomenon’ among schizophrenics: differences between blacks and whites. J Clin Psychol 1984; 49: 1151–9.3.0.CO;2-E>CrossRefGoogle Scholar
Häfner, HHaas, SPfeifer-Kurda, MEichhom, SMichitsuji, S. Abnormal seasonality of schizophrenic births. A specific findingÇ Eur Arch Psychiatry Neurol Sci 1987; 236: 333–42.CrossRefGoogle Scholar
Hsieh, HHKhan, MHAtwal, SSCheng, SC. Seasons of birth and subtypes of schizophrenia. Acta Psychiat Scand 1987; 75: 373–6.CrossRefGoogle ScholarPubMed
Katsanis, JFicken, JIacono, WGBeiser, M. Season of birth and electrodermal activity in functional psychoses. Biol Psychiatry 1992; 31: 841–55.CrossRefGoogle ScholarPubMed
Kendell, REKemp, IW. Winter-born vs summer-born schizophrenics. Br J Psychiatry 1987; 151: 499505.CrossRefGoogle Scholar
Kinney, DKJacobsen, B. Environmental factors in schizophrenia: new adoption study evidence. In: Wynne, LCCromwell, RLMatthysse, S, eds. The nature of schizophrenia: New approaches to research and treatment. New York: John Wiley < Sons, 1978; 3851.Google Scholar
Lewis, MS. Age incidence and schizophrenia: Part I. The season of birth controversy. Schizophr Bull 1989; 15: 5973.CrossRefGoogle ScholarPubMed
Moore, HKleining, G. Das soziale Selbstbild der Gesellschaftsschichten in Deutschland. Kólner Zeitschrift für Soziologie und Sozialpsychiatrie, 1960; 12: 86119.Google Scholar
Nasrallah, HAMcCalley-Whitters, M. Seasonality of birth in subtypes of chronic schizophrenia. Acta Psychiatr Scand 1985; 69: 292–5.CrossRefGoogle Scholar
O’Callaghan, EGibson, TColohan, HAet al. Season of birth in schizophrenia. Evidence for confinement of an excess of winter births to patients without a family history of mental disorder. Br J Psychiatry 1991; 158: 764–9.CrossRefGoogle ScholarPubMed
O’Callaghan, ECotter, DColgan, KLarkin, CWalsh, DWaddington, JL. Confinement of winter birth excess in schizophrenia to the urban-bom and its gender specificity. Br J Psychiatry 1995; 166: 51–4.CrossRefGoogle ScholarPubMed
Odegard, O. Season of birth in the general population and in patients with mental disorder in Norway. Br J Psychiatry 1974; 125: 397405.CrossRefGoogle ScholarPubMed
Opler, LAKay, SRRosado, VLindenmayer, JP. Positive and negative syndromes in chronic schizophrenic inpatients. J Nerv Ment Dis 1984; 172: 317–25.CrossRefGoogle ScholarPubMed
Parker, GNeilson, M. Mental disorder and season of birth - A southem hemisphere study. Br J Psychiatry 1976; 129: 355–61.CrossRefGoogle Scholar
Pulver, AESawyer, JWChilds, B. The association between season of birth and the risk for schizophrenia. Am J Epidemiol 1981; 114: 735–49.CrossRefGoogle ScholarPubMed
Pulver, AEStewart, WCarpenter, WT jrChilds, B. Risk factors in schizophrenia: season of birth in Maryland, USA. Br J Psychiatry 1983; 143: 389–96.CrossRefGoogle ScholarPubMed
Rodrigo, GLusiardo, MBriggs, GUlmer, A. Differences between schizophrenics born in winter and summer. Acta Psychiatr Scand 1991; 84: 320–2.CrossRefGoogle Scholar
Shur, E. Season of birth in high and low genetic risk schizophrenics. Br J Psychiatry 1982; 140: 410–5.CrossRefGoogle ScholarPubMed
Spitzer, RlEndicott, JRobins, E. Research Diagnostic Criteria (RDC) for a selected group of functional disorders, 3rd ed. New York: New York State Psychiatric Institute, 1978.Google Scholar
Takei, NSham, PO’Callaghan, EMurray, GKGlover, GMurray, RM. Prenatal exposure to influenza and the development of schizophrenia: is the effect confined to females? Am J Psychiatry 1994; 151: 117–9.Google ScholarPubMed
Torrey, EFTorrey, BB. Sex differences in the seasonality of schizophrenic births (Letter to the editor). Br J Psychiatry 1980; 137: 101–2.Google Scholar
Watson, CGKucala, TTilleskjor, CJacobs, L. Schizophrenic birth seasonality in relation to the incidence of infectious diseases and temperature extremes. Arch Gen Psychiatry 1984; 41: 8590.CrossRefGoogle ScholarPubMed
Watson, CG. Schizophrenic birth seasonality and the ageincidence artifact. Schizophr Bull 1990; 16: 510.CrossRefGoogle ScholarPubMed
Zipursky, RBSchulz, SC. Seasonality of birth and CT findings in schizophrenia. Biol Psychiatry 1987; 22: 1288–92.CrossRefGoogle Scholar