Craniofacial dysmorphology in Swedish schizophrenia patients

Acta Psychiatr Scand. 2005 Mar;111(3):202-7. doi: 10.1111/j.1600-0447.2004.00473.x.

Abstract

Objective: To perform detailed assessments of craniofacial dysmorphology in individuals with schizophrenia and controls in Sweden, in order to further elucidate the neurodevelopmental origins of schizophrenia.

Method: We performed detailed, anthropometric assessments of craniofacial dysmorphology in male patients with schizophrenia (n=24), healthy controls (n=16), and patients' siblings with schizophrenia (n=2) in Sweden, while remaining as blind as possible to schizophrenia/control status.

Results: Individuals with schizophrenia evidenced significantly more craniofacial dysmorphology than controls, especially in the ears and mouth. At a group level, there was a dose-response type relationship between total dysmorphology score and patient/control status.

Conclusion: The consistency of results across multiple studies supports the hypothesis that individuals with schizophrenia have increased rates of prenatal developmental disturbances. The presence of a dose-response type relationship between total dysmorphology score and patient/control status supports the importance of neurodevelopmental disturbance as a contributory cause of schizophrenia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anthropometry
  • Craniofacial Abnormalities / diagnosis
  • Craniofacial Abnormalities / epidemiology
  • Craniofacial Abnormalities / ethnology*
  • Diagnostic and Statistical Manual of Mental Disorders
  • Dose-Response Relationship, Drug
  • Drug Therapy / statistics & numerical data
  • Female
  • Humans
  • Male
  • Prevalence
  • Psychotropic Drugs / therapeutic use
  • Schizophrenia / drug therapy
  • Schizophrenia / epidemiology
  • Schizophrenia / ethnology*
  • Severity of Illness Index
  • Sweden / epidemiology

Substances

  • Psychotropic Drugs