[Obstetric complications and early-onset schizophrenia: a case-control study]

Riv Psichiatr. 2009 Mar-Apr;44(2):117-21.
[Article in Italian]

Abstract

Aim: Research has suggested an association between obstetric complications and schizophrenia.

Methods: In this study data based on the obstetric birth case-notes of adolescent patients with diagnosed schizophrenia were compared to those of normal "healthy" same-aged control subjects.

Results: Complications involving a clear damaging potential (Level > 4 in the McNeil-Sjöström Scale) were seen significantly more often among cases than control subjects: 7% vs 2%, Fisher's exact test p < 0.04, odds ratio 4, 95%, CI: 1.048-15.26.

Discussion: Brain-damaging due to obstetric complications would seem to be a possible antecedent to a diagnosis of schizophrenia. Moreover, results support the evidence that obstetric adversity exerts an independent influence on the age at first presentation with schizophrenia. This finding suggests the existence of a causal relationship between obstetric adversity and age at onset of schizophrenia even if the small samples size limits the power of this study.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Adolescent
  • Case-Control Studies
  • Child
  • Female
  • Humans
  • Male
  • Pregnancy
  • Pregnancy Complications / epidemiology*
  • Schizophrenia / epidemiology*
  • Schizophrenia / etiology*