What is schizophrenia: A neurodevelopmental or neurodegenerative disorder or a combination of both? A critical analysis
- PMID: 20174514
- PMCID: PMC2824976
- DOI: 10.4103/0019-5545.58891
What is schizophrenia: A neurodevelopmental or neurodegenerative disorder or a combination of both? A critical analysis
Abstract
The etiology of schizophrenia has been the focus of intensive research for a long time. Perspectives have changed drastically with the development of new investigative techniques. Clinical observations made by Kraepelin, Clouston, Bender, and Watt are now being complemented by neuroimaging and genetic studies to prove the neurodevelopmental hypothesis. At the same time, neuropathological and longitudinal studies of schizophrenia often support a neurodegenerative hypothesis. To provide a theoretical basis to the available evidence, another hypothesis called the progressive neurodevelopmental model has also emerged. This review presents some key evidence supporting each of these theories followed by a critical analysis of each.
Keywords: Schizophrenia; neurodegeneration; neurodevelopmental.
Conflict of interest statement
Similar articles
-
Failed regeneration and inflammation in schizophrenia: two sides of the same coin?J Neural Transm (Vienna). 2022 Jun;129(5-6):611-615. doi: 10.1007/s00702-022-02496-3. Epub 2022 Apr 22. J Neural Transm (Vienna). 2022. PMID: 35451657 Free PMC article. Review.
-
[Schizophrenia--neurodevelopmental and neurodegenerative theory revisited].Psychiatr Pol. 2005 Mar-Apr;39(2):249-58. Psychiatr Pol. 2005. PMID: 15881620 Review. Polish.
-
Overview of neuropathological theories of schizophrenia: from degeneration to progressive developmental disorder.Psychopathology. 2004 Jan-Feb;37(1):1-7. doi: 10.1159/000077013. Epub 2004 Feb 24. Psychopathology. 2004. PMID: 14988644 Review.
-
[Neuropathology of scizophrenia--from a new perspective].Brain Nerve. 2007 Jun;59(6):605-16. Brain Nerve. 2007. PMID: 17585592 Review. Japanese.
-
Neuropathology of schizophrenia: a mini review.Neuropathology. 2007 Dec;27(6):604-8. doi: 10.1111/j.1440-1789.2007.00798.x. Neuropathology. 2007. PMID: 18021384 Review.
Cited by
-
Similarities in cognitive impairment between recent- onset and chronic schizophrenia patients: a consideration for the neurodevelopmental hypothesis.Actas Esp Psiquiatr. 2023 Jul;51(4):176-183. Epub 2023 Jul 1. Actas Esp Psiquiatr. 2023. PMID: 37817737 Free PMC article.
-
Prefrontal Oscillatory Slowing in Early-Course Schizophrenia Is Associated With Worse Cognitive Performance and Negative Symptoms: A Transcranial Magnetic Stimulation-Electroencephalography Study.Biol Psychiatry Cogn Neurosci Neuroimaging. 2025 Feb;10(2):158-166. doi: 10.1016/j.bpsc.2024.07.013. Epub 2024 Jul 25. Biol Psychiatry Cogn Neurosci Neuroimaging. 2025. PMID: 39059465
-
Brain-Derived Neurotropic Factor Serum Level and Severity Symptom of Bataknese Male Patients with Schizophrenia in North Sumatera, Indonesia.Open Access Maced J Med Sci. 2019 Jun 30;7(12):1957-1961. doi: 10.3889/oamjms.2019.550. eCollection 2019 Jun 30. Open Access Maced J Med Sci. 2019. PMID: 31406536 Free PMC article.
-
Schizophrenia and Glutathione: A Challenging Story.J Pers Med. 2023 Oct 25;13(11):1526. doi: 10.3390/jpm13111526. J Pers Med. 2023. PMID: 38003841 Free PMC article. Review.
-
Neurodegeneration Markers in the Cerebrospinal Fluid of 100 Patients with Schizophrenia Spectrum Disorder.Schizophr Bull. 2023 Mar 15;49(2):464-473. doi: 10.1093/schbul/sbac135. Schizophr Bull. 2023. PMID: 36200879 Free PMC article.
References
-
- Bender L. Childhood schizophrenia: Clinical study of 100 schizophrenia children. Am J Orthopsychiatry. 1947;17:40–56. - PubMed
-
- Watt NF. Patterns of childhood social development in adult schizophrenics. Arch Gen Psychiatry. 1978;35:106–5. - PubMed
-
- Clouston T, Murray MR, Bramon E. In Developmental model of schizophrenia. In: Sadock BJ, Sadock VA, editors. Comprehensive Textbook of Psychiatry. 8th ed. Philadelphia: Lippincot Williams and Wilkins; 2005. p. 1381. Cited by.
-
- Southard EF. On the topographical distribution of cortical lesions and anomalies in dementia praecox, with some account of their functional significance. American J Insanity. 1915;71:603–71.
-
- Jones PB, Rantakallio P, Hartikainen AL, Isohanni M, Sipila P. Schizophrenia as a long term outcome of pregnancy, delivery, and perinatal complications: A 28 year follow up of the North Finland general population birth cohort. Am J Psychiatry. 1998;155:355–64. - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources