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- W110577995 abstract "Aim: Various forms of social adversity have been implicated in the development and emergence of psychosis. However, how and when these events exert their influences are not clear. In this paper, we attempt to examine these putative psychosocial factors and place them in a temporal context and propose a neurobiological mechanism linking these factors. Methods: Medline databases were searched between 1966 and 2007 followed by the crosschecking of references using the following keywords: psychosocial, stress, stressors, life events, psychological, combined with psychosis and schizophrenia. Results: While some findings are conflicting, there are a number of positive studies which suggest that factors like prenatal stress, urban birth and childhood trauma accentuate the vulnerability for schizophrenia and other psychoses while other factors like life events, migration particularly being a minority group, and high expressed emotions, which occur later in the vulnerable individual may move the individual towards the tipping point for psychosis. Conclusion: Overall, there is evidence to implicate psychosocial factors in the pathophysiology of schizophrenia. These factors may act via a common pathway, which involves stress-induced dysregulation of the HPA axis and the dopaminergic systems. To establish the causal relationship of the various factors would require prospective studies that are adequately powered. Key words: Childhood abuse, Expressed emotions, Life events, Migration/minority status, Prenatal stress, Psychosis, Urbanicity" @default.
- W110577995 created "2016-06-24" @default.
- W110577995 creator A5022793279 @default.
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- W110577995 date "2009-05-15" @default.
- W110577995 modified "2023-10-18" @default.
- W110577995 title "Psychosocial Factors in the Neurobiology of Schizophrenia: A Selective Review" @default.
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- W110577995 doi "https://doi.org/10.47102/annals-acadmedsg.v38n5p402" @default.
- W110577995 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/19521639" @default.
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