The environment and schizophrenia.
Psychotic syndromes can be understood as disorders of adaptation to social context. Although heritability is often emphasized, onset is associated with environmental factors such as early life adversity, growing up in an urban environment, minority group position and cannabis use, suggesting that exposure may have an impact on the developing 'social' brain during sensitive periods. Therefore heritability, as an index of genetic influence, may be of limited explanatory power unless viewed in the context of interaction with social effects. Longitudinal research is needed to uncover gene-environment interplay that determines how expression of vulnerability in the general population may give rise to more severe psychopathology.
European Graduate School for Neuroscience, SEARCH, Maastricht University Medical Centre, 6200 MD Maastricht, The Netherlands. j.vanos@sp.unimaas.nl
Jim
J
van Os
Gunter
G
Kenis
Bart P F
BP
Rutten
D000818:Animals; D002947:Cities; D003072:Cognition Disorders / Q000150:complications / Q000209:etiology; D004777:Environment; D020022:Genetic Predisposition to Disease; D006801:Humans; D008385:Marijuana Smoking / Q000009:adverse effects; D008913:Minority Groups; D010641:Phenotype; D011618:Psychotic Disorders / Q000209:etiology / Q000235:genetics / Q000503:physiopathology / Q000523:psychology; D012559:Schizophrenia / Q000209:etiology* / Q000235:genetics* / Q000503:physiopathology; D013315:Stress, Psychological; D019966:Substance-Related Disorders / Q000150:complications; D057170:Translational Research, Biomedical