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Risk Factors and Prevention in Schizophrenia

  • Michael J. Goldstein
Chapter
Part of the International Perspectives Series: Psychiatry, Psychology, and Neuroscience book series

Abstract

Current thinking concerning the prevention of schizophrenia focuses on two issues, whether or not the initial onset of the disorder is preventable and whether recurrence can be prevented or delayed substantially once the initial episode has occurred. To answer these questions it is necessary to establish risk factors either within the individual or his or her social environment whose modification can alter the probability of the initial onset or recurrence of a schizophrenic disorder. The purpose of the present chapter is to review the current state of evidence regarding the establishment of risk factors within the domain of psychosocial variables (including those usually termed neurobehavioral), as well as to review any attempts to use these risk factors in intervention studies. The emerging data from studies of high-risk populations (see Goldstein and Asarnow1 and Goldstein and Tuma2 for a summary of some of these studies) have not generated as yet controlled clinical trials designed to prevent the initial episode of schizophrenia. Most intervention studies have focused on the important but more modest goal of preventing recurrence.

Keywords

Middle Childhood Affective Style Emotional Overinvolvement Autonomic Nervous System Reactivity Schizophrenic Mother 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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  • Michael J. Goldstein

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