Zusammenfassung
Die Diskussionen über die Ätiopathogenese der Schizophrenien sind auch gegenwärtig noch von hoher Heterogenität und insgesamt von großer Unklarheit gekennzeichnet. Bedient man sich genereller Modelle, um sich der Ätiopathogenese der Schizophrenien zu nähern, so lassen sich Modelle mit einer einzelnen Krankheitseinheit von denen mit multiplen Krankheitseinheiten unterscheiden. Während das Modell der einzelnen Krankheitseinheit zwar durch verschiedene klinische Ausprägungen verursacht, aber durch einen einzelnen ursächlichen Mechanismus (z.B. eine Virusinfektion schädigt Feten zu unterschiedlichen Zeiten der Hirnentwicklung) beschrieben werden kann, werden die multiplen Krankheitseinheiten durch epidemiologische, genetische und bildgebende Untersuchungen gestützt. Letzteres könnte auch die üblicherweise höhere Varianz biologischer Parameter bei Patienten mit schizophrenen Psychosen erklären.
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Kornhuber, J., Bleich, S. (2003). Aktuelle Forschungsaspekte zur Ätiopathogenese der Schizophrenien. In: Hippius, H. (eds) Universitätskolloquien zur Schizophrenie. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57417-7_22
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