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[Schizophrenia. Current biological theories on the etiology].

Recent biological research on the aetiology of schizophrenia is reviewed. High risk studies, family studies, twin studies, adoption studies, molecular genetics and studies on the pre- and perinatal environmental factors are reviewed and it is concluded that the diathesis-stress-model is still the predominant aetiological hypothesis, although the biological environmental factors seem to play a minor role. It is also concluded that the international diagnostic systems although valid for clinical diagnostic purposes are insufficient for the aetiological research of schizophrenia. With a view to finding aetiologically valid phenotypes, future research areas with the aim of broadening the phenotype or finding endophenotypes are discussed.

Humans↗

Psychophysiological measures of (dis)inhibition as liability indicators for schizophrenia.

Two psychophysiological measures, poor suppression of midlatency auditory-evoked responses in a paired stimulus paradigm and ocular motor abnormalities, may index genetic liability for schizophrenia. An important feature of these measures is that both patients and their nonpsychotic relatives exhibit basically the same performance. These measures may be successful endophenotypes for schizophrenia because they assess poor response inhibition associated with dysfunction of dorsolateral prefrontal cortex circuitry. Data bearing on this hypothesis are reviewed, and it is posited that assessment of the auditory-evoked gamma band response and saccade measures of inhibitory abilities are the most valid behavioral measures of schizophrenia's neuropathological correlates. The extant data suggest that psychophysiological studies of schizophrenia can provide consistent and theoretically meaningful information for localizing neuropathology and for assessing the genetics of this complex disorder.

Evoked Potentials, Auditory↗