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Diseases » Schizophrenia » Causes
 

Causes of Schizophrenia

Schizophrenia Causes: Book Excerpts

Schizophrenia as a complication of other conditions:

Other conditions that might have Schizophrenia as a complication may, potentially, be an underlying cause of Schizophrenia. Our database lists the following as having Schizophrenia as a complication of that condition:

Schizophrenia as a symptom:

Conditions listing Schizophrenia as a symptom may also be potential underlying causes of Schizophrenia. Our database lists the following as having Schizophrenia as a symptom of that condition:

Medications or substances causing Schizophrenia:

The following drugs, medications, substances or toxins are some of the possible causes of Schizophrenia as a symptom. This list is incomplete and various other drugs or substances may cause your symptoms. Always advise your doctor of any medications or treatments you are using, including prescription, over-the-counter, supplements, herbal or alternative treatments.

Read more about medication causes of Schizophrenia


What causes Schizophrenia?

Article excerpts about the causes of Schizophrenia:

Schizophrenia: NIMH (Excerpt)

Scientists are studying genetic factors in schizophrenia. It appears likely that multiple genes are involved in creating a predisposition to develop the disorder. In addition, factors such as prenatal difficulties like intrauterine starvation or viral infections, perinatal complications, and various nonspecific stressors, seem to influence the development of schizophrenia. However, it is not yet understood how the genetic predisposition is transmitted, and it cannot yet be accurately predicted whether a given person will or will not develop the disorder. (Source: excerpt from Schizophrenia: NIMH)

Schizophrenia: NIMH (Excerpt)

There have been dramatic advances in neuroimaging technology that permit scientists to study brain structure and function in living individuals. Many studies of people with schizophrenia have found abnormalities in brain structure (for example, enlargement of the fluid-filled cavities, called the ventricles, in the interior of the brain, and decreased size of certain brain regions) or function (for example, decreased metabolic activity in certain brain regions). It should be emphasized that these abnormalities are quite subtle and are not characteristic of all people with schizophrenia, nor do they occur only in individuals with this illness. Microscopic studies of brain tissue after death have also shown small changes in distribution or number of brain cells in people with schizophrenia. It appears that many (but probably not all) of these changes are present before an individual becomes ill, and schizophrenia may be, in part, a disorder in development of the brain.

Developmental neurobiologists funded by the National Institute of Mental Health (NIMH) have found that schizophrenia may be a developmental disorder resulting when neurons form inappropriate connections during fetal development. These errors may lie dormant until puberty, when changes in the brain that occur normally during this critical stage of maturation interact adversely with the faulty connections. This research has spurred efforts to identify prenatal factors that may have some bearing on the apparent developmental abnormality.

In other studies, investigators using brain-imaging techniques have found evidence of early biochemical changes that may precede the onset of disease symptoms, prompting examination of the neural circuits that are most likely to be involved in producing those symptoms. Meanwhile, scientists working at the molecular level are exploring the genetic basis for abnormalities in brain development and in the neurotransmitter systems regulating brain function. (Source: excerpt from Schizophrenia: NIMH)

When Someone Has Schizophrenia: NIMH (Excerpt)

Research suggests that schizophrenia may be a developmental disorder resulting from impaired migration of neurons in the brain during fetal development.13 (Source: excerpt from When Someone Has Schizophrenia: NIMH)

Medical news summaries relating to Schizophrenia:

The following medical news items are relevant to causes of Schizophrenia:

Related information on causes of Schizophrenia:

As with all medical conditions, there may be many causal factors. Further relevant information on causes of Schizophrenia may be found in:

Causes of Schizophrenia: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the causes of Schizophrenia.

Hallucinations: Differential Diagnosis
(In a Page: Signs and Symptoms)

  • Delirium
    –Develops over hours to days
    –Fluctuates throughout the day
    –Causes include dehydration, drug-induced, electrolyte imbalance, UTI, URI, hypoglycemia, and alcohol or drug withdrawal
    –Occurs in 10–30% of hospital patients
    –Drug-induced delirium (e.g., cocaine, β-blockers, alcohol, corticosteroids, pseudoephedrine, dopaminergic drugs)
  • Alcohol withdrawal (delirium tremens)
    –Often presents in hospitalized patients about 3 days after admission
    –Commonly presents with tactile hallucinations (e.g., formication—the sense of insects crawling over body)
    –May be accompanied by seizure activity
  • Hallucinogenic syndromes (e.g., LSD, marijuana, mescaline, phencyclidine, mushrooms, amphetamines)
  • Schizophrenia
    –Auditory hallucinations are most frequent; visual hallucinations occur in about 50% of patients, tactile in 20%, olfactory in 6%
    –Progresses to positive psychotic symptoms (e.g., hallucinations, delusions, thought disorder) and/or negative symptoms (e.g., anhedonia, poor concentration, flattened affect, poor social/personal function)
    –1% incidence in the general population, males >females
  • Schizophreniform disorder
  • Schizoaffective disorder
  • Post-traumatic stress disorder
  • Dementia
    • Systemic lupus erythematosus
      –Auditory hallucinations caused by corticosteroids; visual and tactile by lupus psychosis
    • Bipolar disorder
    • Psychotic depression
    • Postpartum major depression
    • Mass lesions
    • CNS infections/encephalitis
    • Seizures
    • Occipital lobe injury
    • Heavy metal ingestion
    • Lewy body dementia

» READ BOOK EXCERPT ONLINE »

Source: In a Page: Signs and Symptoms, 2004

Hallucinations: Differential Diagnosis
(In A Page: Pediatric Signs and Symptoms)

    • Hallucinogenic drugs
      –LSD, “mushrooms,” mescaline, and PCP are primarily hallucinogens
      –Amphetamines, cocaine, inhalants, and marijuana may also produce hallucinations
  • CNS acute events
    –Trauma
    –CNS infection
    –Hypoxic events
  • Psychosis
    –Defined as a mental state with significant impairment in cognition, interpersonal relations, and reality testing
    –Hallucinations may be a major or minor component
    –Psychosis may be psychiatric or organic (secondary to CNS insult)
  • Schizophrenia
    –A disorder of impaired perception, cognition, interpersonal relations, and behavior with illogical and disordered thought content
    –Hallucinations (most often auditory) and delusions are common findings
    –Onset is frequently in adolescence
    –Frequently a positive family history
    • Seizure disorders
      –Prominent auras may manifest as perceptual disturbances; visual and olfactory are the most common; tactile may also occur
    • Narcolepsy
      –Hypnagogic hallucinations are hallucinations that occur while falling asleep; they may be visual or auditory
  • Medications
    –Antipsychotics, anticholinergics, and corticosteroids can rarely cause hallucinations

» READ BOOK EXCERPT ONLINE »

Source: In A Page: Pediatric Signs and Symptoms, 2007

Psychotic behavior: Medical causes
(Handbook of Signs & Symptoms (Third Edition))

Organic disorders

Various organic disorders, such as alcohol withdrawal syndrome, cocaine or amphetamine intoxication, cerebral hypoxia, and nutritional disorders, can produce psychotic behavior. Endocrine disorders, such as adrenal dysfunction, and severe infections, such as encephalitis, can also cause psychotic behavior. Neurologic causes include Alzheimer’s disease and other dementias.

Psychiatric disorders

Psychotic behavior usually occurs with bipolar disorder, personality disorder, schizophrenia, and some pervasive developmental disorders.

Other causes

Drugs

Certain drugs can cause psychotic behavior. (See Psychotic behavior: An adverse drug effect.) However, almost any drug can provoke psychotic behavior as a rare, severe adverse or idiosyncratic reaction.

Surgery

Postoperative delirium and depression may produce psychotic behavior.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Signs & Symptoms (Third Edition), 2006

Schizophrenia: Causes and incidence
(Professional Guide to Diseases (Eighth Edition))

Schizophrenia affects 1% to 2% of the population in the United States and is equally prevalent in both sexes. It may result from a combination of genetic, biological, cultural, and psychological factors. Some evidence supports a genetic predisposition. Close relatives of people with schizophrenia have a greater likelihood of developing schizophrenia; the closer the degree of biological relatedness, the higher the risk.

The most widely accepted biochemical theory holds that schizophrenia results from excessive activity at dopaminergic synapses. Other neurotransmitter alterations, such as serotonin increases, may also contribute to schizophrenic symptoms. In addition, patients with schizophrenia have structural abnormalities of the frontal and temporolimbic systems. Computed tomography scans and magnetic resonance imaging studies show various structural brain abnormalities, including frontal lobe atrophy and increased lateral and third ventricles. Positron emission tomography scans substantiate frontal lobe hypometabolism.

Numerous psychological and sociocultural causes, such as disturbed family and interpersonal patterns, also have been proposed. Schizophrenia is more common in lower socioeconomic groups, possibly due to downward social drift, lack of upward socioeconomic mobility, and high stress levels that may stem from poverty, social failure, illness, and inadequate social resources. Higher incidence is also linked to low birth weight and congenital deafness.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Psychotic behavior: Medical causes
(Professional Guide to Signs & Symptoms (Fifth Edition))

Organic disorders

Various disorders, such as alcohol withdrawal syndrome, cocaine or amphetamine intoxication, cerebral hypoxia, and nutritional disorders, can produce psychotic behavior. Endocrine disorders, such as adrenal dysfunction, and severe infections, such as encephalitis, can also cause psychotic behavior. Neurologic causes include Alzheimer’s disease and other dementias.

Psychiatric disorders

Psychotic behavior usually occurs with bipolar disorder, personality disorder, schizophrenia, and some pervasive developmental disorders.

Other causes

Drugs

Certain drugs can cause psychotic behavior. (See Psychotic behavior: An adverse drug effect.) However, almost any drug can provoke psychotic behavior as a rare, severe adverse or idiosyncratic reaction.

Surgery

Postoperative delirium and depression may produce psychotic behavior.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006

Delirium/Hallucinations: Differential Overview
(Field Guide to Bedside Diagnosis)

Systemic

❑ Drugs/toxins

❑ Sepsis

❑ Hypoglycemia

❑ Hypercalcemia

❑ Hyponatremia

❑ Shock

❑ Delirium tremens

❑ Vitamin B12 deficiency

❑ Hypoxia

❑ Hypercapnia

❑ Thyrotoxicosis

❑ Uremia

❑ Hepatic encephalopathy

❑ Thiamine deficiency

❑ Heat stroke

❑ Hypothermia

❑ Lead intoxication

❑ Carbon monoxide poisoning

Neurologic

❑ Concussion

❑ Hypertensive encephalopathy

❑ Subdural hematoma

❑ Postictal

❑ Transient global amnesia

❑ Meningitis

❑ Right parietal stroke

❑ Encephalitis

❑ Vasculitis

❑ Carcinomatous meningitis

Hallucinations

❑ Drugs

❑ Schizophrenia

❑ Temporal lobe epilepsy

» READ BOOK EXCERPT ONLINE »

Source: Field Guide to Bedside Diagnosis, 2007

Schizophrenia: Causes
(Handbook of Diseases)

Schizophrenia may result from a combination of genetic, biological, cultural, and psychological factors.

Genetic evidence

Some evidence supports a genetic predisposition. Close relatives of persons with schizophrenia are up to 50 times more likely to develop schizophrenia; the closer the degree of biological relatedness, the higher the risk.

Biochemical theory

The most widely accepted biochemical hypothesis holds that schizophrenia results from excessive activity at dopa-minergic synapses. Other neurotransmitter alterations may also contribute to schizophrenic symptoms. In addition, patients with schizophrenia have structural abnormalities of the frontal and temporolimbic systems.

Other causes

Numerous psychological and sociocultural causes, such as disturbed family and interpersonal patterns, also have been proposed. Schizophrenia occurs more often among people from lower socioeconomic groups, possibly the result of downward social drift, lack of upward socioeconomic mobility, and high stress levels that may stem from poverty, social failure, illness, and inadequate social resources. Higher incidence also is linked to low birth weight.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Psychotic behavior: Medical causes
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

Organic disorders

Various disorders, such as alcohol withdrawal syndrome, cocaine or amphetamine intoxication, cerebral hypoxia, and nutritional disorders, can produce psychotic behavior. Endocrine disorders, such as adrenal dysfunction, and severe infections, such as encephalitis, can also cause psychotic behavior. Neurologic causes include Alzheimer’s disease and other dementias.

Psychiatric disorders

Psychotic behavior usually occurs with bipolar disorder, personality disorder, schizophrenia, and some pervasive developmental disorders.

Other causes

Drugs

Certain drugs can cause psychotic behavior. (See Psychotic behavior: An adverse drug effect, page 526.) However, almost any drug can provoke psychotic behavior as a rare, severe adverse or idiosyncratic reaction.

Surgery

Postoperative delirium and depression may produce psychotic behavior.

» READ BOOK EXCERPT ONLINE »

Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

Psychotic behavior: Medical causes
(Nursing: Interpreting Signs and Symptoms)

Organic disorders.Various organic disorders, such as alcohol withdrawal syndrome, cocaine or amphetamine intoxication, cerebral hypoxia, and nutritional disorders, can produce psychotic behavior. Endocrine disorders, such as adrenal dysfunction, and severe infections, such as encephalitis, can also cause psychotic behavior. Neurologic causes include Alzheimer's disease and other dementias.

Psychiatric disorders.Psychotic behavior usually occurs with bipolar disorder, personality disorder, schizophrenia, and some pervasive developmental disorders.

Other causes

Drugs.Certain drugs can cause psychotic behavior. (See Psychotic behavior: An adverse drug effect, pages 492 and 493.)However, almost any drug can provoke psychotic behavior as a rare, severe adverse or idiosyncratic reaction.

Surgery.Postoperative delirium and depression may produce psychotic behavior.

» READ BOOK EXCERPT ONLINE »

Source: Nursing: Interpreting Signs and Symptoms, 2007


 » Next page: Risk Factors for Schizophrenia

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