The Kraepelinian dichotomy - going, going ... but still not gone

被引:383
作者
Craddock, Nick [1 ]
Owen, Michael J. [1 ]
机构
[1] Cardiff Univ, Sch Med, Ctr Neuropsychiat Genet & Genom, Cardiff CF14 4XN, Wales
基金
英国惠康基金; 英国医学研究理事会;
关键词
GENOME-WIDE ASSOCIATION; SCHIZOAFFECTIVE DISORDER; BIPOLAR DISORDER; SCHIZOPHRENIA; VARIANTS; GENETICS; 16P11.2;
D O I
10.1192/bjp.bp.109.073429
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Recent genetic studies reinforce the view that current approaches to the diagnosis and classification of major psychiatric illness are inadequate. These findings challenge the distinction between schizophrenia and bipolar disorder, and suggest that more attention should be given to the relationship between the functional psychoses and neurodevelopmental disorders such as autism. We are entering a transitional period of several years during which psychiatry will need to move from using traditional descriptive diagnoses to clinical entities (categories and/or dimensions) that relate more closely to the underlying workings of the brain.
引用
收藏
页码:92 / 95
页数:4
相关论文
共 31 条
[1]   Complex brain networks: graph theoretical analysis of structural and functional systems [J].
Bullmore, Edward T. ;
Sporns, Olaf .
NATURE REVIEWS NEUROSCIENCE, 2009, 10 (03) :186-198
[2]   Contact in the genetics of autism and schizophrenia [J].
Burbach, J. Peter H. ;
van der Zwaag, Bert .
TRENDS IN NEUROSCIENCES, 2009, 32 (02) :69-72
[3]   The beginning of the end for the Kraepelinian dichotomy [J].
Craddock, N ;
Owen, MJ .
BRITISH JOURNAL OF PSYCHIATRY, 2005, 186 :364-366
[4]   Strong genetic evidence for a selective influence of GABAA receptors on a component of the bipolar disorder phenotype [J].
Craddock, N. ;
Jones, L. ;
Jones, I. R. ;
Kirov, G. ;
Green, E. K. ;
Grozeva, D. ;
Moskvina, V. ;
Nikolov, I. ;
Hamshere, M. L. ;
Vukcevic, D. ;
Caesar, S. ;
Gordon-Smith, K. ;
Fraser, C. ;
Russell, E. ;
Norton, N. ;
Breen, G. ;
St Clair, D. ;
Collier, D. A. ;
Young, A. H. ;
Ferrier, I. N. ;
Farmer, A. ;
McGuffin, P. ;
Holmans, P. A. ;
Donnelly, P. ;
Owen, M. J. ;
O'Donovan, M. C. .
MOLECULAR PSYCHIATRY, 2010, 15 (02) :146-153
[5]  
Craddock N, 2007, WORLD PSYCHIATRY, V6, P20
[6]   Psychosis Genetics: Modeling the Relationship Between Schizophrenia, Bipolar Disorder, and Mixed (or "Schizoaffective") Psychoses [J].
Craddock, Nick ;
O'Donovan, M. C. ;
Owen, M. J. .
SCHIZOPHRENIA BULLETIN, 2009, 35 (03) :482-490
[7]   Collaborative genome-wide association analysis supports a role for ANK3 and CACNA1C in bipolar disorder [J].
Ferreira, Manuel A. R. ;
O'Donovan, Michael C. ;
Meng, Yan A. ;
Jones, Ian R. ;
Ruderfer, Douglas M. ;
Jones, Lisa ;
Fan, Jinbo ;
Kirov, George ;
Perlis, Roy H. ;
Green, Elaine K. ;
Smoller, Jordan W. ;
Grozeva, Detelina ;
Stone, Jennifer ;
Nikolov, Ivan ;
Chambert, Kimberly ;
Hamshere, Marian L. ;
Nimgaonkar, Vishwajit L. ;
Moskvina, Valentina ;
Thase, Michael E. ;
Caesar, Sian ;
Sachs, Gary S. ;
Franklin, Jennifer ;
Gordon-Smith, Katherine ;
Ardlie, Kristin G. ;
Gabriel, Stacey B. ;
Fraser, Christine ;
Blumenstiel, Brendan ;
Defelice, Matthew ;
Breen, Gerome ;
Gill, Michael ;
Morris, Derek W. ;
Elkin, Amanda ;
Muir, Walter J. ;
McGhee, Kevin A. ;
Williamson, Richard ;
MacIntyre, Donald J. ;
MacLean, Alan W. ;
Clair, David St ;
Robinson, Michelle ;
Van Beck, Margaret ;
Pereira, Ana C. P. ;
Kandaswamy, Radhika ;
McQuillin, Andrew ;
Collier, David A. ;
Bass, Nicholas J. ;
Young, Allan H. ;
Lawrence, Jacob ;
Ferrier, I. Nicol ;
Anjorin, Adebayo ;
Farmer, Anne .
NATURE GENETICS, 2008, 40 (09) :1056-1058
[8]   The bipolar disorder risk allele at CACNA1C also confers risk of recurrent major depression and of schizophrenia [J].
Green, E. K. ;
Grozeva, D. ;
Jones, I. ;
Jones, L. ;
Kirov, G. ;
Caesar, S. ;
Gordon-Smith, K. ;
Fraser, C. ;
Forty, L. ;
Russell, E. ;
Hamshere, M. L. ;
Moskvina, V. ;
Nikolov, I. ;
Farmer, A. ;
McGuffin, P. ;
Holmans, P. A. ;
Owen, M. J. ;
O'Donovan, M. C. ;
Craddock, N. .
MOLECULAR PSYCHIATRY, 2010, 15 (10) :1016-1022
[9]  
GROZEVA D, 2010, ARCH GEN PS IN PRESS
[10]   Genetic utility of broadly defined bipolar schizoaffective disorder as a diagnostic concept [J].
Hamshere, M. L. ;
Green, E. K. ;
Jones, I. R. ;
Jones, L. ;
Moskvina, V. ;
Kirov, G. ;
Grozeva, D. ;
Nikolov, I. ;
Vukcevic, D. ;
Caesar, S. ;
Gordon-Smith, K. ;
Fraser, C. ;
Russell, E. ;
Breen, G. ;
St Clair, D. ;
Collier, D. A. ;
Young, A. H. ;
Ferrier, I. N. ;
Farmer, A. ;
McGuffin, P. ;
Holmans, P. A. ;
Owen, M. J. ;
O'Donovan, M. C. ;
Craddock, N. .
BRITISH JOURNAL OF PSYCHIATRY, 2009, 195 (01) :23-29