TY - JOUR
T1 - Exploring causal mechanisms of psychosis risk
AU - Oliver, Dominic
AU - Chesney, Edward
AU - Cullen, Alexis E.
AU - Davies, Cathy
AU - Englund, Amir
AU - Gifford, George
AU - Kerins, Sarah
AU - Lalousis, Paris alexandros
AU - Logeswaran, Yanakan
AU - Merritt, Kate
AU - Zahid, Uzma
AU - Crossley, Nicolas A.
AU - Mccutcheon, Robert A.
AU - Mcguire, Philip
AU - Fusar-Poli, Paolo
N1 - Publisher Copyright:
© 2024 The Authors
PY - 2024/7/1
Y1 - 2024/7/1
N2 - Robust epidemiological evidence of risk and protective factors for psychosis is essential to inform preventive interventions. Previous evidence syntheses have classified these risk and protective factors according to their strength of association with psychosis. In this critical review we appraise the distinct and overlapping mechanisms of 25 key environmental risk factors for psychosis, and link these to mechanistic pathways that may contribute to neurochemical alterations hypothesised to underlie psychotic symptoms. We then discuss the implications of our findings for future research, specifically considering interactions between factors, exploring universal and subgroup-specific factors, improving understanding of temporality and risk dynamics, standardising operationalisation and measurement of risk and protective factors, and developing preventive interventions targeting risk and protective factors.
AB - Robust epidemiological evidence of risk and protective factors for psychosis is essential to inform preventive interventions. Previous evidence syntheses have classified these risk and protective factors according to their strength of association with psychosis. In this critical review we appraise the distinct and overlapping mechanisms of 25 key environmental risk factors for psychosis, and link these to mechanistic pathways that may contribute to neurochemical alterations hypothesised to underlie psychotic symptoms. We then discuss the implications of our findings for future research, specifically considering interactions between factors, exploring universal and subgroup-specific factors, improving understanding of temporality and risk dynamics, standardising operationalisation and measurement of risk and protective factors, and developing preventive interventions targeting risk and protective factors.
UR - http://www.scopus.com/inward/record.url?scp=85188019559&partnerID=8YFLogxK
U2 - 10.1016/j.neubiorev.2024.105699
DO - 10.1016/j.neubiorev.2024.105699
M3 - Review article
SN - 0149-7634
VL - 162
JO - Neuroscience and Biobehavioral Reviews
JF - Neuroscience and Biobehavioral Reviews
M1 - 105699
ER -