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Influence of Environmental Factors and Schizophrenia

Influence of Environmental Factors on the Prevalence, Risk and the Clinical Manifestations of Schizophrenia

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03296384
Acronym
Envschi
Enrollment
600
Registered
2017-09-28
Start date
2014-03-31
Completion date
2018-11-30
Last updated
2017-09-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients With Schizophrenia, Relatives

Keywords

schizophrenia, environmental factors

Brief summary

Schizophrenia is a chronic and severe mental disorder with a lifetime prevalence of about 1 per cent, the symptoms can be very disabling and causing a heavy medical and socioeconomic. There are significant variations from one population to another. Clinical manifestations of schizophrenia (symptoms, evolution, severity of disability) are highly variable. This variability, both epidemiological and clinical, is due to genetic and environmental factors. Environmental factors may be either risk factors or modifying factors (changing clinical presentation but do not alter the risk of disease) for schizophrenia. Environmental risk factors have been identified (eg: urbanity, cannabis, migration), but the investigators don't know neither the components directly responsible, nor the mechanisms by which they increase the risk of schizophrenia. To date, there is no study has systematically evaluated the role of environmental modifying factors in schizophrenia. Environmental factors may be individual, unique to each person (eg cannabis, migration.), or population-based (eg ethnic density, socio-economic difficulties.) The identification/ identifying of environmental risk factors or modifiers, both individual and population, may have theoretical implications (understanding of etiopathogenic mechanisms) and practical (implementation of preventive measures). The potential effectiveness of preventive measures is even greater than the risk attributable to certain environmental factors is important. Most studies on environmental factors in schizophrenia were conducted in Anglo-Saxon countries and northern Europe, but no study of these risk factors has been conducted in France. There are important differences environment based on study populations, these results are not generalizable to other countries, including France.

Interventions

OTHERClinical and environmental evaluation

For schizophrenic's patients, specific assessment will be perform

Sponsors

Institut national d'étude démographique (INED)
CollaboratorUNKNOWN
CPN (INSERM U894) CH Sainte-Anne - Paris
CollaboratorUNKNOWN
Institut National de la Santé Et de la Recherche Médicale, France
CollaboratorOTHER_GOV
Fondation FondaMental
CollaboratorOTHER
University Hospital, Clermont-Ferrand
CollaboratorOTHER
Assistance Publique - Hôpitaux de Paris
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

All subjects * Age \> 18 years * Somatic state / condition and level of understanding (language, intellectual level) compatible with the data collection (interview, self-administered questionnaires) Patients * Diagnosis of schizophrenia according to DSM-IV criteria * Living in catchment areas Non-Inclusion Criteria: All subjects * Not affiliated to the social security scheme * inability to provide informed consent * Decompensated schizophrenic underway Relatives * Protective Measures (tutor, curator)

Exclusion criteria

Patients * The diagnosis of psychotic disorder is not confirmed by the synthesis of all clinical data

Design outcomes

Primary

MeasureTime frame
The prevalence of schizophrenia (according to Diagnostic and Statistical Manual of Mental Disorders (DSM IV)) will be estimated from the census population-unit (unit TRIRIS INSEE)56 months, From March 2014 to November 2018
The frequency of populational risk factors (insecurity, disorganization and density of migrants) will be assessed from the variables of INSEE56 months, From March 2014 to November 2018

Secondary

MeasureTime frame
The frequency of individual risk factors (migration, cannabis, seasonality of birth, childhood trauma, social environment) will be measured from standardized assessments56 months, From March 2014 to November 2018

Countries

France

Contacts

Primary ContactFranck Schürhoff, MD PhD
franck.schurhoff@inserm.fr(0)1 49 81 30 50
Backup ContactAndrei Szoke, MD
andrei.szoke@inserm.fr(0)1 49 81 32 90

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026