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Am J Psychiatry 162:606-608, March 2005
© 2005 American Psychiatric Association


Brief Report

A Three-Dimensional Morphometric Study of Craniofacial Shape in Schizophrenia

Peter F. Buckley, M.D., David Dean, Ph.D., Fred L. Bookstein, Ph.D., Seungho Han, Michael Yerukhimovich, Kyoung-June Min, and Beth Singer, B.A.

Background: Subtle dysmorphogenesis of the craniofacial region constitutes important corroborating evidence of the neurodevelopmental origins of schizophrenia. Advances in facial visualization now allow for three-dimensional anthropometric evaluations of potentially greater discriminatory power in examining the complex geometric relationships of facial topography. METHOD: Sixty-five anthropometrically derived landmarks were identified from three-dimensional facial images collected from 14 patients with schizophrenia and 11 comparison subjects, imaged with a high-resolution, portable laser scanner. RESULTS: Using the Procrustes morphometric approach for shape analysis, the difference in mean shapes was highly significant, with patients exhibiting superoinferior elongation of the face. CONCLUSIONS: The topography of craniofacial anomalies in schizophrenia is not random and points to midline deformation.




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