Ethnicity and Long-term Course and Outcome of Psychotic Disorders in a UK Sample: The ÆSOP-10 Study

Craig Morgan; Paul Fearon; Julia Lappin; Margaret Heslin; Kim Donoghue; Ben Lomas; Ulrich Reininghaus; Adanna Onyejiaka; Tim Croudace; Peter B Jones; Robin MacGregor Murray; Gillian Doody; Paola Dazzan

doi:10.1192/bjp.bp.116.193342

Ethnicity and Long-term Course and Outcome of Psychotic Disorders in a UK Sample: The ÆSOP-10 Study

Craig Morgan, Paul Fearon, Julia Lappin, Margaret Heslin, Kim Donoghue, Ben Lomas, Ulrich Reininghaus, Adanna Onyejiaka, Tim Croudace, Peter B Jones, Robin MacGregor Murray, Gillian Doody, Paola Dazzan

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Abstract

Background
The incidence of psychotic disorders is elevated in some minority ethnic populations. However, we know little about the outcome of psychoses in these populations.

Aim
To investigate patterns and determinants of long-term course and outcome of psychoses by ethnic group following a first episode.

Method
ÆSOP-10 is a ten-year follow-up of an ethnically diverse cohort of 532 individuals with first-episode psychosis identified in the UK. Information was collected, at baseline, on clinical presentation and neurodevelopmental and social factors and, at follow-up, on course and outcome.

Results
There was evidence that, compared with white British, black Caribbean patients experienced worse clinical, social, and service use outcomes, and black African patients experienced worse social and service use outcomes. There was evidence that baseline social disadvantage contributed to these disparities.

Conclusion
These findings suggest ethnic disparities in the incidence of psychoses extend, for some groups, to worse outcomes in multiple domains.

Original language	English
Pages (from-to)	88-94
Journal	British Journal of Psychiatry
Volume	211
Issue number	2
Early online date	22 Jun 2017
DOIs	https://doi.org/10.1192/bjp.bp.116.193342
Publication status	Published - Aug 2017

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title = "Ethnicity and Long-term Course and Outcome of Psychotic Disorders in a UK Sample: The {\AE}SOP-10 Study",

abstract = "BackgroundThe incidence of psychotic disorders is elevated in some minority ethnic populations. However, we know little about the outcome of psychoses in these populations.AimTo investigate patterns and determinants of long-term course and outcome of psychoses by ethnic group following a first episode.Method{\AE}SOP-10 is a ten-year follow-up of an ethnically diverse cohort of 532 individuals with first-episode psychosis identified in the UK. Information was collected, at baseline, on clinical presentation and neurodevelopmental and social factors and, at follow-up, on course and outcome.ResultsThere was evidence that, compared with white British, black Caribbean patients experienced worse clinical, social, and service use outcomes, and black African patients experienced worse social and service use outcomes. There was evidence that baseline social disadvantage contributed to these disparities.ConclusionThese findings suggest ethnic disparities in the incidence of psychoses extend, for some groups, to worse outcomes in multiple domains. ",

author = "Craig Morgan and Paul Fearon and Julia Lappin and Margaret Heslin and Kim Donoghue and Ben Lomas and Ulrich Reininghaus and Adanna Onyejiaka and Tim Croudace and Jones, {Peter B} and Murray, {Robin MacGregor} and Gillian Doody and Paola Dazzan",

year = "2017",

month = aug,

doi = "10.1192/bjp.bp.116.193342",

language = "English",

volume = "211",

pages = "88--94",

journal = "British Journal of Psychiatry",

issn = "0007-1250",

publisher = "Cambridge University Press",

number = "2",

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TY - JOUR

T1 - Ethnicity and Long-term Course and Outcome of Psychotic Disorders in a UK Sample: The ÆSOP-10 Study

AU - Morgan, Craig

AU - Fearon, Paul

AU - Lappin, Julia

AU - Heslin, Margaret

AU - Donoghue, Kim

AU - Lomas, Ben

AU - Reininghaus, Ulrich

AU - Onyejiaka, Adanna

AU - Croudace, Tim

AU - Jones, Peter B

AU - Murray, Robin MacGregor

AU - Doody, Gillian

AU - Dazzan, Paola

PY - 2017/8

Y1 - 2017/8

N2 - BackgroundThe incidence of psychotic disorders is elevated in some minority ethnic populations. However, we know little about the outcome of psychoses in these populations.AimTo investigate patterns and determinants of long-term course and outcome of psychoses by ethnic group following a first episode.MethodÆSOP-10 is a ten-year follow-up of an ethnically diverse cohort of 532 individuals with first-episode psychosis identified in the UK. Information was collected, at baseline, on clinical presentation and neurodevelopmental and social factors and, at follow-up, on course and outcome.ResultsThere was evidence that, compared with white British, black Caribbean patients experienced worse clinical, social, and service use outcomes, and black African patients experienced worse social and service use outcomes. There was evidence that baseline social disadvantage contributed to these disparities.ConclusionThese findings suggest ethnic disparities in the incidence of psychoses extend, for some groups, to worse outcomes in multiple domains.

AB - BackgroundThe incidence of psychotic disorders is elevated in some minority ethnic populations. However, we know little about the outcome of psychoses in these populations.AimTo investigate patterns and determinants of long-term course and outcome of psychoses by ethnic group following a first episode.MethodÆSOP-10 is a ten-year follow-up of an ethnically diverse cohort of 532 individuals with first-episode psychosis identified in the UK. Information was collected, at baseline, on clinical presentation and neurodevelopmental and social factors and, at follow-up, on course and outcome.ResultsThere was evidence that, compared with white British, black Caribbean patients experienced worse clinical, social, and service use outcomes, and black African patients experienced worse social and service use outcomes. There was evidence that baseline social disadvantage contributed to these disparities.ConclusionThese findings suggest ethnic disparities in the incidence of psychoses extend, for some groups, to worse outcomes in multiple domains.

U2 - 10.1192/bjp.bp.116.193342

DO - 10.1192/bjp.bp.116.193342

M3 - Article

SN - 0007-1250

VL - 211

SP - 88

EP - 94

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

IS - 2

ER -

Ethnicity and Long-term Course and Outcome of Psychotic Disorders in a UK Sample: The ÆSOP-10 Study

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