Patterns of illness and care over the 5 years following onset of psychosis in different ethnic groups; the GAP-5 study.

Albus Alaghband-Rad  Andreasen, Bebbington, Birchwood, Boydell, Compton, Crumlish, Davies, Di Forti, Di Forti, Emsley, Emsley, Endicott, Harrison, Harrison, Harrison, Harrison, Harrow, Jablensky, Kaleda, Kiev, Leese, Lieberman, Loebel, Malla, Mallett, Mann, McG; Ajnakina O.; Lally Lopez-Morinigo J.; Di Forti M.; Kolliakou A.; Gardner-Sood P.; Lally Lopez-Morinigo J.; Dazzan P.; Pariante C.M.; Mondelli V.; MacCabe J.; David A.S.; Gaughran F.; Murray R.M.; Olesya; ORCID: http://orcid.org/0000-0003-3987-1236 Vassos E.  AO  - Ajnakina; Olesya Ajnakina; John Lally; Marta Di Forti; Anna Kolliakou; Poonam Gardner-Sood; Javier Lopez-Morinigo; Paola Dazzan; Carmine M Pariante; Valeria Mondelli; James MacCabe; Anthony S David; Fiona Gaughran; Robin M Murray; Evangelos Vassos; Evangelos A I - ORCID: http://orcid.org/Ajnakina Vassos  Olesya; ORCID: http://orcid.org/0000-0003-3987-1236, Lally, John; ORCID: http://orcid.org/0000-0003-3038-0625, Kolliakou, Anna; ORCID: http://orcid.org/0000-0003-1234-4129, Dazzan, Paola; ORCID: http://orcid.org/0000-0002-8427-3617, Mondelli, Vale

doi:http://dx.doi.org/10.1007/s00127-017-1417-6

Patterns of illness and care over the 5 years following onset of psychosis in different ethnic groups; the GAP-5 study.

Albus Alaghband-Rad Andreasen, Bebbington, Birchwood, Boydell, Compton, Crumlish, Davies, Di Forti, Di Forti, Emsley, Emsley, Endicott, Harrison, Harrison, Harrison, Harrison, Harrow, Jablensky, Kaleda, Kiev, Leese, Lieberman, Loebel, Malla, Mallett, Mann, McG (Editor), Ajnakina O., Lally Lopez-Morinigo J., Di Forti M., Kolliakou A., Gardner-Sood P., Lally Lopez-Morinigo J., Dazzan P., Pariante C.M., Mondelli V., MacCabe J., David A.S., Gaughran F., Murray R.M., Olesya; ORCID: http://orcid.org/0000-0003-3987-1236 Vassos E. AO - Ajnakina, Olesya Ajnakina, John Lally, Marta Di Forti, Anna Kolliakou, Poonam Gardner-SoodJavier Lopez-Morinigo, Paola Dazzan, Carmine M Pariante, Valeria Mondelli, James MacCabe, Anthony S David, Fiona Gaughran, Robin M Murray, Evangelos Vassos, Evangelos A I - ORCID: http://orcid.org/Ajnakina Vassos Olesya; ORCID: http://orcid.org/0000-0003-3987-1236, Lally, John; ORCID: http://orcid.org/0000-0003-3038-0625, Kolliakou, Anna; ORCID: http://orcid.org/0000-0003-1234-4129, Dazzan, Paola; ORCID: http://orcid.org/0000-0002-8427-3617, Mondelli, Vale

Research output: Contribution to journal › Article › peer-review

Abstract

PURPOSE: Previous research has not provided us with a comprehensive picture of the longitudinal course of psychotic disorders in Black people living in Europe. We sought to investigate clinical outcomes and pattern of care in Black African and Black Caribbean groups compared with White British patients during the first 5 years after first contact with mental health services for psychosis., METHODS: 245 FEP cases aged 18-65 who presented to psychiatric services in 2005-2010 in South London (UK). Using the electronic psychiatric clinical notes in the South London and Maudsley NHS Foundation Trust (SLaM), extensive information was collected on three domains-clinical, social, and service use., RESULTS: During the 5-year follow-up (mean = 5.1 years, s.d. = 2.4; 1251 person years) after first contact with mental health services, a higher proportion of Black African and Black Caribbean ethnicity had compulsory re-admissions (chi 2 = 17.34, p = 0.002) and instances of police involvement during an admission to a psychiatric unit (chi 2 = 22.82, p <0.001) compared with White British ethnic group. Patients of Black African and Black Caribbean ethnicity did not differ from the ethnic group in overall functional disability and illness severity, or frequency of remission or recovery during the follow-up period. However, patients of Black ethnicity become increasing socially excluded as their illness progress., CONCLUSIONS: The longitudinal trajectory of psychosis in patients of Black ethnicity did not show greater clinical or functional deterioration than white patients. However, their course remains characterised by more compulsion, and longer periods of admission.

Original language	English
Pages (from-to)	1101-1111
Number of pages	11
Journal	Social Psychiatry and Psychiatric Epidemiology
Volume	52
Issue number	9
DOIs	https://doi.org/10.1007/s00127-017-1417-6
Publication status	Published - 2017

Keywords

*African Continental Ancestry Group/px [Psychology
*Disease Course
*Disease Management
*European Continental Ancestry Group/px [Psycholog
*Psychosis
*Psychotic Disorders/eh [Ethnology]
*Psychotic Disorders/th [Therapy]
*Racial and Ethnic Differences
*Racial and Ethnic Groups
*psychology
Adolescent
Adult
African Continental Ancestry Group/sn [Statistics
Aged
Black person
Caribbean
Caribbean Region/eh [Ethnology]
Caucasian
Europe
Europe/ep [Epidemiology]
European Continental Ancestry Group/sn [Statistics
Female
Humans
Longitudinal Studies
Male
Mental Health
Middle Aged
Onset (Disorders)
Psychotherapeutic Outcomes
Test Construction
Treatment Outcome
Young Adult
adolescent
adult
aged
epidemiology
ethnology
female
human
longitudinal study
male
middle aged
psychosis/su [Surgery]
statistics and numerical data
treatment outcome
young adult

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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http://dx.doi.org/10.1007/s00127-017-1417-6

Cite this

Alaghband-Rad Andreasen, Bebbington, Birchwood, Boydell, Compton, Crumlish, Davies, Di Forti, Di Forti, Emsley, Emsley, Endicott, Harrison, Harrison, Harrison, Harrison, Harrow, Jablensky, Kaleda, Kiev, Leese, Lieberman, Loebel, Malla, Mallett, Mann, McG, A. (Ed.), O., A., J., L. L.-M., M., D. F., A., K., P., G.-S., J., L. L.-M., P., D., C.M., P., V., M., J., M., A.S., D., F., G., R.M., M., Vassos E. AO - Ajnakina, O. ORCID. H. O., Ajnakina, O., Lally, J., Di Forti, M., Kolliakou, A., ... Vassos Olesya; ORCID: http://orcid.org/0000-0003-3987-1236, Lally, John; ORCID: http://orcid.org/0000-0003-3038-0625, Kolliakou, Anna; ORCID: http://orcid.org/0000-0003-1234-4129, Dazzan, Paola; ORCID: http://orcid.org/0000-0002-8427-3617, Mondelli, Vale, E. A. I. . ORCID. H. OA. (2017). Patterns of illness and care over the 5 years following onset of psychosis in different ethnic groups; the GAP-5 study. Social Psychiatry and Psychiatric Epidemiology, 52(9), 1101-1111. https://doi.org/10.1007/s00127-017-1417-6

Alaghband-Rad Andreasen, Bebbington, Birchwood, Boydell, Compton, Crumlish, Davies, Di Forti, Di Forti, Emsley, Emsley, Endicott, Harrison, Harrison, Harrison, Harrison, Harrow, Jablensky, Kaleda, Kiev, Leese, Lieberman, Loebel, Malla, Mallett, Mann, McG, Albus (Editor) ; O., Ajnakina ; J., Lally Lopez-Morinigo et al. / Patterns of illness and care over the 5 years following onset of psychosis in different ethnic groups; the GAP-5 study. In: Social Psychiatry and Psychiatric Epidemiology. 2017 ; Vol. 52, No. 9. pp. 1101-1111.

@article{fcfaa1b9c56b43d18f9ec9f4462101d5,

title = "Patterns of illness and care over the 5 years following onset of psychosis in different ethnic groups; the GAP-5 study.",

abstract = "PURPOSE: Previous research has not provided us with a comprehensive picture of the longitudinal course of psychotic disorders in Black people living in Europe. We sought to investigate clinical outcomes and pattern of care in Black African and Black Caribbean groups compared with White British patients during the first 5 years after first contact with mental health services for psychosis., METHODS: 245 FEP cases aged 18-65 who presented to psychiatric services in 2005-2010 in South London (UK). Using the electronic psychiatric clinical notes in the South London and Maudsley NHS Foundation Trust (SLaM), extensive information was collected on three domains-clinical, social, and service use., RESULTS: During the 5-year follow-up (mean = 5.1 years, s.d. = 2.4; 1251 person years) after first contact with mental health services, a higher proportion of Black African and Black Caribbean ethnicity had compulsory re-admissions (chi 2 = 17.34, p = 0.002) and instances of police involvement during an admission to a psychiatric unit (chi 2 = 22.82, p <0.001) compared with White British ethnic group. Patients of Black African and Black Caribbean ethnicity did not differ from the ethnic group in overall functional disability and illness severity, or frequency of remission or recovery during the follow-up period. However, patients of Black ethnicity become increasing socially excluded as their illness progress., CONCLUSIONS: The longitudinal trajectory of psychosis in patients of Black ethnicity did not show greater clinical or functional deterioration than white patients. However, their course remains characterised by more compulsion, and longer periods of admission.",

keywords = "*African Continental Ancestry Group/px [Psychology, *Disease Course, *Disease Management, *European Continental Ancestry Group/px [Psycholog, *Psychosis, *Psychotic Disorders/eh [Ethnology], *Psychotic Disorders/th [Therapy], *Racial and Ethnic Differences, *Racial and Ethnic Groups, *psychology, Adolescent, Adult, African Continental Ancestry Group/sn [Statistics, Aged, Black person, Caribbean, Caribbean Region/eh [Ethnology], Caucasian, Europe, Europe/ep [Epidemiology], European Continental Ancestry Group/sn [Statistics, Female, Humans, Longitudinal Studies, Male, Mental Health, Middle Aged, Onset (Disorders), Psychotherapeutic Outcomes, Test Construction, Treatment Outcome, Young Adult, adolescent, adult, aged, epidemiology, ethnology, female, human, longitudinal study, male, middle aged, psychosis/su [Surgery], statistics and numerical data, treatment outcome, young adult",

author = "{Alaghband-Rad Andreasen, Bebbington, Birchwood, Boydell, Compton, Crumlish, Davies, Di Forti, Di Forti, Emsley, Emsley, Endicott, Harrison, Harrison, Harrison, Harrison, Harrow, Jablensky, Kaleda, Kiev, Leese, Lieberman, Loebel, Malla, Mallett, Mann, McG}, Albus and Ajnakina O. and J., {Lally Lopez-Morinigo} and M., {Di Forti} and Kolliakou A. and Gardner-Sood P. and J., {Lally Lopez-Morinigo} and Dazzan P. and Pariante C.M. and Mondelli V. and MacCabe J. and David A.S. and Gaughran F. and Murray R.M. and {Vassos E. AO - Ajnakina}, {Olesya; ORCID: http://orcid.org/0000-0003-3987-1236} and Olesya Ajnakina and John Lally and {Di Forti}, Marta and Anna Kolliakou and Poonam Gardner-Sood and Javier Lopez-Morinigo and Paola Dazzan and Pariante, {Carmine M} and Valeria Mondelli and James MacCabe and David, {Anthony S} and Fiona Gaughran and Murray, {Robin M} and Evangelos Vassos and {Vassos Olesya; ORCID: http://orcid.org/0000-0003-3987-1236, Lally, John; ORCID: http://orcid.org/0000-0003-3038-0625, Kolliakou, Anna; ORCID: http://orcid.org/0000-0003-1234-4129, Dazzan, Paola; ORCID: http://orcid.org/0000-0002-8427-3617, Mondelli, Vale}, {Evangelos A I - ORCID: http://orcid.org/Ajnakina}",

year = "2017",

doi = "http://dx.doi.org/10.1007/s00127-017-1417-6",

language = "English",

volume = "52",

pages = "1101--1111",

journal = "Social Psychiatry and Psychiatric Epidemiology",

issn = "0933-7954",

publisher = "Science House",

number = "9",

}

Alaghband-Rad Andreasen, Bebbington, Birchwood, Boydell, Compton, Crumlish, Davies, Di Forti, Di Forti, Emsley, Emsley, Endicott, Harrison, Harrison, Harrison, Harrison, Harrow, Jablensky, Kaleda, Kiev, Leese, Lieberman, Loebel, Malla, Mallett, Mann, McG, A (ed.), O., A, J., LL-M, M., DF, A., K, P., G-S, J., LL-M, P., D, C.M., P, V., M, J., M, A.S., D, F., G, R.M., M, Vassos E. AO - Ajnakina, OORCIDHO, Ajnakina, O , Lally, J , Di Forti, M , Kolliakou, A , Gardner-Sood, P , Lopez-Morinigo, J , Dazzan, P , Pariante, CM , Mondelli, V , MacCabe, J , David, AS , Gaughran, F , Murray, RM , Vassos, E & Vassos Olesya; ORCID: http://orcid.org/0000-0003-3987-1236, Lally, John; ORCID: http://orcid.org/0000-0003-3038-0625, Kolliakou, Anna; ORCID: http://orcid.org/0000-0003-1234-4129, Dazzan, Paola; ORCID: http://orcid.org/0000-0002-8427-3617, Mondelli, Vale, EAIORCIDHOA 2017, 'Patterns of illness and care over the 5 years following onset of psychosis in different ethnic groups; the GAP-5 study.', Social Psychiatry and Psychiatric Epidemiology, vol. 52, no. 9, pp. 1101-1111. https://doi.org/10.1007/s00127-017-1417-6

Patterns of illness and care over the 5 years following onset of psychosis in different ethnic groups; the GAP-5 study. / Alaghband-Rad Andreasen, Bebbington, Birchwood, Boydell, Compton, Crumlish, Davies, Di Forti, Di Forti, Emsley, Emsley, Endicott, Harrison, Harrison, Harrison, Harrison, Harrow, Jablensky, Kaleda, Kiev, Leese, Lieberman, Loebel, Malla, Mallett, Mann, McG, Albus (Editor); O., Ajnakina; J., Lally Lopez-Morinigo et al.
In: Social Psychiatry and Psychiatric Epidemiology, Vol. 52, No. 9, 2017, p. 1101-1111.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Patterns of illness and care over the 5 years following onset of psychosis in different ethnic groups; the GAP-5 study.

AU - O., Ajnakina

AU - J., Lally Lopez-Morinigo

AU - M., Di Forti

AU - A., Kolliakou

AU - P., Gardner-Sood

AU - J., Lally Lopez-Morinigo

AU - P., Dazzan

AU - C.M., Pariante

AU - V., Mondelli

AU - J., MacCabe

AU - A.S., David

AU - F., Gaughran

AU - R.M., Murray

AU - Vassos E. AO - Ajnakina, Olesya; ORCID: http://orcid.org/0000-0003-3987-1236

AU - Ajnakina, Olesya

AU - Lally, John

AU - Di Forti, Marta

AU - Kolliakou, Anna

AU - Gardner-Sood, Poonam

AU - Lopez-Morinigo, Javier

AU - Dazzan, Paola

AU - Pariante, Carmine M

AU - Mondelli, Valeria

AU - MacCabe, James

AU - David, Anthony S

AU - Gaughran, Fiona

AU - Murray, Robin M

AU - Vassos, Evangelos

AU - Vassos Olesya; ORCID: http://orcid.org/0000-0003-3987-1236, Lally, John; ORCID: http://orcid.org/0000-0003-3038-0625, Kolliakou, Anna; ORCID: http://orcid.org/0000-0003-1234-4129, Dazzan, Paola; ORCID: http://orcid.org/0000-0002-8427-3617, Mondelli, Vale

A2 - Alaghband-Rad Andreasen, Bebbington, Birchwood, Boydell, Compton, Crumlish, Davies, Di Forti, Di Forti, Emsley, Emsley, Endicott, Harrison, Harrison, Harrison, Harrison, Harrow, Jablensky, Kaleda, Kiev, Leese, Lieberman, Loebel, Malla, Mallett, Mann, McG

PY - 2017

Y1 - 2017

N2 - PURPOSE: Previous research has not provided us with a comprehensive picture of the longitudinal course of psychotic disorders in Black people living in Europe. We sought to investigate clinical outcomes and pattern of care in Black African and Black Caribbean groups compared with White British patients during the first 5 years after first contact with mental health services for psychosis., METHODS: 245 FEP cases aged 18-65 who presented to psychiatric services in 2005-2010 in South London (UK). Using the electronic psychiatric clinical notes in the South London and Maudsley NHS Foundation Trust (SLaM), extensive information was collected on three domains-clinical, social, and service use., RESULTS: During the 5-year follow-up (mean = 5.1 years, s.d. = 2.4; 1251 person years) after first contact with mental health services, a higher proportion of Black African and Black Caribbean ethnicity had compulsory re-admissions (chi 2 = 17.34, p = 0.002) and instances of police involvement during an admission to a psychiatric unit (chi 2 = 22.82, p <0.001) compared with White British ethnic group. Patients of Black African and Black Caribbean ethnicity did not differ from the ethnic group in overall functional disability and illness severity, or frequency of remission or recovery during the follow-up period. However, patients of Black ethnicity become increasing socially excluded as their illness progress., CONCLUSIONS: The longitudinal trajectory of psychosis in patients of Black ethnicity did not show greater clinical or functional deterioration than white patients. However, their course remains characterised by more compulsion, and longer periods of admission.

AB - PURPOSE: Previous research has not provided us with a comprehensive picture of the longitudinal course of psychotic disorders in Black people living in Europe. We sought to investigate clinical outcomes and pattern of care in Black African and Black Caribbean groups compared with White British patients during the first 5 years after first contact with mental health services for psychosis., METHODS: 245 FEP cases aged 18-65 who presented to psychiatric services in 2005-2010 in South London (UK). Using the electronic psychiatric clinical notes in the South London and Maudsley NHS Foundation Trust (SLaM), extensive information was collected on three domains-clinical, social, and service use., RESULTS: During the 5-year follow-up (mean = 5.1 years, s.d. = 2.4; 1251 person years) after first contact with mental health services, a higher proportion of Black African and Black Caribbean ethnicity had compulsory re-admissions (chi 2 = 17.34, p = 0.002) and instances of police involvement during an admission to a psychiatric unit (chi 2 = 22.82, p <0.001) compared with White British ethnic group. Patients of Black African and Black Caribbean ethnicity did not differ from the ethnic group in overall functional disability and illness severity, or frequency of remission or recovery during the follow-up period. However, patients of Black ethnicity become increasing socially excluded as their illness progress., CONCLUSIONS: The longitudinal trajectory of psychosis in patients of Black ethnicity did not show greater clinical or functional deterioration than white patients. However, their course remains characterised by more compulsion, and longer periods of admission.

KW - African Continental Ancestry Group/px [Psychology

KW - Disease Course

KW - Disease Management

KW - European Continental Ancestry Group/px [Psycholog

KW - Psychosis

KW - Psychotic Disorders/eh [Ethnology]

KW - Psychotic Disorders/th [Therapy]

KW - Racial and Ethnic Differences

KW - Racial and Ethnic Groups

KW - psychology

KW - Adolescent

KW - Adult

KW - African Continental Ancestry Group/sn [Statistics

KW - Aged

KW - Black person

KW - Caribbean

KW - Caribbean Region/eh [Ethnology]

KW - Caucasian

KW - Europe

KW - Europe/ep [Epidemiology]

KW - European Continental Ancestry Group/sn [Statistics

KW - Female

KW - Humans

KW - Longitudinal Studies

KW - Male

KW - Mental Health

KW - Middle Aged

KW - Onset (Disorders)

KW - Psychotherapeutic Outcomes

KW - Test Construction

KW - Treatment Outcome

KW - Young Adult

KW - adolescent

KW - adult

KW - aged

KW - epidemiology

KW - ethnology

KW - female

KW - human

KW - longitudinal study

KW - male

KW - middle aged

KW - psychosis/su [Surgery]

KW - statistics and numerical data

KW - treatment outcome

KW - young adult

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Alaghband-Rad Andreasen, Bebbington, Birchwood, Boydell, Compton, Crumlish, Davies, Di Forti, Di Forti, Emsley, Emsley, Endicott, Harrison, Harrison, Harrison, Harrison, Harrow, Jablensky, Kaleda, Kiev, Leese, Lieberman, Loebel, Malla, Mallett, Mann, McG A, (ed.), O. A, J. LLM, M. DF, A. K, P. GS et al. Patterns of illness and care over the 5 years following onset of psychosis in different ethnic groups; the GAP-5 study. Social Psychiatry and Psychiatric Epidemiology. 2017;52(9):1101-1111. doi: http://dx.doi.org/10.1007/s00127-017-1417-6

Patterns of illness and care over the 5 years following onset of psychosis in different ethnic groups; the GAP-5 study.

Abstract

Keywords

UN SDGs

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