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 M. Murray; Gillian A. 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 M. Murray, Gillian A. Doody, Paola Dazzan

^*Corresponding author for this work

MHeNs - Mental Health

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

Abstract

Background

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

Alms

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

method

SOP-10 is a 10-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.

Conclusions

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
Number of pages	7
Journal	British Journal of Psychiatry
Volume	211
Issue number	2
DOIs	https://doi.org/10.1192/bjp.bp.116.193342
Publication status	Published - Aug 2017

Keywords

WORLD-HEALTH-ORGANIZATION
FOLLOW-UP
INCIDENCE RATES
1ST EPISODE
SCHIZOPHRENIA
PATHWAYS
1ST-EPISODE
CARE
METAANALYSIS
POPULATION

Access to Document

10.1192/bjp.bp.116.193342

Cite this

Morgan, C., Fearon, P., Lappin, J., Heslin, M., Donoghue, K., Lomas, B., Reininghaus, U., Onyejiaka, A., Croudace, T., Jones, P. B., Murray, R. M., Doody, G. A., & Dazzan, P. (2017). Ethnicity and long-term course and outcome of psychotic disorders in a UK sample: the ÆSOP-10 study. British Journal of Psychiatry, 211(2), 88-94. https://doi.org/10.1192/bjp.bp.116.193342

@article{d824dcbed1454648961ad718e4555df6,

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 s elevated in some minority ethnic populations. However, we know little about the outcome of psychoses in these populations.AlmsTo investigate patterns and determinants of long-term course and outcome of psychoses by ethnic group following a first episode.methodSOP-10 is a 10-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.ConclusionsThese findings suggest ethnic disparities in the incidence of psychoses extend, for some groups, to worse outcomes in multiple domains.",

keywords = "WORLD-HEALTH-ORGANIZATION, FOLLOW-UP, INCIDENCE RATES, 1ST EPISODE, SCHIZOPHRENIA, PATHWAYS, 1ST-EPISODE, CARE, METAANALYSIS, POPULATION",

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 M.} and Doody, {Gillian A.} 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",

}

TY - JOUR

T1 - Ethnicity and long-term course and outcome of psychotic disorders in a UK sample

T2 - 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 M.

AU - Doody, Gillian A.

AU - Dazzan, Paola

PY - 2017/8

Y1 - 2017/8

N2 - BackgroundThe incidence of psychotic disorders s elevated in some minority ethnic populations. However, we know little about the outcome of psychoses in these populations.AlmsTo investigate patterns and determinants of long-term course and outcome of psychoses by ethnic group following a first episode.methodSOP-10 is a 10-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.ConclusionsThese 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 s elevated in some minority ethnic populations. However, we know little about the outcome of psychoses in these populations.AlmsTo investigate patterns and determinants of long-term course and outcome of psychoses by ethnic group following a first episode.methodSOP-10 is a 10-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.ConclusionsThese findings suggest ethnic disparities in the incidence of psychoses extend, for some groups, to worse outcomes in multiple domains.

KW - WORLD-HEALTH-ORGANIZATION

KW - FOLLOW-UP

KW - INCIDENCE RATES

KW - 1ST EPISODE

KW - SCHIZOPHRENIA

KW - PATHWAYS

KW - 1ST-EPISODE

KW - CARE

KW - METAANALYSIS

KW - POPULATION

U2 - 10.1192/bjp.bp.116.193342

DO - 10.1192/bjp.bp.116.193342

M3 - Article

C2 - 28642258

SN - 0007-1250

VL - 211

SP - 88

EP - 94

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

IS - 2

ER -