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

Research output: Contribution to journalArticleAcademicpeer-review

39 Citations (Web of Science)

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 languageEnglish
Pages (from-to)88-94
Number of pages7
JournalBritish Journal of Psychiatry
Volume211
Issue number2
DOIs
Publication statusPublished - Aug 2017

Keywords

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

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