Ethnicity and long-term course and outcome of psychotic disorders in a UK sample: the ÆSOP-10 study

Craig Morgan (Lead / Corresponding author), 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

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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 languageEnglish
Pages (from-to)88-94
Number of pages24
JournalBritish Journal of Psychiatry
Volume211
Issue number2
Early online date22 Jun 2017
DOIs
Publication statusPublished - 1 Aug 2017

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Psychotic Disorders
Social Work
Incidence
Ethnic Groups
Population

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Morgan, C., Fearon, P., Lappin, J., Heslin, M., Donoghue, K., Lomas, B., ... 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
Morgan, Craig ; Fearon, Paul ; Lappin, Julia ; Heslin, Margaret ; Donoghue, Kim ; Lomas, Ben ; Reininghaus, Ulrich ; Onyejiaka, Adanna ; Croudace, Tim ; Jones, Peter B. ; Murray, Robin M. ; Doody, Gillian A. ; Dazzan, Paola. / Ethnicity and long-term course and outcome of psychotic disorders in a UK sample : the ÆSOP-10 study. In: British Journal of Psychiatry. 2017 ; Vol. 211, No. 2. pp. 88-94.
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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: {\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.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.",
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",
note = "This work was supported by UK Medical Research Council (Ref: G0500817) and the Department of Health via the National Institute for Health Research (NIHR) Specialist Biomedical Research Centre for Mental Health award to South London and Maudsley NHS Foundation Trust (SLaM) and the Institute of Psychiatry at King’s College London. The Authors have declared that there are no conflicts of interest in relation to the subject of this study.",
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Morgan, C, Fearon, P, Lappin, J, Heslin, M, Donoghue, K, Lomas, B, Reininghaus, U, Onyejiaka, A, Croudace, T, Jones, PB, Murray, RM, Doody, GA & 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, vol. 211, no. 2, pp. 88-94. https://doi.org/10.1192/bjp.bp.116.193342

Ethnicity and long-term course and outcome of psychotic disorders in a UK sample : the ÆSOP-10 study. / Morgan, Craig (Lead / Corresponding author); Fearon, Paul; Lappin, Julia; Heslin, Margaret; Donoghue, Kim; Lomas, Ben; Reininghaus, Ulrich; Onyejiaka, Adanna; Croudace, Tim; Jones, Peter B.; Murray, Robin M.; Doody, Gillian A. ; Dazzan, Paola.

In: British Journal of Psychiatry, Vol. 211, No. 2, 01.08.2017, p. 88-94.

Research output: Contribution to journalArticle

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

N1 - This work was supported by UK Medical Research Council (Ref: G0500817) and the Department of Health via the National Institute for Health Research (NIHR) Specialist Biomedical Research Centre for Mental Health award to South London and Maudsley NHS Foundation Trust (SLaM) and the Institute of Psychiatry at King’s College London. The Authors have declared that there are no conflicts of interest in relation to the subject of this study.

PY - 2017/8/1

Y1 - 2017/8/1

N2 - 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.

AB - 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.

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DO - 10.1192/bjp.bp.116.193342

M3 - Article

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VL - 211

SP - 88

EP - 94

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

SN - 0007-1250

IS - 2

ER -