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Morgan, Craig and Fearon, Paul and Lappin, Julia M. and Heslin, Margaret and Donoghue, Kim and Lomas, Ben and Reininghaus, Ulrich A. and Onyejiaka, A. and Croudace, T. and Jones, Peter B. and Murray, Robin M. and Doody, Gillian A. and Dazzan, Paola (2018) Ethnicity and long-term course and outcome of psychotic disorders in a UK sample: the AESOP-10 study. British Journal of Psychiatry, 211 (2). pp. 88-97. ISSN 1472-1465

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.

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