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

Morgan, Craig; Fearon, Paul; Lappin, Julia M.; Heslin, Margaret; Donoghue, Kim; Lomas, Ben; Reininghaus, Ulrich A.; Onyejiaka, A.; Croudace, T.; Jones, Peter B.; Murray, Robin M.; Doody, Gillian A.; Dazzan, Paola


Craig Morgan

Paul Fearon

Julia M. Lappin

Margaret Heslin

Kim Donoghue

Ben Lomas

Ulrich A. Reininghaus

A. Onyejiaka

T. Croudace

Peter B. Jones

Robin M. Murray

Gillian A. Doody

Paola Dazzan



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


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


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.


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.


These findings suggest ethnic disparities in the incidence of psychoses extend, for some groups, to worse outcomes in multiple domains.


Morgan, C., Fearon, P., Lappin, J. M., Heslin, M., Donoghue, K., Lomas, B., …Dazzan, P. (in press). Ethnicity and long-term course and outcome of psychotic disorders in a UK sample: the AESOP-10 study. British Journal of Psychiatry, 211(2),

Journal Article Type Article
Acceptance Date Apr 7, 2017
Online Publication Date Jan 2, 2018
Deposit Date May 9, 2017
Publicly Available Date Jan 2, 2018
Journal British Journal of Psychiatry
Print ISSN 0007-1250
Electronic ISSN 1472-1465
Publisher Cambridge University Press
Peer Reviewed Peer Reviewed
Volume 211
Issue 2
Public URL
Publisher URL


bjp.bp.116.193342.full.pdf (946 Kb)

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