The Great Smoky Mountains Study of Youth
Archives of General PsychiatryPublished 1 December 1996
E. Jane Costello
Citations1,083
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Poverty was the strongest demographic correlate of diagnosis, in both urban and rural children, in this rural sample of children.
Abstract
The prevalence of psychiatric disorder in this rural sample was similar to rates reported in other recent studies. Poverty was the strongest demographic correlate of diagnosis, in both urban and rural children.
Keywords
PsychologySocial Sciences
Archives of General PsychiatryLifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States
12,491 Citations1994Ronald C. Kessler
The prevalence of psychiatric disorders is greater than previously thought to be the case, and morbidity is more highly concentrated than previously recognized in roughly one sixth of the population who have a history of three or more comorbid disorders.
Psychological BulletinChild/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity.
5,353 Citations1987Thomas M. Achenbach, Stephanie H. McConaughy +1 more
Etude de la coherence entre differentes sources (269 echantillons utilisees dans 119 etudes) concernant les evaluations des problemes affectifs et comportementaux d'enfants et d'adolescents âges de 1 1/2 a 19 ans.
JAMAComorbidity of mental disorders with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) Study
5,099 Citations1990D. A. Regier
Archives of General PsychiatryA Children's Global Assessment Scale (CGAS)
3,652 Citations1983David Shaffer
The findings indicate that the CGAS can be a useful measure of overall severity of disturbance and is recommended to both clinicians and researchers as a complement to syndrome-specific scales.
Choice Reviews OnlinePsychiatric disorders in America: the epidemiologic catchment area study
2,578 Citations1991
Monographs of the Society for Research in Child DevelopmentBehavioral Problems and Competencies Reported by Parents of Normal and Disturbed Children Aged Four Through Sixteen
1,690 Citations1981Thomas M. Achenbach, Craig Edelbrock
Age showed more and larger differences than the other demographic variables, but these differences were dwarfed by differences related to referral status, and referal status accounted for more variance in total behavior problem and social competence scores than in the scores for any single item.
ScienceSocioeconomic Status and Psychiatric Disorders: The Causation-Selection Issue
1,295 Citations1992Bruce P. Dohrenwend, Itzhak Levav +6 more
Results indicate that social selection may be more important for schizophrenia and that social causation may beMore important for depression in women and for antisocial personality and substance use disorders in men.
Health AffairsChildren's Mental Health Service Use Across Service Sectors
1,153 Citations1995Barbara J. Burns, E. Jane Costello +5 more
The results show somewhat higher rates of mental health service use than has been reported previously, while continuing to show a substantial amount of unmet need, even among children with both a psychiatric diagnosis and functional impairment.
Archives of General PsychiatryOntario Child Health Study
1,055 Citations1987David R. Offord
The utilization data indicated that children with these psychiatric disorders, compared with children without these disorders, were almost four times more likely to have received mental health or social services in the six months preceding this study.
Psychological MedicineThe Child and Adolescent Psychiatric Assessment (CAPA)
981 Citations1995Adrian Angold, Michael Prendergast +4 more
The principles adopted in the CAPA are outlined to improve the standardization, reliability and meaningfulness of symptom and diagnostic ratings.
Journal of Child Psychology and PsychiatryAn Epidemiological Study of Disorders in Late Childhood and Adolescence—I. Age‐ and Gender‐Specific Prevalence
969 Citations1993Patricia Cohen, Jacob Cohen +7 more
Child DevelopmentJuvenile Delinquency and Attention Deficit Disorder: Boys' Developmental Trajectories from Age 3 to Age 15
730 Citations1990Terrie E. Moffitt
A longitudinal analysis of the behavior of a birth cohort of 435 boys found that persistence of criminal offending beyond adolescence is predicted for the ADD + delinquent boys.
Archives of General PsychiatryEstimnates of the Prevalence of Childhood Maladjustment in a Community Survey in Puerto Rico
720 Citations1988Héctor Bird
A two-stage epidemiologic survey was carried out on a probability sample of the population aged 4 through 16 years in Puerto Rico, and data were provided on the demographic correlates of maladjustment and on the comorbidity of DSM-III diagnostic domains.
Journal of the American Academy of Child & Adolescent PsychiatryDSM-III Disorders in a Large Sample of Adolescents
653 Citations1990Rob McGee, Michael Feehan +4 more
A model of parental confirmation of disorder was developed suggesting that confirmation was more likely where the mother was depressed, the family low in social support, and the adolescent less socially competent.
American Journal of PsychiatryDepressive comorbidity in children and adolescents: empirical, theoretical, and methodological issues
636 Citations1993Adrian Angold, E. Jane Costello
There was a high rate of comorbidity in children and adolescents with major depressive disorders or dysthymia, and the rates of other disorders in depressed children were higher than the rate of depression in those with depression.
Journal of the American Academy of Child & Adolescent PsychiatryDEVELOPMENTS IN CHILD PSYCHIATRIC EPIDEMIOLOGY
363 Citations1989John E. Schowalter, E. Jane Costello
Les etudes se basent generalement sur the categorisation du DSM III (3eme edition du Manuel Statistique et Diagnostique des troubles mentaux) sur les facteurs de risques en psychopathologie de l'enfance.
The British Journal of PsychiatryAttainment and Adjustment in Two Geographical Areas
339 Citations1975Michael Rutter, Bridget Yule +4 more
Large differences have been found between the Isle of Wight and a (former) inner London borough (ILB) with respect to the rates of emotional (neurotic) disorders, conduct disorders and specific reading retardation in ten-year-old boys and girls.
Archives of General PsychiatryThe Great Smoky Mountains Study of Youth
312 Citations1996E. Jane Costello
Specific areas of functional impairment should be examined when SED is assessed and treatment is planned, and plans to target mental health care resources to children with SED need to be accompanied by efforts to ensure access to those resources.
Journal of the American Academy of Child & Adolescent PsychiatryPrevalence of Psychiatric Disorders in a Community Population of Older Adolescents
286 Citations1993Helen Z. Reinherz, Rose M. Giaconia +3 more
Adolescents with specific psychiatric disorders had significantly poorer functioning on measures of behavioral problems, interpersonal problems, self-esteem, and school performance, and the importance of identifying psychiatric disorder in adolescence is suggested.
Psychological MedicineA test–retest reliability study of child-reported psychiatric symptoms and diagnoses using the Child and Adolescent Psychiatric Assessment (CAPA-C)
273 Citations1995Adrian Angold, E. Jane Costello
In general, reliability for scale scores of psychopathology was somewhat lower in out-patients than in-pat patients, though the opposite was the case for anxiety disorders and psychosocial incapacity and the reliability of the diagnosis of conduct disorder – the only individual diagnosis sufficiently common to permit this comparison.
Journal of Child Psychology and PsychiatryComorbidity of Empirically Based Syndromes in Matched General Population and Clinical Samples
141 Citations1994Stephanie H. McConaughy, Thomas M. Achenbach
Comorbidity of deviance on eight empirically based syndromes was compared in matched general population and clinical samples of 2,705 children aged 4-18, using a bidirectional formula to avoid confounding effects of differential base rates.
BiometricsDesign of Two-Phase Prevalence Surveys of Rare Disorders
117 Citations1989Patrick E. Shrout, Stephen C. Newman
This work presents the optimal design of two-phase surveys when resources are fixed and when 100% of those screened positive in the first phase must be included in the second-phase evaluation.
Journal of the American Academy of Child & Adolescent PsychiatryDo Children Aged 9 through 11 Years Understand the DISC Version 2.25 Questions?
110 Citations1995Jean‐Jacques Breton, Lise Bergeron +4 more
Although the DISC has been greatly improved since the initial version, the results suggest that additional revision is needed before clinicians or researchers use theDISC with younger children.
Journal of Child and Family StudiesReliability of self-reported service use: Test-retest consistency of children's responses to the Child and Adolescent Services Assessment (CASA)
108 Citations1994Elizabeth M. Z. Farmer, Adrian Angold +2 more
Results showed that reports of lifetime service use were as reliable as were reports of service use in the preceding three months, and children reported restrictive and intrusive services more reliably than services that were provided in their natural environment.
Journal of the American Academy of Child & Adolescent PsychiatryCognitive and Social Correlates of DSM-III Disorders in Preadolescent Children
107 Citations1989Jessie Anderson, Sheila Williams +2 more
The relationships between some cognitive and social measures and the major syndromes found in a large preadolescent sample of children from the general population are described.
Journal of the American Academy of Child & Adolescent PsychiatryScreening for Childhood Psychopathology in the Community Using the Child Behavior Checklist
95 Citations1991Héctor Bird, Madelyn S. Gould +3 more
The data indicate that in using the CBCL for screening for psychopathology in children, parent information is most informative, particularly for children in the adolescent age group, Nevertheless, the data also reinforce the need to obtain teacher information with the Teacher Report Form to enhance screening purposes.
Clinical ChemistryMeasurement of gonadotropins in dried blood spots
55 Citations1994Carol M. Worthman, Joy F. Stallings
Direct immunofluorometric assays for luteinizing hormone and follicle-stimulating hormone in fingerstick blood spots dried on filter paper are described, based on modifications of commercially available kits, which allow self-sampling, serial sampling, and mailing of specimens.
New Directions for Program EvaluationAn interorganizational network approach to evaluating children's mental health service systems
44 Citations1992J Morrissey
