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The Great Smoky Mountains Study of Youth: Goals, Design, Methods, and the Prevalence of DSM-III-R Disorders
Abstract
BACKGROUND: The Great Smoky Mountains Study of youth focuses on the relationship between the development of psychiatric disorder and the need for and use of mental health services. METHODS: A multistage, overlapping cohorts design was used, in which 4500 of the 11758 children aged 9, 11, and 13 years in an 11-county area of the southeastern United States were randomly selected for screening for psychiatric symptoms. Children who scored in the top 25% on the screening questionnaire, together with a 1 in 10 random sample of the rest, were recruited for 4 waves of intensive, annual interviews (n = 1015 at wave 1). In a parallel study, all American Indian children aged 9, 11, and 13 years were recruited (N = 323 at wave 1). RESULTS: The 3-month prevalence (+/-SE) of any DSM-III-R axis I disorder in the main sample, weighted to reflect population prevalence rates, was 20.3% +/- 1.7%. The most common diagnoses were anxiety disorders (5.7% +/- 1.0%), enuresis (5.1% +/- 1.0%), tic disorders (4.2% +/- 0.9%), conduct disorder (3.3% +/- 0.6%), oppositional defiant disorder (2.7% +/- 0.4%), and hyperactivity (1.9% +/- 0.4%). CONCLUSIONS: 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.
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Copeland, W. E., Shanahan, L., Worthman, C., Angold, A., & Costello, E. J. (2012) · Psychological Medicine · doi:10.1017/s0033291712000554 · Cited by 123
Self-citationSuicide-related behaviors and anxiety in children and adolescents: a review
Hill, R. M., Castellanos, D., & Pettit, J. W. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.07.008 · Cited by 124
Zima, B. T., Hurlburt, M. S., Knapp, P., Ladd, H., Tang, L., Duan, N., Wallace, P., Rosenblatt, A., Landsverk, J., & Wells, K. B. (2005) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200502000-00005 · Cited by 117
Depressive symptoms in adolescence: the association with multiple health risk behaviors
Katon, W., Richardson, L., Russo, J., McCarty, C. A., Rockhill, C., McCauley, E., Richards, J., & Grossman, D. C. (2010) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2010.01.008 · Cited by 111
Gau, S. S. F., Chong, M.-Y., Yang, P., Yen, C.-F., Liang, K.-Y., & Cheng, A. T. A. (2007) · British Journal of Psychiatry · doi:10.1192/bjp.bp.106.022871 · Cited by 103
LESLIE, L. K., WECKERLY, J., LANDSVERK, J., HOUGH, R. L., HURLBURT, M. S., & WOOD, P. A. (2003) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200312000-00010 · Cited by 95
Connor, D. F., McLaughlin, T. J., Jeffers-Terry, M., O’Brien, W. H., Stille, C. J., Young, L. M., & Antonelli, R. C. (2006) · Clinical Pediatrics · doi:10.1177/0009922806289617 · Cited by 90
Metadata
- Authors
- Costello, E. J.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 1996-12-01
- Volume
- 53
- Issue
- 12
- Pages
- 1129
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2138942870
- Cited by
- 1,083
- References
- 5
- FWCI
- 31.19
- Type
- journal article
- Language
- en
- Open access
- closed
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.