Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Social Psychiatry and Psychiatric Epidemiology
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 5/2016

24.03.2016 | Review

The Great Smoky Mountains Study: developmental epidemiology in the southeastern United States

verfasst von: E. Jane Costello, William Copeland, Adrian Angold

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 5/2016

Einloggen, um Zugang zu erhalten

Abstract

Aims

To describe the Great Smoky Mountains Study (GSMS).

Methods

GSMS is a longitudinal study of child psychiatric disorders that began in 1992 to look at need for mental health services in a rural area of the USA. Over 20 years it has expanded its range to include developmental epidemiology more generally, not only the development of psychiatric and substance abuse problems but also their correlates and predictors: family and environmental risk, physical development including puberty, stress and stress-related hormones, trauma, the impact of poverty, genetic markers, and epigenetics. Now that participants are in their 30s the focus has shifted to adult outcomes of childhood psychopathology and risk, and early physical, cognitive, and psychological markers of aging.

Results

This paper describes the results from over 11,000 interviews, examples of the study’s contributions to science and policy, and plans for the future.

Conclusions

Longitudinal studies can provide insights that aid in policy planning.
Literatur
1.
2.
Kleinbaum DG, Kupper LL, Morgenstern H (1982) Epidemiologic research: principles and quantitative methods. Van Nostrand Reinhold, New York
3.
Kellam SG, Werthamer-Larsson L (1986) Developmental epidemiology: a basis for prevention. In: Kessler M, Goldston SE (eds) A decade of progress in primary prevention. University Press of New England, Hanover, NH, pp 154–180
4.
Costello EJ, Angold A (2000) Developmental epidemiology: a framework for developmental psychopathology. In: Sameroff A, Lewis M, Miller S (eds) Handbook of developmental psychopathology. Kluwer Academic/Plenum Publishers, New York, pp 57–73CrossRef
5.
Dohrenwend BP et al (1992) Socioeconomic status and psychiatric disorders: the causation-selection issue. Science 255(Feb. 21):946–952CrossRefPubMed
6.
Rutter M, Tizard J, Whitmore K (1970) Education, health, and behaviour. Longman, London
7.
Bird HR et al (1988) Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico: the use of combined measures. Arch Gen Psychiatry 45:1120–1126CrossRefPubMed
8.
Achenbach TM, Edelbrock CS (1981) Behavorial problems and competencies reported by parents of normal and disturbed children aged four through sixteen. Monogr Soc Res Child Dev 46:1–82CrossRefPubMed
9.
Shrout PE, Skodol AE, Dohrenwend BP (1985) A two-stage approach for case identification and diagnosis: First stage instruments. In: Presented at the 75th Annual Meeting of the American Psychopathological Association, New York City. No Journal Found, March 1
10.
U.S. Congress and Office of Technology Assessment (1991) Mental health problems: prevention and services, in adolescent health: volume II: background and the effectiveness of selected prevention and treatment services. U.S. Government Printing Office, Washington, DC, p 433–496
11.
Costello AJ et al (1984) Development and testing of the NIMH diagnostic interview schedule for children in a clinic population: final report (contract no. RFP-DB-81-0027). NIMH Center for Epidemiologic Studies, Rockville
12.
Breton J-J et al (1995) Do children aged 9 to 11 years understand the DISC version 2.25 questions? J Am Acad Child Adolesc Psychiatry 34:946–956CrossRefPubMed
13.
14.
Rutter M (2013) Developmental psychopathology: a paradigm shift or just a relabeling? Dev Psychopathol 25(4pt2):1201CrossRefPubMed
15.
Wing JK, Cooper JE, Sartorius N (eds) (1974) The measurement and classification of psychiatric symptoms: an instruction manual for the present state examination and CATEGO programme. Cambridge University Press, Cambridge
16.
Robins LN et al (1981) National Institute of Mental Health Diagnostic Interview Schedule: its history, characteristics, and validity. Arch Gen Psychiatry 38:381–389CrossRefPubMed
17.
Angold A (2002) Diagnostic interviews with parents and children. In: Rutter M, Taylor E (eds) Child and adolescent psychiatry: modern approaches. Blackwell Scientific Publications, Oxford, pp 32–51
18.
Egger HL, Angold A (2004) The preschool age psychiatric assessment (PAPA): a structured parent interview for diagnosing psychiatric disorders in preschool children. In: DelCarmen-Wiggins R, Carter A (eds) Handbook of infant, toddler, and preschool mental assessment. Oxford University Press, New York, pp 223–243
19.
Angold A, Cox A, Prendergast M, Rutter M, Simonoff E, Costello E, Ascher B (1999) The young adult psychiatric assessment (YAPA). Duke University Medical Center, Durham (Unpublished)
20.
Angold A, Cox A, Prendergast M, Rutter M, Simonoff E (1995) Glossary for the child and adoelscent assessment. Duke University Medical Center, Durham (Unpublished)
21.
Farmer EMZ et al (1994) Reliability of self-reported service use: test–retest consistency of children’s responses to the Child and Adolescent Services Assessment (CASA). J Child Fam Stud 3(3):307–325CrossRef
22.
Costello EJ et al (1998) Life events and post-traumatic stress: the development of a new measure for children and adolescents. Psychol Med 28:1275–1288CrossRefPubMed
23.
24.
McDade TW, Williams S, Snodgrass JJ (2007) What a drop can do: dried blood spots as a minimally invasive method for integrating biomarkers into population-based research. Demography 44(4):899–925CrossRefPubMed
25.
McDade T, Angold A, Costello EJ, Stallings JF, Worthman CM (1995) Physiologic bases of individual variation in pubertal timing and progression: report from the great smoky mountains study. Am J Phys Anthropol Suppl. 20:148
26.
Worthman CM, Stallings JF (1994) Measurement of gonadotropins in dried blood spots. Clin Chem 40:448–453PubMed
27.
28.
Costello EJ, Eaves L, Sullivan P, Kennedy M, Conway K, Adkins DE, Angold A, Clark SL, Erkanli A, McClay JL (2013) Genes, environments, and developmental research: methods for a multi-site study of early substance abuse. Twin Res Hum Genet 16:505–515CrossRefPubMedPubMedCentral
29.
Dorn LD et al (1990) Perceptions of puberty: adolescent, parent, and health care personnel. Dev Psychopathol 26(2):322–329CrossRef
30.
Petersen AC (1985) Pubertal development as a cause of disturbance: myths, realities, and unanswered questions. Genet Soc Gen Psychol Monogr 111(2):205–232PubMed
31.
U.S. Public Health Service (1988) National Health Interview Survey: supplement booklet. U.S. Department of Commerce Bureau of the Census, Washington, DC
32.
Angold A, Costello EJ (2006) Puberty and depression. Child Adolesc Psychiatr Clin N Am 15:919–937CrossRefPubMed
33.
Tanner JM (1962) Growth at adolescence: with a general consideration of the effects of hereditary and environmental factors upon growth and maturation from birth to maturity. Vol. Second Edition, Fifth Printing. Blackwell Scientific Publications, Oxford
34.
Worthman CM, Stallings JF (1997) Hormone measures in finger-prick blood spot samples: new field methods for reproductive endocrinology. Am J Phys Anthropol 103(1):1–21CrossRef
35.
Angold A, Costello EJ, Worthman CM (1998) Puberty and depression: the roles of age, pubertal status, and pubertal timing. Psychol Med 28:51–61CrossRefPubMed
36.
Costello EJ et al (2007) Prediction from low birth weight to female adolescent depression: a test of competing hypotheses. Arch Gen Psychiatry 64:338–344CrossRefPubMed
37.
Costello EJ et al (2003) Relationships between poverty and psychopathology: a natural experiment. JAMA 290(15):2023–2029CrossRefPubMed
38.
Costello EJ (2010) Family income supplements and development of psychiatric and substance use disorders among an american indian population—reply. JAMA J Am Med Assoc 304(9):963CrossRef
39.
Huang B et al (2004) Statistical assessment of mediational effects for logistic mediational models. Stat Med 23:2713–2728CrossRefPubMed
40.
Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51:1173–1182CrossRefPubMed
41.
Kim-Cohen J et al (2003) Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry 60:709–717CrossRefPubMed
42.
Copeland W et al (2011) Cumulative prevalence of psychiatric disorders by young adulthood: a prospective cohort analysis from the great smoky mountains study. J Am Acad Child Adolesc Psychiatry 50(3):252–261CrossRefPubMedPubMedCentral
43.
Kessler RC et al (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 62(6):593–602CrossRefPubMed
44.
Angold A et al (1999) Impaired but undiagnosed. J Am Acad Child Adolesc Psychiatry 38:129–137CrossRefPubMed
45.
Lewinsohn PM et al (2004) The prevalence of comorbidity of subthreshold psychiatric conditions. Psychol Med 34:613–622CrossRefPubMed
46.
Herrenkohl EC et al (1995) Risk factors for behavioral dysfunction: the relative impact of maltreatment, SES, physical health problems, cognitive ability, and quality of parent-child interaction. Child Abuse Negl 19(2):191–203CrossRefPubMed
47.
Harhay MO, King CH (2012) Global burden of disease in young people aged 10–24 years. Lancet 379(9810):27–28CrossRefPubMed
Metadaten
Titel
The Great Smoky Mountains Study: developmental epidemiology in the southeastern United States
verfasst von
E. Jane Costello
William Copeland
Adrian Angold
Publikationsdatum
24.03.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 5/2016
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-015-1168-1

Weitere Artikel der Ausgabe 5/2016

Social Psychiatry and Psychiatric Epidemiology 5/2016 Zur Ausgabe

Letter to the Editor

Response to “Letter on ethnic density and suicide: interpretation of results as a protective ethnic density effect is premature”

Letter To The Editor

Letter on ethnic density and suicide: interpretation of results as a protective ethnic density effect is premature

Original Paper

An examination of the long-term impact of job strain on mental health and wellbeing over a 12-year period

Original Paper

Information giving challenges and support strategies at the time of a mental health diagnosis: qualitative views from Australian health professionals

Original Paper

Experience of stigma in private life of relatives of people diagnosed with schizophrenia in the Republic of Belarus

Original Paper

Perceived ethnic discrimination and depressive symptoms: the buffering effects of ethnic identity, religion and ethnic social network

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise