Evidence map›Paper›PMID 27010203›Full record

ReviewSocial psychiatry and psychiatric epidemiology2016

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

E Jane Costello, William Copeland, Adrian Angold

Abstract readReview
In one paragraph

Review in Social psychiatry and psychiatric epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Is There Any Level of Stress Exposure That Is Beneficial?Journal of the American Academy of Child and Adolescent Psychiatry · 2026
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  6. Article
  7. Review
  8. Childhood allostatic load predicts cardiometabolic health in adulthood.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

E Jane CostelloDepartment of Psychiatry and Behavioral Sciences, School of Medicine, Duke University, Suite 22 Brightleaf Square, 905 West Main Street, Durham, NC, 27701, USA. Elizabeth.costello@duke.edu.
William CopelandDepartment of Psychiatry and Behavioral Sciences, School of Medicine, Duke University, Suite 22 Brightleaf Square, 905 West Main Street, Durham, NC, 27701, USA.
Adrian AngoldDepartment of Psychiatry and Behavioral Sciences, School of Medicine, Duke University, Suite 22 Brightleaf Square, 905 West Main Street, Durham, NC, 27701, USA.

Funding

Vulnerability to Drug Abuse:Pathways to RecoveryR01DA011301 · NIDA · DUKE UNIVERSITY · PI COSTELLO, ELIZABETH JANE · 1997 to 2015
$7.3M
Preschool Anxiety Disorders in Primary CareR01MH075766 · NIMH · DUKE UNIVERSITY · PI ANGOLD, ADRIAN C · 2006 to 2010
$3.8M
Prepubertal Comordity: Gender &Developmental HeterotypyR01MH063671 · NIMH · DUKE UNIVERSITY · PI COSTELLO, ELIZABETH JANE · 2001 to 2005
$2.3M
Multi-Site Longitudinal Analysis-Psychiatric Risk of SUDR01DA016977 · NIDA · DUKE UNIVERSITY · PI COSTELLO, ELIZABETH JANE · 2003 to 2005
$1.7M
Growing Up Violent in Rural AmericaR01MH063970 · NIMH · DUKE UNIVERSITY · PI COSTELLO, ELIZABETH JANE · 2002 to 2006
$1.6M
Gene-Environment Interplay, Development, and Emotional DisordersK23MH080230 · NIMH · DUKE UNIVERSITY · PI COPELAND, WILLIAM · 2008 to 2012
$707k
Early Substance Use in Rural American Indian and White/Anglo YouthR01DA036523 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COPELAND, WILLIAM · 2014 to 2016
$700k
Pathways to Anxiety Disorders: Adversity, Immune Function, and HPA-Axis ActivityR03MH094605 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SHANAHAN, LILLY · 2011 to 2012
$146k
SERVICE USE FOR ADM COMORBIDITY IN RURAL ADOLESCENTSR01MH048085 · NIMH · DUKE UNIVERSITY · PI COSTELLO, ELIZABETH J · 1991 to 1996
–
NIDA NIH HHS R01 DA011301NIDA NIH HHS R01 DA016977NIDA NIH HHS R01 DA036523NIMH NIH HHS K23 MH080230NIMH NIH HHS R01 MH048085NIMH NIH HHS R01 MH063671NIMH NIH HHS R01 MH063970NIMH NIH HHS R01 MH075766NIMH NIH HHS R03 MH094605
6 · The paper itself

Abstract

aimsTo describe the Great Smoky Mountains Study (GSMS).

methodsGSMS 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.

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

conclusionsLongitudinal studies can provide insights that aid in policy planning.

Indexed as

AdolescentAdultAppalachian RegionChildCross-Sectional StudiesFemaleHumansIndians, North AmericanLongitudinal StudiesMaleMass ScreeningMental DisordersNorth CarolinaRisk AssessmentRural PopulationStatistics as TopicAdolescentAdultChildEpidemiologyLongitudinalPsychiatric

Identifiers

PMID27010203
PMCPMC4846561

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.