Associate Professor of Psychiatry and Behavioral Sciences at Duke University Medical Center

      I did my medical training, and specialist training in adult and child and adolescent psychiatry in England, and came to Duke in 1988. Jane Costello and I founded the Developmental Epidemiology Program at Duke, and I am now the director of the NIMH-funded Center for Developmental Epidemiology here. The Center aims to bring together expertise in the measurement of psychopathology, epidemiology, services research, genetics, neuropsychoendocrinology, brain imaging, psycho-immunology, and statistics in the service of increasing our understanding of the causes and consequences of psychopathology in children and adolescents.

      My current particular interests are in the development of depression and oppositional defiant disorder, understanding the causes of comorbidity among psychiatric disorders, service use for psychopathology, and psychological risk factors for cardiovascular pathology. For a long time, I have also been involved in the development of measures of psychopathology, and the Center provides training in the measures that I and my colleagues have developed - the Child and Adult Psychiatric Assessment (CAPA), an interviewer-based diagnostic interview, and the Mood and Feelings Questionnaire (MFQ).

      At the present time my active research funding is focused in two areas - preschool mental health and the longitudinal study of child and adolescent psychiatric and substance use problems from late childhood through young adulthood.