Barbara Maughan – författare

Life course epidemiology is concerned with the origins of risk, resilience, and the processes of ageing, and how this information can be of value in a public health context - particularly for preventive health care. Its challenge is to discover, develop and analyse sources of data that cover many years of life, especially the early developmental period when, it is thought, some fundamental aspects of lifetime health begin. It also analyses genetic propensity and environmental exposures. The rapid development of life course epidemiology, in parallel with new work on developmental biology and the biology of ageing, has bought innovative and ingenious methods of data collection. These require new methodological techniques for the design of observational and quasi-experimental studies of life course pathways to adult health. This book describes these developments, together with arguments for improving the measurement of the social environment and its role in developing individual vulnerability or adaptation. The development of bio-bank large-scale population studies for the investigation of genetic effects is discussed, alongside the challenges this creates for the epidemiologist. The changing design of studies, increasing flow of longitudinal data, management of data, analytic challenges, timing, and both traditional and more recent methods of managing these features in the study of causality, are discussed.Life course epidemiology has an essential role in developing methods to evaluate precisely the impact of interacting developmental, environmental, and genetic effects, knowledge of which is fundamental for the design of effective prevention strategies in public health, as well as for the advancement of understanding in the broader spheres of health and medicine.

This book provides a good foundation for understanding influences on children’s health and development. The volume brings together in a single reference source the world’s leading thinkers on children’s health and development. It sets out the basic concepts that underpin the study of child development and response to impairments to development, including attachment, changes in brain structure, and resilience. The book explores the idea of life-course development, explaining how experiences at each stage in a person’s life shapes his or her future. It goes on to example the relative contribution of societal, neighbourhood, school, family and individual influences to child well-being. This includes a look at the way these forces interact, such as when genes shape environments, and vice versa. The book summarises the evidence on the incidence and consequences of impairments to children’s health and development, covering both the majority of typical children and the minority who experience significant problems.

Conduct disorders are very common and the most frequent reason for clinical referrals to child and adolescent mental health facilities. Aggression and oppositional behaviour in youth often becomes persistent, and substantially increases the likelihood of adult problems of criminality, unstable relationships, psychiatric disorder, and harsh parenting. This comprehensive book by leading clinicians and researchers reviews established and emerging aspects of conduct disorder. It highlights the complexity and probable heterogeneity of the condition, including the biological, neuropsychological, and cognitive factors, and the role of attachment and family influences. Preventive and treatment approaches and outcomes are reviewed, with developmental and gender-based variations emphasized throughout. Integrating findings from a wide range of research perspectives, this is a uniquely authoritative survey of a common clinical and social problem, and will be essential reading for mental health practitioners and others with clinical, sociological or medicolegal interests in child health and behaviour.

This book sets out the current state of knowledge about what works in reducing impairments to children’s health and development. Little and Maughan’s book applies a high standard of proof and reproduces only the work of the leading intervention scientists from around the world. After discussing the real world challenges to more effective children’s services, the book goes on to cover policy and practice proven to change the lives of all children, and extends also to effective programmes targeted at children with specific disorders. Examples include changes in household income, early years support, moving families to less disadvantaged communities, improving parenting and using schools to better mental health. The benefits of evidence-based programmes are specified, as are the costs to society of not intervening. The evidence is used to make recommendations about getting effective policy and practice into routine use, and includes illustrations of successful applications of these ideas.

This book provides a good foundation for understanding influences on children’s health and development. The volume brings together in a single reference source the world’s leading thinkers on children’s health and development. It sets out the basic concepts that underpin the study of child development and response to impairments to development, including attachment, changes in brain structure, and resilience. The book explores the idea of life-course development, explaining how experiences at each stage in a person’s life shapes his or her future. It goes on to example the relative contribution of societal, neighbourhood, school, family and individual influences to child well-being. This includes a look at the way these forces interact, such as when genes shape environments, and vice versa. The book summarises the evidence on the incidence and consequences of impairments to children’s health and development, covering both the majority of typical children and the minority who experience significant problems.