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Archive for July, 2011

Our Experiences as Summer Interns

The UNC Eating Disorders Program stresses the importance of maintaining a healthy balanced diet comprised of exchanges including starches, proteins, vegetables, fruits, milk, and fats. Interestingly, when we were asked to write a blog about our experiences as summer interns, we realized that, in a way, exchanges represent our day-to-day activities. Even more importantly, we realized that to be a productive summer intern, we needed a balanced “diet” or schedule of various “exchanges” or activities.Brain Food

One of the most important macronutrients is starches. Starches provide a rich source of carbohydrates; in fact, they are the only nutrients the brain can use for fuel. Serving as a kind of “brain food,” we completed many thought provoking tasks that we found both challenging and exciting.  We spent a good portion of each day planning projects, writing papers, collecting laboratory data, completing diagnostic assessments, and discussing relevant research studies and findings. With each of these activities, we found ourselves feeding our minds as we delved into the world of eating disorder research.

In addition to starches, it’s also important to get ample protein, which helps us build and tone muscle. Similarly, certain tasks helped us “build” or acquire important skills. For instance, as we planned projects, we found ourselves conducting literature reviews, which fine-tuned our ability to analyze, critique, and incorporate previous research into current projects. We were even able to learn new skills; Amelia completed a course in phlebotomy and now knows proper venipuncture procedure and Kendra learned how to conceptualize, not simply translate, Spanish! Like protein, such activities helped build our research skills.

Vegetables and fruits provide various vitamins and nutrients that facilitate immune function and health.  As we know, the immune system involves the upkeep of the entire body; likewise, it is necessary to connect research theory/findings with clinical practice.  Augmenting our research activities, we were able to shadow psychiatrists, psychologists, dieticians, and social workers in the care of patients.  In turn, shadowing helped us understand and appreciate both the impetus for eating disorder research and the restraints of clinical work.

Milk helps maintain healthy bones, which gives the body structure. Similarly, we performed tasks that shaped research and structured projects. For instance, we completed transcript analyses and patient interviews. These tasks formed the framework for new projects and studies. For instance, Amelia was able to summarize patient interviews with the intent to develop an iPhone app and Kendra reviewed patient interviews to inform the development of a family-enhanced treatment for eating disorders in diverse populations.

And finally, fats.  Fats are an important facet to every diet: they make up hormones and cell membranes, keep skin moist and hair shiny, and help store and break down certain vitamins. For us, we meet our “fat” exchanges through coffee breaks, laughing over PhD comics (see link below), and having tangential debates over theoretical issues in clinical psychology. Like chocolate or the sweetest dessert you could possibly imagine, these activities (in moderation) allowed us to pause, giving us down time to look at the big picture and just enjoy other’s company.

So at the end of the day, we’re tired, but we’re also mentally fulfilled. In a way, all these activities and projects come together to make the perfectly satisfying diet. We both feel that this summer has been a great experience, giving us the opportunity to develop, both as individuals and as novice researchers. To all who have mentored us during this time, we thank you whole-heartedly!

Warmest Regards,
Kendra Davis and Amelia Abbott-Frey

PS – The Evolution of Intellectual Freedom

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The Eating Disorders Patient and Family Resource Library is the latest addition to the UNC Eating Disorders Program. The library should prove to be a valuable resource for both patients and their families. The resources available in the library were provided by grant funding through the UNC Dance Marathon organization.

Patient and Family Resource Library

Rose Gray and Kelley Marrale with the Patient and Family Resource Library

Kelley Marrale, Recreational Therapist and one of the library’s creators, hopes that the library will provide patients and their families various resources to provide additional support throughout the recovery process. Some of the resources available in the library include support books geared towards patients or family members, relaxation CDs, including both music and guided relaxation, and even puzzles and games that can be used for positive distraction from the stresses of recovery. It is an organic resource that will continue to grow and provide program participants encouragement and hope for recovery.

Check Out Sheet

Resource Check Out Sheet

Just like a regular library, an item must be checked out by either one of the Recreational Therapists on staff or by the family’s social worker. The staff member will then fill out a check out sheet that shows when the item was checked out and by whom.  The item can then be returned when the patient is ready to do so, and before the patient leaves the program. Each checked out item is coupled with a review card that can be filled out anonymously, allowing patients and family members to rate their experience with the library and comment on how it has been beneficial to them. Kelley and Rose Gray, Recreational Therapist and another of the library’s creators, will compile these evaluations and provide evidence to the UNC Dance Marathon Grant committee of the positive impact the grant has had the Eating Disorders Program.

The program accepts recommendations of books and other resources to add to the library. All recommendations will be reviewed by staff of the Eating Disorders Program prior to inclusion in the library. If you would like to recommend books and other resources, please contact your recreational therapist, social worker, or contact Kelley Marrale; Kmarrale@unch.unc.edu or Rose Gray; Rmgray@unch.unc.edu .

The Eating Disorder Patient and Family Resource Library will be open for lending on August 1st.

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Eating disorders and trauma history in women with perinatal depression.

Meltzer-Brody S, Zerwas S, Leserman J, Holle AV, Regis T, Bulik C. J Womens Health. 2011 Jun;20(6):863-70.

We examined the prevalence of comorbid eating disorders and trauma history in women with perinatal depression. We studied 158 consecutive patients seen in the UNC perinatal psychiatry clinic during pregnancy (n=99) or postpartum (n=59). In this group of women, 37.1% reported a lifetime eating disorder history; 10.1% reported anorexia nervosa, 10.1% reported bulimia nervosa, 10.1% reported eating disorders not otherwise specified-purging subtype, and 7.0% reported binge eating disorder. Women with histories of bulimia reported more severe depression than women with perinatal depression and no eating disorders history and women with anorexia nervosa were more likely to report sexual trauma history and women with bulimia were more likely report physical and sexual trauma histories than the women with no eating disorders. Eating disorders histories were present in over one third of admissions to a perinatal psychiatry clinic. These findings underscore the importance of screening for eating disorders in women with perinatal depression.


Abstract @ Pub Med

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