Page 58 - 2017-2018 Department of Psychiatry Annual Report
P. 58

Featured Researcher: Dr. Aaron Keshen

        From clinician to researcher


        In 2018 Dr. Aaron Keshen and the     eating disorder (BED). This novel     little dedicated research time. He
        NSHA Eating Disorder Program were    intervention uniquely emphasizes      discussed the dilemma with a
        awarded Category 1 ($99,980) and     self-efficacy and will be administered   clinician-researcher mentor from
        Category 3 ($4,972) grants from      by non-specialists with minimal       an eating disorders program in
        the Nova Scotia Health Authority     clinical experience.                  Toronto. “He suggested that I jump
        Research Fund. The larger of the                                           into research by picking a simple
        two grants is funding a feasibility   Dr. Keshen didn’t set out to be a    question that intrigued me, and start
        trial to test the off-label use of   researcher. He trained as a clinician.   collecting data that might help answer
        lisdexamfetamine (Vyvanse), in       He dabbled in small research projects   that question,” recalls Dr. Keshen.
        patients with bulimia nervosa.       during his undergraduate degrees      “That suggestion prompted me to
        Building upon a recent case series   and his residency, but did not follow   connect with a local researcher in the
        by Dr. Keshen and his research       the traditional clinician-researcher   department who helped me formulate
        assistant, Thomas Helson, this       track. After graduating from residency   a research question and protocol with
        study aims to assess whether         in 2009 he focused on developing      sound methodology. The skills and
        future research investigating this   clinical projects, such as the inpatient   sense of satisfaction gained from that
        medication as a potential treatment   eating disorder program. Although    first project, which was published in
        for bulimia is warranted. They are   he didn’t have time to devout to      2017, gave me the confidence and
        also working with colleagues in      research, he retained a scientific    motivation to develop bigger projects
        computational psychiatry to test     curiosity, informally exploring why   over the last several years.”
        neurocognitive hypotheses related to   some patients tended to drop out
        the treatment of bulimia nervosa with   early from the inpatient program,   Now, several years later and with
        psychostimulants. The smaller grant   for example. Starting several years   recent grant success and support
        (held by honours student Laura Dixon   ago he was able to free up a little   from the Department of Psychiatry,
        under Dr. Keshen’s supervision) will   more time to spend on research      Dr. Keshen is able to dedicate one
        fund a study investigating the efficacy   more formally, but struggled to   full day a week to research. This is
        of a group-based, guided self-help   pursue a research career with         a valuable addition to the quarter
        intervention for individuals with binge   minimal resources, training, and   day he had managed previously. He
                                                            Dr. Keshen and his research assistants (L-R) Sarrah Ali, Laura Dixon, Dr. Aaron
     58  DEPARTMENT OF PSYCHIATRY                                                  Keshen, Thomas Helson, and Katelyn Bunker.
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