scholarly journals Risk Factors for Oral Health in Anorexia Nervosa: Comparison of a Self-Report Questionnaire and a Face-to-Face Interview

Author(s):  
Hélène Rangé ◽  
Alice Pallier ◽  
Aminata Ali ◽  
Caroline Huas ◽  
Pierre Colon ◽  
...  

Behavioral, nutritional, and local risk factors for oral health are frequent in people with anorexia nervosa. However no self-report questionnaire is available for screening in clinical practice or for research purposes. The objective of this study was to design a questionnaire to identify risk factors and symptoms of oral diseases and to test its reliability as a self-report form among people with anorexia nervosa. A 26-item questionnaire was designed based on a sound literature review performed by a group of dentists, psychiatrists, and epidemiologists specialized in the field of eating disorders. Sixty-nine anorexia nervosa inpatients (mean age 18.72 ± 5.1) were included from four specialized units. The questionnaire was first self-reported by the patients, then the same questionnaire was administrated by a dentist during a structured face-to-face interview as the gold standard. The concordance between the two forms was evaluated globally and item per item using Cohen’s kappa statistical tests. The overall concordance between the self-report questionnaire and the face-to-face structured interview was 55%. Of the 26 items, 19 showed significant concordance. Items relating to water intake, extracted teeth, gingival status, and oral hygiene had the best concordance (all kappa coefficients > 0.4). A questionnaire that identifies risk factors and symptoms of oral diseases in anorexia nervosa was developed and tested. The 26-item form of the questionnaire (long version) is moderately reliable as a self-reported form. A short version of the questionnaire, including the 10 most reliable items, is recommended for oral risk assessment in patients with anorexia nervosa. The clinical value of the self-administered questionnaire remains to be evaluated.

Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt

In this chapter we will look briefly at the prevention needs of people with disabilities and people who are vulnerable and require special care dental services for reasons that may be social. Within this group there will be a spectrum of people with needs and dependencies. Not everyone described as belonging to a vulnerable group in this chapter would identify themselves as disabled; nevertheless, what they have in common are a range of factors that put their oral health at risk, make accessing dental care complicated, or make the provision of dental care complicated. These factors may include a ‘physical, sensory, intellectual, mental, medical, emotional or social impairment or disability, or more often a combination of these factors’ (GDC 2012). People with disabilities have fewer teeth, more untreated disease, and more periodontal disease when compared to the general population in the UK (Department of Health 2007). Good oral health can contribute to better communication, nutrition, self-esteem, and reduction in pain and discomfort, while poor oral health can lead to pain, discomfort, communication difficulties, nutritional problems, and social exclusion (Department of Health 2007). As discussed in previous chapters, the important risk factors for oral diseases include: high-sugar diets, poor oral hygiene, smoking, and alcohol misuse. They are also shared risk factors for chronic non-communicable diseases such as respiratory diseases, cardiovascular diseases, diabetes, and cancers. The basic principles and approaches for the prevention of oral diseases in disabled people and vulnerable groups are similar to those described in previous chapters; however, there is a need to recognize that the context, the circumstances, the settings, and the opportunities for prevention will be slightly different, depending on the groups. For example, some disabled people (e.g. people with learning disabilities) may be reliant on others, such as family, carers, health care workers, to support basic self-care and to access health services. Other vulnerable groups such as homeless people live independent lives but lack access to basic facilities such as drinking water, and a place to store toothbrushes and toothpaste.


2019 ◽  
Vol 102 (4) ◽  
pp. 457-468 ◽  
Author(s):  
Ana Seara-Cardoso ◽  
Andreia Queirós ◽  
Eugénia Fernandes ◽  
Joana Coutinho ◽  
Craig Neumann

2002 ◽  
Vol 17 (2) ◽  
pp. 75-81 ◽  
Author(s):  
I. Modai ◽  
M. Ritsner ◽  
R. Kurs ◽  
S. Mendel ◽  
A. Ponizovsky

SummaryBackgroundMedically serious suicide attempts have been recognized as the most important predictor of suicide. The Computerized Suicide Risk Scale based on backpropagation neural networks (CSRS-BP) has been recently found efficient in the detection of records of patients who performed medically serious suicide attempts (MSSA).ObjectivesTo validate the CSRS-BP by: 1) using the CSRS-BP with patients instead of records; 2) comparing the ability of expert psychiatrists to detect MSSA, using the CSRS checklist; and 3) comparing the results of the Risk Estimator for Suicide (RES) and the self-rating Suicide Risk Scale (SRS) with the CSRS-BP.MethodsTwo hundred fifty psychiatric inpatients (35 MSSA and 215 non-MSSA) were diagnosed by clinicians using the SCID DSM-IV. Three expert psychiatrists completed the CSRS checklist, and the RES for each patient, and the patients completed the self-report SRS assessment scale. The CSRS-BP was run for each patient. Five other expert psychiatrists assessed the CSRS checklists and estimated the probability of MSSA for each patient. Comparisons of sensitivity and specificity rates between CSRS-BP, assessment scales and experts were done.ResultsInitially, the CSRS-BP, RES, SRS, and experts performed poorly. Although sensitivity and specificity rates significantly improved (two to four times) after the inclusion of information regarding the number of previous suicide attempts in the input data set, results still remained insignificant.ConclusionsThe CSRS-BP, which was very successful in the detection of MSSA patient records, failed to detect MSSA patients in face-to-face interviews. Information regarding previous suicide attempts is an important MSSA predictor, but remains insufficient for the detection of MSSA in individual patients. The detection rate of the SRS and RES scales was also poor and could therefore not identify MSSA patients or be used to validate the CSRS-BP.


2018 ◽  
Vol 23 (4) ◽  
pp. 542-555 ◽  
Author(s):  
Hisham Ramy ◽  
Mona El Sheikh ◽  
Marwa Sultan ◽  
Rasha Bassim ◽  
Maissa Eid ◽  
...  

Background: Attention deficit hyperactivity disorder (ADHD) is one of the most common childhood psychiatric disorders. Severity of symptoms is associated with more behavioral problems, poor academic performance, and persistence of symptoms into adulthood. Methods: To examine the clinical and social correlates that may be identified as risk factors associated with ADHD severity in a sample of adolescent ADHD school students. A total of 925 students were recruited from two public and two private schools from eastern Cairo. They were interviewed using Conners-Wells Adolescent Self-Report—short version (CASS-S); students scoring more than 65 were further interviewed with Kiddie Schedule for Affective Disorders and Schizophrenia—present and lifetime version (K-SADS-PL) to confirm the diagnosis, then Conners-Wells Adolescent Self-Report—long version (CASS-L) to assess severity and Wechsler Intelligence Scale for Children (WISC) to ascertain intellectual ability. Results: About 10.3% of cases were severe, 5.7% were moderate, and 83.9% were mild. Severity was significantly associated with female gender, psychiatric comorbidity, family problems, conduct symptoms, and poor anger management. Diagnostic and Statistical Manual of Mental Disorders (4th ed.) ( DSM-IV) hyperactive–impulsive type was the only predictive factor of ADHD severity. Conclusions: The diagnosis of hyperactive–impulsive subtype may predict the severity of ADHD symptoms.


2009 ◽  
Vol 15 (4) ◽  
pp. 452-469 ◽  
Author(s):  
Peter J Jordan ◽  
Sandra A Lawrence

AbstractResearch reveals that emotional intelligence is an important factor in predicting performance in teams. In this article, we initially outline a theoretical model for examining emotional intelligence in teams. Using this model, we test a short version (16 items) of the self-report Workgroup Emotional Intelligence Profile (WEIP). Evidence from three studies supports this model. Two samples of 620 and 217 employees support the hypothesized structure of the WEIP-S. Four distinct constructs were derived: Awareness of own emotions; Management of own emotions; Awareness of others' emotions; and Management of others' emotions. The WEIP-Short Version (WEIP-S) scale, therefore, is based on abilities that are vital during the interaction of team members. Data from 99 employees provide evidence of test–retest stability for the WEIP-S across three time periods. Limitations and potential uses in management research for this short-version scale are discussed.


2014 ◽  
Vol 83 (5) ◽  
pp. 240-249
Author(s):  
L. M. Peeters ◽  
S. Janssens ◽  
A. Coussé ◽  
N. Buys

Insect bite hypersensitivity (IBH) is an allergic reaction to the bites of certain Culicoides spp. or other insects. In this study, risk factors for IBH in Belgian warmblood horses stabled or grazing in Flanders (Belgium) were investigated. IBH records (n=3409) were collected in 2009 and 2011 using a questionnaire and face-to-face interviews. The classification of IBH-affected versus unaffected horses was based on the owner’s statement, and the reported IBH lifetime prevalence was 10%. Thirty eight percent of IBH affected horses had no clinical symptoms at the time of questioning. When only the presence or absence of clinical symptoms at the time of questioning was taken into account, the prevalence of IBH symptoms was 6.2%. Seventy percent of IBH-affected horses were treated with IBH measures to reduce clinical symptoms. Model selection was based on backwards elimination in a logistic regression framework starting with 17 factors. The age of the horse, vegetation of surrounding pasture and stud size were found to be significantly associated with the self-reported IBH status.


2013 ◽  
Vol 43 (10) ◽  
pp. 2161-2168 ◽  
Author(s):  
K. S. Kendler ◽  
C. J. Patrick ◽  
H. Larsson ◽  
C. O. Gardner ◽  
P. Lichtenstein

BackgroundExternalizing traits or behaviors are typically assessed by self-report scales or criminal records. Few genetically informative studies have used both methods to determine whether they assess the same genetic or environmental risk factors.MethodWe examined 442 male Swedish twin pairs with self-reported externalizing behaviors at age 16–17 years [externalizing traits (EXT), self-reported delinquency (SRD), impulsivity (IMP), grandiosity (GRD) and callousness (CLS)] and criminal behavior (CB) from the National Suspect Registry from age 13 to 25 years. Multivariate structural equation modeling was conducted with Mx.ResultsThe best-fit model contained one genetic, one shared environmental and two non-shared environmental common factors, and variable specific genetic and non-shared environmental factors. The risk for CB was influenced substantially by both genetic (a2 = 0.48) and familial–environmental factors (c2 = 0.22). About one-third of the genetic risk for CB but all of the shared environmental risk was indexed by the self-report measures. The degree to which the individual measures reflected genetic versus familial–environmental risks for CB varied widely. GRD and CLS were correlated with CB mainly through common genetic risk factors. SRD and CB covaried largely because of shared familial–environmental factors. For EXT and IMP, observed correlations with CB resulted in about equal parts from shared genetic and shared familial–environmental factors.ConclusionsIn adolescence, measures of grandiose and callous temperament best tap the genetic liability to CB. Measures of antisocial behaviors better index familial–environmental risks for CB. A substantial proportion of the genetic risk to CB was not well reflected in any of the self-report measures.


1995 ◽  
Vol 9 (2) ◽  
pp. 91-95 ◽  
Author(s):  
A.M. Horowitz

Health for All by the Year 2000 is a theme developed in 1979 by the World Health Organization. The theme includes oral health and is being promoted throughout the world. The advances in dental research make it possible to improve oral health and, concomitantly, general health. With the appropriate use of science-based, preventive regimens, dental caries and periodontal diseases can be prevented or controlled. Further, major risk factors for oral and lip cancer are known; thus, it is possible to reduce the incidence of these diseases. Available technologies, however, are useful only when they are used by appropriate user groups as recommended. The gaps between what is known about preventing oral diseases and what is practiced are often extensive. This presentation explores differences between scientific knowledge about risk factors for oral diseases and preventive regimens and procedures, public and professional knowledge and practices, and professional support for improved oral health through the application of primary preventive procedures, often referred to as "science transfer". Barriers to the adoption of preventive regimens and practices are discussed. Strategies using health education and health promotion for narrowing these gaps are presented.


2020 ◽  
Vol 2 ◽  
pp. 102-107
Author(s):  
V. Menaka ◽  
G. Kavya ◽  
R. Bhuvaneshwari ◽  
Ain Syuhada Azali ◽  
S. Aparna ◽  
...  

Objectives: Oral health correlates with systemic health, and maintaining oral health is very important because the oral cavity is considered as a reflection of the general well-being of a human body. Daily plaque removal with a toothbrush is an important component of most oral hygiene programs intended to prevent and control two globally leading oral afflictions dental caries and periodontal diseases. Failure to comply and lack of technical skills of the patient has lessened the effectiveness of conventional tooth brushing. Because of this, research efforts have focused on adjuvant therapy along with brushing for reducing and controlling plaque-induced oral diseases. One such measure is oil pulling. Oil pulling has been used extensively as a traditional Indian folk remedy for many years to prevent decay, oral malodor, bleeding gums, dryness of throat, cracked lips, etc. Most of the studies have been done using sesame oil. Since coconut oil also has many health effects such as boosting the immune system and antimicrobial properties, this can also help in fighting against various pathogens of oral cavity that will in turn act as an effective plaque control agent. Hence, with this background, this study is contemplated to evaluate the benefit of oil pulling along with normal brushing techniques in adults under the age group of 35–44 years. Materials and Methods: Forty healthy subjects belonging to both the sexes who presented with plaque-induced gingivitis will be selected for the study and will be divided into control and study groups. The patients will be informed about the nature and purpose of the study. Health education will be provided to all the students. The modified bass technique will be demonstrated to the participants and they are directed to brush twice daily for 3 min. Toothbrush and toothpaste will be provided to all participants. Among them, 20 subjects were instructed to continue their normal oral hygiene procedures along with coconut oil pulling. Data collected were subjected to appropriate statistical tests using SPSS version 20. Results: A highly statistical difference was seen between the two groups and within the groups. Conclusion: The usage of coconut oil pulling as an adjuvant to oral hygiene gives a promising result.


2021 ◽  
Vol 71 (Suppl-1) ◽  
pp. S136-41
Author(s):  
Laila Mustafa ◽  
Amna Masood ◽  
Madeeha Bangash ◽  
Sahd Rashid ◽  
Kamran Khan ◽  
...  

Objective: To analyze the way mothers perceive oral health in their children, the importance of oral health amongst children, so that preventive advice and regime can be tailored accordingly and reinforced during the pandemic. Study Design: Questionnaire base survey. Place and Duration of Study: This study was conducted in the various sectors of the twin cities of Pakistan, from May to Sep 2020. Methodology: This study was a questionnaire-based study in which survey forms were distributed online as well as in person among mothers above 18 years of age. A questionnaire was formulated and distributed amongst different areas and sectors of the twin cities in Pakistan. The data was analyzed quantitatively and entered in SPSS version 23 for analysis. Results: Mothers from various socioeconomic backgrounds had dissimilar knowledge with regards to oral health. There was a greater gap in the knowledge of mothers from low and high socioeconomic status as compared to middle and high. Conclusion: It is imperative that knowledge regarding oral health practices, preventive measures, risk factors of oral diseases should be imparted equally in the various socioeconomic areas of the country. Also, a widespread oral health plan to indoctrinate preventive knowledge as well as basic knowledge of oral health practices is strongly recommended.


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