Integration of Oral Health Care and Mental Health Services: Dental Hygienists' Readiness and Capacity for Secondary Prevention of Eating Disorders

Overview

Journal J Behav Health Serv Res

Publisher Springer

Specialty Health Services

Date 2006 Apr 26

PMID 16636912

Citations 14

Authors

Rita DiGioacchino DeBate

Stacey B Plichta

Lisa A Tedesco

Wendy E Kerschbaum

Affiliations

Soon will be listed here.

Abstract

Often the first to observe overt health effects of eating disorders, dentists and dental hygienists play a fundamental role in the secondary prevention of eating disorders. The purpose of this study was to explore readiness and capacity for integration of oral health and mental health services. Employing a randomized cross-sectional study based upon the Transtheoretical and Health Belief Models, data were collected from 378 dental hygienists. Results reveal that the majority do not currently engage in secondary prevention practices. Only 18% of respondents indicated referring patients exhibiting oral manifestations of eating disorders to treatment. Significantly increasing the likelihood of assessment, referral, and case management included modifying factors regarding greater perceived self-efficacy, and knowledge of oral cues of disordered eating, as well as the individual's perception pertaining to severity of eating disorders. Implications for bridging dental care to mental health services include increasing behavioral capacity among dental hygienists via consciousness raising and improved self-efficacy.

Citing Articles

Oro-dental manifestations of eating disorders: a systematic review.

Valeriani L, Frigerio F, Piciocchi C, Piana G, Montevecchi M, Donini L J Eat Disord. 2024; 12(1):87.

PMID: 38915100 PMC: 11197207. DOI: 10.1186/s40337-024-01050-8.

Oral Health and Behavior Patterns of Women with Eating Disorders-A Clinical Pilot Study.

Dehghan M, Tantbirojn D, Harrison J, Stewart C, Johnson N, Tolley E Life (Basel). 2023; 13(12).

PMID: 38137898 PMC: 10744595. DOI: 10.3390/life13122297.

Importance of oral health in mental health disorders: An updated review.

Skallevold H, Rokaya N, Wongsirichat N, Rokaya D J Oral Biol Craniofac Res. 2023; 13(5):544-552.

PMID: 37396968 PMC: 10314291. DOI: 10.1016/j.jobcr.2023.06.003.

Eating disorders and oral health: a scoping review.

Presskreischer R, Prado M, Kuraner S, Arusilor I, Pike K J Eat Disord. 2023; 11(1):55.

PMID: 37016387 PMC: 10071677. DOI: 10.1186/s40337-023-00778-z.

Eating disorders through the periodontal lens.

Range H, Colon P, Godart N, Kapila Y, Bouchard P Periodontol 2000. 2021; 87(1):17-31.

PMID: 34463986 PMC: 8637500. DOI: 10.1111/prd.12391.

References

Kleier D, Aragon S, Averbach R . Dental management of the chronic vomiting patient. J Am Dent Assoc. 1984; 108(4):618-21. DOI: 10.14219/jada.archive.1984.0395. View

Ahola S . Unexplained parotid enlargement: a clue to occult bulimia. Conn Med. 1982; 46(4):185-6. View

Florey C . Sample size for beginners. BMJ. 1993; 306(6886):1181-4. PMC: 1677669. DOI: 10.1136/bmj.306.6886.1181. View

Robb N, Smith B . Anorexia and bulimia nervosa (the eating disorders): conditions of interest to the dental practitioner. J Dent. 1996; 24(1-2):7-16. DOI: 10.1016/0300-5712(95)00002-x. View

Elliott M . Eating disorders in women's oral health. Dent Clin North Am. 2001; 45(3):491-511. View

DeBate R, Tedesco L, Kerschbaum W . Knowledge of oral and physical manifestations of anorexia and bulimia nervosa among dentists and dental hygienists. J Dent Educ. 2005; 69(3):346-54. View

Schmidt U, Treasure J . Eating disorders and the dental practitioner. Eur J Prosthodont Restor Dent. 1998; 5(4):161-7. View

DiGioacchino R, Keenan M, Sargent R . Assessment of dental practitioners in the secondary and tertiary prevention of eating disorders. Eat Behav. 2004; 1(1):79-91. DOI: 10.1016/s1471-0153(00)00004-0. View

Little J . Eating disorders: dental implications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002; 93(2):138-43. DOI: 10.1067/moe.2002.116598. View

10.

Roberts M, Li S . Oral findings in anorexia nervosa and bulimia nervosa: a study of 47 cases. J Am Dent Assoc. 1987; 115(3):407-10. DOI: 10.14219/jada.archive.1987.0262. View

11.

Pinto B, Marcus B . A stages of change approach to understanding college students' physical activity. J Am Coll Health. 1995; 44(1):27-31. DOI: 10.1080/07448481.1995.9937506. View

12.

Milosevic A, Slade P . The orodental status of anorexics and bulimics. Br Dent J. 1989; 167(2):66-70. DOI: 10.1038/sj.bdj.4806915. View

13.

Harrison J, George L, Cheatham J, Zinn J . Dental effects and management of bulimia nervosa. Gen Dent. 1985; 33(1):65-8. View

14.

Clark D . Oral complications of anorexia nervosa and/or bulimia: with a review of the literature. J Oral Med. 1985; 40(3):134-8. View

15.

Kelley G, Lowing L, Kelley K . Psychological readiness of black college students to be physically active. J Am Coll Health. 1998; 47(2):83-7. DOI: 10.1080/07448489809595624. View

16.

Stege P, Rye L . Anorexia nervosa: review including oral and dental manifestations. J Am Dent Assoc. 1982; 104(5):648-52. DOI: 10.14219/jada.archive.1982.0283. View

17.

Bouquot J, Seime R . Bulimia nervosa: dental perspectives. Pract Periodontics Aesthet Dent. 1997; 9(6):655-63; quiz 664. View

18.

De Moor R . Eating disorder-induced dental complications: a case report. J Oral Rehabil. 2004; 31(7):725-32. DOI: 10.1111/j.1365-2842.2004.01282.x. View

19.

Hazelton L, Faine M . Diagnosis and dental management of eating disorder patients. Int J Prosthodont. 1996; 9(1):65-73. View

20.

Juniper K, Oman R, Hamm R, Kerby D . The relationships among constructs in the health belief model and the transtheoretical model among African-American college women for physical activity. Am J Health Promot. 2004; 18(5):354-7. DOI: 10.4278/0890-1171-18.5.354. View