Risk factors for oral health in anorexia nervosa: Comparison of a self-report questionnaire and a face-to-face interview - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue International Journal of Environmental Research and Public Health Année : 2021

Risk factors for oral health in anorexia nervosa: Comparison of a self-report questionnaire and a face-to-face interview

Résumé

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.
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Dates et versions

hal-03218464 , version 1 (02-06-2022)

Identifiants

Citer

Hélène Rangé, Alice Pallier, Aminata Ali, Caroline Huas, Pierre Colon, et al.. Risk factors for oral health in anorexia nervosa: Comparison of a self-report questionnaire and a face-to-face interview. International Journal of Environmental Research and Public Health, 2021, 18 (8), pp.4212. ⟨10.3390/ijerph18084212⟩. ⟨hal-03218464⟩
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