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

Hélène Rangé, Alice Pallier, Aminata Ali, Caroline Huas, Pierre Colon and Nathalie Godart
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Hélène Rangé: Department of Periodontology, Université de Paris, UFR of Odontology, Service of Odontology, Rothschild Hospital, AP-HP, 75012 Paris, France
Alice Pallier: Department of Periodontology, Université de Paris, UFR of Odontology, Service of Odontology, Rothschild Hospital, AP-HP, 75012 Paris, France
Aminata Ali: Paris-Saclay University, Paris Sud University, UFR Simone Veil, UVSQ, CESP, INSERM, 94800 Villejuif, France
Caroline Huas: Paris-Saclay University, Paris Sud University, UFR Simone Veil, UVSQ, CESP, INSERM, 94800 Villejuif, France
Pierre Colon: Department of Restorative Dentistry and Endodontics, Université de Paris, UFR of Odontology, Service of Odontology, Rothschild Hospital, AP-HP, 75012 Paris, France
Nathalie Godart: Paris-Saclay University, Paris Sud University, UFR Simone Veil, UVSQ, CESP, INSERM, 94800 Villejuif, France

IJERPH, 2021, vol. 18, issue 8, 1-9

Abstract: 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.

Keywords: anorexia nervosa; risk factors; oral health; oral hygiene; self-report; questionnaire (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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