Abstract
670 dental patients completed the Bulimic Investigatory Test Edinburgh (BITE). Criteria of the Diagnostic and statistical manual of mental disorders 4th Edition (DSM-IV) were used for identification of anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). We identified one 19 year old woman with a questionnaire response suggestive of restricting type AN, one 49 years old man with a questionnaire response suggestive ofBN, and five subjects with questionnaire responses suggestive of BED. The prevalence of BITE symptom scores of 20 and more (indicating a highly disordered eating pattern and the presence of binge eating, probably meeting criteria of the Diagnostic and statistical manual of mental disorders 3rd Edition for BN) is 0%for male and 1.6% for female probands and 2.7% for girls and women up to the age of 30 years. We concluded that dentists could play an important part in secondary prevention of eating disorders.
Abstract
670 Zahnarztpatientlnnen füllten den Bulimic investigatory Test Edinburgh (BITE) aus. Anhand von DSM-IVKriterien identifizierten wir Anorexia nervosa (AN), Bulimia nervosa (BN) und „ Binge-Eating “Stöning (BED für binge-eating disorder). Wirfanden eine 19-jährige, deren Beantwortung des Fragebogens eine Magersucht vom restriktiven Typ vermuten lässt, einen 49-jährigen Mann, bei dem der Verdacht aufeine BNnahe liegt, undfünf Probanden, die vermutlich an BED litten. Die Prävalenz von BITE-Symptomwerten von mindestens 20 (Hinweis aufein stark gestörtes Essverhalten mit Fressattacken, wahrscheinlich DSM-IIIKriterien für BNerfüllend) ist 0%für mànnliche und 1,6%für weibliche Probanden und 2,7%für Mädchen und Frauen bis zum Alter von 30Jahren. Wir schlossen daraus, dass Zahnärzte eine wichtige Rolle für die Sekundärprävention von Essstörungen spielen könnten.
Similar content being viewed by others
References
Altshuler, B.D./Dechow, P.C./Waller, D.A./Hardy, B.W. (1990). An investigation of the oral pathologies occurring in bulimia nervosa. Int J of Eat Diss, 9, 191–199.
American Psychiatric Association. (1996). Diagnostic and statistical manual of men tal disorders (DSM-IV). 4th Edition. Washington, DC: American Psychiatric Asso ciation.
American Psychiatric Association. (1987). Diagnostic and statistical manual of men tal disorders (DSM-III-R). 3rd Edition, Revised. Washington, DC: American Psy chiatric Association.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders 3rd Edition. (DSM-III). Washington DC: Division of Public Affairs, APA.
Beglin, S.J./Fairburn, C.G. (1992). Women who chose not to participate in surveys on eating disorders. Int J of Eat Diss, 12, 113–116.
Bishop, K./Briggs, P./Schmidt, U. (1994). Identification and immediate manage ment of the oral changes associated with eating disorders. Br J Hosp Med, 52, 326- 342.
Brown, S./Bonifazi, D.Z. (1993). An overview of anorexia and bulimia nervosa, and the impact of eating disorders on the oral cavity. Compend Contin Educ Dent, 14, 1594–1608
Bühl, A./Zöfel, P. (1994). SPSS für Windows. Version 6.0, Praxisorientierte Einfüh rung in die moderne Datenanalyse. Bonn: Addison-Wesley.
Bushnell, J.A./Wells, J.E./Hornblow, A.R./Oakeley-Browne, M.A./Joyce, P. (1990). Prevalence of three bulimia syndromes in the general population. Psychol Med, 20, 671–680.
Cooper, P.J./Charnock, D.J./ Taylor, M.J. (1987). The prevalence of bulimia nervosa. Brit J Psychiat, 151, 684–686.
Cooper, P. J./Fairburn, C.G. ( 1983). Binge-eating and self-induced vomiting in the com munity. Brit J Psychiat, 142, 139–144.
Fairburn, C.G./Norman, P.A./ Welch, S.L./ O’Connor, M.E./ Doll, H.A./ Peveler, R.C. (1995). A Prospective study of outcome in bulimia nervosa and the long-term ef fects of three psychological treatments. Arch Gen Psychiatry, 52, 304–312
Götestam, K.G./Agras, W.S. (1995). General population-based epidemiological study of eating disorders in Norway. Int J of Eat Dis, 18, 119–126.
Henderson, M./Freeman, C.P.L. (1987). The BITE: a self rating scale for bulimia. Brit J Psychiat, 150, 18–24.
Milosevic, A./Brodie, D.A./Slade, P.D. (1997). Dental erosion, oral hygiene, and nu trition in eating disorders. Int J of Eat Diss, 21,195–199.
Pagsberg, A.K./Wang, A-R. (1994). Epidemiology of Anorexia nervosa and bulimia. nervosa in Bornholm County, Denmark, 1970-1989. Acta Psychiatr Scand, 90, 259- 265.
Pope, H.G./Hudson, J.I./Yurgelun-Todd, D. (1984). Anorexia nervosa and bulimia ner vosa among 300 suburban shoppers. Am J Psychiat, 141, 292–294.
Rand, C-S./Kuldau, J-M. (1992). Epidemiology of bulimia and symptoms in a gene ral population: Sex, age, race, and socioeconomic status. Int J of Eat Diss, 11, 37- 44.
Schmidt, U./AH, S./Slone, G./Tiller, J./Treasure, J. (1995). The Eating Disorders Awa reness Test: A new instrument for the assessment of the effectiveness of psycho educational approaches to the treatment of eating disorders. Europ Eat Dis Rev, 3, 103–110.
Thiels, C./Schmidt, U./Treasure, J./Garthe, R./Troop, N. (1998). Guided Self Change For Bulimia Nervosa Incorporating A Self-Care Manual. Am J Psychiat, 155, 947–953.
Touyz, S.W./Liew, V.P./Tseng, P./Frisken, K./Williams, H./Beumont, P.J.V. (1993). Oral and dental complications in dieting disorders. Int J of Eat Diss, 14, 341–348.
Treasure, J./Schmidt, U./Troop, N./Tiller, J/Todd, G./Turnbull, S. (1996). A Rando mized controlled trial of sequential treatment for bulimia nervosa incorporating a self-care manual. Brit J Psychiatry, 168, 94–98.
Wittchen, H-U./Nelson, C.B./Lachner, G. (1998). Prevalence of mental disorders and psychological impairments in adolescents and young adults. Psychol Med, 28, 109–126.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Thiels, C., Garthe, R. Prevalence of eating disorders in dental patients. Z. f. Gesundheitswiss. 9, 166–175 (2001). https://doi.org/10.1007/BF02962510
Issue Date:
DOI: https://doi.org/10.1007/BF02962510