Log in

Undergraduate perspectives of the awareness, diagnosis and management of patients with eating disorders

  • Research
  • Published:
British Dental Journal Submit manuscript

Abstract

Introduction Patients with eating disorders (EDs) may present with potentially life-threatening complications due to missed and late diagnoses. Dentists can play a fundamental role in the early identification and signposting of patients with suspected EDs.

Aims To investigate the awareness of final-year dental students of the aetiology, diagnosis and management of EDs.

Methods An anonymous electronic questionnaire was distributed to final-year dental students at the University of Manchester. Respondents reported their knowledge, confidence and education related to the management of patients with EDs.

Results Over 50% of students felt they had an above average awareness of the clinical signs and oral manifestations of EDs. The majority of students lacked confidence in discussing a suspected ED diagnosis with patients (75%) and referring them to appropriate services (71%). Additionally, 58% were not confident in planning treatment for and treating a patient with an ED. In total, 100% of students reported that they would benefit from further teaching related to the management of patients with EDs.

Conclusion Participants highlighted the need for further teaching related to the diagnosis and management of patients with EDs. This study supports the development of an educational resource of undergraduate dental students.

Key points

  • Explores undergraduate dental student knowledge of eating disorders.

  • Investigates dental student confidence in the management of patients with eating disorders.

  • Highlights the need for further education of undergraduate dental students on the management of patients with eating disorders.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Germany)

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Data availability

The data set used to support the findings of this study is available from the corresponding author upon reasonable request.

References

  1. Ward Z J, Rodriguez P, Wright D R, Austin S B, Long M E. Estimation of Eating Disorders Prevalence by Age and Associations with Mortality in a Simulated Nationally Representative US Cohort. JAMA Netw Open 2019; DOI: 10.1001/jamanetworkopen.2019.12925.

  2. National Institute for Health and Care Excellence. Eating disorders: recognition and treatment. 2017. Available at https://www.nice.org.uk/guidance/ng69/chapter/recommendations (accessed September 2023).

  3. Treasure J, Duarte T A, Schmidt U. Eating Disorders. Lancet 2020; 14: 899-911.

  4. Van Eeden A E, van Hoeken D, Heok H W. Incidence, prevalence and mortality of anorexia nervosa and bulimia nervosa. Curr Opin Psychiatry 2021; 34: 515-524.

  5. Rome E D, Ammerman S, Rosen D S et al. Children and adolescents with eating disorders: the state of the art. Pediatrics 2003; 111: 98-108.

  6. Galmiche M, Déchelotte P, Lambert G, Tavolacci P. Pervalence of eating disorders over the 2000-2018 period: a systematic literature review. Am J Clin Nutr 2019; 109: 1402-1413.

  7. Sidani J E, Shensa A, Hoffman B, Hammer J, Primack B A. The Association between Social Media Use and Eating Concerns among US Young Adults. J Acad Nutr Diet 2016; 116: 1465-1472.

  8. Bryant E, Speilman K, Le A et al. Screening, assessment and diagnosis in the eating disorders: findings from a rapid review. J Eat Disord 2022; 10: 78.

  9. Dentistry.co.uk. Only one third of adults seen by NHS dentist in last two years. 2022. Available at https://dentistry.co.uk/2022/02/25/only-one-third-of-adults-seen-by-nhs-dentist-in-last-two-years/#:~:text=The%20latest%20NHS%20Dental%20Statistics,up%20to%2031%20December%202021 (accessed June 2023).

  10. Westgarth D. What should the role of the dentist be in managing patients with eating disorders? BDJ In Pract 2021; 34: 12-15.

  11. Joy E A, Wilson C, Varechok S. The multidisciplinary team approach to the outpatient treatment of disordered eating. Curr Sports Med Rep 2003; 2: 331-336.

  12. Burkhart N, Roberts M, Alexander M, Dodds A. Communicating effectively with patients suspected of having bulimia nervosa. J Am Dent Assoc 2005; 135: 1130-1137.

  13. Goldie M P. The oral healthcare professional's role in the assessment and treatment of eating disorders. Int J Dent Hyg 2006; 4: 52-54.

  14. Castillo M, Weiselberg E. Bulimia Nervosa/Purging Disorder. Curr Probl Pediatr Adolesc Health Care 2017; 47: 85-94.

  15. Woodmansey K F. Recognition of bulimia nervosa in dental patients: implications for dental care providers. Gen Dent 2000; 48: 48-52.

  16. Rosten A, Newton T. The impact of bulimia nervosa on oral health: A review of the literature. Br Dent J 2017; 223: 533-539.

  17. Tyler I, Birmingham C L. The interrater reliability of physical signs in patients with eating disorders. Int J Eat Disord 2001; 30: 343-435.

  18. DeBate R D, Tedesco L A, Kerschbaum W E. Knowledge of oral and physical manifestations of anorexia and bulimia nervosa among dentists and dental hygienists. J Dent Educ 2005; 69: 346-354.

  19. Frimenko K M, Murdoch-Kinch C A, Inglehart M R. Educating Dental Students About Eating Disorders: Perceptions and Practice of Interprofessional Care. J Dent Educ 2017; 81: 1327-1337.

  20. Cush M, Domingos M, Hayes M, Roberts A. Determining dental students' and dental hygiene students' perceptions of eating disorders and their management. J Ir Dent Assoc 2020; 66: 187-191.

  21. DeBate R D, Severson H, Cragun D et al. Randomized trial of two e-learning programs for oral health students on secondary prevention of eating disorders. J Dent Educ 2014; 78: 5-15.

  22. Presskreischer R, Prado M A, Kuraner S E, Arusilor I-M, Pike K. Eating disorders and oral health: a sco** review. J Eat Disord 2023; 11: 55.

  23. Dynesen A W, Gehrt C A, Kilner S E, Christensen L B. Eating disorders: experiences and attitudes toward oral health and oral health behaviour. Eur J Oral Sci 2018; 126: 500-506.

  24. McGleenon E L, Morison S. Preparing dental students for independent practice: a sco** review of methods and trends in undergraduate clinical skills teaching in the UK and Ireland. Br Dent J 2021; 230: 39-45.

  25. Hardigan P C, Popovici I, Carvajal M J. Response rate, response time and economic costs of survey research: A randomized trial of practicing pharmacists. Res Social Adm Pharm 2016; 12: 141-148.

Download references

Author information

Authors and Affiliations

Authors

Contributions

Jessica Cooper, Oliver Ryder and Siobhan Barry contributed to study conception and design, data collection and analysis, interpretation of results and draft manuscript preparation. All reviewed the results and approved the final manuscript.

Corresponding author

Correspondence to Jessica Cooper.

Ethics declarations

The authors declare no conflicts of interest.

Ethical approval was granted by the University of Manchester Research Ethics Committee (ref: 2023-15275 27246) and all participants provided informed consent.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cooper, J., Ryder, O. & Barry, S. Undergraduate perspectives of the awareness, diagnosis and management of patients with eating disorders. Br Dent J 236, 894–899 (2024). https://doi.org/10.1038/s41415-024-7459-8

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41415-024-7459-8

  • Springer Nature Limited

Navigation