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dc.contributor.authorColes, Emmaen_UK
dc.contributor.authorChan, Karenen_UK
dc.contributor.authorCollins, Jenniferen_UK
dc.contributor.authorHumphris, Gerryen_UK
dc.contributor.authorRichards, Dereken_UK
dc.contributor.authorWilliams, Brianen_UK
dc.contributor.authorFreeman, Ruthen_UK
dc.description.abstractObjective: The objective of the study was to determine the effect of dental health status, dental anxiety and oral-health-related quality of life (OHRQoL) upon homeless people's experience of depression. Methods: A cross-sectional survey was conducted on a sample of homeless people in seven National Health Service Boards in Scotland. All participants completed a questionnaire to assess their depression, dental anxiety and OHRQoL using reliable and valid measures. Participants had an oral examination to assess their experience of tooth decay (decayed and missing teeth). Latent variable path analysis was conducted to determine the effects of dental health status on depression via dental anxiety and OHRQoL using intensive resampling methods. Results: A total of 853 homeless people participated, of which 70% yielded complete data sets. Three latent variables, decayed and missing teeth, dental anxiety (Modified Dental Anxiety Scale: five items) and depression (Center for Epidemiological Studies Depression Scale: two factors), and a single variable for OHRQoL (Oral Health Impact Profile total scale) were used in a hybrid structural equation model. The variable decayed and missing teeth was associated with depression through indirect pathways (total standardised indirect effects=0.44, P less than .001), via OHRQoL and dental anxiety (χ²=75.90, df=40, comparative fit index=0.985, Tucker-Lewis index=0.977, root mean square error of approximation=0.051 [90% confidence interval: 0.037-0.065]). Conclusion: Depression in Scottish homeless people is related to dental health status and oral-health-related factors. Decayed and missing teeth may influence depression primarily through the psychological constructs of OHRQoL and, to a lesser extent, dental anxiety.en_UK
dc.relationColes E, Chan K, Collins J, Humphris G, Richards D, Williams B & Freeman R (2011) Decayed and missing teeth and oral-health-related factors: Predicting depression in homeless people. Journal of Psychosomatic Research, 71 (2), pp. 108-112.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectDental anxietyen_UK
dc.subjectOral healthen_UK
dc.subjectPath analysisen_UK
dc.subjectQuality of lifeen_UK
dc.subjectDental careen_UK
dc.titleDecayed and missing teeth and oral-health-related factors: Predicting depression in homeless peopleen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[coleseta_JPR_2011.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleJournal of Psychosomatic Researchen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationUniversity of St Andrewsen_UK
dc.contributor.affiliationNHS Forth Valleyen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorColes, Emma|0000-0001-9828-9014en_UK
local.rioxx.authorChan, Karen|en_UK
local.rioxx.authorCollins, Jennifer|en_UK
local.rioxx.authorHumphris, Gerry|en_UK
local.rioxx.authorRichards, Derek|en_UK
local.rioxx.authorWilliams, Brian|0000-0003-0000-4354en_UK
local.rioxx.authorFreeman, Ruth|en_UK
local.rioxx.projectInternal Project|University of Stirling|
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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