Oral health related quality of life among imprisoned Dutch forensic psychiatric patients

Yvonne Buunk-Werkhoven, Arie Dijkstra, Rob M H Schaub, Cees van der Schans, Marinus Spreen

Research output: Contribution to journalArticleAcademicpeer-review


Because dental health and oral pathology may affect forensic psychiatric patients' well being, it is important to be able to assess oral health related quality of life (OH-QoL) in these patients. Two studies were conducted among Dutch forensic psychiatric male patients to assess the psychometric properties and some potential predictors of the Oral Health Impact Profile-14 (OHIP-14) as a measure of OH-QoL. Study 1 involved 40 patients who completed the OHIP-14 before receiving professional dental care and were retested 3 months later. The internal consistency was good, the test-retest correlations were fair, and over the 3 months follow-up no significant changes in OH-QoL were observed. Study 2 consisted of 39 patients who completed an improved version of the original OHIP-14, as well as measures to validate of the OHIP. Dental anxiety and unhealthy dentition jointly explained 26.7% of the variance in OH-QoL, and the better patients performed their oral hygiene behavior, the better their OH-QoL. It is concluded that the Dutch OHIP-14 is a useful instrument, and that nurses, especially in forensic nursing, should pay particularly attention to dental anxiety when encouraging patients to visit OH professionals and to perform adequate oral hygiene self-care.

Original languageEnglish
Pages (from-to)137-143
JournalJournal of Forensic Nursing
Issue number3
Publication statusPublished - 1 Sept 2010


  • dental care
  • forensic nursing
  • forensic psychiatry
  • mental disorders
  • netherlands
  • oral health
  • prisoners
  • psychometrics


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