Three predictions based on Levine and Smolak's (1992) developmental model of dieting and eating disturbances were tested: (1) Changes in pubertal status and/or dating status increase the probability of no pathological dieting in middle school girls; (2) concurrent change in pubertal status, dating status, and academic stress increases the probability of sub clinical eating disturbances in girls with a slender body ideal; and (3) the co‐occurrence of modeling cues and direct messages from peers and/or family about the importance of weight, shape, and dieting increases the probability of these effects. Three hundred eighty‐two girls were asked about menarcheal status, dating status, and academic stress, as well as attitudes about shape, eating behavior, and perceptions of peer and family pressures for slenderness. Results confirmed several of the predictions, suggesting that the interaction among cumulative developmental changes in early adolescence, adherence to a slender body ideal, and sociocultural pressures for thinness may be useful in distinguishing middle schoolers at risk for subclinical eating disturbances from both girls who do not diet and girls whose dieting is or will be “normative.” © 1994 by John Wiley & Sons, Inc.

Most Jordanian dental practices are not eco-friendly. A continued focus on the impact of dental practices on the environment is needed through formal and continuing dental education. Results of this study can guide policy development to encourage implementation of eco-friendly strategies.

Due to the oral/systemic nature of eating disorders, this serious health issue requires comprehensive patient assessment and coordinated health treatment. The purpose of this study was to assess the breadth and depth of eating disorder and comprehensive care within the dental and dental hygiene curriculum. Survey data were collected from deans of U.S. dental programs (n=24) and dental hygiene program directors (n=94). Statistically significant differences were observed between dental programs (DP) and dental hygiene programs (DHP) as more DHP reported including anorexia nervosa (p<.001), bulimia nervosa (p<.001), and oral manifestations of eating disorders (p=.003) within their curricula. Clock hours dedicated to these topics ranged from seventeen to thirty-five minutes, with no statistically significant differences observed between DP and DHP. Only 58 percent of DP and 56 percent of DHP included patient communication skills specific to eating disorders. Moreover, DHP were observed dedicating more instruction time for this skill (p=.011). As greater emphasis is placed on oral/systemic health and the provision of comprehensive care, many oral health professionals may not be adequately trained to identify, provide education, and communicate with patients regarding the oral/systemic nature of eating disorders. The findings from this study indicate that there is a need for appropriate training to better prepare oral health professionals for comprehensive patient care.Dr. DeBate is Associate Professor,

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