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Prevalence, clinical and demographic predictors of the presence of psychological symptoms in OLP were calculated and identified using multivariated logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Factor analysis results demonstrated that a bifactor model described the underlying structure of both scales better than other models. Values of omega indicated adequate reliability of total HADS and PSS\u201010 score while low coefficient omega hierarchical values limit clinical applicability of their subscale scores. The prevalence of anxiety, depressive and distress symptoms in OLP was 39.23%, 20.77% and 27.69%, respectively. Pain intensity, disease comorbidities, age, smoking and alcohol consumption were found to be independent predictors of the presence of psychological symptoms in OLP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The HADS and PSS\u201010 are appropriate to use as general measures of psychological distress and perceived stress in patients with OLP.<\/jats:p><\/jats:sec>","DOI":"10.1111\/odi.13220","type":"journal-article","created":{"date-parts":[[2019,10,25]],"date-time":"2019-10-25T07:14:51Z","timestamp":1571987691000},"page":"96-110","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Validation of the HADS and PSS\u201010 and psychological status in patients with oral lichen planus"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2340-517X","authenticated-orcid":false,"given":"Paswach","family":"Wiriyakijja","sequence":"first","affiliation":[{"name":"UCL Eastman Dental Institute London UK"},{"name":"Department of Oral Medicine Faculty of Dentistry Chulalongkorn University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Porter","sequence":"additional","affiliation":[{"name":"UCL Eastman Dental Institute London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9006-9412","authenticated-orcid":false,"given":"Stefano","family":"Fedele","sequence":"additional","affiliation":[{"name":"UCL Eastman Dental Institute London UK"},{"name":"NIHR University College London Hospitals Biomedical Research Centre London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Hodgson","sequence":"additional","affiliation":[{"name":"Eastman Dental Hospital UCLH Foundation NHS Trust London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roddy","family":"McMillan","sequence":"additional","affiliation":[{"name":"Eastman Dental Hospital UCLH Foundation NHS Trust London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Shephard","sequence":"additional","affiliation":[{"name":"Eastman Dental Hospital UCLH Foundation NHS Trust London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richeal","family":"Ni Riordain","sequence":"additional","affiliation":[{"name":"UCL Eastman Dental Institute London UK"},{"name":"Department of Oral Medicine Cork University Dental School and Hospital Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.12525"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15328007sem1302_2"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(01)00296-3"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-6494.2011.00749.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.13109"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jicd.12363"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2007.06.022"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2011.06.008"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2011.12.003"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466500163121"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2002.120452"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-0825.2005.01142.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2007.08106.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-4603(98)00075-6"},{"issue":"1","key":"e_1_2_7_17_1","first-page":"7","article-title":"Anxiety as an etiologic factor in oral lichen planus","volume":"5","author":"Garcia\u2010Pola M. 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