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Validation of the HADS and PSS-10 and psychological status in patients with oral lichen planus.
Oral Dis. 2020 Jan; 26(1):96-110.OD

Abstract

OBJECTIVES

To validate the Hospital Anxiety and Depression Scale (HADS) and the 10-item Perceived Stress Scale (PSS-10) for use in patients with oral lichen planus (OLP) and to provide cross-sectional analysis of anxiety, depressive and distress symptoms in patients with OLP.

METHODS

Validity and reliability of both instruments were assessed in 260 participants with OLP in one tertiary oral medicine centre through confirmatory factor analysis and calculation of reliability coefficients. Prevalence, clinical and demographic predictors of the presence of psychological symptoms in OLP were calculated and identified using multivariated logistic regression.

RESULTS

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-10 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.

CONCLUSION

The HADS and PSS-10 are appropriate to use as general measures of psychological distress and perceived stress in patients with OLP.

Authors+Show Affiliations

UCL Eastman Dental Institute, London, UK. Department of Oral Medicine, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.UCL Eastman Dental Institute, London, UK.UCL Eastman Dental Institute, London, UK. NIHR University College London Hospitals Biomedical Research Centre, London, UK.Eastman Dental Hospital, UCLH Foundation NHS Trust London, London, UK.Eastman Dental Hospital, UCLH Foundation NHS Trust London, London, UK.Eastman Dental Hospital, UCLH Foundation NHS Trust London, London, UK.UCL Eastman Dental Institute, London, UK. Department of Oral Medicine, Cork University Dental School and Hospital, Cork, Ireland.

Pub Type(s)

Journal Article
Validation Study

Language

eng

PubMed ID

31650646

Citation

Wiriyakijja, Paswach, et al. "Validation of the HADS and PSS-10 and Psychological Status in Patients With Oral Lichen Planus." Oral Diseases, vol. 26, no. 1, 2020, pp. 96-110.
Wiriyakijja P, Porter S, Fedele S, et al. Validation of the HADS and PSS-10 and psychological status in patients with oral lichen planus. Oral Dis. 2020;26(1):96-110.
Wiriyakijja, P., Porter, S., Fedele, S., Hodgson, T., McMillan, R., Shephard, M., & Ni Riordain, R. (2020). Validation of the HADS and PSS-10 and psychological status in patients with oral lichen planus. Oral Diseases, 26(1), 96-110. https://doi.org/10.1111/odi.13220
Wiriyakijja P, et al. Validation of the HADS and PSS-10 and Psychological Status in Patients With Oral Lichen Planus. Oral Dis. 2020;26(1):96-110. PubMed PMID: 31650646.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Validation of the HADS and PSS-10 and psychological status in patients with oral lichen planus. AU - Wiriyakijja,Paswach, AU - Porter,Stephen, AU - Fedele,Stefano, AU - Hodgson,Tim, AU - McMillan,Roddy, AU - Shephard,Martina, AU - Ni Riordain,Richeal, Y1 - 2019/11/13/ PY - 2019/07/11/received PY - 2019/09/16/revised PY - 2019/10/22/accepted PY - 2019/10/28/pubmed PY - 2020/1/23/medline PY - 2019/10/26/entrez KW - anxiety KW - depression KW - factor analysis KW - hospital anxiety and depression scale KW - oral lichen planus KW - perceived stress scale SP - 96 EP - 110 JF - Oral diseases JO - Oral Dis VL - 26 IS - 1 N2 - OBJECTIVES: To validate the Hospital Anxiety and Depression Scale (HADS) and the 10-item Perceived Stress Scale (PSS-10) for use in patients with oral lichen planus (OLP) and to provide cross-sectional analysis of anxiety, depressive and distress symptoms in patients with OLP. METHODS: Validity and reliability of both instruments were assessed in 260 participants with OLP in one tertiary oral medicine centre through confirmatory factor analysis and calculation of reliability coefficients. Prevalence, clinical and demographic predictors of the presence of psychological symptoms in OLP were calculated and identified using multivariated logistic regression. RESULTS: 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-10 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. CONCLUSION: The HADS and PSS-10 are appropriate to use as general measures of psychological distress and perceived stress in patients with OLP. SN - 1601-0825 UR - https://www.unboundmedicine.com/medline/citation/31650646/Validation_of_the_HADS_and_PSS_10_and_psychological_status_in_patients_with_oral_lichen_planus_ L2 - https://doi.org/10.1111/odi.13220 DB - PRIME DP - Unbound Medicine ER -