{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T07:13:16Z","timestamp":1791270796887,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T00:00:00Z","timestamp":1563840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","award":["C49896\/A17429"],"award-info":[{"award-number":["C49896\/A17429"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","award":["C7492\/A17219"],"award-info":[{"award-number":["C7492\/A17219"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["DRF\u20102017\u201010\u2010105"],"award-info":[{"award-number":["DRF\u20102017\u201010\u2010105"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002141","name":"Public Health England","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002141","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl Journal of Cancer"],"published-print":{"date-parts":[[2020,4,15]]},"abstract":"<jats:p>\n                    We used a cross\u2010sectional survey to examine short\u2010term anxiety and distress in women receiving different results following routine human papillomavirus (HPV) primary testing at cervical screening. Participants were women aged 24\u201365 (\n                    <jats:italic>n<\/jats:italic>\n                    = 1,127) who had attended screening at one of five sites piloting HPV primary screening in England, including a control group with normal cytology who were not tested for HPV. Women completed a postal questionnaire ~2 weeks after receiving their screening result. Unadjusted mean anxiety scores ranged from 32.9 (standard deviation [SD] = 12.2) in HPV\u2010negative women to 42.1 (SD = 14.9) in women who were HPV\u2010positive with abnormal cytology. In adjusted analyses, anxiety was significantly higher in women testing HPV\u2010positive with either normal cytology (mean difference [MD] = 3.5, CI: 0.6\u20136.4) or abnormal cytology (MD = 7.2, CI: 3.7\u201310.6), than the control group. Distress was slightly higher in women who tested HPV\u2010positive with abnormal cytology (MD = 0.9, CI: 0.02\u20131.8), than the control group. We also found increased odds of very high anxiety in women who tested HPV\u2010positive with normal or abnormal cytology compared to the control group. This pattern of results was only observed among women receiving their first HPV\u2010positive result, not among women found to have persistent HPV at 12\u2010month follow\u2010up. Testing HPV\u2010positive with normal cytology for the first time, is associated with elevated anxiety despite carrying very low immediate cervical cancer risk. However, receiving the same test result at 12\u2010month early recall does not appear to be associated with higher anxiety, suggesting anxiety may normalise with repeated exposure and\/or over time.\n                  <\/jats:p>","DOI":"10.1002\/ijc.32540","type":"journal-article","created":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T12:34:31Z","timestamp":1561725271000},"page":"2113-2121","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":89,"title":["Anxiety and distress following receipt of results from routine HPV primary testing in cervical screening: The psychological impact of primary screening (PIPS) study"],"prefix":"10.1002","volume":"146","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9926-429X","authenticated-orcid":false,"given":"Emily","family":"McBride","sequence":"first","affiliation":[{"name":"Research Department of Behavioural Science and Health, Institute of Epidemiology and Health Care University College London  London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1709-2397","authenticated-orcid":false,"given":"Laura A.V.","family":"Marlow","sequence":"additional","affiliation":[{"name":"Research Department of Behavioural Science and Health, Institute of Epidemiology and Health Care University College London  London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9933-7919","authenticated-orcid":false,"given":"Alice S.","family":"Forster","sequence":"additional","affiliation":[{"name":"Research Department of Behavioural Science and Health, Institute of Epidemiology and Health Care University College London  London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1336-6450","authenticated-orcid":false,"given":"Deborah","family":"Ridout","sequence":"additional","affiliation":[{"name":"Population, Policy and Practice Programme UCL Great Ormond Street Institute of Child Health  London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Kitchener","sequence":"additional","affiliation":[{"name":"Women's Cancer Centre, Institute of Cancer Sciences University of Manchester  Manchester United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julietta","family":"Patnick","sequence":"additional","affiliation":[{"name":"Cancer Epidemiology Unit, Nuffield Department of Population Health University of Oxford  Oxford United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4025-9132","authenticated-orcid":false,"given":"Jo","family":"Waller","sequence":"additional","affiliation":[{"name":"Research Department of Behavioural Science and Health, Institute of Epidemiology and Health Care University College London  London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"NHS Digital Screening and Immunisation Team. 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