{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T14:49:28Z","timestamp":1783522168557,"version":"3.55.0"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T00:00:00Z","timestamp":1600646400000},"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":["C7492\/A17219"],"award-info":[{"award-number":["C7492\/A17219"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/N013867\/1"],"award-info":[{"award-number":["MR\/N013867\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore reasons for variations in anxiety in women testing positive for human papillomavirus (HPV) with normal cytology at routine HPV primary cervical cancer screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In\u2010depth interviews were conducted with 30 women who had tested HPV\u2010positive with normal cytology, including 15 with low\u2010to\u2010normal anxiety and 15 with high anxiety. Data were analysed using Framework Analysis to compare themes between low and high anxiety groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Several HPV\u2010related themes were shared across anxiety groups, but only highly anxious women expressed fear and worry, fatalistic cognitions about cancer, fertility\u2010related cognitions, adverse physiological responses and changes in health behaviour(s). In comparison to those with low anxiety, women with high anxiety more strongly voiced cognitions about the 12\u2010month wait for follow\u2010up screening, relationship infidelity, a lower internal locus of control and HPV\u2010related symptom attributions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Receiving an HPV\u2010positive with normal cytology result related to various emotional, cognitive, behavioural and physiological responses; some of which were specific to, or more pronounced in, women with high anxiety. If our observations are confirmed in hypothesis\u2010driven quantitative studies, the identification of distinct themes relevant to women experiencing high anxiety can inform targeted patient communications and HPV primary screening implementation policy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.5540","type":"journal-article","created":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T15:58:00Z","timestamp":1600703880000},"page":"84-92","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Exploring reasons for variations in anxiety after testing positive for human papillomavirus with normal cytology: a comparative qualitative study"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9926-429X","authenticated-orcid":false,"given":"Emily","family":"McBride","sequence":"first","affiliation":[{"name":"Department of Behavioural Science and Health Institute of Epidemiology and Health Care University College London (UCL)  London UK"}],"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":"Cancer Prevention Group School of Cancer and Pharmaceutical Sciences King's College London (KCL)  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1448-3034","authenticated-orcid":false,"given":"Kirsty F.","family":"Bennett","sequence":"additional","affiliation":[{"name":"Department of Behavioural Science and Health Institute of Epidemiology and Health Care University College London (UCL)  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selma","family":"Stearns","sequence":"additional","affiliation":[{"name":"Department of Behavioural Science and Health Institute of Epidemiology and Health Care University College London (UCL)  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Waller","sequence":"additional","affiliation":[{"name":"Cancer Prevention Group School of Cancer and Pharmaceutical Sciences King's College London (KCL)  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,21]]},"reference":[{"key":"e_1_2_10_1_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l240"},{"key":"e_1_2_10_1_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6603653"},{"key":"e_1_2_10_1_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.32540"},{"key":"e_1_2_10_1_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2020.1762106"},{"key":"e_1_2_10_1_6_1","article-title":"Psychosexual distress following routine primary human papillomavirus testing: a longitudinal evaluation within the English Cervical Screening Programme","author":"Bennett K","journal-title":"BJOG Accepted"},{"key":"e_1_2_10_1_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8260.1992.tb00997.x"},{"key":"e_1_2_10_1_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2005.016436"},{"key":"e_1_2_10_1_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1053"},{"key":"e_1_2_10_1_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-016-9782-2"},{"key":"e_1_2_10_1_11_1","first-page":"1","volume-title":"An Introduction to Cognitive Behaviour Therapy: Skills and Applications","author":"Westbrook D","year":"2011"},{"key":"e_1_2_10_1_12_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203413081_chapter_9"},{"key":"e_1_2_10_1_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-13-117"},{"key":"e_1_2_10_1_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00279.x"},{"key":"e_1_2_10_1_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2015.1070851"},{"key":"e_1_2_10_1_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/01674820903564440"},{"key":"e_1_2_10_1_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0b013e3181ffbed8"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.5540","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pon.5540","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.5540","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T12:25:41Z","timestamp":1693743941000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.5540"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,21]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1002\/pon.5540"],"URL":"https:\/\/doi.org\/10.1002\/pon.5540","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,21]]},"assertion":[{"value":"2020-08-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}