{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:06:26Z","timestamp":1785323186181,"version":"3.55.0"},"reference-count":46,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T00:00:00Z","timestamp":1782604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T00:00:00Z","timestamp":1782604800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Symptoms of anxiety, including worry and sleep, can be exacerbated by impending medical appointments. These symptoms can impact cancer survivors' ability to prepare for or process information during their appointments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The current study aimed to investigate how worry and sleep change during days or weeks prior to a medical appointment in individuals receiving active treatment for cancer or those in follow\u2010up care. In addition, we examined how coping strategies are associated with fluctuations in worry and sleep around medical appointments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants with a history of cancer (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a0259, age\n                      <jats:italic>M<\/jats:italic>\n                      \u00a0=\u00a049, 90.7% female, 84.2% non\u2010Hispanic white) completed a baseline assessment, ecological momentary assessments, and weekly surveys for 5 weeks. We conducted a series of multi\u2010level models to examine how appointment day, treatment status, and coping strategies, along with their interactions, predict daily worry and self\u2010reported sleep.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>On average, participants reported greater worry on days with (vs. without) a medical appointment, regardless of their coping strategies and treatment status. In addition, greater use of emotion suppression was associated with worse self\u2010reported sleep quality the night before an appointment. Reduced self\u2010reported sleep duration was also associated with greater use of suppression, but only among those in active treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Medical appointments are associated with worry and self\u2010reported sleep difficulties among cancer survivors, but effects on sleep depend on stage in treatment and\/or habitual use of suppression. Cancer survivors may benefit from strategies to manage appointment\u2010related anxiety, with an emphasis on targeted interventions to improve putatively adaptive coping strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70531","type":"journal-article","created":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T17:35:37Z","timestamp":1782668137000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Medical Appointments are Associated With Same\u2010Day Worry and Sleep Difficulties Among Cancer Survivors"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4371-2740","authenticated-orcid":false,"given":"Katharine E.","family":"Daniel","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Neurobehavioral Sciences University of Virginia School of Medicine  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8258-2272","authenticated-orcid":false,"given":"Amanda C.","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5534-0289","authenticated-orcid":false,"given":"Kirsten L.","family":"Greene","sequence":"additional","affiliation":[{"name":"Department of Urology University of Virginia School of Medicine  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9749-8006","authenticated-orcid":false,"given":"Kelly M.","family":"Shaffer","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurobehavioral Sciences University of Virginia School of Medicine  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1147-1145","authenticated-orcid":false,"given":"Philip I.","family":"Chow","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurobehavioral Sciences University of Virginia School of Medicine  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.esmoop.2023.101155"},{"key":"e_1_2_10_3_1","unstructured":"National Cancer Institute \u201cAdjustment to Cancer: Anxiety and Distress (PDQ\u00ae)\u2013patient Version \u201d Published online September 21 2022 Accessed January 11 2023 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