{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T15:23:39Z","timestamp":1784647419355,"version":"3.55.0"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Gynecol Obstet"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aims to investigate the psychological distress experienced by patients with an initial diagnosis of abnormal Pap smears or dysplastic changes of the cervix uteri. It investigated whether patients\u2019 age, education, information level and approach to information acquisition have an impact on their psychological distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 364 female patients, aged 20\u201380\u00a0years, referred to the special dysplasia consultation hour at the Department of Obstetrics and Gynecology, Wuerzburg, completed a questionnaire containing validated items to assess information level, information acquisition, information needs and psychological distress, including a distress thermometer. Data from questionnaires and medical reports were used for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study found that 56.9% of patients experienced psychological distress before their first visit. Patients under 44\u00a0years of age, especially those with concerns about fertility and sexuality, and those with lower levels of education showed higher levels of distress (\n                      <jats:italic>p<\/jats:italic>\n                      -value\u2009=\u20090.018 and\n                      <jats:italic>p<\/jats:italic>\n                      -value\u2009=\u20090.037). 40.9% of patients felt poorly informed and 53.7% of patients wanted more information before their visit. Correlational analysis showed that the method of obtaining information correlated with the desire for more information (\n                      <jats:italic>p<\/jats:italic>\n                      -value\u2009&lt;\u20090.001). Those who received information via the Internet felt less informed, wanted more information and experienced more anxiety.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings highlight the need for improved patient education strategies and effective doctor-patient communication to address the knowledge gap and reduce patient distress. In addition, healthcare providers should ensure that patients have access to reliable online resources for accurate information.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00404-024-07660-6","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T14:02:07Z","timestamp":1722520927000},"page":"2173-2181","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Assessment of psychological distress in patients with cervical dysplasia according to age, education, information acquisition and information level"],"prefix":"10.1007","volume":"310","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9271-0311","authenticated-orcid":false,"given":"Anne Cathrine","family":"Scherer-Quenzer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saskia-Laureen","family":"Herbert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanja","family":"Schlaiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achim","family":"W\u00f6ckel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Diessner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan-Peter","family":"Grunz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelena","family":"Findeis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3368-9046","authenticated-orcid":false,"given":"Matthias","family":"Kiesel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,8,1]]},"reference":[{"key":"7660_CR1","unstructured":"Global Cancer Observatory: Cancer Today. https:\/\/gco.iarc.who.int\/media\/globocan\/factsheets\/cancers\/39-all-cancers-fact-sheet.pdf. Accessed 21 March 2024"},{"key":"7660_CR2","doi-asserted-by":"publisher","DOI":"10.4103\/0019-509X.200651","author":"A Shankar","year":"2016","unstructured":"Shankar A, Dracham C, Ghoshal S, Grover S (2016) Prevalence of depression and anxiety disorder in cancer patients: An institutional experience. Indian J Cancer. https:\/\/doi.org\/10.4103\/0019-509X.200651","journal-title":"Indian J Cancer"},{"key":"7660_CR3","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3297","author":"S Moorey","year":"2013","unstructured":"Moorey S (2013) I know they are distressed What do I do now? Psychooncology. https:\/\/doi.org\/10.1002\/pon.3297","journal-title":"Psychooncology"},{"key":"7660_CR4","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-020-00969-6","author":"EO Dewar","year":"2021","unstructured":"Dewar EO, Ahn C, Eraj S, Mahal BA, Sanford NN (2021) Psychological distress and cognition among long-term survivors of adolescent and young adult cancer in the USA. J Cancer Surviv. https:\/\/doi.org\/10.1007\/s11764-020-00969-6","journal-title":"J Cancer Surviv"},{"key":"7660_CR5","unstructured":"Fowler JR, Maani EV, Dunton CJ, Gasalberti DP, Jack BW (2023) Cervical Cancer. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan\u2013. PMID: 28613745."},{"key":"7660_CR6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2005.01.010","author":"L Wenzel","year":"2005","unstructured":"Wenzel L, DeAlba I, Habbal R, Kluhsman BC, Fairclough D, Krebs LU, Anton-Culver H, Berkowitz R, Aziz N (2005) Quality of life in long-term cervical cancer survivors. Gynecol Oncol. https:\/\/doi.org\/10.1016\/j.ygyno.2005.01.010","journal-title":"Gynecol Oncol"},{"key":"7660_CR7","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-015-3821-z","author":"F Thangarajah","year":"2016","unstructured":"Thangarajah F, Einzmann T, Bergauer F, Patzke J, Schmidt-Petruschkat S, Theune M, Engel K, Puppe J, Richters L, Mallmann P, Kirn V (2016) Cervical screening program and the psychological impact of an abnormal Pap smear: a self-assessment questionnaire study of 590 patients. Arch Gynecol Obstet. https:\/\/doi.org\/10.1007\/s00404-015-3821-z","journal-title":"Arch Gynecol Obstet"},{"key":"7660_CR8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2004.02.004","author":"E Shinn","year":"2004","unstructured":"Shinn E, Basen-Engquist K, Le T, Hansis-Diarte A, Bostic D, Martinez-Cross J, Santos A, Follen M (2004) Distress after an abnormal Pap smear result: scale development and psychometric validation. Prev Med. https:\/\/doi.org\/10.1016\/j.ypmed.2004.02.004","journal-title":"Prev Med"},{"key":"7660_CR9","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2011.20.4.220","author":"A Snowden","year":"2011","unstructured":"Snowden A, White CA, Christie Z, Murray E, McGowan C, Scott R (2011) The clinical utility of the distress thermometer: a review. Br J Nurs. https:\/\/doi.org\/10.12968\/bjon.2011.20.4.220","journal-title":"Br J Nurs"},{"key":"7660_CR10","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-020-05661-9","author":"M Jentschke","year":"2020","unstructured":"Jentschke M, Lehmann R, Drews N, Hansel A, Schmitz M, Hillemanns P (2020) Psychological distress in cervical cancer screening: results from a German online survey. Arch Gynecol Obstet. https:\/\/doi.org\/10.1007\/s00404-020-05661-9","journal-title":"Arch Gynecol Obstet"},{"key":"7660_CR11","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.33588","author":"J Ferlay","year":"2021","unstructured":"Ferlay J, Colombet M, Soerjomataram I, Parkin DM, Pi\u00f1eros M, Znaor A, Bray F (2021) Cancer statistics for the year 2020: An overview. Int J Cancer. https:\/\/doi.org\/10.1002\/ijc.33588","journal-title":"Int J Cancer"},{"key":"7660_CR12","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(08)70103-7","author":"MR McCredie","year":"2008","unstructured":"McCredie MR, Sharples KJ, Paul C, Baranyai J, Medley G, Jones RW (2008) Natural history of cervical neoplasia and risk of invasive cancer in women with cervical intraepithelial neoplasia 3: a retrospective cohort study. Lancet Oncol. https:\/\/doi.org\/10.1016\/S1470-2045(08)70103-7","journal-title":"Lancet Oncol"},{"key":"7660_CR13","unstructured":"World Health Organization. Cervical cancer. (2023). Available at:\u00a0https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/cervical-cancer\u00a0(Accessed 10 Juli 2024)."},{"key":"7660_CR14","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2023.1242732","author":"M Weiss","year":"2023","unstructured":"Weiss M, Arnholdt M, Hi\u00dfnauer A, Fischer I, Sch\u00f6nfisch B, Andress J, Gerstner S, Dannehl D, B\u00f6sm\u00fcller H, Staebler A, Brucker SY, Henes M (2023) Tissue-preserving treatment with non-invasive physical plasma of cervical intraepithelial neoplasia-a prospective controlled clinical trial. Front Med (Lausanne). https:\/\/doi.org\/10.3389\/fmed.2023.1242732","journal-title":"Front Med (Lausanne)"},{"key":"7660_CR15","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14081933","author":"J Marzi","year":"2022","unstructured":"Marzi J, Stope MB, Henes M, Koch A, Wenzel T, Holl M, Layland SL, Neis F, B\u00f6sm\u00fcller H, Ruoff F, Templin M, Kr\u00e4mer B, Staebler A, Barz J, Carvajal Berrio DA, Enderle M, Loskill PM, Brucker SY, Schenke-Layland K, Weiss M (2022) Noninvasive Physical Plasma as Innovative and Tissue-Preserving Therapy for Women Positive for Cervical Intraepithelial Neoplasia. Cancers (Basel). https:\/\/doi.org\/10.3390\/cancers14081933","journal-title":"Cancers (Basel)"},{"key":"7660_CR16","doi-asserted-by":"publisher","DOI":"10.3390\/cancers12020267","author":"T Wenzel","year":"2020","unstructured":"Wenzel T, Carvajal Berrio DA, Reisenauer C, Layland S, Koch A, Wallwiener D, Brucker SY, Schenke-Layland K, Brauchle EM, Weiss M (2020) Trans-Mucosal Efficacy of Non-Thermal Plasma Treatment on Cervical Cancer Tissue and Human Cervix Uteri by a Next Generation Electrosurgical Argon Plasma Device. Cancers (Basel). https:\/\/doi.org\/10.3390\/cancers12020267","journal-title":"Cancers (Basel)"},{"key":"7660_CR17","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S208257","author":"S Kl\u00fcgel","year":"2019","unstructured":"Kl\u00fcgel S, L\u00fccke C, Mehren A, Malik E, Philipsen A, Schild-Suhren M, M\u00fcller HH (2019) Patients with cervical intraepithelial neoplasms show different states of health-related quality of life and different coping styles depending on the choice of therapy: findings from the CIN study. Int J Womens Health. https:\/\/doi.org\/10.2147\/IJWH.S208257","journal-title":"Int J Womens Health"},{"key":"7660_CR18","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2024.25.5.1699","author":"A Bahadur","year":"2024","unstructured":"Bahadur A, Mahamood Mm M, Heda A, Heda S, Mundhra R, Gaurav A, Bahurupi YA, Rao S (2024) Comparison of Sexual Function after Thermal Ablation Versus Loop Electrosurgical Excision Procedure (LEEP) for Cervical Intraepithelial Neoplasia (CIN 2 and 3): A Randomized Controlled Trial. Asian Pac J Cancer Prev. https:\/\/doi.org\/10.31557\/APJCP.2024.25.5.1699","journal-title":"Asian Pac J Cancer Prev"},{"key":"7660_CR19","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6874-11-18","author":"J Monsonego","year":"2011","unstructured":"Monsonego J, Cortes J, da Silva DP, Jorge AF, Klein P (2011) Psychological impact, support and information needs for women with an abnormal Pap smear: comparative results of a questionnaire in three European countries. BMC Womens Health. https:\/\/doi.org\/10.1186\/1472-6874-11-18","journal-title":"BMC Womens Health"},{"issue":"2","key":"7660_CR20","first-page":"280","volume":"81","author":"DE Stewart","year":"1993","unstructured":"Stewart DE, Lickrish GM, Sierra S, Parkin H (1993) The effect of educational brochures on knowledge and emotional distress in women with abnormal Papanicolaou smears. Obstet Gynecol 81(2):280\u2013282","journal-title":"Obstet Gynecol"},{"key":"7660_CR21","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199404000-00016","author":"DE Stewart","year":"1994","unstructured":"Stewart DE, Buchegger PM, Lickrish GM, Sierra S (1994) The effect of educational brochures on follow-up compliance in women with abnormal Papanicolaou smears. Obstet Gynecol. https:\/\/doi.org\/10.1097\/00006250-199404000-00016","journal-title":"Obstet Gynecol"}],"updated-by":[{"DOI":"10.1007\/s00404-025-08011-9","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000}}],"container-title":["Archives of Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00404-024-07660-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00404-024-07660-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00404-024-07660-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T02:13:11Z","timestamp":1744769591000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00404-024-07660-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,1]]},"references-count":21,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["7660"],"URL":"https:\/\/doi.org\/10.1007\/s00404-024-07660-6","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-4185892\/v1","asserted-by":"object"}]},"ISSN":["1432-0711"],"issn-type":[{"value":"1432-0711","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,1]]},"assertion":[{"value":"29 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 August 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 April 2025","order":4,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":5,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s00404-025-08011-9","URL":"https:\/\/doi.org\/10.1007\/s00404-025-08011-9","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no relevant financial or non-financial interests to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Certificate of non-objection numberCertificate of non-objection number: 20210628 01.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}}]}}