Abstract. Objective: to study psychoemotional status features in pregnant women with cervical pathology depending on HPV status and assess its influence on the clinical course. Materials and methods: 180 women divided into three groups were examined. Results: Elevated anxiety, emotional lability, and psychoemotional tension were significantly more frequent in Groups I and III compared to Group II (p<0.05). Women with high anxiety levels showed more frequent severe inflammatory changes, vaginal dysbiosis, and recurrent cervicitis (p<0.05). Conclusion: Elevated psychoemotional tension in HPV-positive pregnant women is associated with a more severe clinical course, justifying inclusion of psychoemotional assessment in diagnostic algorithms.