Predictors of anxiety in patients undergoing magnetic resonance imaging scans: a multicenter cross-sectional study.


Journal

BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559

Informations de publication

Date de publication:
27 Sep 2024
Historique:
received: 15 12 2023
accepted: 17 09 2024
medline: 28 9 2024
pubmed: 28 9 2024
entrez: 28 9 2024
Statut: epublish

Résumé

Magnetic resonance imaging (MRI) is a noninvasive diagnostic tool that is commonly used to visualize soft tissues and anatomical structures. Many patients who undergo MRI scans experience anxiety. This multicenter study was conducted to assess anxiety levels experienced by patients who underwent MRI scans in the Palestinian radiology departments and identify the risk factors associated with higher levels of anxiety experienced by the patients. This multicenter cross-sectional study was conducted in the radiology departments of different hospitals in the West Bank of Palestine using a questionnaire. The questionnaire collected different demographic data of the patients. A 100-mm visual analog scale (VAS) was used to assess the level of anxiety experienced by the patients who received MRI scans. The data were analyzed using SPSS version 28. A total of 383 patients participated in this study. Of the patients, 255 (66.6%) reported experiencing low, moderate, or high anxiety levels during the MRI scan. The median anxiety was 20.0 with an interquartile range (IQR) of 0.0-50.0 as measured using the 100-mm VAS. Higher anxiety levels were reported by the patients who were female (p-value < 0.001), unemployed (p-value = 0.009), and did not receive an MRI scan before (p-value = 0.001). In addition, the patients who received pelvis scans reported higher levels of anxiety compared to those who received scans for upper extremities (p-value = 0.031), abdomen (p-value = 0.033), pelvis (p-value = 0.043), and lower extremities (p-value = 0.016). In addition, the patients who received scans for the head/neck reported higher levels of anxiety compared to the patients who received scans for the lower extremities (p-value = 0.021). The findings of this study showed that a considerable proportion of the patients who received MRI scans in Palestinian hospitals experience anxiety. Radiologists and other decision-makers in the healthcare system should design effective measures to reduce anxiety and improve the experiences of patients who are female, unemployed, and those who are scheduled to receive MRI scans for the first time. Moreover, these interventions should particularly focus on the patients who are scheduled to receive scans for the pelvis and head/neck.

Sections du résumé

BACKGROUND BACKGROUND
Magnetic resonance imaging (MRI) is a noninvasive diagnostic tool that is commonly used to visualize soft tissues and anatomical structures. Many patients who undergo MRI scans experience anxiety. This multicenter study was conducted to assess anxiety levels experienced by patients who underwent MRI scans in the Palestinian radiology departments and identify the risk factors associated with higher levels of anxiety experienced by the patients.
METHODS METHODS
This multicenter cross-sectional study was conducted in the radiology departments of different hospitals in the West Bank of Palestine using a questionnaire. The questionnaire collected different demographic data of the patients. A 100-mm visual analog scale (VAS) was used to assess the level of anxiety experienced by the patients who received MRI scans. The data were analyzed using SPSS version 28.
RESULTS RESULTS
A total of 383 patients participated in this study. Of the patients, 255 (66.6%) reported experiencing low, moderate, or high anxiety levels during the MRI scan. The median anxiety was 20.0 with an interquartile range (IQR) of 0.0-50.0 as measured using the 100-mm VAS. Higher anxiety levels were reported by the patients who were female (p-value < 0.001), unemployed (p-value = 0.009), and did not receive an MRI scan before (p-value = 0.001). In addition, the patients who received pelvis scans reported higher levels of anxiety compared to those who received scans for upper extremities (p-value = 0.031), abdomen (p-value = 0.033), pelvis (p-value = 0.043), and lower extremities (p-value = 0.016). In addition, the patients who received scans for the head/neck reported higher levels of anxiety compared to the patients who received scans for the lower extremities (p-value = 0.021).
CONCLUSION CONCLUSIONS
The findings of this study showed that a considerable proportion of the patients who received MRI scans in Palestinian hospitals experience anxiety. Radiologists and other decision-makers in the healthcare system should design effective measures to reduce anxiety and improve the experiences of patients who are female, unemployed, and those who are scheduled to receive MRI scans for the first time. Moreover, these interventions should particularly focus on the patients who are scheduled to receive scans for the pelvis and head/neck.

Identifiants

pubmed: 39333965
doi: 10.1186/s12888-024-06091-6
pii: 10.1186/s12888-024-06091-6
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

633

Informations de copyright

© 2024. The Author(s).

Références

Minhas AS, Oliver R. Magnetic resonance imaging basics. Adv Exp Med Biol. 2022;1380:47–82.
doi: 10.1007/978-3-031-03873-0_3 pubmed: 36306094
Ghadimi M, Sapra A. Magnetic resonance imaging contraindications. In: StatPearls edn.; 2023.
Russo V, Lovato L, Ligabue G. Cardiac MRI: technical basis. Radiol Med. 2020;125(11):1040–55.
doi: 10.1007/s11547-020-01282-z pubmed: 32939626
Serai SD, Ho ML, Artunduaga M, Chan SS, Chavhan GB. Components of a magnetic resonance imaging system and their relationship to safety and image quality. Pediatr Radiol. 2021;51(5):716–23.
doi: 10.1007/s00247-020-04894-9 pubmed: 33871725
Wang Q, Wang G, Sun Q, Sun DH. Application of MAGnetic resonance imaging compilation in acute ischemic stroke. World J Clin Cases. 2021;9(35):10828–37.
doi: 10.12998/wjcc.v9.i35.10828 pubmed: 35047594 pmcid: 8678888
Sitburana O, Koroshetz WJ. Magnetic resonance imaging: implication in acute ischemic stroke management. Curr Atheroscler Rep. 2005;7(4):305–12.
doi: 10.1007/s11883-005-0023-3 pubmed: 15975324
Nukovic JJ, Opancina V, Ciceri E, Muto M, Zdravkovic N, Altin A, Altaysoy P, Kastelic R, Velazquez Mendivil DM, Nukovic JA et al. Neuroimaging modalities used for ischemic stroke diagnosis and monitoring. Med (Kaunas) 2023, 59(11).
Nguyen XV, Tahir S, Bresnahan BW, Andre JB, Lang EV, Mossa-Basha M, Mayr NA, Bourekas EC. Prevalence and financial impact of claustrophobia, anxiety, patient motion, and other patient events in magnetic resonance imaging. Top Magn Reson Imaging: TMRI. 2020;29(3):125–30.
doi: 10.1097/RMR.0000000000000243 pubmed: 32568974
Madl JEM, Nieto Alvarez I, Amft O, Rohleder N, Becker L. The psychological, physiological, and behavioral responses of patients to Magnetic Resonance Imaging (MRI): a systematic review and Meta-analysis. J Magn Reson Imaging 2023.
Ahlander BM, Årestedt K, Engvall J, Maret E, Ericsson E. Development and validation of a questionnaire evaluating patient anxiety during magnetic resonance imaging: the magnetic resonance imaging-anxiety questionnaire (MRI-AQ). J Adv Nurs. 2016;72(6):1368–80.
doi: 10.1111/jan.12917 pubmed: 26893007
Delić D, Babić D, Franjić D, Hasanefendić B. Anxiety of patients at magnetic resonance imaging screening. Psychiatria Danubina. 2021;33(Suppl 4):762–7.
pubmed: 34718315
Ladapo JA, Spritzer CE, Nguyen XV, Pool J, Lang E. Economics of MRI Operations after implementation of interpersonal skills training. J Am Coll Radiology: JACR. 2018;15(12):1775–83.
doi: 10.1016/j.jacr.2018.01.017 pubmed: 29530323
Yakar B, Pirinçci E. Investigation of the Effect of Written and visual information on anxiety measured before magnetic resonance imaging: which Method is most effective? Med (Kaunas) 2020, 56(3).
Dantendorfer K, Amering M, Bankier A, Helbich T, Prayer D, Youssefzadeh S, Alexandrowicz R, Imhof H, Katschnig H. A study of the effects of patient anxiety, perceptions and equipment on motion artifacts in magnetic resonance imaging. Magn Reson Imaging. 1997;15(3):301–6.
doi: 10.1016/S0730-725X(96)00385-2 pubmed: 9201677
Forshaw KL, Boyes AW, Carey ML, Hall AE, Symonds M, Brown S, Sanson-Fisher RW. Raised anxiety levels among outpatients preparing to Undergo a Medical Imaging Procedure: prevalence and correlates. J Am Coll Radiology: JACR. 2018;15(4):630–8.
doi: 10.1016/j.jacr.2017.12.030
Amiri S, Behnezhad S. Obesity and anxiety symptoms: a systematic review and meta-analysis. Neuropsychiatrie: Klinik Diagnostik Ther Und Rehabilitation : Organ Der Gesellschaft Osterreichischer Nervenarzte Und Psychiater. 2019;33(2):72–89.
Lykouras L, Michopoulos J. Anxiety disorders and obesity. Psychiatrike = Psychiatriki. 2011;22(4):307–13.
pubmed: 22271843
Bjelland I, Krokstad S, Mykletun A, Dahl AA, Tell GS, Tambs K. Does a higher educational level protect against anxiety and depression? The HUNT study. Soc Sci Med. 2008;66(6):1334–45.
doi: 10.1016/j.socscimed.2007.12.019 pubmed: 18234406
Lemaire C, Moran GR, Swan H. Impact of audio/visual systems on pediatric sedation in magnetic resonance imaging. J Magn Reson Imaging. 2009;30(3):649–55.
doi: 10.1002/jmri.21870 pubmed: 19630083
Oztek MA, Brunnquell CL, Hoff MN, Boulter DJ, Mossa-Basha M, Beauchamp LH, Haynor DL, Nguyen XV. Practical considerations for radiologists in implementing a patient-friendly MRI experience. Top Magn Reson Imaging: TMRI. 2020;29(4):181–6.
doi: 10.1097/RMR.0000000000000247 pubmed: 32511199
Bolejko A, Hagell P. Effects of an information booklet on patient anxiety and satisfaction with information in magnetic resonance imaging: A randomized, single-blind, placebo-controlled trial. Radiography (London, England: 1995) 2021, 27(1):162–167.
Tugwell JR, Goulden N, Mullins P. Alleviating anxiety in patients prior to MRI: A pilot single-centre single-blinded randomised controlled trial to compare video demonstration or telephone conversation with a radiographer versus routine intervention. Radiography (London, England: 1995) 2018, 24(2):122–129.
Chadderdon AL, Carns DR, Pudalov LR, McKernan LC, Honce JM. Underlying mechanisms of psychological interventions in magnetic resonance imaging and image-guided Radiology procedures. Top Magn Reson Imaging: TMRI. 2020;29(3):157–63.
doi: 10.1097/RMR.0000000000000239 pubmed: 32568978
Grey SJ, Price G, Mathews A. Reduction of anxiety during MR imaging: a controlled trial. Magn Reson Imaging. 2000;18(3):351–5.
doi: 10.1016/S0730-725X(00)00112-0 pubmed: 10745145
Stanley E, Cradock A, Bisset J, McEntee C, O’Connell MJ. Impact of sensory design interventions on image quality, patient anxiety and overall patient experience at MRI. Br J Radiol. 2016;89(1067):20160389.
doi: 10.1259/bjr.20160389 pubmed: 27611074 pmcid: 5124840
Munn Z, Pearson A, Jordan Z, Murphy F, Pilkington D, Anderson A. Patient anxiety and satisfaction in a Magnetic Resonance Imaging Department: initial results from an Action Research Study. J Med Imaging Radiation Sci. 2015;46(1):23–9.
doi: 10.1016/j.jmir.2014.07.006
Munn Z, Jordan Z. Interventions to reduce anxiety, distress and the need for sedation in adult patients undergoing magnetic resonance imaging: a systematic review. Int J Evid Based Healthc. 2013;11(4):265–74.
doi: 10.1111/1744-1609.12045 pubmed: 24298920
Daniel WW, Cross CL. Biostatistics: a foundation for analysis in the health sciences. 11th ed. New York: Wiley; 2018.
Redd WH, Manne SL, Peters B, Jacobsen PB, Schmidt H. Fragrance administration to reduce anxiety during MR imaging. J Magn Reson Imaging. 1994;4(4):623–6.
doi: 10.1002/jmri.1880040419 pubmed: 7949692
Madl JEM, Sturmbauer SC, Janka R, Bay S, Rohleder N. Preparing patients according to their individual coping style improves patient experience of magnetic resonance imaging. J Behav Med. 2022;45(6):841–54.
doi: 10.1007/s10865-022-00361-y pubmed: 36074316 pmcid: 9674768
Oliveri S, Pricolo P, Pizzoli S, Faccio F, Lampis V, Summers P, Petralia G, Pravettoni G. Investigating cancer patient acceptance of whole body MRI. Clin Imaging. 2018;52:246–51.
doi: 10.1016/j.clinimag.2018.08.004 pubmed: 30170274
Williams VS, Morlock RJ, Feltner D. Psychometric evaluation of a visual analog scale for the assessment of anxiety. Health Qual Life Outcomes. 2010;8:57.
doi: 10.1186/1477-7525-8-57 pubmed: 20529361 pmcid: 2904728
Meléndez JC, McCrank E. Anxiety-related reactions associated with magnetic resonance imaging examinations. JAMA. 1993;270(6):745–7.
doi: 10.1001/jama.1993.03510060091039 pubmed: 8336378
Farinha MN, Semedo CS, Diniz AM, Herédia V. Individual and Contextual Variables as predictors of MRI-Related perceived anxiety. Behav Sci (Basel Switzerland) 2023, 13(6).
Murphy KJ, Brunberg JA. Adult claustrophobia, anxiety and sedation in MRI. Magn Reson Imaging. 1997;15(1):51–4.
doi: 10.1016/S0730-725X(96)00351-7 pubmed: 9084025
Eshed I, Althoff CE, Hamm B, Hermann KG. Claustrophobia and premature termination of magnetic resonance imaging examinations. J Magn Reson Imaging. 2007;26(2):401–4.
doi: 10.1002/jmri.21012 pubmed: 17610281
Mazzocco K, Busacchio D, Summers PE, Marzorati C, Pricolo P, Petralia G, Pravettoni G. Is whole-body magnetic resonance imaging a source of anxiety in oncological patients? Cancer Rep (Hoboken NJ). 2023;6(3):e1737.
doi: 10.1002/cnr2.1737
Saritas SC, Özdemir A. Identification of the correlation between illness perception and anxiety level in cancer patients. Perspect Psychiatr Care. 2018;54(3):380–5.
doi: 10.1111/ppc.12265 pubmed: 29465775
Ahlander BM, Engvall J, Ericsson E. Anxiety during magnetic resonance imaging of the spine in relation to scanner design and size. Radiography (London England: 1995). 2020;26(2):110–6.
pubmed: 32052788
van Minde D, Klaming L, Weda H. Pinpointing moments of high anxiety during an MRI examination. Int J Behav Med. 2014;21(3):487–95.
pubmed: 24043600
Al Shanbari NM, Alobaidi SF, Alhasawi R, Alzahrani AS, Bin Laswad BM, Alzahrani AA, Alhashmi Alamer LF, Alhazmi T. Assessment of anxiety Associated with MRI Examination among the General Population in the Western Region of Saudi Arabia. Cureus. 2023;15(2):e34531.
pubmed: 36874299 pmcid: 9981542
Meyers-Levy J, Loken B. Revisiting gender differences: what we know and what lies ahead. J Consumer Psychol. 2015;25(1):129–49.
doi: 10.1016/j.jcps.2014.06.003
Paul KI, Moser K. Unemployment impairs mental health: Meta-analyses. J Vocat Behav. 2009;74(3):264–82.
doi: 10.1016/j.jvb.2009.01.001
Chapman HA, Bernier D, Rusak B. MRI-related anxiety levels change within and between repeated scanning sessions. Psychiatry Res. 2010;182(2):160–4.
doi: 10.1016/j.pscychresns.2010.01.005 pubmed: 20409694

Auteurs

Raed Masalma (R)

Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

Thabet Zidan (T)

Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

Sima Amasheh (S)

Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

Mosab Maree (M)

Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine. m.maree@najah.edu.
Department of Radiology, An-Najah National University Hospital, Nablus, 44839, Palestine. m.maree@najah.edu.
Department of Medical Imaging, London Health Sciences Center, Western University , London, Canada. m.maree@najah.edu.

Mohammad Alhanbali (M)

Al Rahma Clinic, Nablus, Palestine.

Ramzi Shawahna (R)

Department of Physiology, Pharmacology and Toxicology, Faculty of Medicine and Health Sciences, An-Najah National University, New Campus, Building: 19, P.O. Box 7, Nablus, 1340, Palestine. ramzi_shawahna@hotmail.com.
Clinical Research Center, An-Najah National University Hospital, Nablus, 44839, Palestine. ramzi_shawahna@hotmail.com.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH