Abstract
Between 5 and 10% of patients attempting a magnetic resonance imaging (MRI) scan become claustrophobic during the procedure. There has been a paucity of reported research in this area. This study was designed to investigate MRI-related phobia and identify risk factors for claustrophobia development. There were 108 subjects who had never had a scan, 57 males and 51 females, ranging in age from 19 to 72 years (mean age of 43 years). Subjects were evaluated before and after the scan and contacted for 1-month follow-up. Major findings included the following: (1) prescan report of pain was significantly correlated with stopping the scan, (2) prescan Fear Survey Schedule scores correlated significantly with reported claustrophic feelings after the scan, and (3) stopping the scan correlated significantly with follow-up report of an increase in claustrophobic feelings. Conclusions were that prescan pain and fear assessment may help predict, and allow intervention in, phobic response during and after the MRI scan. Implications for referring physicians and MRI technicians are discussed.
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References
Beck, A., and Emery, G. (1985).Anxiety Disorders and Phobias: A Cognitive Perspective, Basic Books, New York.
Brennan, S. C., Reed, W. H., and Jacobsen, P. B. (1988). Anxiety and panic during magnetic response scans. Letter to the Editor.Lancet Aug. 2(8609): 512.
Bydder, G. M. (1983). Clinical nuclear magnetic resonance imaging.Br. J. Hosp. Med. Apr. 29: 348–356.
Fishbain, D., Goldberg, M., Labbé, E., Zacher, D., Steele-Rosomoff, R., and Rosomoff, H. (1988). Long-term claustrophobia following magnetic resonance imaging. Letter to the Editor.Am. J. Psychiat. 145: 1038–1039.
Hess, T. (1988). Practice management.Diagnost. Imag. March: 67–74.
Kean, D. M., and Smith, M. A. (1986).Magnetic Resonance Imaging: Principles and Application, Williams & Wilkins, Baltimore.
Klonoff, E. A., Janata, J. W., and Kaufman, B. (1986). The use of systematic desensitization procedure to overcome resistance to magnetic resonance imaging (MRI) scanning.J. Behav. Ther. Exp. Psychiat. 17: 189–192.
Kulkari, M. V., Kirchner, S. G., Price, R. R., Eisenberg, D., and Heller, R. M. (1985). Magnetic resoance imaging in pediatrics.Pediat. Clin. No. Am. 32: 1509–1512.
Morris, P. G. (1986).Nuclear Magnetic Resonance Imaging in Medicine and Biology, Clarendon Press, Oxford.
Mowrer, O. H. (1947). On the dual nature of learning—a re-interpretation of “conditioning” and “problem-solving”.Harvard Educ. Rev. 17: 102–148.
Mowrer, O. H. (1960).Learning Theory and the Symbolic Processes, Wiley, New York.
Nixon, C., Hirsch, N. P., Ormerod, E. C., and Johnson, G. (1986). Nuclear magnetic resonance: Its implications for the anaesthetist.Anaesthesia 41: 131–137.
Richman, S. (1968).Phobias: Their Nature and Control, Charles C Thomas, Springfield, IL.
Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., and Jacobs, G. A. (1983).Manual for the State-Trait Anxiety Inventory (Form Y), Consulting Psychologists Press, Palo Alto, CA.
Steinberg, E. P. (1986). The status of MRI in 1986: Rates of adoption in the United States and worldwide.Am. J. Roentgen. 147: 453–455.
Taylor, C. B., and Agras, W. S. (1981). Assessment of phobia. In Barlow, D. H. (ed.),Behavioral Assessment of Adult Disorders, Guilford Press, New York, pp. 181–205.
Torgersen, S. (1979). The nature and origin of common phobic fears.Br. J. Psychiat. 134: 343–351.
Wolpe, J., and Lang, P. J. (1977).Manual for the Fear Survey Schedule (rev. ed.), Education and Industrial Testing Service, San Diego, CA.
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Kilborn, L.C., Labbé, E.E. Magnetic resonance imaging scanning procedures: Development of phobic response during scan and at one-month follow-up. J Behav Med 13, 391–401 (1990). https://doi.org/10.1007/BF00844886
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DOI: https://doi.org/10.1007/BF00844886