A cognitive behavioural approach to preventing anxiety during magnetic resonance imaging.

This study evaluated a relaxation intervention designed to prevent anxiety during magnetic resonance imaging (MRI), and assessed the development of fears in patients who felt anxious during the procedure. Patients were assigned to a control condition (no intervention; n = 52), relaxation before the scan (n = 44), or relaxation before and during the scan (n = 43). Compared to the control group, patients who practised relaxation showed reduced anxiety during the scan. Seven months or more after undergoing MRI, there was a positive correlation between anxiety experienced during the scan and the development of MRI-related fears. The intervention did not prevent the development of MRI-related fears at follow-up.

[1]  D. Kean,et al.  Magnetic Resonance Imaging: Principles and Applications , 1986 .

[2]  T. Mancini,et al.  The influence of life stress, personality, and learning history on illness behavior. , 1994, Journal of behavior therapy and experimental psychiatry.

[3]  T. Borkovec,et al.  Critical procedural variables related to the physiological effects of progressive relaxation: a review. , 1979, Behaviour research and therapy.

[4]  S. Rachman.  The conditioning theory of fearacquisition: A critical examination , 1977 .

[5]  M. Quirk,et al.  Anxiety in patients undergoing MR imaging. , 1989, Radiology.

[6]  J. Meléndez,et al.  Anxiety-related reactions associated with magnetic resonance imaging examinations. , 1993, JAMA.

[7]  E. Klonoff,et al.  The use of systematic desensitization to overcome resistance to magnetic resonance imaging (MRI) scanning. , 1986, Journal of behavior therapy and experimental psychiatry.

[8]  M. Quirk,et al.  Evaluation of three psychologic interventions to reduce anxiety during MR imaging. , 1989, Radiology.

[9]  David H. Barlow,et al.  Anxiety and its disorders : the nature and treatment of anxiety and panic , 1988 .

[10]  M. Thompson,et al.  The effects of guided imagery on anxiety levels and movement of clients undergoing magnetic resonance imaging. , 1994, Holistic nursing practice.

[11]  R. C. Katz,et al.  Anxiety and its determinants in patients undergoing magnetic resonance imaging. , 1994, Journal of behavior therapy and experimental psychiatry.

[12]  W. Kubal,et al.  Magnetic resonance imaging: improved patient tolerance utilizing medical hypnosis. , 1990, The American journal of clinical hypnosis.

[13]  P. Lang,et al.  A FEAR SURVEY SCHEDULE FOR USE IN BEHAVIOUR THERAPY. , 1964, Behaviour research and therapy.

[14]  M Goldberg,et al.  Long-term claustrophobia following magnetic resonance imaging. , 1988, The American journal of psychiatry.