Anxiety of Patients Undergoing CT Imaging—An Underestimated Problem?

Heyer, C. M.; Thüring, Johannes; Lemburg, Stefan P.; Kreddig, Nina; Hasenbring, Monika; Dohna, Martha; Nicolas, Volkmar

doi:10.1016/j.acra.2014.07.014

Cited by 27 publications

(33 citation statements)

References 37 publications

(53 reference statements)

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“…However, patients’ perceptions of medical imaging (such as diseases and scanning procedures) vary for dentomaxillofacial imaging, although there are some similarities, such as possible claustrophobic reactions and being worried about radiation exposure. The mean STAI scores of this study’s participants were lower than those reported in previous studies of patients without planned contrast medium applications using CT and MRI [22, 34, 37, 38]. This is because acceptance of those medical imaging methods is more difficult for patients.…”

Section: Discussioncontrasting

confidence: 70%

“…Parallel to some previous studies that investigated patient anxiety before CT [22] and MRI scanning [43], no significant association was found between STAI score and patient age. However, DAS scores decreased with increasing age, which is consistent with earlier studies evaluating dental anxiety in different populations [44, 45].…”

Section: Discussionsupporting

confidence: 51%

“…Comparing the results of the present study to other investigations is not possible because studies assessing patient anxiety before CBCT examination are lacking. Previous studies have evaluated patient anxiety before several radiological modalities such as MRI and CT [14, 19–22, 34–36]. However, patients’ perceptions of medical imaging (such as diseases and scanning procedures) vary for dentomaxillofacial imaging, although there are some similarities, such as possible claustrophobic reactions and being worried about radiation exposure.…”

Section: Discussionmentioning

confidence: 99%

“…The validity and reliability of the STAI is high [18], and it has been frequently used in radiologic studies [12, 13, 19–22]. The STAI-S (STAI Form Y-1) measures state anxiety, and the STAI-T (STAI Form Y-2) measures trait anxiety [23].…”

Section: Methodsmentioning

confidence: 99%

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Effect of patient anxiety on image motion artefacts in CBCT

Keriş

2017

BMC Oral Health

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BackgroundArtefacts in images related to patient movement decrease image quality, potentially necessitating re-scanning, which leads to an extra radiation dose for the patient. Thus, avoiding patient motion reduces patient exposure to radiation. The aim of this study was to analyse image motion artefacts (MAs) and how they are affected by patient anxiety during cone beam computed tomography (CBCT) examination.MethodsA total of 100 patients undergoing CBCT examination were investigated. The State Trait Anxiety Inventory (STAI-S and STAI-T) form was used to measure patient anxiety. Patient’s age, gender, dental anxiety score, diagnostic reason for CBCT examination, field of view (FOV), acquisition time, anatomical area, and presence of motion artefacts on images were recorded. Comparisons of the parameters were evaluated using Pearson’s correlation, the chi-square test, the Mann-Whitney U test, the Kruskal-Wallis test and t-tests. The significance level was set at 0.05.ResultsThe mean values of the scores for the total population were 37.2 for the STAI-S and 41.6 for the STAI-T. Women exhibited higher anxiety levels than men. The patients’ anxiety scores were significantly correlated with dental fear. The prevalence of patients showing motion artefacts was 6%. The mean age of patients with motion artefacts on their images (56.83) was higher than that of patients without (39.14). There was no relationship between motion artefact presence and patient gender, anxiety score, diagnostic reason for CBCT examination, FOV, acquisition time, or anatomical area. Patients showing motion artefacts on their images had higher STAI scores than those with no motion artefacts (non-significant).ConclusionsThe population in this study experienced anxiety before CBCT scanning. Excessive anxiety did not clearly affect whether image motion artefacts were generated during CBCT examination, although a non-significant increase in STAI scores was noticed in patients with motion artefacts on their images.

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Section: Discussioncontrasting

confidence: 70%

Section: Discussionsupporting

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Effect of patient anxiety on image motion artefacts in CBCT

Keriş

2017

BMC Oral Health

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“…The increased anxiety in outpatients was attributed to the perception of the patient that extensive interventional procedures could be carried out in the outpatient setting. Being middle-aged, infertility, suspected malignity as the indication for hysteroscopy, waiting 60 min or more for the procedure, and operative hysteroscopy rather than diagnostic hysteroscopy have been found to cause anxiety in women undergoing OH [15][16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Use of video-based multimedia information to reduce anxiety before office hysteroscopy

Akça¹,

Yılmaz²,

Esmer³

et al. 2020

wiitm

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Introduction: Use of multimedia tools has been shown to improve patient comprehension, reduce pre-procedural anxiety, and increase patient satisfaction in various surgical settings. Aim: To investigate the impact of video-based multimedia information (MMI) on the anxiety levels of patients undergoing office hysteroscopy (OH). Material and methods: All consecutive women aged 18-65 years and scheduled for diagnostic OH were enrolled in this prospective randomized study. Subjects were assigned to receive video-based MMI or conventional written information (controls). The trait and state anxiety were assessed using the State and Trait Anxiety Inventory (STAI) before the MMI or written information. STAI-state (STAI-S) was repeated after application of the MMI or written information. All patients underwent a standardized transvaginal hysteroscopy procedure by the same gynecologist. Following the hysteroscopy, patient satisfaction and procedural pain were ranked using a Likert scale and visual analogue scale. Results: Fifty-two patients were randomized to receive a video-based MMI, and 52 patients were randomized to receive written information. Post-information STAI-S score was significantly lower in the MMI group than that of the written information group (45.0 ±8.0 vs. 49.4 ±8.4, p < 0.001, 95% CI for the difference: 1.36-7.79). Moreover, the satisfaction rate of the video group was significantly higher than the satisfaction rate of the controls (92.3% vs. 63.5%, p < 0.001). VAS score of procedural pain was similar for the two groups. Conclusions: A video-based MMI before OH might be preferred to conventional information methods in order to reduce the pre-procedural anxiety and to increase patients' satisfaction.

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Survey of maternal anxiety and perceptions towards foetal MRI and pre‐scan education

Plunkett,

Dobeli,

Prior

et al. 2023

J of Medical Radiation Sci

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IntroductionFoetal MRI scans can induce feelings of fear, concern and anxiety in pregnant patients. The aim of this research was to determine if providing patients with an information leaflet reduced maternal anxiety regarding foetal MRI.MethodsA prospective, three‐arm comparative pilot study was performed in the MRI department of a quaternary public hospital in Brisbane, Australia. Three groups of 30 participants (total 90 participants) received differing levels of information about foetal MRI: Group A – no foetal‐MRI specific information (current practice at the site); Group B – a basic information leaflet; Group C – a comprehensive information leaflet. All participants completed a survey that explored their pre‐scan anxiety immediately after their MRI scan.ResultsOver 50% of participants in each group felt anxious before the MRI. Participants expressed anxiety towards the general process of the MRI, the outcome or results of the scan, and the safety of the modality. The basic and comprehensive leaflets were both efficacious in reducing anxiety for the majority of participants.ConclusionsWhilst not all patients express anxiety regarding MRI scans, emotional distress surrounding the entire process is prevalent. Providing patients with comprehensive information about what the MRI scan entails (including the scan environment and duration, positioning, breath‐holding requirements, and foetal safety) reduces anxiety for most patients. These findings can be used to determine ways in which reduction of anxiety improves the patient experience.

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Anxiety of Patients Undergoing CT Imaging—An Underestimated Problem?

Cited by 27 publications

References 37 publications

Effect of patient anxiety on image motion artefacts in CBCT

Effect of patient anxiety on image motion artefacts in CBCT

Use of video-based multimedia information to reduce anxiety before office hysteroscopy

Survey of maternal anxiety and perceptions towards foetal MRI and pre‐scan education

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