Nozzolillo R, Ercolani P, Giovagnoni A, De Nigris E, Barbini N, Mariani L, Nardi B, Cotani P, Marchesi G F
Istituto di Semeiologia, Università, Ancona.
Radiol Med. 1991 May;81(5):601-4.
MR imaging, like other imaging techniques, can cause emotional and psychological reactions in the patients. Although reversible, these reactions sometimes lead the patient to absolutely refuse the examination or to make it impossible to carry it through. To investigate the patients' emotional distress, a study group of 28 subjects was examined. They were heterogeneous in sex, age, and pathologic condition. The main psychological reactions were analyzed, and anxiety--both of state and of trait. The anxiety parameter was evaluated as a specific index in the psycho-behavioral modifications induced by MR examination. The influence was also considered of the "fantasies" related to examination results on the patients' psyche. Talks and STAI X1 and STAI X2 were employed to this purpose, to identify possible disturbing elements related to both patients' character and examination situations. Our results point to anxiety as the major reaction observed in the subjects undergoing MR examination; it seems to be related to different parameters, which are difficult to identify. Claustrophobia, pathofobia, and the fear of an unknown examination play a major role. Talking to the patients and informing them of the characteristics of the examination proved useful to significantly reduce their emotional distress.
磁共振成像(MR成像)与其他成像技术一样,会在患者身上引发情绪和心理反应。尽管这些反应是可逆的,但有时会导致患者坚决拒绝检查,或者使检查无法进行下去。为了调查患者的情绪困扰,对一个由28名受试者组成的研究小组进行了检查。他们在性别、年龄和病理状况方面各不相同。分析了主要的心理反应,以及状态焦虑和特质焦虑。将焦虑参数评估为磁共振检查引起的心理行为改变中的一个特定指标。还考虑了与检查结果相关的“幻想”对患者心理的影响。为此采用了谈话以及状态焦虑量表(STAI X1)和特质焦虑量表(STAI X2),以识别与患者性格和检查情况相关的可能干扰因素。我们的结果表明,焦虑是接受磁共振检查的受试者中观察到的主要反应;它似乎与不同的参数有关,而这些参数难以确定。幽闭恐惧症、疾病恐惧症以及对未知检查的恐惧起主要作用。与患者交谈并告知他们检查的特点,被证明有助于显著减轻他们的情绪困扰。