Children's distress during magnetic resonance imaging procedures.
We investigated the epidemiology of pediatric anxiety and distress associated with magnetic resonance imaging procedures (MRIPs). Scores on the State-Trait Anxiety Inventory (Spielberger, Gorsuch, Lushene, Vagg, & Jacobs, 1983) and the State-Trait Anxiety Inventory for Children (Spielberger, Edwards, Lushene, Montuori, & Platzek, 1973), and subjective ratings of distress associated with MRIP were obtained from 55 pediatric oncology patients and their parents. Approximately 30% of children and their parents reported that MRIP produced significant distress. However, parents' ratings of their child's distress were significantly higher than children's self-ratings, and agreement between child and parent pairs was poor. Insertion of an intravenous line was identified as the most aversive component of MRIP by both parents (55%) and children (38%). The selective application of cognitive-behavioral interventions for noninvasive diagnostic procedures is suggested.
St. Jude Children's Research Hospital, Memphis, TN 38101, USA.
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D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000453:epidemiology*; D002648:Child; D002673:Child, Hospitalized / Q000523:psychology*; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000523:psychology*; D008297:Male; D016522:Oncology Service, Hospital; D010290:Parents / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D011872:Radiology Department, Hospital; D011795:Surveys and Questionnaires; D013714:Tennessee / Q000453:epidemiology