title: Neurolinguistic programming used to reduce the need for anaesthesia in claustrophobic patients undergoing MRI.
abstract: The purpose of this study was to assess the success of neurolinguistic programming in reducing the need for general anaesthesia in claustrophobic patients who require MRI and to consider the financial implications for health providers. This was a prospective study performed in 2006 and 2007 at a teaching hospital in England and comprised 50 adults who had unsuccessful MR examinations because of claustrophobia. The main outcome measures were the ability to tolerate a successful MR examination after neurolinguistic programming, the reduction of median anxiety scores produced by neurolinguistic programming, and models of costs for various imaging pathways. Neurolinguistic programming allowed 38/50 people (76%) to complete the MR examination successfully. Overall, the median anxiety score was significantly reduced following the session of neurolinguistic programming. In conclusion, neurolinguistic programming reduced anxiety and subsequently allowed MRI to be performed without resorting to general anaesthesia in a high proportion of claustrophobic adults. If these results are reproducible, there will be major advantages in terms of patient safety and costs.
authors.affiliation: Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital, Glossop Road, Sheffield S102JR.
authors.forename: J
authors.initials: J
authors.lastname: Bigley
authors.forename: P D
authors.initials: PD
authors.lastname: Griffiths
authors.forename: A
authors.initials: A
authors.lastname: Prydderch
authors.forename: C A J
authors.initials: CA
authors.lastname: Romanowski
authors.forename: L
authors.initials: L
authors.lastname: Miles
authors.forename: H
authors.initials: H
authors.lastname: Lidiard
authors.forename: N
authors.initials: N
authors.lastname: Hoggard
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000768:Anesthesia, General / Q000191:economics / Q000706:statistics & numerical data; D001007:Anxiety / Q000517:prevention & control*; D004739:England; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000191:economics / Q000379:methods / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D020557:Neurolinguistic Programming; D010342:Patient Acceptance of Health Care; D010698:Phobic Disorders / Q000517:prevention & control* / Q000523:psychology; D011446:Prospective Studies; D016896:Treatment Outcome; D055815:Young Adult