Identifying critical moments of patient anxiety throughout the MRI care pathway: From prescription to results

Objectives

To investigate peak anxiety timing during MRI patient management, identify factors associated with heightened anxiety levels, and evaluate their impact on examination processes, whilst developing targeted recommendations for improved anxiety management protocols.

Methods

We prospectively included 856 adult outpatients scheduled for MRI examination. Peak anxiety was measured using the Anxiety Thermometer. We related it to personal and situational factors of the MRI examinations. Statistical analyses were conducted in three stages: (1) distribution of maximum anxiety scores according to different key moments in patient management; (2) links between personal and situational factors and high anxiety in patients; (3) influence of high anxiety in patients on their management. To conduct these analyses, we used chi-square tests, pairwise comparisons and linear and logistic regressions.

Results

Approximately 28% of outpatients exhibited state anxiety. Women, patients receiving intravenous contrast injection and those undergoing head and neck MRI were particularly at risk of developing anxiety beyond the pathological threshold. The MRI examination itself, waiting for the results, and preparation’s phase are the moments most associated with anxiety peaks.

Conclusions

Undergoing an MRI, from prescription to results, is highly anxiety-inducing for many patients, with moments of high uncertainty presenting the greatest risk for peak anxiety. Identifying these moments and associated risk factors can guide the development of targeted strategies to reduce anxiety, improve patient experience, and optimize care.