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Impact of psychological interventions on reducing anxiety, fear and the need for sedation in children undergoing magnetic resonance imaging

Maria Pia Viggiano, Fiorenza Giganti, Arianna Rossi, Daniele Di Feo, Laura Vagnoli, Giovanna Calcagno, Claudio Defilippi
  • Maria Pia Viggiano
    Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence; Pediatric Psychology Service, Children’s Hospital A. Meyer, Florence, Italy | mpviggiano@psico.unifi.it
  • Fiorenza Giganti
    Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Italy
  • Arianna Rossi
    Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Italy
  • Daniele Di Feo
    Radiology Department, Children’s Hospital A. Meyer, Florence, Italy
  • Laura Vagnoli
    Pediatric Psychology Service, Children’s Hospital A. Meyer, Florence, Italy
  • Giovanna Calcagno
    Radiology Department, Children’s Hospital A. Meyer, Florence, Italy
  • Claudio Defilippi
    Radiology Department, Children’s Hospital A. Meyer, Florence, Italy

Abstract

Children undergoing magnetic resonance imaging examination frequently experience anxiety and fear before and during the scanning. The aim of the present study was to assess: i) whether and to what extent psychological interventions might reduce anxiety and fear levels; ii) whether the intervention is related to a decrease in the need for sedation. The interventions consisted of three activities: a clown show, dog interaction and live music. The emotional status (anxiety and fear) of the children was evaluated before and after the activities through a rating scale questionnaire. The results showed that the activities had high effectiveness in reducing the level of anxiety and fear and decreased the need for sedation in the experimental group compared to the control group. This approach proved to be a positive patient experience, helping to alleviate children’s anxiety and fear, decreasing the need for sedation, and was cost-effective.

Keywords

magnetic resonance imaging, sedation, psychological interventions, anxiety, fear

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Submitted: 2014-10-16 11:34:29
Published: 2015-03-27 10:47:16
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