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Emotions towards magnetic resonance imaging in people with multiple sclerosis

Engels, K; Schiffmann, I; Weierstall, R; Rahn, AC; Daubmann, A; Pust, G; Chard, D; ... Heesen, C; + view all (2019) Emotions towards magnetic resonance imaging in people with multiple sclerosis. Acta Neurologica Scandinavica , 139 (6) pp. 497-504. 10.1111/ane.13082. Green open access

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Abstract

OBJECTIVES: People with multiple sclerosis (pwMS) often have magnetic resonance imaging (MRI) examinations. While MRI can help guide MS management, it may be a source of anxiety for pwMS. We aimed to develop and validate a questionnaire on the "EMotions and Attitudes towards MRI" (MRI-EMA). MATERIAL & METHODS: The questionnaire was developed, tested in 2 samples of pwMS and validated in a sample of n=457 pwMS using exploratory (EFA) and confirmatory factor analysis (CFA). RESULTS: EFA revealed 4 factors underlying the questionnaire: fear of MRI scan, fear of MRI results, feeling of control over the disease and feeling of competence in the patient-physician encounter. CFA confirmed the model fit. Receiving the MRI results, but not undergoing the procedure was associated with anxiety. Seeing MRI results gave participants a feeling of control over the disease. Only 50% felt competent to discuss MRI findings with their physician. Fear of MRI results was especially high and feeling of competence low in participants with a short disease duration and little MRI experience. CONCLUSION: PwMS don't feel competent when discussing the role, MRI plays in their care. Receiving MRI results caused anxiety and provides some pwMS with a - perhaps false - feeling of control over the disease. The MRI-EMA constitutes a new tool for the assessments of pwMS' feelings towards MRI, that can be applied in future research and clinical settings. This article is protected by copyright.

Type: Article
Title: Emotions towards magnetic resonance imaging in people with multiple sclerosis
Location: Denmark
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/ane.13082
Publisher version: https://doi.org/10.1111/ane.13082
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: anxiety, attitude to health, emotions, magnetic resonance imaging, multiple sclerosis, questionnaire, validation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neuroinflammation
URI: https://discovery.ucl.ac.uk/id/eprint/10071464
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