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Randomized controlled trial on the effects of mindfulness-based respiratory decompression therapy in claustrophobic patients undergoing MRI inspection.

Yi Zhou, Yanqing Cao, Shan Xu, Sijin Li, Yidan Liang, Wei Zhang, Yunping Xiao

Frontiers in Medicine 2023 DOI: 10.3389/fmed.2023.1253824 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Randomized Peer reviewed
Sample size 86
Population Patients with claustrophobia requiring MRI at a single hospital
Interventions Mindfulness breathing technique routine psychological nursing
Measures Self-Rating Anxiety Scale (SAS), Profile of Mood States Revised (POMS-R)
Topics Meditation
Keywords MRI Claustrophobia Self-rating anxiety scale Stress reduction function
Key findings Adding mindfulness breathing to routine psychological nursing was associated with a higher intervention effectiveness rate (90.90% vs 26.19%), fewer severe autonomic nervous symptoms, and greater reductions in anxiety and mood disturbance scores compared with routine nursing alone. The authors conclude the technique can help claustrophobic patients complete MRI examinations.

Abstract

Claustrophobia is a psychological disease. It is estimated to occur in 2.1-14.3% of all magnetic resonance imaging (MRI) examinations. Mindfulness decompression is an effective means to treat and reduce fear and anxiety. There is a rare report on the application of mindfulness-based stress reduction therapy in the magnetic resonance examinations of patients with claustrophobia to date. The purpose of this study is to explore the intervention effect of mindfulness respiratory decompression therapy on the MRI inspection of patients with claustrophobia. A total of 86 patients with claustrophobia requiring MRI in our hospital from January 2018 to December 2020 were divided into two groups. The control group was given routine psychological nursing, and the observation group was given a mindfulness breathing technique on the basis of the control group. Before and after the intervention, we compared the intervention effect, satisfaction with nurses' psychological intervention technique, severe autonomic nervous symptoms during the examination, self-rating anxiety scale (SAS) scores, and profile of mood states revised (POMS-R) scores. The total effective rate of intervention in the observation group was 90.90%, which was significantly higher (χ2 = 6.857, p = 0.00004) than that in the control group (26.19%). Severe autonomic nervous symptoms in the observation group were significantly lower than those in the control group (p < 0.05). After the intervention, SAS scores and POMS-R scores in the observation group decreased with statistical significance (p < 0.05). Mindfulness respiratory decompression therapy can effectively help claustrophobic patients complete an MRI examination, which may be worthy of wide promotion and application in the clinic.

Comparable studies

Other observational and cohort studies on meditation, most cited first.

Study Year Design Participants
Using Self-Report Assessment Methods to Explore Facets of Mindfulness Undergraduate students 2006 Observational cohort
Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders Patients with generalized anxiety disorder or panic disorder with or without agoraphobia 1992 Observational cohort n = 22
Meditation experience is associated with increased cortical thickness Participants with extensive Insight meditation experience and matched controls 2005 Observational cohort n = 20
Meditation experience is associated with differences in default mode network activity and connectivity Experienced meditators and matched meditation-naive controls 2011 Observational cohort
Long-term meditators self-induce high-amplitude gamma synchrony during mental practice Long-term Buddhist practitioners and controls 2004 Observational cohort

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