Longer term effects of distress in MRI and a void in post-procedure care

Background: Despite significant improvements in MRI, many individuals experience distress.1,2 The MRI experience can result in delayed sequelae that may induce long-term claustrophobia.3,4 Prior research examining this phenomenon has predominantly been underpinned by positivistic scientific methodologies.4–8 A deep and holistic qualitative understanding of the lived experience of distress in MRI is currently lacking, particularly in the Australian context.1,8,9 Aim: To investigate the lived experience of adults who have experienced distress during a clinical MRI examination and give a voice to their perspectives.

Methods: Hermeneutic phenomenology is the philosophical frame- work and qualitative research methodology informing the study design.10–12 Participants were recruited from regional New South Wales who had experienced distress during MRI scan within the past six months. Data collection was obtained through semi-struc- tured interviews conducted via Zoom videoconference. Charles Sturt University HREC approved, No. H19498.

Results: Eight participants were interviewed, providing a deep and rich insight into their lived experience of distress. Several themes of meaning emerged during data analysis to include isolation, proprio- ception and spatiality, distress as an existential threat, self-soothing strategies, dehumanisation and reduced agency. This oral presentation will specifically explore the interwoven themes of ‘a void in post-procedure care’ and ‘longer term effects’ after experiencing distress in MRI.

Conclusions: Participants regularly described a void in their post-procedure care where their emotional and psychological needs were not met. Several participants experienced longer term effects including claustrophobic like tendencies and avoidance of confined spaces.