Table 2.
Summary of items addressed in the custom-made questionnaire for initial assessment
| Item | Range |
|---|---|
| School graduation | German secondary schools (Hauptschule, Realschule, Gesamtschule)/Grammar school/GDR schools (EOS, POS) |
| Leaving school after grade | Free text |
| Last or current profession | If not employed: Pensioner/Unemployed |
| Gross family income per month | €0-500/500-1000/1000-1500/1500-2000/2000-2500/2500-3000/3000-4000/4000-5000/> 5000 |
| Marital status | Single/Living with partner/Married/Divorced/Living apart/Single mother or father/Widowed |
| Number of Children/Number of children under 18 years | Free text |
| Current extent of claustrophobia | Horizontal visual analogue scale of 10 cm (0-100) |
| Claustrophobia during MR imaging in the past | Yes/No/If yes description |
| Claustrophobia preventing prior scheduled MR imaging | Yes/No/If yes description |
| When did claustrophobic anxiety occur for the first time | Free text |
| Ideas or strategies to cope with anxiety before and during MR imaging | Yes/No/If yes description* |
| Belief in successful completion of MR imaging (self-efficacy) | Yes/No/Maybe |
| Fear of diagnostic findings by MR imaging | Yes/No |
| Medication | Yes/No/If yes which drugs and dosage |
| Psychosomatic or psychiatric diseases | Yes/No/If yes which diseases |
| Previous or current psychotherapy | Yes/No/If yes what kind and how long |
*Coping strategies will be categorized according to the Revised Ways of Coping Checklist (RWCCL) [29].
Abbreviations:
EOS = "Erweiterte Oberschule"
GDR = German Democratic Republic
POS = "Polytechnische Oberschule"