Long-Term Psychosocial Consequences of Whole-Body Magnetic Resonance Imaging and Reporting of Incidental Findings in a Population-Based Cohort Study.

Korbmacher-Böttcher, Dorina; Bamberg, Fabian; Peters, Annette; Linkohr, Birgit; Ladwig, Karl-Heinz; Schwettmann, Lars; Weckbach, Sabine; Schlett, Christopher L; Rospleszcz, Susanne

doi:10.3390/diagnostics12102356

2022

Zurück
Zurück zum Anfang der Trefferliste
Dauerhafter Link zum angezeigten Objekt

Titel:: Long-Term Psychosocial Consequences of Whole-Body Magnetic Resonance Imaging and Reporting of Incidental Findings in a Population-Based Cohort Study.
Dokumenttyp:: Journal Article
Autor(en):: Korbmacher-Böttcher, Dorina; Bamberg, Fabian; Peters, Annette; Linkohr, Birgit; Ladwig, Karl-Heinz; Schwettmann, Lars; Weckbach, Sabine; Schlett, Christopher L; Rospleszcz, Susanne
Abstract:: Management of radiological incidental findings (IF) is of rising importance; however, psychosocial implications of IF reporting remain unclear. We compared long-term psychosocial effects between individuals who underwent whole-body magnetic resonance imaging (MRI) with and without reported IF, and individuals who did not undergo imaging. We used a longitudinal population-based cohort from Western Europe. Longitudinal analysis included three examinations (exam 1, 6 years prior to MRI; exam 2, MRI; exam 3, 4 years after MRI). Psychosocial outcomes included PHQ-9 (Patient Health Questionnaire), DEEX (Depression and Exhaustion Scale), PSS-10 (Perceived Stress Scale) and a Somatization Scale. Univariate analyses and adjusted linear mixed models were calculated. Among 855 included individuals, 25% (n = 212) underwent MRI and 6% (n = 50) had at least one reported IF. Compared to MRI participants, non-participants had a higher psychosocial burden indicated by PHQ-9 in exam 1 (3.3 ± 3.3 vs. 2.5 ± 2.3) and DEEX (8.6 ± 4.7 vs. 7.7 ± 4.4), Somatization Scale (5.9 ± 4.3 vs. 4.8 ± 3.8) and PSS-10 (14.7 ± 5.7 vs. 13.7 ± 5.3, all p < 0.05) in exam 3. MRI participation without IF reporting was significantly associated with lower values of DEEX, PHQ-9 and Somatization Scale. There were no significant differences at the three timepoints between MRI participants with and without IF. In conclusion, individuals who voluntarily participated in whole-body MRI had less psychosocial burden and imaging and IF reporting were not associated with adverse long-term psychosocial consequences. However, due to the study design we cannot conclude that the MRI exam itself represented a beneficial intervention causing improvement in mental health scores.
Zeitschriftentitel:: Diagnostics (Basel)
Jahr:: 2022
Band / Volume:: 12
Heft / Issue:: 10
Volltext / DOI:: doi:10.3390/diagnostics12102356
PubMed:: http://view.ncbi.nlm.nih.gov/pubmed/36292045
TUM Einrichtung:: Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie
BibTeX

Vorkommen:

mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie (Prof. Henningsen)2022