Evidence map›Paper›PMID 30845163›Full record

ArticlePloS one2019

A comparison study of anxiety in children undergoing brain MRI vs adults undergoing brain MRI vs children undergoing an electroencephalogram.

Charlotte Jaite, Viola Kappel, Adriane Napp, Marcus Sommer, Gerd Diederichs, Bernhard Weschke, Birgit Spors, Arpad von Moers, Ulrike Lehmkuhl, Christian J Bachmann

Open access · goldAbstract readComparative Study
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Charlotte JaiteDepartment of Child and Adolescent Psychiatry, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0003-3086-3897
Viola KappelDepartment of Child and Adolescent Psychiatry, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Adriane NappDepartment of Radiology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Marcus SommerDepartment of Child and Adolescent Psychiatry, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Gerd DiederichsDepartment of Radiology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Bernhard WeschkeDepartment of Pediatric Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0003-4533-0743
Birgit SporsDepartment of Radiology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Arpad von MoersDepartment of Pediatrics, DRK Kliniken Berlin Westend, Berlin, Germany.
Ulrike LehmkuhlDepartment of Child and Adolescent Psychiatry, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Christian J BachmannDepartment of Child and Adolescent Psychiatry, LVR-Klinikum Düsseldorf/ Kliniken der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany.
Charité - Universitätsmedizin Berlin · DEDRK Kliniken Berlin · DEHeinrich Heine University Düsseldorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMagnetic resonance imaging (MRI) of the brain in children and adolescents is a well-established method in both clinical practice and in neuroscientific research. This practice is sometimes viewed critically, as MRI scans might expose minors (e.g. through scan-associated fears) to more than the legally permissible "minimal burden". While there is evidence that a significant portion of adults undergoing brain MRI scans experience anxiety, data on anxiety in children and adolescents undergoing brain MRI scans is rare. This study therefore aimed to examine the prevalence and level of anxiety in children and adolescents who had MRI scans of the brain, and to compare the results to adults undergoing brain MRI scans, and to children and adolescents undergoing electroencephalography (EEG; which is usually regarded a "minimal burden").

methodParticipants were 57 children and adolescents who had a brain MRI scan (MRI-C; mean age 12.9 years), 28 adults who had a brain MRI scan (MRI-A; mean age 43.7 years), and 66 children and adolescents undergoing EEG (EEG-C; mean age 12.9 years). Anxiety was assessed on the subjective (situational anxiety) and on the physiological level (arousal), before and after the respective examination.

resultsMore than 98% of children and adolescents reported no or only minimal fear during the MRI scan. Both pre- and post-examination, the MRI-C and the MRI-A groups did not differ significantly with respect to situational anxiety (p = 0.262 and p = 0.374, respectively), and to physiological arousal (p = 0.050, p = 0.472). Between the MRI-C and the EEG-C group, there were also no significant differences in terms of situational anxiety (p = 0.525, p = 0.875), or physiological arousal (p = 0.535, p = 0.189). Prior MRI experience did not significantly influence subjective or physiological anxiety parameters.

conclusionsIn this study, children and adolescents undergoing a brain MRI scan did not experience significantly more anxiety than those undergoing an EEG, or adults undergoing MRI scanning. Therefore, a general exclusion of minors from MRI research studies does not appear reasonable.

Indexed as

AdolescentAdultAge FactorsAnxietyArousalBrainChildElectroencephalographyFearFemaleHumansMagnetic Resonance ImagingMale

Identifiers

PMID30845163
PMCPMC6405132
OpenAlexW2921896779

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.