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 |