Table 2

Summary of items addressed in the custom-made questionnaire for initial assessment



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)


Fear of diagnostic findings by MR imaging



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].


EOS = "Erweiterte Oberschule"

GDR = German Democratic Republic

POS = "Polytechnische Oberschule"

Enders et al. BMC Medical Imaging 2011 11:4   doi:10.1186/1471-2342-11-4

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