Prevalence and severity of claustrophobia in patients undergoing magnetic resonance imaging in Albania

By Sulejman HAXHI, Admir JANCE, Fluturim NELA, Erla MULLALLI

Abstract
Background: Claustrophobia during magnetic resonance imaging (MRI) represents a relevant psychological and clinical challenge, as it may compromise patient comfort, image quality, and even lead to incomplete examinations. Despite its clinical importance, data regarding MRI-related claustrophobia in Albania are limited.
Objective: To assess the prevalence and severity of claustrophobic symptoms among patients undergoing MRI examinations in Albania and to evaluate their impact on examination completion.
Methods: This was a cross-sectional observational study conducted between September and October 2025 in a private diagnostic imaging center in Tirana, Albania. A total of 75 consecutive patients were included. Data were collected using a structured questionnaire addressing demographic characteristics, previous MRI experience, self-reported claustrophobia, anxiety during the examination, and post-examination difficulty on a numeric scale from 1 to 10. Descriptive statistical analysis was performed using Microsoft Excel. Patients under the age of 15 were excluded. The equipment used was a closed MRI, Siemens Magnetom Essenza 1.5T.
Results: Of the 75 patients, 40 (53.3%) were female and 35 (46.7%) male. Claustrophobic fear or significant anxiety during MRI was reported by 30 patients (40.0%). Moderate to very severe discomfort (difficulty score ≥5) was present in 33 patients (44.0%). Although a considerable proportion experienced anxiety, only 2 patients (2.6%) were unable to complete the examination. Most scans were completed with simple verbal reassurance, while 3 (4.0%) required sedation. Conclusion: Claustrophobic symptoms during MRI examinations are common in the Albanian clinical setting, with almost half of patients experiencing moderate to severe discomfort. Nevertheless, the majority of scans can be successfully completed with appropriate support. These findings highlight the importance of patient education, communication, and supportive strategies to minimize anxiety and optimize MRI examination outcomes.