Coping with Imaging Test Anxiety: A Guide for Young Women Recovering from Cancer

“Imaging tests are like revolving doors, emotional roulette wheels that spin us around for a few days and then come out the other side.” – Bruce Pieler (2011)

If you are a young woman recovering from cancer, you are likely familiar with the stress and anxiety associated with imaging tests. Whether it is an MRI, CT, PET or ultrasound, these tests carry a special meaning for those who have faced or are facing cancer. The emotional tension surrounding these tests and their results has been dubbed “Scanxiety.”

What is "imaging test anxiety"?

Imaging anxiety is defined as “fear and worry experienced by cancer patients and survivors related to imaging tests, both before and after the test (before the results are revealed).” It typically focuses on three stages:

1. Waiting for the test date

2. Anxieties about the test itself

3. Concerns about the results and their meaning

The key word is often "waiting" – waiting for an appointment for testing, waiting to be called for testing, and waiting for the results.

Why are we so bothered by imaging tests?

Part of the worry comes from what the results might reveal and the uncertainty of what will follow. It's a feeling of lack of control over our fate.

Women who completed treatment months or years ago find that their old anxieties and fears return. Ironically, once the results are known, these feelings usually subside to a manageable level—unless there is suspicion or a significant change, anxiety levels may continue until there is a treatment plan or definitive answers.

How can you deal with anxiety about imaging tests?

1. Recognize that feeling anxious before a test is normal, it is a natural reaction to a stressful situation.

2. Prepare in advance: As soon as you know when the test is, check your diary, mark it on your calendar, and carefully review all the instructions that accompany the test.

3. Inform the medical team: If you are worried about the test itself, for example, about being in confined spaces, tell the team. They will work with you to alleviate your concerns and explain the process. You can ask them to play music that you like to help you relax.

5. Find ways to pass the time while waiting: Bring magazines, crossword puzzles, or anything else that can distract you in the waiting room.

6. Bring someone with you: Having a supportive person present can ease the tension.

7. Find out when you will receive the results: Know when the results will be available and how they will be delivered to you.

8. Plan something for after the exam: Think about a relaxing activity, even something as simple as a cup of coffee to unwind.

9. Distract yourself: During the days and weeks of waiting for the results, try to distract yourself as much as possible. The test has already been done, and thinking too much about the result will not change it.

10. Practice relaxation techniques and "managing" fear: If you have learned relaxation or coping strategies, now is the time to use them—yoga, breathing exercises, or any other method that helps you relax.

Remember, you are not alone in dealing with anxiety about having an imaging test. Many women who have been through or are going through a similar journey to yours experience similar feelings. Don't hesitate to share your feelings with your healthcare team, family, and friends. Often, just talking about your anxieties can help ease them.

Coping with your anxiety about having an MRI is part of your journey to recovery. Over time, you may find the strategies that work best for you. Always remember – you are strong, you are brave, and you are not alone in this journey.

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Collected the information and made it accessible, Dikla Shir Priant

Sources:

1. "Tips for managing 'scanxiety'," document dated February 6, 2024. 2. Feiler, B. (2011). "Scanxiety." TIME Magazine