{"id":"https://openalex.org/W7225636641","doi":"https://doi.org/10.3389/fpsyt.2026.1987848","title":"Claustrophobia during diagnostic imaging examinations, doctor\u2013patient communication quality, and doctor\u2013patient trust: a cross-sectional mediation and latent profile analysis","display_name":"Claustrophobia during diagnostic imaging examinations, doctor\u2013patient communication quality, and doctor\u2013patient trust: a cross-sectional mediation and latent profile analysis","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225636641","doi":"https://doi.org/10.3389/fpsyt.2026.1987848"},"language":"en","primary_location":{"id":"doi:10.3389/fpsyt.2026.1987848","doi":"https://doi.org/10.3389/fpsyt.2026.1987848","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyt.2026.1987848","pdf_url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1987848/pdf","source":{"id":"https://openalex.org/S92766711","display_name":"Frontiers in Psychiatry","issn_l":"1664-0640","issn":["1664-0640"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1987848/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5136021992","display_name":"Qianqian Liu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108565","display_name":"Affiliated Hospital of North Sichuan Medical College","ror":"https://ror.org/01673gn35","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210108565"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Qianqian Liu","raw_affiliation_strings":["Department of Radiology, Affiliated Hospital of North Sichuan Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Affiliated Hospital of North Sichuan Medical College","institution_ids":["https://openalex.org/I4210108565"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161323258","display_name":"Liwen Zhou","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Liwen Zhou","raw_affiliation_strings":["Department of Radiology, Sichuan Science City Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Sichuan Science City Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136022029","display_name":"Xin He","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108565","display_name":"Affiliated Hospital of North Sichuan Medical College","ror":"https://ror.org/01673gn35","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210108565"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xin He","raw_affiliation_strings":["Department of Radiology, Affiliated Hospital of North Sichuan Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Affiliated Hospital of North Sichuan Medical College","institution_ids":["https://openalex.org/I4210108565"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161356764","display_name":"Aixi He","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108565","display_name":"Affiliated Hospital of North Sichuan Medical College","ror":"https://ror.org/01673gn35","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210108565"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Aixi He","raw_affiliation_strings":["Department of Radiology, Affiliated Hospital of North Sichuan Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Affiliated Hospital of North Sichuan Medical College","institution_ids":["https://openalex.org/I4210108565"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134146546","display_name":"Yawen Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108565","display_name":"Affiliated Hospital of North Sichuan Medical College","ror":"https://ror.org/01673gn35","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210108565"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yawen Zhang","raw_affiliation_strings":["Department of Radiology, Affiliated Hospital of North Sichuan Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Affiliated Hospital of North Sichuan Medical College","institution_ids":["https://openalex.org/I4210108565"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085323320","display_name":"Ke Pan","orcid":"https://orcid.org/0009-0001-4288-417X","observed_orcids":["https://orcid.org/0009-0001-4288-417X"]},"institutions":[{"id":"https://openalex.org/I4210108565","display_name":"Affiliated Hospital of North Sichuan Medical College","ror":"https://ror.org/01673gn35","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210108565"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Ke Pan","raw_affiliation_strings":["Department of Radiology, Affiliated Hospital of North Sichuan Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Affiliated Hospital of North Sichuan Medical College","institution_ids":["https://openalex.org/I4210108565"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5082219624","display_name":"Lixing Lei","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108565","display_name":"Affiliated Hospital of North Sichuan Medical College","ror":"https://ror.org/01673gn35","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210108565"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Lixing Lei","raw_affiliation_strings":["Department of Radiology, Affiliated Hospital of North Sichuan Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Affiliated Hospital of North Sichuan Medical College","institution_ids":["https://openalex.org/I4210108565"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5082219624"],"corresponding_institution_ids":["https://openalex.org/I4210108565"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.8529999852180481,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.8529999852180481,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11894","display_name":"Radiology practices and education","score":0.09989999979734421,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.003599999938160181,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/claustrophobia","display_name":"claustrophobia","score":0.9990000128746033},{"id":"https://openalex.org/keywords/doctor-patient-communication","display_name":"physician-patient communication","score":0.8309999704360962},{"id":"https://openalex.org/keywords/physician-patient-trust","display_name":"physician-patient trust","score":0.9599999785423279},{"id":"https://openalex.org/keywords/diagnostic-imaging","display_name":"diagnostic imaging","score":0.765999972820282},{"id":"https://openalex.org/keywords/magnetic-resonance-imaging","display_name":"magnetic resonance imaging","score":0.9049999713897705},{"id":"https://openalex.org/keywords/computed-tomography","display_name":"computed tomography","score":1.0},{"id":"https://openalex.org/keywords/mediation","display_name":"mediation","score":0.41100001335144043},{"id":"https://openalex.org/keywords/latent-profiles","display_name":"latent profiles","score":0.8550000190734863},{"id":"https://openalex.org/keywords/patient-centered-communication","display_name":"patient-centered communication","score":0.7680000066757202},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.39100000262260437}],"concepts":[{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.652999997138977},{"id":"https://openalex.org/C179420905","wikidata":"https://www.wikidata.org/wiki/Q223871","display_name":"Mediation","level":2,"score":0.6305999755859375},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.49630001187324524},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.46480000019073486},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.44589999318122864},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4253000020980835},{"id":"https://openalex.org/C31601959","wikidata":"https://www.wikidata.org/wiki/Q931309","display_name":"Medical imaging","level":2,"score":0.4163999855518341},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.3887999951839447},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.34060001373291016},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.33340001106262207},{"id":"https://openalex.org/C3020132585","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic accuracy","level":2,"score":0.31220000982284546},{"id":"https://openalex.org/C71104824","wikidata":"https://www.wikidata.org/wiki/Q1476639","display_name":"Structural equation modeling","level":2,"score":0.295199990272522},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.2825999855995178},{"id":"https://openalex.org/C40722632","wikidata":"https://www.wikidata.org/wiki/Q5160137","display_name":"Confirmatory factor analysis","level":3,"score":0.27390000224113464},{"id":"https://openalex.org/C70727504","wikidata":"https://www.wikidata.org/wiki/Q1806878","display_name":"Latent class model","level":2,"score":0.27239999175071716},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.2542000114917755}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3389/fpsyt.2026.1987848","doi":"https://doi.org/10.3389/fpsyt.2026.1987848","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyt.2026.1987848","pdf_url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1987848/pdf","source":{"id":"https://openalex.org/S92766711","display_name":"Frontiers in Psychiatry","issn_l":"1664-0640","issn":["1664-0640"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychiatry","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3389/fpsyt.2026.1987848","doi":"https://doi.org/10.3389/fpsyt.2026.1987848","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyt.2026.1987848","pdf_url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1987848/pdf","source":{"id":"https://openalex.org/S92766711","display_name":"Frontiers in Psychiatry","issn_l":"1664-0640","issn":["1664-0640"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychiatry","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9922999739646912,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225636641.pdf","grobid_xml":"https://content.openalex.org/works/W7225636641.grobid-xml"},"referenced_works_count":47,"referenced_works":["https://openalex.org/W1569593771","https://openalex.org/W1969348782","https://openalex.org/W1985571444","https://openalex.org/W2015966934","https://openalex.org/W2025538729","https://openalex.org/W2029774343","https://openalex.org/W2033643157","https://openalex.org/W2055187573","https://openalex.org/W2058607616","https://openalex.org/W2080725209","https://openalex.org/W2090469276","https://openalex.org/W2094939561","https://openalex.org/W2132010412","https://openalex.org/W2165299138","https://openalex.org/W2174320427","https://openalex.org/W2790189776","https://openalex.org/W2899579264","https://openalex.org/W2899687667","https://openalex.org/W2903698441","https://openalex.org/W3135115453","https://openalex.org/W3153105663","https://openalex.org/W3155814502","https://openalex.org/W3157163108","https://openalex.org/W3183286355","https://openalex.org/W4281640569","https://openalex.org/W4360955492","https://openalex.org/W4366082964","https://openalex.org/W4381664755","https://openalex.org/W4386222752","https://openalex.org/W4387113199","https://openalex.org/W4387375956","https://openalex.org/W4387842876","https://openalex.org/W4389429293","https://openalex.org/W4401406502","https://openalex.org/W4406750927","https://openalex.org/W4407986822","https://openalex.org/W4409703655","https://openalex.org/W4410817540","https://openalex.org/W4413227696","https://openalex.org/W4414103820","https://openalex.org/W4414435607","https://openalex.org/W4414536623","https://openalex.org/W4415958805","https://openalex.org/W4416275521","https://openalex.org/W7127596350","https://openalex.org/W7130589576","https://openalex.org/W7166640466"],"related_works":["https://openalex.org/W3204436789","https://openalex.org/W3157475343","https://openalex.org/W4387842876","https://openalex.org/W7164760162","https://openalex.org/W2368946998","https://openalex.org/W2811001103","https://openalex.org/W2950536534","https://openalex.org/W2637547674","https://openalex.org/W7162310143","https://openalex.org/W3204983610"],"abstract_inverted_index":{"Objective":[0],"This":[1],"study":[2],"aimed":[3],"to":[4,30,129,227],"examine":[5],"the":[6,15,23,132,188,198,210,239],"mediating":[7],"role":[8],"of":[9,25,35,131,161,216,231],"patient-perceived":[10],"doctor\u2013patient":[11,20,77,81,98,102,174,183],"communication":[12,78,99,115,175,225],"quality":[13,100,116],"in":[14,22,67,173,182,187,197],"association":[16],"between":[17],"claustrophobia":[18],"and":[19,29,58,80,86,93,101,153,213,218,223,235,243],"trust":[21,194],"context":[24],"diagnostic":[26,51],"imaging":[27,52,56,240],"examinations,":[28],"further":[31],"identify":[32],"latent":[33],"profiles":[34,168],"patients\u2019":[36,229],"claustrophobic":[37],"experiences":[38],"from":[39],"a":[40,72,107,135,154,178],"person-centered":[41],"perspective.":[42],"Methods":[43],"A":[44],"cross-sectional":[45,110],"design":[46],"was":[47,91],"adopted.":[48],"Patients":[49],"undergoing":[50],"examinations":[53],"(magnetic":[54],"resonance":[55],"[MRI]":[57],"computed":[59],"tomography":[60],"[CT])":[61],"at":[62],"two":[63,149,167],"tertiary":[64],"Grade-A":[65],"hospitals":[66],"Sichuan":[68],"Province,":[69],"China,":[70],"completed":[71],"self-report":[73],"questionnaire":[74],"assessing":[75],"claustrophobia,":[76,217],"quality,":[79,176],"trust,":[82,184,236],"together":[83],"with":[84,96,185],"demographic":[85],"examination-related":[87],"characteristics.":[88],"Results":[89],"Claustrophobia":[90],"significantly":[92,172,192],"negatively":[94],"correlated":[95],"both":[97,164],"trust.":[103],"Bootstrap":[104],"analysis":[105,147],"indicated":[106],"statistically":[108],"significant":[109,179],"indirect":[111,126],"effect":[112,118,127],"via":[113],"doctor-patient":[114],"(unstandardized":[117],"=":[119],"-0.095,":[120],"95%":[121],"CI":[122],"[-0.170,":[123],"-0.028]);":[124],"this":[125],"corresponded":[128],"29.91%":[130],"total":[133],"effect,":[134],"descriptive":[136],"proportion":[137],"that":[138,205],"does":[139],"not":[140,170],"itself":[141],"imply":[142],"causal":[143],"mediation.":[144],"Latent":[145],"profile":[146,152,190],"identified":[148],"subgroups\u2014a":[150],"low-claustrophobia":[151,199],"high-claustrophobia":[155,189],"profile\u2014with":[156],"average":[157],"posterior":[158],"classification":[159],"probabilities":[160],"0.99":[162],"for":[163],"profiles.":[165],"The":[166],"did":[169],"differ":[171],"whereas":[177],"difference":[180],"emerged":[181],"patients":[186],"reporting":[191],"lower":[193],"than":[195],"those":[196],"profile.":[200],"Conclusions":[201],"These":[202],"findings":[203],"suggest":[204],"radiology":[206],"departments":[207],"should":[208,219],"prioritize":[209],"early":[211],"screening":[212],"stratified":[214],"management":[215],"employ":[220],"clear,":[221],"supportive,":[222],"patient-centered":[224],"strategies":[226],"enhance":[228],"sense":[230],"safety,":[232],"perceived":[233],"control,":[234],"thereby":[237],"improving":[238],"examination":[241,246],"experience":[242],"facilitating":[244],"successful":[245],"completion.":[247]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}