Imaging-Guided Core-Needle Breast Biopsy: Impact of Meditation and Music Interventions on Patient Anxiety,Pain, and Fatigue |
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| Affiliation: | 1. Department of Radiology, Duke University Medical Center, Durham, North Carolina;2. Greensboro Radiology, Greensboro, North Carolina;3. Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina;4. University of North Carolina School of Medicine, Chapel Hill, North Carolina;5. Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina;6. Department of Surgery, Duke University Medical Center, Durham, North Carolina;1. Duke University School of Medicine, Durham, NC, USA;2. Department of Radiation Oncology, Duke Cancer Institute, USA;3. Department of Biostatistics, Duke Cancer Institute, USA;4. Department of Surgery, Duke University Medical Center, USA;5. Department of Radiation Oncology, Case Western Reserve University, Cleveland, OH, USA;6. Department of Radiation Oncology, Winship Cancer Institute of Emory University, Atlanta, GA, USA;1. Department of Radiology, Johns Hopkins University, Baltimore, MD, United States;2. Center for Health Enhancement System Studies (CHESS), United States;3. School of Nursing, University of North Carolina, Chapel Hill, NC, United States;4. Department of Radiology, University of Wisconsin, Madison, WI, United States;1. Department of Organic Materials and Fiber Engineering, Soongsil University, Seoul 156-743, Republic of Korea;2. Department of Chemical Engineering, Soongsil University, Seoul 156-743, Republic of Korea;3. School of Chemical and Biomolecular Engineering, Cornell University, Ithaca, NY 14853, USA;1. Department of Radiology, Duke University Medical Center, Durham, North Carolina;2. Department of Psychiatry and Behavioral Sciences, Duke University, Durham, North Carolina;3. Department of Radiology, University of Texas Southwestern, Dallas, Texas;4. Riverside Radiology and Interventional Associates, Inc., Columbus, Ohio;5. Department of Radiology, Albany Medical Center, Albany, New York;1. U.O.C. Psicologia Ospedaliera, AUSL di Bologna, Italy;2. Dipartimento Oncologico, Ospedale Bellaria, AUSL di Bologna Via Altura, 3, 40139 Bologna, Italy;3. U.O.C. Epidemiologia, Promozione della Salute e Comunicazione del Rischio, AUSL di Bologna, Italy;4. U.O.S. Epidemiologia Descrittiva, AUSL di Bologna, Italy;5. U.O.C. Oncologia, AUSL di Bologna, Italy;6. Dipartimento Sanità Pubblica, AUSL di Bologna, Italy |
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| Abstract: | PurposeTo evaluate the impact of guided meditation and music interventions on patient anxiety, pain, and fatigue during imaging-guided breast biopsy.MethodsAfter giving informed consent, 121 women needing percutaneous imaging-guided breast biopsy were randomized into three groups: (1) guided meditation; (2) music; (3) standard-care control group. During biopsy, the meditation and music groups listened to an audio-recorded, guided, loving-kindness meditation and relaxing music, respectively; the standard-care control group received supportive dialogue from the biopsy team. Immediately before and after biopsy, participants completed questionnaires measuring anxiety (State-Trait Anxiety Inventory Scale), biopsy pain (Brief Pain Inventory), and fatigue (modified Functional Assessment of Chronic Illness Therapy-Fatigue). After biopsy, participants completed questionnaires assessing radiologist–patient communication (modified Questionnaire on the Quality of Physician–Patient Interaction), demographics, and medical history.ResultsThe meditation and music groups reported significantly greater anxiety reduction (P values < .05) and reduced fatigue after biopsy than the standard-care control group; the standard-care control group reported increased fatigue after biopsy. The meditation group additionally showed significantly lower pain during biopsy, compared with the music group (P = .03). No significant difference in patient-perceived quality of radiologist–patient communication was noted among groups.ConclusionsListening to guided meditation significantly lowered biopsy pain during imaging-guided breast biopsy; meditation and music reduced patient anxiety and fatigue without compromising radiologist–patient communication. These simple, inexpensive interventions could improve women’s experiences during core-needle breast biopsy. |
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| Keywords: | Breast biopsy breast cancer meditation breast pain patient anxiety |
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