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Impact of loving-kindness meditation intervention vs. music intervention during biopsy on adherence to recommended breast cancer screening.

Nicole A Arrato, Mary Scott Soo, Anava A Wren, Juliann M Stalls, Dana H Bovbjerg, Francis J Keefe, Rebecca A Shelby

Breast cancer research and treatment July 1, 2025 DOI: 10.1007/s10549-025-07721-7 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 120
Population Women undergoing core-needle breast biopsy
Interventions Loving-kindness meditation Music
Duration 18-month follow-up
Topics Meditation
Keywords Adherence Breast cancer screening/surveillance Loving-kindness Music medicine
Citations 1
Key findings A loving-kindness meditation intervention during core-needle breast biopsy led to 90% adherence to subsequent recommended breast imaging, significantly higher than the 69% adherence in the usual care group and the 71% in the music group.

Abstract

To evaluate the impact of providing a loving-kindness meditation (LKM) intervention vs. a music intervention during core-needle breast biopsy (CNBB) on adherence to subsequent, clinically recommended breast cancer screening and surveillance. Women (N = 120) were randomly assigned to receive LKM, Music, or Usual Care during CNBB. Patients in the LKM or Music groups listened to audio recordings during CNBB and were provided recordings for home use. Utilization of subsequent recommended breast imaging was assessed via health record review for 18 months into the breast cancer surveillance period. The sample was, on average, 53 years old (SD = 12.4), partnered (55%), and employed (56%); 28% Black and 68% White. Adherence to recommended breast imaging post-biopsy was: 69% for Usual Care, 71% for Music, and 90% for LKM. Compared to Usual Care, there was no significant difference in adherence for the Music group (OR = 1.11, 95% CI [0.43, 2.89], p = 0.829), but the LKM group was 3.9 times more likely to be adherent (OR = 3.89, 95% CI [1.13, 13.41], p = 0.032). Comparisons between intervention arms showed adherence for the LKM group was 3.5 times higher than the Music group (OR = 3.50, 95% CI [1.02, 12.00], p = 0.046). Patterns of adherence were similar across women with an abnormal biopsy result and those with a benign result. A LKM intervention initiated during CNBB can have significant, positive impacts on women's adherence to subsequent recommended breast imaging. Providing patients with LKM during CNBB is an easily disseminated approach that could improve adherence to breast cancer screening and surveillance after CNBB.

Comparable studies

Other randomized controlled trials on meditation, most cited first.

Study Year Design Participants
Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment 2003 Randomized controlled trial n = 41
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults 2008 Randomized controlled trial n = 139
Short-term meditation training improves attention and self-regulation Undergraduate Chinese students 2007 Randomized controlled trial n = 40
Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients 2004 Randomized controlled trial n = 73

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