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Imaging-Guided Core-Needle Breast Biopsy: Impact of Meditation and Music Interventions on Patient Anxiety, Pain, and Fatigue.

Mary Scott Soo, Jennifer A Jarosz, Anava A Wren, Adrianne E Soo, Yvonne M Mowery, Karen S Johnson, Sora C Yoon, Connie Kim, E Shelley Hwang, Francis J Keefe, Rebecca A Shelby

Journal of the American College of Radiology : JACR May 2016 DOI: 10.1016/j.jacr.2015.12.004 (opens in new tab)

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AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 121
Population Women needing percutaneous imaging-guided breast biopsy
Interventions relaxing music supportive dialogue
Measures State-Trait Anxiety Inventory Scale, Brief Pain Inventory, modified Functional Assessment of Chronic Illness Therapy-Fatigue, modified Questionnaire on the Quality of Physician-Patient Interaction
Topics Meditation Anxiety
Keywords Breast biopsy Breast cancer Breast pain Patient anxiety
Key findings Guided meditation and music both reduced anxiety and fatigue after biopsy compared with standard care, which showed increased fatigue. Meditation additionally lowered biopsy pain relative to music. No significant difference in patient-perceived radiologist-patient communication was found among groups.

Abstract

To evaluate the impact of guided meditation and music interventions on patient anxiety, pain, and fatigue during imaging-guided breast biopsy. After 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. The 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. Listening 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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