Mary Scott Soo1, Jennifer A Jarosz2, Anava A Wren3, Adrianne E Soo4, Yvonne M Mowery5, Karen S Johnson6, Sora C Yoon6, Connie Kim6, E Shelley Hwang7, Francis J Keefe3, Rebecca A Shelby3. 1. Department of Radiology, Duke University Medical Center, Durham, North Carolina. Electronic address: mary.soo@duke.edu. 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 Radiology, Duke University Medical Center, Durham, North Carolina. 7. Department of Surgery, Duke University Medical Center, Durham, North Carolina.
Abstract
PURPOSE: To evaluate the impact of guided meditation and music interventions on patient anxiety, pain, and fatigue during imaging-guided breast biopsy. METHODS: 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. RESULTS: 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. CONCLUSIONS: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.
RCT Entities:
PURPOSE: To evaluate the impact of guided meditation and music interventions on patientanxiety, pain, and fatigue during imaging-guided breast biopsy. METHODS: 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. RESULTS: 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. CONCLUSIONS: Listening to guided meditation significantly lowered biopsy pain during imaging-guided breast biopsy; meditation and music reduced patientanxiety and fatigue without compromising radiologist-patient communication. These simple, inexpensive interventions could improve women's experiences during core-needle breast biopsy.
Authors: Anava A Wren; Rebecca A Shelby; Mary Scott Soo; Zenzi Huysmans; Jennifer A Jarosz; Francis J Keefe Journal: Support Care Cancer Date: 2019-01-31 Impact factor: 3.603
Authors: Giuseppe Lo Re; Rossella De Luca; Filippa Muscarneri; Patrizia Dorangricchia; Dario Picone; Federica Vernuccio; Sergio Salerno; Giuseppe La Tona; Antonio Pinto; Massimo Midiri; Antonio Russo; Roberto Lagalla; Giuseppe Cicero Journal: Radiol Med Date: 2016-06-22 Impact factor: 3.469