title: Imaging-Guided Core-Needle Breast Biopsy: Impact of Meditation and Music Interventions on Patient Anxiety, Pain, and Fatigue.
abstract: OBJECTIVE
  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.
authors: Department of Radiology, Duke University Medical Center, Durham, North Carolina. Electronic address: mary.soo@duke.edu.
authors: Mary Scott
authors: MS
authors: Soo
authors: Greensboro Radiology, Greensboro, North Carolina.
authors: Jennifer A
authors: JA
authors: Jarosz
authors: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
authors: Anava A
authors: AA
authors: Wren
authors: University of North Carolina School of Medicine, Chapel Hill, North Carolina.
authors: Adrianne E
authors: AE
authors: Soo
authors: Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina.
authors: Yvonne M
authors: YM
authors: Mowery
authors: Department of Radiology, Duke University Medical Center, Durham, North Carolina.
authors: Karen S
authors: KS
authors: Johnson
authors: Department of Radiology, Duke University Medical Center, Durham, North Carolina.
authors: Sora C
authors: SC
authors: Yoon
authors: Department of Radiology, Duke University Medical Center, Durham, North Carolina.
authors: Connie
authors: C
authors: Kim
authors: Department of Surgery, Duke University Medical Center, Durham, North Carolina.
authors: E Shelley
authors: ES
authors: Hwang
authors: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
authors: Francis J
authors: FJ
authors: Keefe
authors: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
authors: Rebecca A
authors: RA
authors: Shelby
mesh_terms: D001007:Anxiety / Q000517:prevention & control*; D062005:Biopsy, Large-Core Needle; D001943:Breast Neoplasms / Q000473:pathology*; D005221:Fatigue / Q000517:prevention & control*; D005260:Female; D006801:Humans; D061705:Image-Guided Biopsy; D019122:Meditation; D008875:Middle Aged; D009146:Music; D010146:Pain / Q000517:prevention & control*; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D010865:Pilot Projects; D011446:Prospective Studies; D011795:Surveys and Questionnaires
keywords: Breast biopsy; breast cancer; breast pain; meditation; patient anxiety