Imaging-guided Core-needle Breast Biopsy: Impact of Meditation and Music Interventions on Patient Anxiety, Pain, and Fatigue


Journal of The American College of Radiology




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.

Music and Health Institute Terms

Anxiety; Anxiety Scales; Fatigue; Invasive Medical Procedures; Music Listening; Music Medicine; Pain; Pain Management and Control; Pain Score or Rating; Procedural Pain; Questionnaires; Recorded Music Listening; Self-Report Measures

Indexed Terms

Anxiety; Biopsy, Large-Core Needle; Breast Neoplasms; Fatigue; Image-Guided Biopsy; Meditation; Pain; Pain Management; Pain Measurement; Pilot Projects; Prospective Studies; Surveys and Questionnaires; Breast biopsy; breast cancer; breast pain; meditation; patient anxiety

Study Type

Randomized Controlled Trial; Quantitative Methods

PubMed ID


Document Type