Meditation eases pain, anxiety during breast cancer biopsy
Meditation eases anxiety, fatigue and pain for women undergoing breast cancer biopsies, according to researchers at the Duke Cancer Institute. They also found that music is effective, but to a lesser extent.
The researchers note that adopting these simple, inexpensive interventions could be especially helpful in light of recent reports citing anxiety and pain as potential harms from breast cancer screenings and testing.
“Image-guided needle biopsies for diagnosing breast cancer are very efficient and successful, but the anxiety and potential pain can have a negative impact on patient care,” said Mary Scott Soo, M.D., associate professor of radiology at Duke Cancer Institute and lead author of the study published online February 4 in the Journal of the American College of Radiology.
“Patients who experience pain and anxiety may move during the procedure, which can reduce the effectiveness of biopsy, or they may not adhere to follow-up screening and testing,” Soo said.
Soo and colleagues enrolled 121 women undergoing breast cancer diagnosis at Duke and randomly assigned them to receive one of three approaches as they underwent stereotactic and ultrasound-guided biopsy: a recorded meditation, music, or standard care with a technologist offering casual conversation and support.
The meditation was a guided “loving/kindness” script that focused on building positive emotions such as compassion towards oneself and others and releasing negative emotions.
Patients in the meditation and music groups reported significantly greater reductions in anxiety and fatigue after biopsy than those receiving standard care. The standard-care patients reported increased fatigue after biopsy. The meditation group also showed significantly lower pain during biopsy when compared to the music group.
“Listening to guided meditation resulted in significantly lower biopsy pain during imaging-guided breast biopsy, and both meditation and music reduced patient anxiety and fatigue,” Soo said. “There are medical approaches to this — providing anti-anxiety drugs — but they sedate patients and require someone to drive them home.
“Meditation is simple and inexpensive, and could be a good alternative in these settings,” Soo said. “We would like to see this study scaled up to include a multi-center trial, and see if the findings could be generalized to different practices.”
