Arrato Nicole A, Soo Mary Scott, Wren Anava A, Stalls Juliann M, Bovbjerg Dana H, Keefe Francis J, Shelby Rebecca A
Department of Psychiatry & Behavioral Sciences, Duke University School of Medicine, 2400 Pratt Street, Room 7060, Durham, NC, 27705, USA.
Department of Radiology, Duke University School of Medicine, Durham, NC, USA.
Breast Cancer Res Treat. 2025 May 16. doi: 10.1007/s10549-025-07721-7.
To evaluate the impact of providing a loving-kindness meditation (LKM) intervention vs. a music intervention during core-needle breast biopsy (CNBB) on adherence to subsequent, clinically recommended breast cancer screening and surveillance.
Women (N = 120) were randomly assigned to receive LKM, Music, or Usual Care during CNBB. Patients in the LKM or Music groups listened to audio recordings during CNBB and were provided recordings for home use. Utilization of subsequent recommended breast imaging was assessed via health record review for 18 months into the breast cancer surveillance period.
The sample was, on average, 53 years old (SD = 12.4), partnered (55%), and employed (56%); 28% Black and 68% White. Adherence to recommended breast imaging post-biopsy was: 69% for Usual Care, 71% for Music, and 90% for LKM. Compared to Usual Care, there was no significant difference in adherence for the Music group (OR = 1.11, 95% CI [0.43, 2.89], p = 0.829), but the LKM group was 3.9 times more likely to be adherent (OR = 3.89, 95% CI [1.13, 13.41], p = 0.032). Comparisons between intervention arms showed adherence for the LKM group was 3.5 times higher than the Music group (OR = 3.50, 95% CI [1.02, 12.00], p = 0.046). Patterns of adherence were similar across women with an abnormal biopsy result and those with a benign result.
A LKM intervention initiated during CNBB can have significant, positive impacts on women's adherence to subsequent recommended breast imaging. Providing patients with LKM during CNBB is an easily disseminated approach that could improve adherence to breast cancer screening and surveillance after CNBB.
评估在核心针吸乳腺活检（CNBB）期间提供慈心禅（LKM）干预与音乐干预对后续临床推荐的乳腺癌筛查和监测依从性的影响。
120名女性被随机分配在CNBB期间接受LKM、音乐或常规护理。LKM组或音乐组的患者在CNBB期间收听录音，并获提供供家庭使用的录音。通过审查乳腺癌监测期18个月的健康记录来评估后续推荐的乳房成像的利用率。
样本平均年龄为53岁（标准差=12.4），有伴侣（55%），就业（56%）；28%为黑人，68%为白人。活检后对推荐的乳房成像的依从性为：常规护理组69%，音乐组71%，LKM组90%。与常规护理相比，音乐组的依从性无显著差异（比值比=1.11，95%置信区间[0.43，2.89]，p=0.829），但LKM组的依从可能性高3.9倍（比值比=3.89，95%置信区间[1.13，13.41]，p=0.032）。干预组之间的比较显示，LKM组的依从性比音乐组高3.5倍（比值比=3.50，95%置信区间[1.02，12.00]，p=0.046）。活检结果异常的女性和活检结果为良性的女性的依从模式相似。
在CNBB期间启动的LKM干预可对女性后续对推荐的乳房成像的依从性产生显著的积极影响。在CNBB期间为患者提供LKM是一种易于推广的方法，可提高CNBB后乳腺癌筛查和监测的依从性。
