The Bonny Method of Guided Imagery and Music for women with non-metastatic breast cancer: Exploring effects on distress, quality of life, and neuroendocrine hormone levels.

Introduction: Despite evidence for stress-reducing effects of psychosocial interventions in cancer patients, there is insufficient research on the psychological and physiological effects of interventions that utilize music-based avenues to address distress in this population. Method: Women with nonm...

Descripción completa

Detalles Bibliográficos
Publicado en:Nordic Journal of Music Therapy Vol. 35; no. 2; pp. 123 - 142
Autores principales: McKinney, Cathy H., Clark, Marilyn F., Antoni, Michael H., Kumar, Mahendra, Kumar, Adarsh M.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar2026
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191766070&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 191766070
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        08098131
        H8A
      jtl: Nordic Journal of Music Therapy
      issn: 08098131
      maglogo: N
    pubinfo:
      dt: Mar2026
      vid: 35
      iid: 2
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        191766070
        185183249
        191766070
        191766070
        10.1080/08098131.2025.2497803
        191766070
      ppf: 123
      ppct: 19
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: The Bonny Method of Guided Imagery and Music for women with non-metastatic breast cancer: Exploring effects on distress, quality of life, and neuroendocrine hormone levels.
      aug:
        au:
          McKinney, Cathy H.
          Clark, Marilyn F.
          Antoni, Michael H.
          Kumar, Mahendra
          Kumar, Adarsh M.
        affil: Hayes School of Music, Appalachian State University, Boone, NC, USA
      sug:
        subj:
          Music Therapists Psychosocial Factors
          Guided Imagery
          Music Therapy
          Breast Neoplasms Diagnosis
          Women Psychosocial Factors
          Psychological Distress
          Quality of Life
          Neuroendocrine System Physiopathology
          Hormones
          Treatment Outcomes
          Human
          Female
          Funding Source
          Aged
          Exploratory Research
          Melatonin
          Hydrocortisone
          Scales
          Impact of Events Scale
          Pretest-Posttest Design
          Adult
          Wilcoxon Signed Rank Test
          Analysis of Variance
          Post Hoc Analysis
          Friedman Test
          Psychological Well-Being
          Aged: 65+ years
          Adult: 19-44 years
          Female
      ab: Introduction: Despite evidence for stress-reducing effects of psychosocial interventions in cancer patients, there is insufficient research on the psychological and physiological effects of interventions that utilize music-based avenues to address distress in this population. Method: Women with nonmetastatic breast cancer (N = 10; M age = 50.25) participated in an exploratory study of effects of Bonny Method of Guided Imagery and Music (GIM; a depth approach to music psychotherapy) sessions on distress, psychological impact of cancer, quality of life, and relevant neuroendocrine markers melatonin and cortisol. Participants completed the Profile of Mood States, Hassles Scale, Impact of Events Scale, and Functional Assessment of Cancer Therapy – Breast Cancer and provided 15 cc of blood before (T1), at midpoint (T2), after the 13-week intervention (T3), and again at 6-week follow-up (T4). Results: Repeated measures analyses showed that after six bi-weekly sessions, participants reported significant pre-post decreases in depressed mood (η2p = 0.54) and total mood disturbance (η2p =.53), increased well-being (η2p = 0.44; all ps <.05), significantly decreased levels of fatigue by follow-up (η2p = 0.34; p <.05), and significant pre-post decreases in perceived distress, which remained at follow-up (p <.05). While no significant change was found in serum levels of cortisol or melatonin for this small sample, a large effect was found at follow-up for pre-post increased melatonin (η2p = 1.09) and a small-to-medium effect was found for the pre-post decrease in cortisol (η2p = 0.43). Discussion: These findings contribute to the growing evidence for GIM as an efficacious intervention for both reducing distress and normalizing stress physiology and provide support for further study.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N