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Music Therapy and Health / Cancer Survivorship and Care / Cancer Related Cognitive Impairment Studies · Journal article
Health Problems of Civilization · August 17, 2026
Early or partial results. Treat as a signal, not a conclusion.
This is a descriptive case report of a single 25–30 minute nurse-led visual-aided flower imagery intervention in two breast cancer patients, one with recent diagnosis and one with recurrence. The report presents changes on validated depression, anxiety and stress scales and qualitative themes, but lacks a comparator group, control condition, or adequate sample size to support claims of efficacy. The findings are exploratory and intended to motivate future research rather than establish an intervention effect.
Uncontrolled case report. Two breast cancer patients on hormone therapy: one long-term survivor with recurrence and one recently diagnosed; enrolled from an unspecified oncology setting.. Intervention: Nurse-led visual-aided flower imagery intervention: a single 25–30 minute online session in which patients viewed nine AI-generated flower visuals, selected one representing themselves, and answered semi-structured questions about symbolic…. n = 2.
Four qualitative themes emerged: symbolic transformation of illness experience, emergence of inner strength and resilience, indirect expression of unspoken emotions, and psychological anchor. CECC (Cognitive Emotional Coping with Cancer Scale) was re-administered immediately after the single intervention session. DASS-21 (Depression Anxiety Stress Scale-21) was re-administered one week after the intervention.
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
This case report does not provide evidence strong enough to guide clinical practice. It may generate hypotheses for future controlled studies of imagery-based supportive interventions in oncology nursing, but readers should regard the findings as preliminary and exploratory, not as evidence of clinical benefit.
A two-case uncontrolled report of a single intervention session with no comparator, using a mix of validated scales and qualitative analysis, too limited in scope and design to establish efficacy.
As stated by the source record.
Quoted from the source exactly as published.
This case report does not provide evidence strong enough to guide clinical practice. It may generate hypotheses for future controlled studies of imagery-based supportive interventions in oncology nursing, but readers should regard the findings as preliminary and exploratory, not as evidence of clinical benefit.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
The diagnosis and treatment of breast cancer cause significant psychological distress in patients. Nurse-led holistic and creative care approaches play a crucial role in supporting cognitive and emotional coping. This case report examines changes in coping, depression, anxiety, and stress following a nurse-led visual-aided flower imagery supportive intervention in two breast cancer patients receiving hormone therapy. The two cases were purposively selected to represent contrasting points on the illness trajectory (a long-term survivor with recurrence versus a recently diagnosed patient), enabling examination of how the same intervention operates across different illness phases. The intervention was conducted online in a single 25-30 minute session. The participants were assessed using the Turkish versions of the Cognitive Emotional Coping with Cancer Scale (CECC) and Depression Anxiety Stress Scale-21 (DASS-21) before the intervention. Nine AI-generated flower visuals were presented, and patients selected the flower best representing them. Semi-structured questions explored symbolic meanings related to their illness experience. The CECC was re-administered immediately after, and the DASS one week later. Qualitative data were analyzed thematically, revealing four themes: symbolic transformation of the illness experience, emergence of inner strength and resilience, indirect expression of unspoken emotions, and psychological anchor. The findings suggest nurse-led imagery-based supportive interventions may effectively support emotional expression, cognitive awareness, and coping in oncology nursing care.
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