Melissa A Day1, Beverly E Thorn2, Nancy J Rubin3. 1. Department of Psychology, The University of Alabama, Tuscaloosa, AL, United States. Electronic address: day014@crimson.ua.edu. 2. Department of Psychology, The University of Alabama, Tuscaloosa, AL, United States. 3. Department of Psychiatry and Behavioral Medicine, The University of Alabama School of Medicine, Tuscaloosa, AL, United States.
Abstract
OBJECTIVES: Our recent pilot study demonstrated mindfulness-based cognitive therapy (MBCT) is a potentially efficacious headache pain treatment; however, it was not universally effective for all participants. This study sought to explore patient characteristics associated with MBCT treatment response and the potential processes of change that allowed treatment responders to improve and that were potentially lacking in the non-responders. DESIGN: We implemented a mixed-methods analysis of quantitative and qualitative data. The sample consisted of 21 participants, 14 of whom were classified as treatment responders (≥50% improvement in pain intensity and/or pain interference) and seven as non-responders (<50% improvement). SETTING: The study was conducted at the Kilgo Headache Clinic and the University of Alabama Psychology Clinic. INTERVENTION: Participants completed an 8-week MBCT treatment for headache pain management. MEASURES: Standardized measures of pain, psychosocial outcomes, and non-specific therapy factors were obtained; all participants completed a post-treatment semi-structured interview. RESULTS: Quantitative data indicated a large effect size difference between responders and non-responders for pre- to post-treatment change in standardized measures of pain acceptance and catastrophizing, and a small to medium effect size differences on treatment dose indicators. Both groups showed improved psychosocial outcomes. Qualitatively, change in cognitive processes was a more salient qualitative theme within treatment responders; both groups commented on the importance of non-specific therapeutic factors. Barriers to mindfulness meditation were also commented on by participants across groups. CONCLUSIONS: Results indicated that change in pain related cognitions during an MBCT intervention for headache pain is a key factor underlying treatment response.
RCT Entities:
OBJECTIVES: Our recent pilot study demonstrated mindfulness-based cognitive therapy (MBCT) is a potentially efficacious headache pain treatment; however, it was not universally effective for all participants. This study sought to explore patient characteristics associated with MBCT treatment response and the potential processes of change that allowed treatment responders to improve and that were potentially lacking in the non-responders. DESIGN: We implemented a mixed-methods analysis of quantitative and qualitative data. The sample consisted of 21 participants, 14 of whom were classified as treatment responders (≥50% improvement in pain intensity and/or pain interference) and seven as non-responders (<50% improvement). SETTING: The study was conducted at the Kilgo Headache Clinic and the University of Alabama Psychology Clinic. INTERVENTION: Participants completed an 8-week MBCT treatment for headache pain management. MEASURES: Standardized measures of pain, psychosocial outcomes, and non-specific therapy factors were obtained; all participants completed a post-treatment semi-structured interview. RESULTS: Quantitative data indicated a large effect size difference between responders and non-responders for pre- to post-treatment change in standardized measures of pain acceptance and catastrophizing, and a small to medium effect size differences on treatment dose indicators. Both groups showed improved psychosocial outcomes. Qualitatively, change in cognitive processes was a more salient qualitative theme within treatment responders; both groups commented on the importance of non-specific therapeutic factors. Barriers to mindfulness meditation were also commented on by participants across groups. CONCLUSIONS: Results indicated that change in pain related cognitions during an MBCT intervention for headache pain is a key factor underlying treatment response.
Authors: Elizabeth K Seng; Alexandra B Singer; Christopher Metts; Amy S Grinberg; Zarine S Patel; Maya Marzouk; Lauren Rosenberg; Melissa Day; Mia T Minen; Richard B Lipton; Dawn C Buse Journal: Headache Date: 2019-09-26 Impact factor: 5.887
Authors: Shana A B Burrowes; Olga Goloubeva; Kristen Stafford; Patrick F McArdle; Madhav Goyal; B Lee Peterlin; Jennifer A Haythornthwaite; David A Seminowicz Journal: Pain Date: 2022-03-01 Impact factor: 7.926
Authors: Licia Grazzi; Emanuela Sansone; Alberto Raggi; Domenico D'Amico; Andrea De Giorgio; Matilde Leonardi; Laura De Torres; Francisco Salgado-García; Frank Andrasik Journal: J Headache Pain Date: 2017-02-04 Impact factor: 7.277
Authors: Gianluca Castelnuovo; Emanuele M Giusti; Gian Mauro Manzoni; Donatella Saviola; Arianna Gatti; Samantha Gabrielli; Marco Lacerenza; Giada Pietrabissa; Roberto Cattivelli; Chiara A M Spatola; Stefania Corti; Margherita Novelli; Valentina Villa; Andrea Cottini; Carlo Lai; Francesco Pagnini; Lorys Castelli; Mario Tavola; Riccardo Torta; Marco Arreghini; Loredana Zanini; Amelia Brunani; Paolo Capodaglio; Guido E D'Aniello; Federica Scarpina; Andrea Brioschi; Lorenzo Priano; Alessandro Mauro; Giuseppe Riva; Claudia Repetto; Camillo Regalia; Enrico Molinari; Paolo Notaro; Stefano Paolucci; Giorgio Sandrini; Susan G Simpson; Brenda Wiederhold; Stefano Tamburin Journal: Front Psychol Date: 2016-04-19