Melissa A Day1, Beverly E Thorn2. 1. School of Psychology, The University of Queensland, Brisbane, Queensland, Australia. Electronic address: m.day@uq.edu.au. 2. Department of Psychology, The University of Alabama, Tuscaloosa, AL, USA.
Abstract
OBJECTIVES: This study aimed to examine the durability of gain patterns following an 8-week Mindfulness-Based Cognitive Therapy (MBCT) for headache pain program. DESIGN: A secondary analysis of a randomized controlled trial was conducted. Participants (N=19) were individuals with headache pain who completed both the MBCT program as well as a 6-month follow-up assessment at a headache clinic or a university psychology clinic. Standardized measures of the primary outcomes (pain intensity and pain interference) and secondary outcomes (pain catastrophizing, mindfulness, activity engagement, pain willingness, and self-efficacy) were administered. Paired-samples t tests and effect sizes were examined. RESULTS: Significant (uncorrected ps<.05) pre- to post-treatment gains were found for pain intensity, pain interference, pain catastrophizing, activity engagement and self-efficacy, and these gains were maintained at 6-months post-treatment. Effect sizes for the significant changes from pre- to post-treatment, and from pre-treatment to follow-up were mostly consistent across epochs (.62≤ds≤-1.40), indicating steady maintenance of effects. Improvement in mindfulness and pain willingness was non-significant immediately post-treatment and at follow-up, with small effects observed. CONCLUSIONS: This study adds to a growing body of literature supporting the durability of MBCT for painful conditions. Results indicated a consistent pattern of maintenance of treatment-related gains across a number of key pain-related outcomes. Future research with a larger sample is needed to investigate the mechanisms underlying these continued gains in order to optimize targeted relapse-prevention.
RCT Entities:
OBJECTIVES: This study aimed to examine the durability of gain patterns following an 8-week Mindfulness-Based Cognitive Therapy (MBCT) for headache pain program. DESIGN: A secondary analysis of a randomized controlled trial was conducted. Participants (N=19) were individuals with headache pain who completed both the MBCT program as well as a 6-month follow-up assessment at a headache clinic or a university psychology clinic. Standardized measures of the primary outcomes (pain intensity and pain interference) and secondary outcomes (pain catastrophizing, mindfulness, activity engagement, pain willingness, and self-efficacy) were administered. Paired-samples t tests and effect sizes were examined. RESULTS: Significant (uncorrected ps<.05) pre- to post-treatment gains were found for pain intensity, pain interference, pain catastrophizing, activity engagement and self-efficacy, and these gains were maintained at 6-months post-treatment. Effect sizes for the significant changes from pre- to post-treatment, and from pre-treatment to follow-up were mostly consistent across epochs (.62≤ds≤-1.40), indicating steady maintenance of effects. Improvement in mindfulness and pain willingness was non-significant immediately post-treatment and at follow-up, with small effects observed. CONCLUSIONS: This study adds to a growing body of literature supporting the durability of MBCT for painful conditions. Results indicated a consistent pattern of maintenance of treatment-related gains across a number of key pain-related outcomes. Future research with a larger sample is needed to investigate the mechanisms underlying these continued gains in order to optimize targeted relapse-prevention.
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: Rhonda M Williams; Dawn M Ehde; Melissa Day; Aaron P Turner; Shahin Hakimian; Kevin Gertz; Marcia Ciol; Alisha McCall; Carrie Kincaid; Mark W Pettet; David Patterson; Pradeep Suri; Mark P Jensen Journal: Contemp Clin Trials Date: 2020-01-09 Impact factor: 2.226
Authors: Muhammad Aemaz Ur Rehman; Radeyah Waseem; Ume Habiba; Muhammad Fahad Wasim; Soha Alam Rehmani; Maha Alam Rehmani; Maryam Abdullah; Yumna Khabir; Mahnoor Rehan Hashmi; Talal Almas; Syed Shahan Ali; Syed Muhammad Huzaifa Shah; Kaneez Fatima Journal: Ann Med Surg (Lond) Date: 2022-05-27
Authors: Rogelio A Coronado; Dawn M Ehde; Jacquelyn S Pennings; Susan W Vanston; Tatsuki Koyama; Sharon E Phillips; Shannon L Mathis; Matthew J McGirt; Dan M Spengler; Oran S Aaronson; Joseph S Cheng; Clinton J Devin; Stephen T Wegener; Kristin R Archer Journal: Phys Ther Date: 2020-09-28
Authors: Licia Grazzi; Claudia Toppo; Domenico D'Amico; Matilde Leonardi; Paolo Martelletti; Alberto Raggi; Erika Guastafierro Journal: Int J Environ Res Public Health Date: 2021-02-05 Impact factor: 3.390
Authors: Estela María Pardos-Gascón; Lucas Narambuena; César Leal-Costa; Antonio Jesús Ramos-Morcillo; María Ruzafa-Martínez; Carlos J van-der Hofstadt Román Journal: Int J Environ Res Public Health Date: 2021-06-29 Impact factor: 3.390
Authors: Dawn M Ehde; Kevin N Alschuler; Melissa A Day; Marcia A Ciol; Makena L Kaylor; Jennifer K Altman; Mark P Jensen Journal: Trials Date: 2019-12-27 Impact factor: 2.279