Comparison of the Effectiveness of MindfulnessBased Stress Reduction Group Therapy With Acceptance and Commitment Therapy on Severity of Pain and Health-Related Quality of Life in Patients With Migraine

Javadi, Tahereh Haji Seyed; Parast, Najmeh Aghareb; Shahsavani, Sahar; Chehraghi, Mir Javad; Razavi, Leila; Rahmani, Shima; Nejati, Somayeh

doi:10.15171/icnj.2019.21

Cited by 4 publications

(5 citation statements)

References 32 publications

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“…Studies preliminarily have suggested ACT yields small improvements in variables traditionally examined in headache literature (e.g., headache frequency, medication consumption) and notable improvements in functional or process-based factors associated with acceptance-based interventions. [16][17][18] Similarly, studies examining mindfulness for head pain demonstrated improved functional (e.g., activity interference) and process outcomes (e.g., pain catastrophizing, acceptance, and selfefficacy). 19,20 Despite promising results from headache treatment studies, 18,[21][22][23] meta-analytic reviews of mindfulness interventions for head pain draw conflicting conclusions regarding efficacy for reducing headache symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…An increasing body of literature aims to implement acceptance and commitment therapy (ACT), structured mindfulness interventions (i.e., mindfulness‐based stress reduction [MBSR], and mindfulness‐based cognitive therapy [MBCT]) for head pain. Studies preliminarily have suggested ACT yields small improvements in variables traditionally examined in headache literature (e.g., headache frequency, medication consumption) and notable improvements in functional or process‐based factors associated with acceptance‐based interventions 16–18 . Similarly, studies examining mindfulness for head pain demonstrated improved functional (e.g., activity interference) and process outcomes (e.g., pain catastrophizing, acceptance, and self‐efficacy) 19,20 .…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, studies examining mindfulness for head pain demonstrated improved functional (e.g., activity interference) and process outcomes (e.g., pain catastrophizing, acceptance, and self‐efficacy) 19,20 . Despite promising results from headache treatment studies, 18,21–23 meta‐analytic reviews of mindfulness interventions for head pain draw conflicting conclusions regarding efficacy for reducing headache symptoms. Gu et al 24 reported improvement in headache intensity, frequency, and self‐efficacy among individuals with primary headache disorders compared to control; however, Anheyer et al, 25 utilizing more stringent inclusion criteria and assessing for risk of bias (RoB), found no significant improvement on headache duration, frequency, or pain intensity compared to control.…”

Section: Introductionmentioning

confidence: 99%

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A meta‐analytic review of acceptance‐based interventions for migraine

Polk,

Smitherman

2023

Headache

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ObjectiveTo determine the efficacy of acceptance and mindfulness‐based interventions on migraine disability, medication use, and attack frequency.BackgroundAcceptance‐based approaches to headache management are those in which individuals learn to mitigate the influence of pain‐related experiences on their general functioning without controlling pain itself. Treatment approaches include acceptance and commitment therapy (ACT) and mindfulness‐based practices. Both have shown promise in improving broad functioning and disability among individuals with headache. Despite a growing body of research examining acceptance‐based interventions for headache broadly and migraine specifically, no meta‐analytic review of ACT interventions for headache exists, and two meta‐analytic reviews of mindfulness‐based practices yielded conflicting results.MethodsThe present study aimed to systematically and quantitatively review the literature related to the efficacy of acceptance‐based interventions among adults with migraine. A multi‐database search (PubMed/MEDLINE, Scopus, PsycINFO, and the Cochrane Central Register of Controlled Trials) identified clinical trials among individuals with migraine that compared structured ACT or mindfulness‐based interventions to control treatment. Random‐effects meta‐analyses were performed using RevMan 5.4 meta‐analytic software, and standardized mean differences (SMD) with 95% confidence intervals (CIs) quantified effect sizes on outcomes of disability, medication use, and headache frequency. Heterogeneity was quantified via I2 index and explored via subgroup analyses.ResultsAcceptance‐based interventions yielded significant improvements in disability (SMD = −0.38, 95% CI = −0.56 to −0.20; I2 = 25%, p = 0.20) but not in medication use (SMD = −0.25, 95% CI: −0.57 to 0.06; I2 = 0%, p = 0.82) or headache frequency (SMD = −0.16, 95% CI = −0.37 to 0.05; I2 = 0%, p = 0.73).ConclusionResults suggest that acceptance‐based interventions are effective in improving disability among adults with migraine and are a viable non‐pharmacological treatment option, in addition to well‐established behavioral migraine management approaches, for patients seeking functional improvement.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A meta‐analytic review of acceptance‐based interventions for migraine

Polk,

Smitherman

2023

Headache

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“…From the point of view of Neff [ 40 ], a pioneer of experimental work, “self-compassion” is having a non-judgmental attitude towards one’s shortcomings, weaknesses, failures, pain, and suffering, not avoiding them, and the desire to reduce pain and suffering and self-heal with kindness. Although self-compassion is associated with psychological outcomes, there are a limited number of studies examining the relationship between self-compassion and QOL in patients whose physical health is threatened [ 41 ], and to the best of our knowledge, only one study showed that higher self-compassion is associated with fewer clinical symptoms of CVD [ 42 ]. In order to understand and clarify the relationship between the structures of SOC, spiritual well-being, and self-compassion with QOL, it seems that one of the most important and effective factors is pain self-efficacy.…”

Section: Introductionmentioning

confidence: 99%

Does coping with pain help the elderly with cardiovascular disease? The association of sense of coherence, spiritual well-being and self-compassion with quality of life through the mediating role of pain self-efficacy

et al. 2023

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Background Population ageing is considered one of the biggest challenges facing the world, and the status of the elderly in society and their quality of life (QOL) have proved to be a concern in professional and scientific research circles. As a result, the current study sought to investigate the role of pain self-efficacy (PSE) as a moderator in the relationship between sense of coherence (SOC), spiritual well-being, and self-compassion with QOL in Iranian elderly with cardiovascular disease (CVD). Method This was a correlational study of the path analysis type. The statistical population included all elderly people with CVD who were at least 60 years of age in Kermanshah Province, Iran, in 2022, of whom 298 (181 men and 117 women) were selected using convenience sampling and according to the inclusion and exclusion criteria. The participants answered questionnaires from the World Health Organization on QOL, Paloutzian and Ellison’s spiritual well-being, Nicholas’s PSE, Antonovsky’s SOC, and Raes et al.’s self-compassion. Results The results of path analysis demonstrated that the hypothesized model of this study has a good fit in the studied sample. There were significant paths between SOC (β = 0.39), spiritual well-being (β = 0.13) and self-compassion (β = 0.44) with PSE. Although there were significant paths between SOC (β = 0.16) and self-compassion (β = 0.31) with QOL, there was no significant path between spiritual well-being and QOL (β = 0.06). Besides, there was a significant path between PSE and QOL (β = 0.35). Finally, PSE was found to mediate the relationship of SOC, spiritual well-being and self-compassion with QOL. Conclusion The results may provide psychotherapists and counselors working in this field of inquiry with advantageous information to choose or create a useful therapeutic method to work with the elderly with CVD. Meanwhile, other researchers are suggested to examine other variables which may serve a mediating role in the mentioned model.

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“…In other words, self-compassion is a positive psychological construct characterised by the expansion of being compassionate with oneself, often during periods of suffering. Although self-compassion is associated with psychological outcomes, there are a limited number of studies examining the relationship between self-compassion and QOL in patients whose physical health is threatened [48], and to the best of our knowledge, only one study showed that higher self-compassion is associated with fewer clinical symptoms of CVD [49]. In order to understand and clarify the relationship between the structures of SOC, spiritual well-being, and selfcompassion with QOL, it seems that one of the most important and effective factors is pain self-e cacy.…”

Section: Introductionmentioning

confidence: 99%

Mediating role of pain self-efficacy in the relationship between sense of coherence, spiritual well-being and self-compassion with quality of life in iranian elderly with cardiovascular disease

Salehi

Afrashteh

Majzoobi

et al. 2022

Preprint

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Background: Population ageing is considered one of the biggest challenges facing the world, and the status of the elderly in society and their quality of life (QOL) have proved to be a concern in professional and scientific research circles. As a result, the current study sought to investigate the role of pain self-efficacy (PSE) as a moderator in the relationship between sense of coherence (SOC), spiritual well-being, and self-compassion with QOL in Iranian elderly with cardiovascular disease (CVD). Method: This was a correlational study of the path analysis type. The statistical population included all elderly people with CVD who were at least 60 years of age in Kermanshah Province, Iran, in 2022, of whom 298 (181 men and 117 women) were selected using convenience sampling and according to the inclusion and exclusion criteria. The participants answered questionnaires from the World Health Organization on QOL, Paloutzian and Ellison’s spiritual well-being, Nicholas’s PSE, Antonovsky’s SOC, and Raes et al.’s self-compassion. Results: The results of path analysis demonstrated that the hypothesised model of this study has a good fit in the studied sample. In this way, SOC, spiritual well-being, and self-compassion had a significant relationship with QOL through PSE. Conclusion: These results emphasise the importance of the role of PSE in increasing the quality of life of the elderly with CVD.

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Comparison of the Effectiveness of MindfulnessBased Stress Reduction Group Therapy With Acceptance and Commitment Therapy on Severity of Pain and Health-Related Quality of Life in Patients With Migraine

Cited by 4 publications

References 32 publications

A meta‐analytic review of acceptance‐based interventions for migraine

A meta‐analytic review of acceptance‐based interventions for migraine

Does coping with pain help the elderly with cardiovascular disease? The association of sense of coherence, spiritual well-being and self-compassion with quality of life through the mediating role of pain self-efficacy

Mediating role of pain self-efficacy in the relationship between sense of coherence, spiritual well-being and self-compassion with quality of life in iranian elderly with cardiovascular disease

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