Mindfulness-based Cognitive Therapy for the Treatment of Headache Pain

Day, Melissa A.; Thorn, Beverly E.; Ward, L. Charles; Rubin, Nancy J.; Hickman, Steven D.; Scogin, Forrest; Kilgo, Gary R.

doi:10.1097/ajp.0b013e318287a1dc

Cited by 106 publications

(135 citation statements)

References 19 publications

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“…Seven studies obtained a "good" quality rating Fogarty et al, 2015;Ljotsson, Falk, et al, 2010;Parra-Delgado and Latorre-Postigo, 2013;Zautra et al, 2008). Ten studies were judged to be of fair quality, primarily due to being unclear in some aspects of the methods (Cash et al, 2015;Davis and Zautra, 2013;Day et al, 2014;Dowd et al, 2015;Gaylord et al, 2011;la Cour and Petersen, 2015;Morone, Greco, and Weiner, 2008;Wells et al, 2014). Eleven studies were judged to be poor; eight of these were primarily due to issues with completeness of reporting outcome data, such as inadequate or missing ITT analysis or less than 80-percent follow-up Brown and Jones, 2013;Cathcart et al, 2014;Esmer et al, 2010;Meize-Grochowski et al, 2015;Morone et al, 2009;Omidi and Zargar, 2014;PlewsOgan et al, 2005).…”

Section: Study Quality/risk Of Bias For Individual Included Studiesmentioning

confidence: 99%

“…Pain scales and comparators varied from study to study (Astin et al, 2000;Brown and Jones, 2013;Cash et al, 2015;Cathcart et al, 2014;Davis and Zautra, 2013;Day et al, 2014;Dowd et al, 2015;Esmer et al, 2010;la Cour and Petersen, 2015;Meize-Grochowski et al, 2015;Morone, Greco, and Weiner, 2008;Morone et al, 2009;Omidi and Zargar, 2014;Plews-Ogan et al, 2005;Teixeira, 2010;Wells et al, 2014;Zautra et al, 2008;Parra-Delgado and Latorre-Postigo, 2013;Rahmani and Talepasand, 2015;Gaylord et al, 2011;Ljotsson, Falk, et al, 2010). The median follow-up time was 12 weeks, with a range of four to 60 weeks.…”

Section: Chronic Pain Treatment Response Standardized Mean Differencesmentioning

confidence: 99%

“…A meta-regression found that treatment effects did not differ significantly when TAU was used as a comparator versus all other comparators. Among the eight RCTs that compared mindfulness meditation to a passive control (either intervention or a waitlist for the primary intervention) (Cash et al, 2015;Cathcart et al, 2014;Day et al, 2014;la Cour and Petersen, 2015;Meize-Grochowski et al, 2015;Morone, Greco, and Weiner, 2008;Rahmani and Talepasand, 2015), one showed a significant effect of meditation on pain (Rahmani and Talepasand, 2015). The pooled effect (displayed in Figure 3.6) was not significant (SMD 0.28; CI −0.46, 1.02; 8 RCTs; I 2 76.5%); considerable heterogeneity was detected.…”

Section: Comparatorsmentioning

confidence: 99%

“…Only four RCTs explored the relationship between MBCT and chronic pain (Day et al, 2014;Dowd et al, 2015;Parra-Delgado and Latorre-Postigo, 2013;Ljotsson, Falk, et al, 2010) (see Figure 3.9). One of these four (Ljotsson, Falk, et al, 2010) showed that MBCT significantly reduced pain within 12 weeks, but this effect was nonsignificant in the pooled analysis (SMD 0.16; CI −0.45, 0.76; 4 RCTs; I 2 63.6%).…”

Section: Mindfulness-based Cognitive Therapymentioning

confidence: 99%

“…Five RCTs reported continuous outcomes measuring the effect of mindfulness meditation on participants with chronic pain from migraine or headache (Cathcart et al, 2014;Day et al, 2014;Dowd et al, 2015;Omidi and Zargar, 2014;Wells et al, 2014) (see Figure 3.10). Two of these studies (Omidi and Zargar, 2014;Wells et al, 2014) showed a significant positive effect after up to 12 weeks of intervention, but these results were not significant in the pooled analysis (SMD 0.38; CI −0.41, 1.17; 5 RCTs; I 2 80.6%).…”

Section: Migraine or Other Headachementioning

confidence: 99%

See 4 more Smart Citations

Mindfulness Meditation for Chronic Pain: A Systematic Review

Maglione¹,

Hempel²,

Maher³

et al. 2016

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Section: Study Quality/risk Of Bias For Individual Included Studiesmentioning

confidence: 99%

Section: Chronic Pain Treatment Response Standardized Mean Differencesmentioning

confidence: 99%

Section: Comparatorsmentioning

confidence: 99%

Section: Mindfulness-based Cognitive Therapymentioning

confidence: 99%

Section: Migraine or Other Headachementioning

confidence: 99%

See 3 more Smart Citations

Mindfulness Meditation for Chronic Pain: A Systematic Review

Maglione¹,

Hempel²,

Maher³

et al. 2016

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Effectiveness of Mindfulness Meditation vs Headache Education for Adults With Migraine

et al. 2021

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IMPORTANCE Migraine is the second leading cause of disability worldwide. Most patients with migraine discontinue medications due to inefficacy or adverse effects. Mindfulness-based stress reduction (MBSR) may provide benefit. OBJECTIVE To determine if MBSR improves migraine outcomes and affective/cognitive processes compared with headache education. DESIGN, SETTING, AND PARTICIPANTSThis randomized clinical trial of MBSR vs headache education included 89 adults who experienced between 4 and 20 migraine days per month. There was blinding of participants (to active vs comparator group assignments) and principal investigators/data analysts (to group assignment).INTERVENTIONS Participants underwent MBSR (standardized training in mindfulness/yoga) or headache education (migraine information) delivered in groups that met for 2 hours each week for 8 weeks. MAIN OUTCOMES AND MEASURESThe primary outcome was change in migraine day frequency (baseline to 12 weeks). Secondary outcomes were changes in disability, quality of life, self-efficacy, pain catastrophizing, depression scores, and experimentally induced pain intensity and unpleasantness (baseline to 12, 24, and 36 weeks). RESULTSMost participants were female (n = 82, 92%), with a mean (SD) age of 43.9 (13.0) years, and had a mean (SD) of 7.3 (2.7) migraine days per month and high disability (Headache Impact Test-6: 63.5 [5.7]), attended class (median attendance, 7 of 8 classes), and followed up through 36 weeks (33 of 45 [73%] of the MBSR group and 32 of 44 [73%] of the headache education group). Participants in both groups had fewer migraine days at 12 weeks (MBSR: −1.6 migraine days per month; 95% CI, −0.7 to −2.5; headache education: −2.0 migraine days per month; 95% CI, −1.1 to −2.9), without group differences (P = .50). Compared with those who participated in headache education, those who participated in MBSR had improvements from baseline at all follow-up time points (reported in terms of point estimates of effect differences between groups) on measures of disability (5.92; 95% CI, 2.8-9.0; P < .001), quality of life (5.1; 95% CI, 1.2-8.9; P = .01), self-efficacy (8.2; 95% CI, 0.3-16.1; P = .04), pain catastrophizing (5.8; 95% CI, 2.9-8.8; P < .001), depression scores (1.6; 95% CI, 0.4-2.7; P = .008), and decreased experimentally induced pain intensity and unpleasantness (MBSR group: 36.3% [95% CI, 12.3% to 60.3%] decrease in intensity and 30.4% [95% CI, 9.9% to 49.4%] decrease in unpleasantness; headache education group: 13.5% [95% CI, −9.9% to 36.8%] increase in intensity and an 11.2% [95% CI, −8.9% to 31.2%] increase in unpleasantness; P = .004 for intensity and .005 for unpleasantness, at 36 weeks). One reported adverse event was deemed unrelated to study protocol.CONCLUSIONS AND RELEVANCE Mindfulness-based stress reduction did not improve migraine frequency more than headache education, as both groups had similar decreases; however, MBSR improved disability, quality of life, self-efficacy, pain catastrophizing, and depression out to 36 weeks, with decreased ...

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Behavioral Factors in Headache Management

Andrasik¹,

Buse²

2014

The Handbook of Behavioral Medicine

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Mindfulness-based Cognitive Therapy for the Treatment of Headache Pain

Cited by 106 publications

References 19 publications

Mindfulness Meditation for Chronic Pain: A Systematic Review

Mindfulness Meditation for Chronic Pain: A Systematic Review

Effectiveness of Mindfulness Meditation vs Headache Education for Adults With Migraine

Behavioral Factors in Headache Management

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