Mindfulness-based cognitive therapy for the treatment of headache pain: A mixed-methods analysis comparing treatment responders and treatment non-responders

Day, Melissa A., Thorn, Beverly E. and Rubin, Nancy J. (2014) Mindfulness-based cognitive therapy for the treatment of headache pain: A mixed-methods analysis comparing treatment responders and treatment non-responders. Complementary Therapies in Medicine, 22 2: 278-285. doi:10.1016/j.ctim.2013.12.018


Author Day, Melissa A.
Thorn, Beverly E.
Rubin, Nancy J.
Title Mindfulness-based cognitive therapy for the treatment of headache pain: A mixed-methods analysis comparing treatment responders and treatment non-responders
Journal name Complementary Therapies in Medicine   Check publisher's open access policy
ISSN 1873-6963
0965-2299
Publication date 2014-04-01
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.ctim.2013.12.018
Volume 22
Issue 2
Start page 278
End page 285
Total pages 8
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Language eng
Formatted 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.
Keyword Headache pain
Mindfulness-based cognitive therapy
Mixed-methods analysis
Responder analysis
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Psychology Publications
 
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