Mindfulness-based cognitive therapy for headache pain: an evaluation of the long-term maintenance of effects

Day, Melissa A. and Thorn, Beverly E. (2017) Mindfulness-based cognitive therapy for headache pain: an evaluation of the long-term maintenance of effects. Complementary Therapies in Medicine, 33 94-98. doi:10.1016/j.ctim.2017.06.009

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Author Day, Melissa A.
Thorn, Beverly E.
Title Mindfulness-based cognitive therapy for headache pain: an evaluation of the long-term maintenance of effects
Journal name Complementary Therapies in Medicine   Check publisher's open access policy
ISSN 1873-6963
Publication date 2017-08-01
Sub-type Article (original research)
DOI 10.1016/j.ctim.2017.06.009
Open Access Status Not yet assessed
Volume 33
Start page 94
End page 98
Total pages 5
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Language eng
Subject 3603 Complementary and Manual Therapy
2707 Complementary and alternative medicine
2902 Advanced and Specialised Nursing
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.
Keyword Headache
Long-term efficacy
Maintenance of gains
Mindfulness-based cognitive therapy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

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