Abstract
Background: Considering the prevalence of migraine and its detrimental effects on functioning, physical health, and quality of life as well as its psychosocial and social risks. The purpose of this study was to compare the effectiveness of mindfulness-based stress reduction treatment with treatment based on acceptance and commitment to the severity of pain and health-related quality of life in migraine patients. Methods: In this study, a semi-experimental design used with pre-test, post-test, a 3-month follow-up, and a control group. Using purposive sampling and considering the inclusion criteria, 45 patients with migraine diagnosis selected from among those referring to the neurology department of Imam Hossein hospital in Tehran. They were then randomly assigned to two experimental groups and a control group. The first experimental group received group therapy based on mindfulness (n = 15; 90-minute sessions), the second experimental group received acceptance and commitment based intervention (n = 15; 90-minute sessions), and the control group (n = 15) received no intervention. All subjects responded to pain intensity and health-related quality of life questionnaires before the intervention (pre-test), after the intervention (post-test), and 3 months after the intervention (follow-up). One-way ANOVA analyzed the collected data. Results: The findings showed that mean scores for the 2 experimental groups were significantly different from the control group in the post-test and follow-up phases in terms of severity of pain and health-related quality of life, while the mean scores for the two experimental groups did not differ significantly. The results emphasize the importance of these interventions for chronic diseases and offer new horizons in clinical interventions. Conclusion: The results of this study showed that mindfulness-based stress reduction therapy and acceptance and commitment therapy could positively affect the severity of pain and health-related quality of life in migraine patients, and any of them can be used to improve the variables mentioned above.
Highlights
Migraine is a debilitating headache[1] and a neurovascular disorder[2] described as the third common disorder and the seventh cause of disability in the world.[3]
The findings suggest that psychological treatments such as mindfulness or acceptance and commitment approaches can help patients with chronic pain
The findings reported by Bastami et al showed that acceptance and commitment intervention in patients with type 2 diabetes significantly increased the quality of life in the experimental group compared to the control group, after eight sessions of intervention, and lasted after 3 months in the follow-up phase.[27]
Summary
Migraine is a debilitating headache[1] and a neurovascular disorder[2] described as the third common disorder and the seventh cause of disability in the world.[3]. Haji Seyed Javadi et al are usually associated with dizziness, nausea, and sensitivity to light and sound.[5] This condition is highly hereditary, but factors such as stress, depression, sleep disorders, hormonal imbalance (menstruation), fatigue, and some foods can trigger migraines.[6] This chronic and prolonged pain disrupts healthy life and negatively affects physical, psychological, and social health as well as the quality of life.[3,7] Studies indicate that mental disorders (anxiety, depression, and lack of social support) are more common in people with migraine headaches This leads to a decrease in quality of life and mental disorders.[8,9] Kollewe et al showed that health-related quality of life, as a multi-dimensional concept, can be considered as the most important goal in treating these patients, in order to reduce symptoms and improve their health and psychosocial functions.[10] Findings by Shaik et al indicated that women with migraine experience lower levels of physical and psychological quality of life compared to healthy people.
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