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Brief Mindfulness-Based Therapy for Chronic Tension-Type Headache: A Randomized Controlled Pilot Study

Published online by Cambridge University Press:  03 April 2013

Stuart Cathcart ,
Nicola Galatis ,
Maarten Immink ,
Michael Proeve  and
John Petkov
Stuart Cathcart*
Affiliation:
University of Canberra, Australia
Nicola Galatis
Affiliation:
University of South Australia, Adelaide, Australia
Maarten Immink
Affiliation:
University of South Australia, Adelaide, Australia
Michael Proeve
Affiliation:
University of Adelaide, Australia
John Petkov
Affiliation:
University of South Australia, Adelaide, Australia
*
Reprint requests to Stuart Cathcart, Centre for Applied Psychology, University of Canberra, Bruce 2601, Australia. E-mail: stuart.cathcart@canberra.edu.au
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Abstract

Background: Mindfulness-based therapy (MBT) has been demonstrated to be effective for reducing chronic pain symptoms; however, the use of MBT for Chronic Tension-Type Headache (CTH) exclusively has to date not been examined. Typically, MBT for chronic pain has involved an 8-week program based on Mindfulness Based Stress Reduction. Recent research suggests briefer mindfulness-based treatments may be effective for chronic pain. Aims: To conduct a pilot study into the efficacy of brief MBT for CTH. Method: We conducted a randomized controlled trial of a brief (6-session, 3-week) MBT for CTH. Results: Results indicated a significant decrease in headache frequency and an increase in the mindfulness facet of Observe in the treatment but not wait-list control group. Conclusion: Brief MBT may be an effective intervention for CTH.

Keywords

Chronic tension-type headachemindfulnessstress reductionpaintherapy

Information

Type
Empirically Grounded Clinical Interventions
Information
Behavioural and Cognitive Psychotherapy , Volume 42 , Issue 1 , January 2014 , pp. 1 - 15
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J. and Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45.Google Scholar
Bendtsen, L. and Jensen, R. (2006). Tension-type headache: the most common, but also the most neglected, headache disorder. Current Opinion in Neurology, 19, 305–309.Google Scholar
Bezov, D., Ashina, S., Jensen, R. and Bendtsen, L. (2011). Pain perception studies in tension-type headache. Headache, 51, 262–271.Google Scholar
Blanchard, E. B., Kim, M., Hermann, C. U. and Steffek, B. D. (1993). Preliminary results of the effects on headache relief of perception of success among tension headache patients receiving relaxation. Headache Quarterly, 4, 249–253.Google Scholar
Carmody, J. and Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31, 23–33.CrossRefGoogle Scholar
Carmody, J. and Baer, R. (2009). How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. Journal of Clinical Psychology, 65, 627–638.CrossRefGoogle ScholarPubMed
Cathcart, S., Petkov, J., Winefield, A. H., Lushington, K. and Rolan, P. (2010). Central mechanisms of stress-induced headache. Cephalalgia, 30, 285–295.Google Scholar
Cathcart, S. and Pritchard, D. (1998). Relationships between arousal related moods and episodic tension type headache: a biopsychological study. Headache, 38, 214–221.CrossRefGoogle ScholarPubMed
Cathcart, S. and Pritchard, D. (2008). Daily hassles and pain sensitivity in chronic tension-type headache sufferers. Stress and Health, 24, 123–127.Google Scholar
Cathcart, S., Winefield, A. H., Lushington, K. and Rolan, P. (2010). Stress and tension-type headache mechanisms. Cephalalgia, 30, 1250–1267.Google Scholar
Fitchel, A. and Larsson, B. (2001). Does relaxation treatment have differential effects on migraine and tension-type headache in adolescents. Headache, 41, 290–296.Google Scholar
Fumal, A. and Schoenen, J. (2008). Tension-type headache: current research and clinical management. Lancet Neurology, 7, 70–83.Google Scholar
Grossman, P., Neimann, L., Stefan, S. and Walach, H. (2004). Mindfulness-based stress reduction and health benefits: a meta-analysis. Journal of Psychosomatic Research, 57, 35–43.Google Scholar
Hutchinson, M. R., Bland, S. T., Johnson, K. W., Rice, K. C., Maier, S. F. and Watkins, L. R. (2007). Opioid-induced glial activation: mechanisms of activation and implications for opioid analgesia, dependence, and reward. Scientific World Journal, 7, 98–111.CrossRefGoogle ScholarPubMed
International Headache Society (2004). International Classification of Headache Disorders (2nd edn.) Cephalalgia, 24 (suppl. 1), 9–160.Google Scholar
Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., et al. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: effects on distress, positive states of mind, rumination, and distraction. Annuals of Behavioral Medicine, 33, 11–21.CrossRefGoogle ScholarPubMed
Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47.Google Scholar
Kabat-Zinn, J., Lipworth, L. and Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8, 163–190.Google Scholar
Kabat-Zinn, J., Lipworth, L., Burney, R. and Sellers, W. (1986). Four year follow-up of a meditation-based program for the self-regulation of chronic pain: treatment outcomes and compliance. Clinical Journal of Pain, 2, 159–173.CrossRefGoogle Scholar
Kingston, J., Chadwick, P., Meron, D. and Skinner, T. C. (2007). A pilot randomized control trial investigating the effect of mindfulness practice on pain tolerance, psychological well-being, and physiological activity. Journal of Psychosomatic Research, 62, 297–300.Google Scholar
Liang, K. Y. and Zeger, S. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73, 13–22.CrossRefGoogle Scholar
Lovibond, S. H. and Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation.Google Scholar
Martin, P. R. and MacLeod, C. (2009). Behavioral management of headache triggers: avoidance of triggers is an inadequate strategy. Clinical Psychology Review, 29, 483–495.Google Scholar
Morone, N. E., Greco, C. M. and Weiner, D. K. (2008). Mindfulness meditation for the treatment of chronic low back pain in older adults: a randomized controlled pilot study. Pain, 134, 310–319.Google Scholar
Nash-McFeron, D. E. (2006). Mindfulness in the treatment of chronic headache pain. Dissertation Abstracts International, 67, 28–41.Google Scholar
Nash, J. M. and Thebarge, R. W. (2006). Understanding psychological stress, its biological processes, and impact on primary headache. Headache, 46, 1377–1386.Google Scholar
Plews-Ogan, M., Owens, J. E., Goodman, M., Wolfe, P. and Schorling, J. (2005). A pilot study evaluating mindfulness-based stress reduction and massage for the management of chronic pain. Journal of General Internal Medicine, 20, 1136–1138.CrossRefGoogle ScholarPubMed
Pradhan, E. K., Baumgarten, M., Langenberg, P., Handwerger, B., Gilpin, A. K., Magyari, T., et al. (2007). Effect of mindfulness-based stress reduction in rheumatoid arthritis patients. Arthritis Rheum, 57, 134–142.Google ScholarPubMed
Rosdahl, D. R. L. (2003). The Effect of Mindfulness Meditation on Tension Headaches and Secretory Immunoglobulin A in Saliva. Arizona: The University of Arizona.Google Scholar
Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A. and Beasley, D. (2010). Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice. Journal of Psychosomatic Research, 68, 29–36.CrossRefGoogle ScholarPubMed
Sartory, G., Muller, B., Metsch, J. and Pothmann, R. (1998). A comparison of psychological and pharmacological treatment of pediatric migraine. Behavioral Research Therapy, 36, 1155–1170.CrossRefGoogle ScholarPubMed
Schmidt, S., Grossman, P., Schwarzer, B., Jena, S., Naumann, J. and Walach, H. (2011). Treating fibromyalgia with mindfulness-based stress reduction: results from a 3-armed randomized controlled trial. Pain, 152, 361–369.CrossRefGoogle ScholarPubMed
Schoenen, J. (2006). Tension-type headache. In MacMahon, S. and Koltzenburg, M. (Eds.). Wall and Melzack's Textbook of Pain (5thedn). Amsterdam: Elsevier.Google Scholar
Schwartz, B., Stewart, W., Simon, D. and Lipton, R. (1998). Epidemiology of tension-type headache. JAMA, 279, 381–383.Google Scholar
Segal, Z. V., Williams, J. M. G. and Teasdale, J. D. (2002). Mindfulness-Based Cognitive Therapy for Depression: a new approach to preventing relapse. New York: Guilford.Google Scholar
Singh, B. B., Berman, B. M., Hadhazy, V. A. and Creamer, P. (1998). A pilot study of cognitive behavioral therapy in fibromyalgia. Alternative Therapy Health Medicine, 4, 467–470.Google ScholarPubMed
SPSS Inc. (2009). Statistical Package for the Social Sciences, Release 17.0. Vesta Services Inc, USA.Google Scholar
Zautra, A. J., Davis, M. C., Reich, J. W., Nicassio, P., Tennen, H., Finan, P., et al. (2008). Comparison of cognitive behavioral and mindfulness meditation interventions on adaptation to rheumatoid arthritis for patients with and without history of recurrent depression. Journal of Consulting and Clinical Psychology, 76, 408–421.CrossRefGoogle ScholarPubMed
Zeidan, F., Gordon, N. S., Merchant, J. and Goolkasian, P. (2010). The effects of brief mindfulness meditation training on experimentally induced pain. The Journal of Pain, 11, 199–209.Google Scholar
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