Acceptance and Commitment Therapy for Primary Headache Sufferers: A Randomized Controlled Trial of Efficacy.

The Journal of Pain : Official Journal of the American Pain Society
Vasilis S VasiliouMaria Karekla

Abstract

Prevention of headaches via avoidance of triggers remains the main behavioral treatment suggestion for headache management despite trigger avoidance resulting in increases in potency, lifestyle restrictions, internal locus of control decreases, pain exacerbation and maintenance. New approaches, such as Acceptance and Commitment Therapy (ACT), instead emphasize acceptance and valued living as alternatives to avoidance. Though ACT is an empirically supported treatment for chronic pain, there is limited evidence for headache management while preliminary outcome studies are afflicted with methodological limitations. This study compared an ACT-based group headache-specific intervention to wait-list control, in a randomized clinical trial, on disability, distress, medical utilization, functioning, and quality of life. Ninety-four individuals with primary headache (84% women; Mage = 43 years; 87.35% migraine diagnosis) were randomized into 2 groups (47 in each). Assessments occurred: before, immediately after, and at 3 months following treatment end. Only the ACT group was additionally assessed at 6- and 12-month follow-up. Results (intent to treat analyses corroborated by linear mixed model analyses) showed substantial improvements i...Continue Reading

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Citations

May 11, 2021·Current Neurology and Neuroscience Reports·Rebecca Barmherzig, Thilinie Rajapakse
Jun 24, 2021·Headache·Jessica AilaniUNKNOWN Board of Directors of the American Headache Society
Jul 3, 2021·Journal of Clinical Medicine·Carmen M Galvez-SánchezPablo de la Coba
Aug 11, 2021·European Journal of Pain : EJP·Vasilis S VasiliouMaria Karekla

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