اثر بخشی آموزش ذهن‌آگاهی بر ادراک درد، عملکرد شناختی و بهزیستی ذهنی در بیماران مبتلا به میگرن

آناهیتا  نوراللهی مقدم; سیدداوود  حسینی نسب

doi:10.61838/jcbl.1.2.3

Authors

Anahita Norollahi Moghaddam Master's student, Clinical Psychology, Tabriz Medical Sciences Branch, Islamic Azad University, Tabriz, Iran Author https://orcid.org/0009-0007-1792-2238
Seyyed Davoud Hosseini Nasab Professor, Department of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran. Corresponding author https://orcid.org/0000-0001-7547-9501

DOI:

https://doi.org/10.61838/jcbl.1.2.3

Keywords:

Mindfulness, Pain Perception, Cognitive Function, Subjective Well-Being, Migraine

Abstract

The present study aimed to assess the effectiveness of mindfulness training on pain perception, cognitive function, and mental well-being in migraine patients in Tabriz. The research method was quasi-experimental with a pre-test–post-test design and separate groups. The statistical population included all migraine patients in Tabriz during the first four months of 2024. To determine the sample, 30 participants were non-randomly selected through purposive sampling and assigned to experimental and control groups. Pain perception was measured using the Revised Short-Form McGill Pain Questionnaire (SF-MPQ-2), cognitive function was assessed using the Cognitive Ability (Performance) Questionnaire by Najati (2013), and mental well-being was evaluated using the Cantril Ladder (1965). Prior to the intervention, both groups completed pre-tests on pain perception, cognitive function, and mental well-being. The experimental group received 8 sessions of Williams' (2002) mindfulness training through an educational protocol, while the control group received no educational intervention. After the intervention, both groups completed the same post-test measures. Data were analyzed using multivariate analysis of covariance (MANCOVA). The results showed that mindfulness training was effective in the subscales of pain perception, cognitive function, and mental well-being in migraine patients (p < 0.05). Based on the effectiveness of mindfulness training on pain perception, cognitive function, and mental well-being in migraine patients, it can be concluded that mindfulness training, alongside treatment of physiological components, can reduce pain perception and, through this, enhance cognitive function and mental well-being.

Downloads

Download data is not yet available.

References

Abdollahi, M., Arabnejad, M., & Farzaneh, S. (2015). The effectiveness of cognitive-behavioral therapy in reducing rumination in patients with migraine with obsessive-compulsive disorder Tehran].

Abdul Qadri, M., Kafi, S. M., Sabri, A., & Aryapouran, S. (2012). The effectiveness of cognitive therapy based on mindfulness and cognitive behavioral therapy to reduce pain, depression and anxiety of patients with chronic back pain. Scientific Research Journal of Shahid Sadoughi University of Medical Sciences, 21(6), 795-807.

Abotalebi Isazadegan, A., Yazdchi, N., & Akbarinejhad, H. (2022). Effectiveness of Mindfulness-based Cognitive Therapy on Resilience and Intensity of Pain Experience of Women With Chronic Headache. Journal of Applied Psychology, 13(1), 1-13.

Ahmadvand, H., Heydari, Z., Nesab, L., & Shoairi, M. R. (2011). Explaining psychological well-being based on the components of mindfulness in health psychology. 2, 69, 60.

Arefian, M., Asgari Mobarakeh, K., & Fazilat Pour, M. (2024). The effect of mindfulness integrated cognitive behavioral therapy on pain and life expectancy of women with breast cancer during chemotherapy. Journal of Psychological Science, 23(133), 41-58. https://doi.org/10.52547/JPS.23.133.41

Arvane, E., Gholami Tooranposhti, M., Mohammadi Shirmahleh, F., & Meschi, F. (2023). Comparing the Effectiveness of Group Training of Coping Skills and Mindfulness on Pain Perception and Cognitive Flexibility in Patients with Kidney Failure: A Semi-experimental Study. Journal of clinical nursing, 16(2), 6.

Bagheri Sheykhangafshe, F., Abbaspour, A., Savabi Niri, V., Bikas Yekani, M., & Keramati, S. (2024). The effectiveness of mindfulness-based cognitive therapy (MBCT) on alexithymia, pain intensity, and emotional regulation in children with irritable bowel syndrome. Journal of Child and Adolescent Mental Health, 11(2), 6. https://doi.org/10.61186/jcmh.11.2.7

Best, R. D., Grinberg, A., Smitherman, T. A., Seng, E. K., & Ozmeral, A. (2024). Pain acceptance as a change mechanism for mindfulness-based cognitive therapy for migraine. Journal of Behavioral Medicine, 47(3), 1-12. https://doi.org/10.1007/s10865-024-00475-5

Bigdeli, I., Rahimian Boker, I., & Najafi, M. (2011). Clinical Psychology. Semnan: Nafis Publications. Birrer, D., & Morgan, G. (2010). Psychological skills training as a way to enhance an athlete's performance in highintensity sports. Scandinavian Journal of Medicine & Science in Sports, 20, 78-87. https://doi.org/10.1111/j.1600-0838.2010.01188.x

Birtwell, K., Dubrow-Marshall, L., Dubrow-Marshall, R., Duerden, T., & Dunn, A. (2017). A mixed methods evaluationدof a Mindfulness-Based Stress Reduction course for people with Parkinson's disease. Complementary Therapies in Clinical Practice, 29, 220-228. https://doi.org/10.1016/j.ctcp.2017.10.009

Burk, R. S., Grap, M. J., Munro, C. L., Schubert, C. M., & Sessler, C. N. (2014). Predictors of agitation in critically ill adults. American Journal of Critical Care, 23(5), 414-423. https://doi.org/10.4037/ajcc2014714

Cantril, H. (1965). The Pattern of Human Concerns. Rutgers University Press, New Brunswick.

Chao, S. (2019). Does geriatric nursing staff burnout predict well-being of LTC residents? Geriatric Nursing. https://doi.org/10.1016/j.gerinurse.2018.12.010

Cho, J., Martin, P., Margrett, J., MacDonald, M., & Poon, L. W. (2011). The Relationship between Physical Health and Psychological Well-Being among Oldest-Old Adults. Journal of Aging Research, 2011, Article ID 605041-605048. https://doi.org/10.4061/2011/605041

Diener, E. (2000). Subjective well-being: The Science of Happiness and a Personal for a National index. American psychologist, 55, 34-43. https://doi.org/10.1037//0003-066X.55.1.34

Diener, E., Suh, E., & Oishi, S. (1997). Recent findings on subjective well-being. Indian Journal of Clinical Psychology, 24, 25-41.

DiMatteo, M. R., & Martin, L. R. (2001). Health Psychology. Boston: Allyn & Bacon.

Dowsey, M., Castle, D., Knowles, S., Monshat, K., Salzberg, M., Nelson, E., Dunin, A., Dunin, J., Spelman, T., & Choong, P. (2019). The effect of mindfulness training prior to total joint arthroplasty on post-operative pain and physical function: A randomised controlled trial. Complementary Therapies in Medicine, 46, 195-201. https://doi.org/10.1016/j.ctim.2019.08.010

Dworkin, R. H., Turk, D. C., Revicki, D. A., Harding, G., Coyne, K. S., Peirce-Sandner, S., & et al. (2009). Development and initial validation of an expanded and revised version of the Short-form McGill Pain Questionnaire (SF-MPQ-2). Pain, 144, 35-42. https://doi.org/10.1016/j.pain.2009.02.007

Edvinsson, L., Villalón, C. M., & MaassenVan Den Brink, A. (2012). Basic mechanisms of migraine and its acute treatment. Pharmacology & Therapeutics, 136(3), 319-333. https://doi.org/10.1016/j.pharmthera.2012.08.011

Emanuel, A. S., Updegraff, J. A., Kalmbach, A. D., & Ciesla, J. A. (2014). The role of mindfulness facets in affective forecasting. Personality and individual differences, 49, 815-818. https://doi.org/10.1016/j.paid.2010.06.012

Esmaeili, N., Askary, P., Saraj Khorami, N., & Bakhtiarpour, S. (2020). Mindfulness-Based Cognitive Therapy (MBCT) on Increasing Resilience and Reducing Headache in Migraine Patients. Mazandaran University of Medical Sciences, 63(3), 2350-2358.

Ghazizadeh, H., Turkaman Dareh Miyaneh, P., & Jafari, S. (2023). Investigation of the effectiveness of mindfulness based on stress reduction on subjective well-being and depression of elderly people of Tehran. The First International Conference of Psychology, Social Sciences, Educational Sciences and Philosophy, Babol, 1-7.

Golmakani, N., Hashemi Asl, M., Sajadi, A., & Poorjavad, M. (2012). The relationship between happiness during

progeny, and labour pain coping behaviours. The Iranian Journal of Obstetrics, Gynaecology and Infertility, 15(24), 17-25.

Gumport, N. B., Dong, L., Lee, J. Y., & Harvey, A. G. (2018). Patient learning of treatment contents in cognitive therapy. Journal of Behavior Therapy and Experimental Psychiatry, 58, 51-59. https://doi.org/10.1016/j.jbtep.2017.08.005

Hazlett-Stevens, H., Singer, J., & Chong, A. (2019). Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy with Older Adults: A Qualitative Review of Randomized Controlled Outcome Research. Clinical Gerontologist, 42(4), 347-358. https://doi.org/10.1080/07317115.2018.1518282

Hess, D. (2018). Mindfulness-Based Interventions for Hematology and Oncology Patients with Pain. Hematology/Oncology Clinics of North America, 32(3), 493-504. https://doi.org/10.1016/j.hoc.2018.01.013

Holroyd, K. A., Cottrell, C. K., O'Donnell, F. J., & et al. (2020). Effect of preventive (beta blocker) treatment, behavioural migraine management, or their combination on outcomes of optimised acute treatment in frequent migraine: randomised controlled trial. bmj, 341, c4871. https://doi.org/10.1136/bmj.c4871

Horan, K. A., & Taylor, M. B. (2018). Mindfulness and self-compassion as tools in health behavior change: An evaluation of a workplace intervention pilot study. https://doi.org/10.1037/e507662017-001

IzadiKhah, A., Ansari Shahidi, M., Rezaei Jamaloei, H., & Haghayegh, A. (2020). Comparing the Effectiveness of Mindfulness Therapy and Relaxation on Pain in Patients with Migraine. Journal of Applied Psychology, 11(3),28-42.

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10, 149-156. https://doi.org/10.1093/clipsy.bpg016

Kearson, A., Samawi, L., Burrowes, S., Keaser, M., Zhang, J., Campbell, C., Gould, N., White, L., Peterlin, B., Haythornthwaite, J., & Seminowicz, D. (2019). The Effects of Mindfulness-Based Stress Reduction on Pain Catastrophizing in Episodic Migraine. The Journal of Pain, 20(4), 52-60. https://doi.org/10.1016/j.jpain.2019.01.469