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Effectiveness of Mindfulness-Based Cognitive Behavioral Therapy on Cognitive Avoidance, Health Anxiety, and Pain Catastrophizing in Individuals with Migraine

Effectiveness of Mindfulness-Based Cognitive Behavioral Therapy on Cognitive Avoidance, Health Anxiety, and Pain Catastrophizing in Individuals with Migraine

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
IRCT
Registry ID
IRCT20251121068066N5
Enrollment
36
Registered
2025-12-27
Start date
2025-11-16
Completion date
Unknown
Last updated
2026-02-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Migraine. Migraine

Interventions

Intervention 1: Intervention group: Received mindfulness-based cognitive behavioral therapy (MBCT) in a group setting in 8 90-minute sessions. The protocol included mindfulness strategies, cognitive r

Sponsors

Islamic Azad University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
20 Years to 50 Years

Inclusion criteria

Inclusion criteria: Migraine diagnosis based on diagnosis by a neurologist and psychiatrist. Age 20–50 years. Physically able to attend sessions. Minimum literacy level. Provided informed consent and willingness to participate. Not receiving any other psychological treatment during the study (for the experimental group).

Exclusion criteria

Exclusion criteria: Failure to adhere to the study protocol, including missing >3 sessions or not completing assignments. Worsening of medical or psychological condition due to the intervention (e.g., suicidal ideation). Onset of a new chronic physical illness. History of physical illnesses requiring medication or special diet. Presence of acute psychological disorders (e.g., severe depression or anxiety) based on psychiatric history. Receiving any psychological treatment (for the control group).

Design outcomes

Primary

MeasureTime frame
Cognitive Avoidance:Cognitive avoidance is measured as a discrete quantitative variable using a standardized questionnaire with a Likert-scale response format. Timepoint: Assessments will be conducted at baseline (pre-test), immediately post-intervention, and at 3-month follow-up. Method of measurement: Cognitive avoidance will be measured using the Cognitive Avoidance Questionnaire (CAQ) developed by Sexton and Dugas (2009). This questionnaire assesses cognitive strategies used to avoid distressing thoughts and is scored on a Likert scale. Data will be analyzed using SPSS version 23, and group comparisons over time will be performed using repeated-measures analysis of variance (ANOVA).;Health Anxiety:Health anxiety is assessed as a discrete quantitative variable using a validated Likert-scale questionnaire. Timepoint: Assessments will be conducted at baseline (pre-test), immediately post-intervention, and at 3-month follow-up. Method of measurement: Health anxiety will be assessed using the Health Anxiety Questionnaire (HAQ) developed by Salkovskis and Warwick (2002), which measures excessive concern and worry about health status using Likert-scale items. Data will be analyzed using SPSS version 23, and group comparisons over time will be performed using repeated-measures analysis of variance (ANOVA).;Pain Catastrophizing:Pain catastrophizing is measured as a discrete quantitative variable using a Likert-scale–based questionnaire. Timepoint: Assessments will be conducted at baseline (pre-test), immediately post-intervention, and at 3-month follow-up. Method of measurement: Pain catastrophizing will be measured using the Pain Catastrophizing Questionnaire (PCQ) developed by Sullivan et al. (1995). This instrument evaluates exaggerated negative cognitive and emotional responses to pain based on Likert-scale scoring.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactFahimeh Sadat Mosaviyan

Islamic Azad University

Fahimeh.mosaviyan@gmail.com+98 913 489 5575

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 7, 2026