The effectiveness of acceptance and commitment therapy on cognitive flexibility, rumination, and distress tolerance in persons with Migraine headache

Introduction: Tolerating migraine pain has a variety of psychological consequences that should be considered in the context of psychotherapy applications. Aim: The purpose of the current study was to determine the effectiveness of acceptance and commitment therapy based on cognitive flexibility, ru...

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Main Authors: Negar Bakhshandeh Larimi, Azra Zebardast, Sajjad Rezaei
Format: Article
Language:fas
Published: Kurdistan University of Medical Scienses 2021-05-01
Series:روانشناسی و روانپزشکی شناخت
Subjects:
Online Access:http://shenakht.muk.ac.ir/article-1-1004-en.pdf
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author Negar Bakhshandeh Larimi
Azra Zebardast
Sajjad Rezaei
author_facet Negar Bakhshandeh Larimi
Azra Zebardast
Sajjad Rezaei
author_sort Negar Bakhshandeh Larimi
collection DOAJ
description Introduction: Tolerating migraine pain has a variety of psychological consequences that should be considered in the context of psychotherapy applications. Aim: The purpose of the current study was to determine the effectiveness of acceptance and commitment therapy based on cognitive flexibility, rumination and confusion tolerance in headache patients. Method: This research was a quasi-experimental with pre-test and post-test design with a control group. Among female students of Guilan University during the second semester of the 2018-2019 academic year, the numbers of 32 patients with migraine headache were selected by accessible sampling method and then assigned randomly into two groups included experimental (n=14) and control (n=18) groups. Eight sessions in 60 minutes per week were under-treatment based on acceptance and commitment in the group. Before and after the sessions, both groups answered voluntarily using Dennis & Wenderval’s (2010) Cognitive Flexibility Inventory, Nolen-Hoeksema & Davis Ruminative Responses Scale (1999), and Simons & Gaher Distress Tolerance Scale (2005). Data were analyzed by the Mann-Whitney U test. Results: The results revealed that the experimental group had significantly lower scores in rumination (U= 62.00, P=0.005) and higher scores in distress tolerance (U=69.50, P<0.01) than the control group after the intervention. Intervention on cognitive flexibility in the headache group indicated no significant difference (U= 133.00, P<0.70). Conclusion: Achieved results from the current research revealed that the acceptance and commitment therapy could be an appropriate alternative to reduce the rumination in people having migraine headache and to increase the distress tolerance in people having chronic pains.
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spelling doaj.art-7f463a1d73e644bda46b84906b4ee6092022-12-22T02:51:53ZfasKurdistan University of Medical Sciensesروانشناسی و روانپزشکی شناخت2588-66572476-29622021-05-0182748710.32598/shenakht.8.2.74The effectiveness of acceptance and commitment therapy on cognitive flexibility, rumination, and distress tolerance in persons with Migraine headacheNegar Bakhshandeh Larimi0https://orcid.org/0000-0001-6092-4377Azra Zebardast1https://orcid.org/0000-0002-8836-8541Sajjad Rezaei2https://orcid.org/0000-0001-7292-9669MA, Department of Psychology, University of Guilan, Rasht, IranAssistant Professor, Department of Psychology, University of Guilan, Rasht, Iran(Corresponding Author). E -mail: Zebardast@guilan.ac.irAssistant Professor, Department of Psychology, University of Guilan, Rasht, IranIntroduction: Tolerating migraine pain has a variety of psychological consequences that should be considered in the context of psychotherapy applications. Aim: The purpose of the current study was to determine the effectiveness of acceptance and commitment therapy based on cognitive flexibility, rumination and confusion tolerance in headache patients. Method: This research was a quasi-experimental with pre-test and post-test design with a control group. Among female students of Guilan University during the second semester of the 2018-2019 academic year, the numbers of 32 patients with migraine headache were selected by accessible sampling method and then assigned randomly into two groups included experimental (n=14) and control (n=18) groups. Eight sessions in 60 minutes per week were under-treatment based on acceptance and commitment in the group. Before and after the sessions, both groups answered voluntarily using Dennis & Wenderval’s (2010) Cognitive Flexibility Inventory, Nolen-Hoeksema & Davis Ruminative Responses Scale (1999), and Simons & Gaher Distress Tolerance Scale (2005). Data were analyzed by the Mann-Whitney U test. Results: The results revealed that the experimental group had significantly lower scores in rumination (U= 62.00, P=0.005) and higher scores in distress tolerance (U=69.50, P<0.01) than the control group after the intervention. Intervention on cognitive flexibility in the headache group indicated no significant difference (U= 133.00, P<0.70). Conclusion: Achieved results from the current research revealed that the acceptance and commitment therapy could be an appropriate alternative to reduce the rumination in people having migraine headache and to increase the distress tolerance in people having chronic pains.http://shenakht.muk.ac.ir/article-1-1004-en.pdfmigrainedistressruminationacceptance and commitment therapy
spellingShingle Negar Bakhshandeh Larimi
Azra Zebardast
Sajjad Rezaei
The effectiveness of acceptance and commitment therapy on cognitive flexibility, rumination, and distress tolerance in persons with Migraine headache
روانشناسی و روانپزشکی شناخت
migraine
distress
rumination
acceptance and commitment therapy
title The effectiveness of acceptance and commitment therapy on cognitive flexibility, rumination, and distress tolerance in persons with Migraine headache
title_full The effectiveness of acceptance and commitment therapy on cognitive flexibility, rumination, and distress tolerance in persons with Migraine headache
title_fullStr The effectiveness of acceptance and commitment therapy on cognitive flexibility, rumination, and distress tolerance in persons with Migraine headache
title_full_unstemmed The effectiveness of acceptance and commitment therapy on cognitive flexibility, rumination, and distress tolerance in persons with Migraine headache
title_short The effectiveness of acceptance and commitment therapy on cognitive flexibility, rumination, and distress tolerance in persons with Migraine headache
title_sort effectiveness of acceptance and commitment therapy on cognitive flexibility rumination and distress tolerance in persons with migraine headache
topic migraine
distress
rumination
acceptance and commitment therapy
url http://shenakht.muk.ac.ir/article-1-1004-en.pdf
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