Acceptance and commitment therapy for episodic migraine: Rationale and design of a pilot randomized controlled trial.
Acceptance and commitment therapy for episodic migraine: Rationale and design of a pilot randomized controlled trial.
复制标题
阵发性偏头痛的接受和承诺治疗：试点随机对照试验的基本原理和设计。
DOI：
10.1016/j.cct.2022.106907
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发表时间：
2022
影响因子：
2.2
通讯作者：
Lazaridou,Asimina
中科院分区：
文献类型：
--
作者：
Bernstein,CarolynAnn;Connor,JulieP;Vilsmark,EricS;Paschali,Myrella;Rozenkrantz,Liron;Rist,PamelaM;Wayne,PeterM;Lazaridou,Asimina
偏头痛是一种使人衰弱的疾病，药物选择有限。许多偏头痛药物可能具有无法忍受的副作用，导致患者寻求补充和综合健康（CIM）方法进行治疗。一个越来越受欢迎和证据的选择是接受和承诺疗法（ACT），一种基于正念的疗法。本文的目的是描述如何ACT可能是一个有效的方式整合到偏头痛的治疗，并描述了一个试点研究ACT偏头痛的设计。首先，我们回顾了正念疗法治疗偏头痛的研究和前景。然后，我们描述了ACT与其他偏头痛正念疗法的不同之处，以及为什么它可以成为这些患者的一个有希望的选择。最后，我们总结了一项试点研究的设计，旨在确定未来进行充分的研究，以确定ACT对偏头痛频率和残疾的有效性的可行性。这项试点研究包括独特的功能，包括远程提供ACT干预和干预前后皮质醇水平的测量。
Migraine is a debilitating disorder with limited pharmacological options. Many migraine medications can have intolerable side effects leading patients to seek complementary and integrative health (CIM) approaches for treatment. One option that is growing in popularity and evidence is Acceptance and Commitment Therapy (ACT), a mindfulness-based therapy. The purpose of this paper is to describe how ACT may be an effective modality integrated into the treatment of migraine and to describe the design of a pilot study of ACT for migraine. First, we review the research and the promise of mindfulness therapies for the treatment of migraine. Then, we describe how ACT differs from other mindfulness therapies for migraine and why it can be a promising option for these patients. Finally, we summarize the design of a pilot study designed to determine the feasibility of performing a future fully powered study to determine the effectiveness of ACT on migraine frequency and disability. This pilot study includes unique features, including a remotely-delivered ACT intervention and the measurement of cortisol levels before and after the intervention.