The Effectiveness of Acceptance and Commitment Therapy on Meta-Worry and Cognitive Flexibility in Psychosomatic Patients with Migraine

Authors

Keywords:

Acceptance and Commitment Therapy, Meta-Worry, Cognitive Flexibility, Psychosomatic Patients, Migraine

Abstract

Objective: Psychosomatic patients face many problems in life, especially in the field of meta-worry and cognitive flexibility. Therefore, the present research was conducted with the aim of determine the effectiveness of acceptance and commitment therapy on meta-worry and cognitive flexibility in psychosomatic patients with migraine.

Methods and Materials: The present research was applied in terms of purpose and semi-experimental with a pretest and posttest design with a control group. The research population was psychosomatic patients with migraine who referred to psychiatric clinics of Ahvaz city in 2024 year. After reviewing the inclusion criteria, number of 40 people were selected as a sample by purposive sampling method and randomly replaced into two equal groups. The experimental group underwent 10 sessions of 60 minute by acceptance and commitment therapy and the control group remained on the waiting list for therapy. The present research tools were included of meta-worry questionnaire (Wells & Davies, 1994) and cognitive flexibility questionnaire (Dennis & VanderWal, 2010). The data in this study were analyzed with using chi-square and multivariate analysis of covariance methods in SPSS-25 software at a significant level of 0.05.

Findings: The findings showed that there was no significant difference in gender, education and age between psychosomatic patients with migraine in the experimental and control groups (P>0.05). Also, acceptance and commitment therapy reduced meta-worry and increased cognitive flexibility in psychosomatic patients with migraine (P<0.001).

Conclusion: According to the results of this study, health professionals and therapists can use acceptance and commitment therapy method beside other treatment methods to improve psychological characteristics, especially reducing meta-worry and increasing cognitive flexibility.

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References

Ainsworth, B., Bolderston, H., & Garner, M. (2017). Testing the differential effects of acceptance and attention-based psychological interventions on intrusive thoughts and worry. Behaviour Research and Therapy, 91, 72-77. https://doi.org/10.1016/j.brat.2017.01.012

Asban, F., & Bayat, F. (2024). Effectiveness of acceptance and commitment therapy on meta-worry, irritable mood, and emotional experience processing in anxious female nurses. Hospital Practices and Research, 9(1), 409-415. https://doi.org/10.30491/hpr.2024.458798.1427

Battista, S., Lazzaretti, A., Coppola, I., Falsiroli Maistrello, L., Rania, N., & Testa, M. (2023). Living with migraine: A meta-synthesis of qualitative studies. Frontiers in Psychology, 14(1129926), 1-20. https://doi.org/10.3389/fpsyg.2023.1129926

Benatto, M. T., Florencio, L. L., Bragatto, M. M., Dach, F., Penas, C. F., & Bevilaqua-Grossi, D. (2025). Muscle and clinical responses to a craniocervical exercise protocol in patients with migraine: A feasibility study. Journal of Bodywork and Movement Therapies, 42, 167-174. https://doi.org/10.1016/j.jbmt.2024.12.011

Dennis, J. P., & Vander Wal, J. S. (2010). The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive Therapy and Research, 34(3), 241-253. https://doi.org/10.1007/s10608-009-9276-4

Ducros, A., De Gaalon, S., Roos, C., Donnet, A., Giraud, P., Guegan-Massardier, E., & et al. (2021). Revised guidelines of the French headache society for the diagnosis and management of migraine in adults. Part 2: Pharmacological treatment. Revue Neurologique, 177(7), 734-752. https://doi.org/10.1016/j.neurol.2021.07.006

Elham, A., Golparvar, M., & Sajjadian, I. (2022). Comparison the effectiveness of cognitive behavioral therapy focused on insomnia with mindfulness based cognitive therapy and Fordyce happiness training on affective capital in women with migraine headache. Feyz Medical Sciences Journal, 26(4), 446-456. http://dx.doi.org/10.48307/FMSJ.2022.26.4.446

Fata, L., Moutabi, F., Moloudi, R., & Ziayee, K. (2010). Psychometric properties of Persian version of thought control questionnaire and anxious thought inventory in Iranian students. Journal of Psychological Model and Methods, 1(1), 81-103. https://www.sid.ir/paper/227412/en

Garcia, M. A., Rabinowitz, E. P., Levin, M. E., Shasteen, H., Allen, P. A., & Delahanty, D. L. (2023). Online acceptance and commitment therapy for chronic pain in a sample of people with Chiari Malformation: A pilot study. Journal of Behavioral and Cognitive Therapy, 33(3), 152-168. https://doi.org/10.1016/j.jbct.2023.09.001

Gholizadeh, B., Ghamari Givi, H., & Sadri Damirchi, E. (2021). The effectiveness of acceptance and commitment therapy on cognitive flexibility and craving in substance-dependent individuals. Etiadpajohi, 15(59), 205-226. http://dx.doi.org/10.52547/etiadpajohi.15.59.205

Gunduz, A., Gundogmus, I., Engin, B., Baglar, G., & Gunduz, E. B. U. (2022). The validity and reliability of the Turkish version of the meta-worry questionnaire. Noro Psikiyatr Ars, 59(3), 218-225. https://doi.org/10.29399/npa.27926

Gura-Solomon, M., Yacobi, R. B., Lushnir, T., & Heled, E. (2024). Cognitive flexibility in women who recovered from anorexia nervosa – a model-based approach. Journal of Psychiatric Research, 171, 38-42. https://doi.org/10.1016/j.jpsychires.2024.01.011

Hosseinzadeh Oskooei, A., Samadi Kashan, S., Zamani Zarchi, M. S., Asadi Asadabad, R., & Bakhtiari, M. (2022). The efficacy of group-based acceptance and commitment therapy on cognitive flexibility and self-esteem in women who have experienced the trauma of infidelity. Journal of Applied Psychological Research, 13(4), 203-216. https://doi.org/10.22059/japr.2023.329770.643974

Khaleghi Kiadahi, N., Mafakheri, A., & Yamini, M. (2022). The Effectiveness of Acceptance and Commitment Therapy on AnxiousThoughts and Fear of Negative Evaluation of Depressed Women. Journal of Community Health, 16(1), 1-11. https://doi.org/10.22123/chj.2022.285792.1724

Ksiksou, J., Maskour, L., & Alaoui, S. (2024). Effect of acceptance and commitment therapy on depression, anxiety, stress, and psychological flexibility in women with breast cancer. Journao of Nursing and Social Sciences Related to health and Illness, 26(2), 104-111. https://doi.org/10.32725/kont.2024.023

Messina, R., Rocca, M. A., Goadsby, P. J., & Filippi, M. (2023). Insights into migraine attacks from neuroimaging. The Lancet Neurology, 22(9), 834-846. https://doi.org/10.1016/s1474-4422(23)00152-7

Moradzadeh, F., & Pirkhaefi, A. (2018). Effect of acceptance and commitment training on cognitive flexibility and self-compassion among employees of the Welfare Office of Varamin city. Journal of Health Promotion Management, 7(3), 46-52. https://doi.org/10.21859/jhpm-07038

Nagamitsu, Sh., Okada, A., Sakuta, R., Habukawa, C., Koyanagi, K., Ishii, R., & et al. (2023). Effectiveness of a smartphone CBT application interventions for children with psychosomatic disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 62(10), 200-201. http://dx.doi.org/10.1016/j.jaac.2023.09.150

Nordahl, H., Strand, E. R., Hjemdal, O., & Nordahl, H. M. (2024). Is meta-worry relevant to interpersonal problems? Testing the metacognitive model of generalized anxiety disorder in an analogue-and a clinical sample of GAD. Cognitive Behavioral Therapy, 53(5), 455-466. https://doi.org/10.1080/16506073.2024.2331191

Nordahl, H., Vollset, T., & Hjemdal, O. (2023). An empirical test of the metacognitive model of generalized anxiety disorder. Scandinavian Journal of Psychology, 64(3), 263-267. https://doi.org/10.1111/sjop.12884

Ozkan, R. K., & Ozmen, S. G. (2020). Cognitive flexibility among female migraine patients: case–control study. Cukurova Medical Journal, 45(1), 278-289. https://doi.org/10.17826/cumj.654189

Pitil, P. p., & Ghazali, S. R. (2023). The impact of acceptance and commitment therapy (ACT) on the psychological defense mechanism and weight loss program: A randomized controlled trial among university students during COVID-19 movement control order. Journal of Contextual Behavioral Science, 29, 171-181. https://doi.org/10.1016/j.jcbs.2023.07.003

Ren, L., Yang, Z., Wang, Y., Cui, L. B., Jin, Y., Ma, Z., & et al. (2020). The relations among worry, meta-worry, intolerance of uncertainty and attentional bias for threat in men at high risk for generalized anxiety disorder: A network analysis . BMC Psychiatry, 20(452), 1-11. https://doi.org/10.1186/s12888-020-02849-w

Roch, L., Dawson, D. L., Moghaddam, N. G., Abey, A., & Gresswell, D. M. (2017). An acceptance and commitment therapy (ACT) intervention for chronic fatigue syndrome (CFS): A case series approach. Journal of Cotextual Behavioral Sciece, 6(2), 178-186. https://doi.org/10.1016/j.jcbs.2017.04.007

Ryu, K., Kim, Y., Kim, J., & Woo, M. (2021). False accusation of online games: Internet gaming can enhance the cognitive flexibility of adolescents. Asian Journal of Sport and Exercise Psychology, 1(2-3), 116-121. https://doi.org/10.1016/j.ajsep.2021.09.006

Sadeghi, A., Ghazanfari, A., Mashahdizadeh, Sh., & sharifi, T. (2023). Comparing the effectiveness of group training of psychological capitals with mindfulness based cognitive therapy on depression of patients with migraine in Isfahan. Journal of Anesthesiology and Pain, 14(1), 92-103. https://jap.iums.ac.ir/article-1-5698-en.html

Shi, J. Y., Cao, Y. M., Luo, H. Y., Liu, S., Yang, F. M., & Wang, Z. H. (2023). Effect of a group-based acceptance and commitment therapy (ACT) intervention on self-esteem and psychological flexibility in patients with schizophrenia in remission. Schizophrenia Research, 255, 213-221. https://doi.org/10.1016/j.schres.2023.03.042

Shirali, Sh., & DashtBozorgi, Z. (2020). Effect of acceptance and commitment-based group therapy on existential anxiety, distress tolerance, and meta-worry in elderly women with cardiovascular disease in Mehr Hospital of Ahvaz city in 2018. Journal of Community Health, 13(4), 1-11. https://doi.org/10.22123/chj.2020.196985.1334

Xie, Y., Kong, Y., Yang, J., & Chen, F. (2019). Perfectionism, worry, rumination, and distress: A meta-analysis of the evidence for the perfectionism cognition theory. Personality and Individual Differences, 139, 301-312. https://doi.org/10.1016/j.paid.2018.11.028

Vasiliou, V. S., Karademas, E. C., Christou, Y., Papacostas, S., & Karekla, M. (2021). Acceptance and commitment therapy for primary headache sufferers: A randomized controlled trial of efficacy. The Journal of Pain, 22(2), 143-160. https://doi.org/10.1016/j.jpain.2020.06.006

Wang, H. F., Liu, W. C., Zailani, H., Yang, C. C., Chen, T. B., Chang, C. M., & et al. (2024). A 12-week randomized double-blind clinical trial of eicosapentaenoic acid intervention in episodic migraine. Brain, Behavior, and Immunity, 118, 459-467. https://doi.org/10.1016/j.bbi.2024.03.019

Warsi, N. M., Wong, S. M., Germann, J., Boutet, A., Arski, O. N., Anderson, R., & et al. (2023). Dissociable default-mode subnetworks subserve childhood attention and cognitive flexibility: Evidence from deep learning and stereotactic electroencephalography. Neural Networks, 167, 827-837. https://doi.org/10.1016/j.neunet.2023.07.019

Wells, A., & Davies, M. I. (1994). The thought control questionnaire: A measure of individual differences in the control of unwanted thoughts. Behavioral Research Therapy, 32(8), 871-878. https://doi.org/10.1016/0005-7967(94)90168-6

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1405-04-01

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Namazi Foroushani, H., & Jorjorzade Shoushtari, M. (1405). The Effectiveness of Acceptance and Commitment Therapy on Meta-Worry and Cognitive Flexibility in Psychosomatic Patients with Migraine. Quarterly of Experimental and Cognitive Psychology, 1-14. https://www.quarterlyecp.com/index.php/ecp/article/view/229

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