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Elizabeth K Seng

2 papers in the library · publishing 2024-2025

Papers

Feasibility, acceptability, and fidelity of remote-delivered abbreviated mindfulness-based cognitive therapy interventions for patients with migraine and depressive symptoms.

Headache April 1, 2025 Elizabeth K Seng, Jacob Hill, Annie Kate Reeder et al.

An abbreviated mindfulness-based cognitive therapy (MBCT-brief) delivered remotely by telephone or video was feasible and acceptable for people with migraine and elevated depressive symptoms in an open-label single-arm trial. Sixteen female participants (mean age 45) attended an average of 7.9 out of 8 weekly group classes. Therapist fidelity, session attendance, and client satisfaction all met a priori benchmarks. Usability of the remote system was high. Significant pre- to post-treatment reductions occurred in headache-related disability (median score 63 to 36) and depressive symptoms (median score 8 to 4), though these findings must be interpreted cautiously without a control group.

Pain acceptance as a change mechanism for mindfulness-based cognitive therapy for migraine.

Journal of behavioral medicine June 1, 2024 Rachel D Best, Ali Ozmeral, Amy S Grinberg et al.

Pain acceptance, especially the activity engagement component, appears to be a key mechanism by which Mindfulness Based Cognitive Therapy for Migraine (MBCT-M) reduces headache-related disability. In a secondary analysis of a randomized controlled trial with 60 participants, pain acceptance, pain willingness, and activity engagement all increased over time in both the MBCT-M and waitlist/treatment-as-usual groups. Only activity engagement increased more in the MBCT-M group. Changes in pain acceptance, pain willingness, and activity engagement each mediated the relationship between MBCT-M and reduced disability. The findings support the importance of pain acceptance, particularly activity engagement, in MBCT-M.