ACT Therapy for HF Migraine (ACTMigraine)
Migraine Without Aura
About this trial
This is an interventional treatment trial for Migraine Without Aura focused on measuring High-Frequency Migraine without aura, ACT
Eligibility Criteria
Inclusion Criteria:
- Age 18-65 years;
- Diagnosis of High Frequency Episodic Migraine without Aura according to the IHS criteria, i.e. 9-14 days with headache per month in the previous three months.
- Patients were stable in terms of pharmacological prophylaxis (for those cases in which it has been prescribed) in the preceding three months.
Exclusion Criteria:
- Overuse of medications as defined by the ICHD, i.e. 15 or more NSAIDs per month, 10 or more triptans per month, 10 or more opioids, 10 or more combined compounds per month in the previous three months
- Withdrawal intervention during the 18 months preceding the inclusion in the clinical program
- Known major depression or other psychiatric condition as reported in clinical documentation
- Known epilepsy and idiopathic intracranial hypertension as reported in clinical documentation
- Psychotherapy (any approach) in the previous 18 months
- Previous experience on mindfulness or meditation approaches (lifetime)
Sites / Locations
- Fondazione IRCCS Istituto Neurologico C. Besta, Neuroalgology Unit
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Treatment as usual
Treatment as usual + ACT
Education of patients followed by Pharmacological Prophylaxis, prescribed based on patients' profile (e.g. previous failures or contraindications), and limited to Topiramate, Propanolol, Amytriptiline or Calcium channel blockers
Education of patients, Pharmacological Prophylaxis prescribed based on patients' profile, and eight group sessions of 90 minutes of ACT. The ACT consists in 6 weekly sessions, 90 minutes each, and 2 supplementary "booster" sessions, at two and four weeks after the conclusion of the weekly session. The main focus of the six ACT session will be the following: 1) Creative helplessness: the problem of control; 2) Indentifying values: introduction to Mindfulness; 3) Actions guided by values: working with thought; 4) Working with Acceptance and Willingness; 5) Committed Actions: self-as-context; 6) Integration: working with obstacles - wrap-up. The booster session starts with a mindfulness exercise, followed by a review of the contents covered across the ACT program.