PO-63 | Acceptance and commitment therapy in the management of chronic headache pain

E. Principe,¹ M. Pirrotta,¹ N. Fava,² C. Marchio,¹ L. M. Catalano,¹ D. Bosco,² R. Iannacchero,² Alcmeone group | ¹SPDC ASP Catanzaro, ²Centro Cefalee AOU R. Dulbecco Catanzaro, Italy

Abstract

Introduction: There is a growing body of research demonstrating that for a number of patients with chronic pain, mindfulness-based approaches can be an effective tool among those proposed for pain management. Among mindfulness-based approaches, a third-generation cognitive behavioral therapy, acceptance and commitment therapy, has been found useful in treating chronic pain (Lin, Lu, Zhang, Su, & Zhang, 2023).

Background: Acceptance and Commitment Therapy (ACT) is a third-generation mindfulness-based cognitive-behavioral approach that promotes conscious and intentional acceptance of pain rather than opposition or avoidance. ACT utilizes language and metaphors, supported by Relational Frame Theory (RFT), to shape and modify cognitive and behavioral processes. The theoretical model underlying ACT, known as the Hexaflex, identifies six core psychological processes: acceptance, cognitive defusion, present-moment awareness, self-as-context, values clarification, and committed action. These processes aim to enhance psychological flexibility, enabling individuals to live a full and meaningful life even in the presence of pain or suffering (Hayes, Strosahl, & Wilson, 2012).

Methods: The subjects who will take part in the study will undergo an 8-week training, will follow the ACT protocol and formal mindfulness practices.

Assessment Tools: Personality Inventory for DSM-5 (PID-5), Hospital Anxiety and Depression Scale (HADS), SF-36 (Short Form Health Survey), Acceptance and Action Questionnaire-II (AAQ-II), Migraine Disability Assessment (MIDAS), Mindful Attention Awareness Scale (MAAS).

Conclusion: The hypothesis of this study is that an 8-week ACT intervention can help patients live a rich and meaningful life despite their pain, potentially leading to a reduction in headache intensity, improved quality of life, decreased levels of anxiety and depression, and increase psychological flexibility.

Keywords

• None