The effectiveness of metacognitive therapy for emotional burnout and stress reduction in migraine patients

Document Type : Research Paper


1 Assistant Professor, Department of Psychology, Faculty Member, Faculty of Psychology, Islamic Azad University, Zahedan Branch, Zahedan, Iran.

2 Ph.D. student of general psychology of Zahedan Azad University, Zahedan, Iran.


 Introduction: Headache is one of the most common complaints in neurological clinics caused by traction, displacement, inflammation, vasospasm or dilation of pain-sensitive structures in the head or neck. The aim of this study was to evaluate the effectiveness of treatment. Metacognitive is emotional burnout and stress reduction in patients with migraine.
 Methods: The research method was quasi-experimental with a pretest-posttest design with a control group. The statistical population included patients with migraine headache referred to specialized clinics and neurological clinics in Zahedan in 1998. 30 of these patients were selected non-randomly and finally randomly divided into two groups, metacognitive treatment of 15 patients. , And a control group of 15 people were included. Emotional Dysfunction Questionnaire (1996) and Depression, Anxiety and Stress Scale (DASS): Intellectual (1991) were administered to both groups before treatment. The control group did not receive any intervention. Follow-up evaluation was also performed three months after treatment. done. Analysis of variance with repeated measures was used to analyze the data. And SPSS 22 software was used.
 Results: Data analysis showed that in the post-test phase, the amount of stress in the experimental group was significantly reduced compared to the control group (p <0.7). The findings also show that metacognitive therapy had a great effect on reducing stress symptoms and thus improving headache and relapse (P> 0.05).
Discussion & Conclusion: Based on the results of the present study, group training on stress reduction based on metacognitive therapy can be effective in controlling stress and anxiety and reducing stress in patients with migraine and metacognitive therapy is both statistically and clinically significant. Dari reduced the metacognitive beliefs of patients with migraine headache in and after treatment.


-Amayo E, Jowi J, Njeru E. Migraine headaches in a group of medical students at the Kenyatta National Hospital,
Nairobi.( 1996) East African medical journal.;73(9):594-
-Agaibi CE, Wilson JP. Trauma, PTSD, and resilience: A review of the literature. Trauma, Violence, & Abuse.
-Bostick, G.P., Carroll J.L., Brown, C. A, Harley, D, Gross, D. (2013). Predictive capacity of pain beliefs and
catastrophizing in Whiplash Associated Disorder. Injury international Journal of Psychosomatic Research, 38,
(2)p:234-239Journal Care Injured; 44: 1465-.1741
-Bagby, R. M., Parker, J. D. A. & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale-1Item
selection and cross-validation of the factor structure.
Corr, P. J., & Perkins, A. M. (2006). The role of theory in the psychophysiology of personality: from Ivan Pavlov
to Jeffrey Gray. International Journal of Psychophysiology, 62(3), 367-376.
Cohen LM, Mc,Chargue DE, Collins FL. (2003)The health psychology handbook. 1 ed. London: Sage;: 101-24
-Gray JA.(1991) Brain systems that mediate both emotion and cognition. Special issue: Development of
relationships between emotion and cognition. Cognition and Emotion.; (4): 269-288.
-Gray JA.(1994) Framework for taxonomy of psychiatric disorders. In: Cozen SHMV, Poll NEV, Sergeant J. Eds.
Emotions: Essays on emotion theory. New Jersey: Erlbaum;. p. 29-59.
-Morrison AP, Pyle M, Chapman N, French P, Parker SK, Wells A.(2014) Metacognitive therapy in people with
a schizophrenia spectrum diagnosis and medication resistant symptoms: a feasibility study. Journal of behavior
therapy and experimental psychiatry.;45(2):280284.
-Marttli TJ, Lipton RB (2018) The Headache-Attributed Lost Time (HALT) Indices: measures of burden for
clinical management and population-based research. J Headache Pain 19(7)
motor vehicle accident survivors. Behav Res Ther 2003. 41(1): 79-96.
-Roussis P, Wells A.(2010) Post-traumatic stress symptoms: Tests of relationships with thought control strategies
and beliefs as predicted by the metacognitive model. Personality and Individual Differences. 2010;40(1):111-22.
-Rosenberg N, Rufer M, Lichev V, Ihme K, Grabe H-J, Kugel H, et al. (2016)Observer-Rated alexithymia and its
relationship with the five-factor-model of personality. Psychol Belg.; 56(2): 118-134
-Wells A, Carter K.(2001) Further tests of a cognitive model of generalized anxiety disorder: Metacognitions and
worry in GAD, panic disorder, social phobia, depression, and nonpatients. Behavior therapy;32:85-102
-Wells A(1994). A multi-dimensional measure of worry: Development and preliminary validation of the Anxious
Thoughts Inventory. Anxiety, Stress and Coping.;6(4):289-99.
Zaza Katsarava. Dawn C. Buse, Aubrey N. Manack, and Richard B. Lipton (2011,) Defining the Differences
Between Episodic Migraine and Chronic Migraine, The JournalCurrent Pain and Headache Reports, 16(1): 86–
-Zisserson, R. N., & Palfai, T. P. (2014). Behavioral Activation System (BAS) sensitivity and reactivity to alcohol
cues among hazardous drinkers. Addictive behaviors, 32(10), 2178-2186