Comparison the Effectiveness of Cognitive Behavioral therapy focused on Insomnia with Mindfulness Based Cognitive therapy and Fordyce Happiness training on Pain Anxiety in Women with Migraine Headache.

Background: Pain anxiety is one of the most common psychological disorders in patients with migraine headaches that affects the response to treatment. This study aimed to comparison the effectiveness of cognitive behavioral therapy focused on Insomnia with    mindfulness based cognitive therapy and Fordyce happiness training on pain anxiety in women with migraine headache Methods: The present research employed a pretest-posttest and two months follow-up control group quasi-experimental design with four groups. The sample size consisted of 60 women with migraine headache referred to psychiatric clinics in Kerman city in 1399, selected via a convenience sampling method based on the inclusion criteria. Then they were randomly assigned to three experimental and one control groups (each with 15 participants). Experimental groups participated in cognitive behavioral therapy focused on insomnia and mindfulness based cognitive therapy and Fordyce happiness training. To measure the dependent variable of the research, Pain Anxiety Scale (PASS-20) was administered to four groups in three research phases. The data were analyzed using the repeated measures ANOVA and Bonferroni post hoc test through SPSS version 24. Results: Cognitive behavioral therapy focused on insomnia and mindfulness based cognitive therapy and Fordyce happiness training had been a significant effect on reducing pain anxiety (P<0. 01) and this effect was stable during follow-up period (P<0.01).   Conclusions: Cognitive behavioral therapy focused on Insomnia and mindfulness based cognitive therapy and Fordyce happiness training as effective interventions can be used in medical centers to reduce pain anxiety in women with migraine headache.