Treatment for Migraine and Mood (Team-M)
Condition: Migraine; Depression
MeSH terms: Migraine Disorders
Intervention: MBCT-Telephone; MBCT-Video
Intervention description: Mindfulness-based cognitive therapy (MBCT) comprised of 8 weekly classes delivered via telephone by a licensed clinical psychologist certified to teach MBCT, following treatment fidelity guidelines from NIH's Behavioral Change Consortium.
The program involves a commitment of 1 hour per week for 8 weeks. During the sessions, subjects will learn cognitive and mindfulness skills to help manage and cope with depression. Each weekly session consists of: check-in, instruction, skill building, discussion, and a home-based practice assignment.; Mindfulness-based cognitive therapy (MBCT) comprised of 8 weekly classes delivered via WebEx video-conferencing by a licensed clinical psychologist certified to teach MBCT, following treatment fidelity guidelines from NIH's Behavioral Change Consortium.
The program involves a commitment of 1 hour per week for 8 weeks. During the sessions, subjects will learn cognitive and mindfulness skills to help manage and cope with depression. Each weekly session consists of: check-in, instruction, skill building, discussion, and a home-based practice assignment.
Phase: Phase 2
Study type: Interventional
Primary purpose: Treatment
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Enrollment: 27.0
Sex: All
Minimum age: 18 Years
Healthy volunteers: No

Summary:

      The researchers propose a two-arm pilot study of telephone and video delivered
      Mindfulness-based Cognitive Therapy (MBCT-T and MBCT-V) in people with migraine and
      depressive symptoms.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Currently meets ICHD-3 criteria for migraine using the Structured Diagnostic Interview
             for Headache

          -  Self-reported 4-14 headache days per month, with at least one attack meeting migraine
             criteria

          -  Score between 5-14 on the PHQ-9

          -  Age ≥ 18

          -  Ability to read and speak English

          -  Capacity to consent

        Exclusion Criteria:

          -  Meeting ICHD-3 criteria for persistent headache attributed to traumatic injury to the
             head (post-traumatic headache) on the Structure Diagnostic Interview for Headache

          -  Changes in preventive migraine medication or anti-depressant medication within 6 weeks
             of intake; changes in longer-term migraine prevention (onobotulinum toxin A,
             anti-calcitonin gene related peptide treatment) within 3 months of intake

          -  Comorbid psychiatric illness or clinical features that would interfere with
             participant's ability to participate in or receive benefit from the MBCT intervention,
             including but not limited to: active suicidal ideation; recent history of psychosis or
             mania; borderline, histrionic or narcissistic personality disorder; cognitive
             impairment; sensory disabilities

          -  Prior history of engaging in formal mindfulness-based interventions including: MBSR,
             MBCT, Acceptance and Commitment therapy, Dialectical Behavior Therapy

          -  Current meditation practice >3x/week