rumination in patients with migraine
According to Kaplan and Sadouk [1], two-third of migraine patients have characteristics like obsession, perfectionism, and aggressiveness and they may suffer headache after emotional stresses. Abulghasemi argued that there was a relationship between maladaptive perfectionism and intensification of migraine headache [14]. Perfectionism is a set of high performance standard featured with negative self-assessment, criticism, and self-blame. Ambition, discipline, excessive attention to details in daily activities, and excessive sensitivity to life affairs are of the psychological characteristics of perfectionists, which are also common in migraine patients [15]. Shirzadi et al. showed in their study that there was a positive relationship between perfectionism and migraine headache so that the former may prepare the ground for psychosomatic disorders like the migraine headache [16].
Given this introduction and taking into account the paucity of studies in Iran and other countries on the topic and the effect of quality of life therapy and mindfulness-based cognitive therapy on the variables under study (migraine headache, perfectionism, and rumination) and to compare these two types of treatments, the present study tries to answer “If mindfulness-based cognitive therapy and the quality of life therapy are effective in perfectionism and rumination in patients with migraine?”
Perfectionism scale
Frost’s Multidimensional Perfectionism Scale (FMPS) (Frost et al. 1990) is based a multi-aspect perfectionism model. This model was introduced by Frost et al. (1990) with six elements including concerns about mistakes, doubts about actions, parental expectations, parental criticism, personal standards, and organization. The FMPS also contains six sub-scales, which are measured by 35 statements (Stober, 1998) including two positive and four negative aspects. Internal consistency of the Farsi version of the scale is equal to 0.86 and equal to 0.85, 0.72, 0.78, 0.47, 0.57, and 0.83 for the sub-scales concerns about mistakes, doubts about actions, parental expectations, parental criticism, personal standards, and organization respectively. Retest coefficients with one week interval for the scale and the subscales concerns about mistakes, doubts about actions, parental expectations, parental criticism, personal standards, and organization are equal to 0.90, .084, 0.81, 0.79, 0.53, 0.85, and 0.83. Moreover, correlative validity of FMPS based on its relevance to Positive and Negative Perfectionism Scale is at an acceptable level [28].