ClinicalTrials.gg
CompletedNCT07802912CBT TIIPUpdated Sep 3, 2026

Efficacy of Traditional Integrated Islamic Psychotherapy and Cognitive Behavioural Therapy for Migraine: A Randomized Controlled Trial

An interventional study of Cognitive Behavioral Therapy (CBT) and Traditional Integrated Islamic Psychotherapy (TIIP) in Chronic Migraine Headache, sponsored by GIFT University. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by GIFT University · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Registered 1 year 5 months after the study started (first participant enrolled Mar 2025, registered Aug 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
45
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 13 studies in Migraine Disorders with a site in Pakistan — 7 open to participants now, 8 under way, none of them phase 3. Migraine Disorders · Pakistan.

Enrollment
8th of 13
45 · median 50
Started
2025
with 4 others
No phase
13 of 13
7 open now
Registered
13th of 13
by date
Lead sponsor
1 of 13
GIFT University

Among the 13 studies in Migraine Disorders with a site in Pakistan, this one is the 8th largest by enrollment, is one of 5 that started in 2025, is one of 13 with no phase, and was the 13th registered.

Migraine Disorders

1,657 studies on the registry are indexed under Migraine Disorders; 339 are open to participants now.

Browse Migraine Disorders studies →

Open to participants now

7 of the 13 studies in Migraine Disorders with a site in Pakistan are open now. Recruiting first, the newest first:

2 more — sign in →

All 7 open studies →

A study can be open while its sites in Pakistan have not opened yet or have stopped. Only those recruiting at a site in Pakistan →

Who these studies take

Of the 217 Migraine Disorders studies recruiting now, 66 (30%) set no upper age limit and 136 (63%) stop at 75 or younger; 44 take children under 18; 37 take healthy volunteers.

This study: 18 Years to 40 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 13 studies in Migraine Disorders with a site in Pakistan, or all of them as a file.
02

Study summary

his randomized controlled trial aims to evaluate the efficacy of Cognitive Behavioral Therapy (CBT) and Traditional Integrated Islamic Psychotherapy (TIIP) as psychological interventions for individuals with chronic migraine. The study will compare the effects of CBT and TIIP with a medication-only control group on migraine-related disability, headache management self-efficacy, psychological distress, and quality of life.

Read the detailed description

Chronic migraine is a disabling neurological condition that is frequently associated with psychological distress, reduced self-efficacy in headache management, and impaired quality of life. Although pharmacological treatment is commonly used to manage migraine, psychological interventions may provide additional benefits by addressing cognitive, emotional, behavioral, and coping-related factors associated with migraine.

The present study is a three-arm, parallel-group randomized controlled trial designed to evaluate and compare the efficacy of Cognitive Behavioral Therapy (CBT) and Traditional Integrated Islamic Psychotherapy (TIIP) among individuals with chronic migraine. A total of 45 participants meeting the study's eligibility criteria will be recruited and randomly allocated to one of three groups: (1) CBT, (2) TIIP, or (3) medication-only control group, with 15 participants in each group through Fish Bowl sampling,

Participants assigned to the CBT group will receive six weekly individual sessions, with each session lasting approximately 45-60 minutes. The intervention will focus on psychological and behavioral factors relevant to migraine management, including identification and modification of maladaptive thoughts, coping strategies, stress management, behavioral techniques, and headache-related self-management.

Participants assigned to the TIIP group will also receive six weekly individual sessions of approximately 45-60 minutes. TIIP will integrate Islamic psychological and spiritual principles with therapeutic techniques relevant to migraine management. The intervention will incorporate Qur'anic engagement, particularly Surah Al-Rahman, alongside concepts such as Tawheed, Fitrah, Qalb, Aql, Nafs, and Tazkiyah, with emphasis on spiritual coping, emotional regulation, cognitive reframing, gratitude, patience, and adaptive responses to illness.

Participants in the medication-only control group will continue to receive their usual pharmacological management for chronic migraine and will not receive the structured psychological interventions provided in the CBT and TIIP groups.

Outcomes will be assessed using standardized measures of migraine-related disability, headache management self-efficacy, depression, anxiety and stress, and quality of life. The primary purpose of the study is to determine whether CBT and TIIP produce improvements in these outcomes and whether TIIP demonstrates comparable or greater efficacy than CBT and medication-only treatment.

The findings of this study may contribute to the development of culturally and spiritually appropriate psychological interventions for chronic migraine and provide evidence regarding the potential role of integrated Islamic psychotherapy as an adjunctive approach to migraine management.

03

Conditions studied

  • Chronic Migraine Headache

Browse trials for

Keywords

  • CBT TIIP Chronic Migraine Surah Rehman
04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Aged between 18 and 40 years, the band Chen et al. (2024) identify as carrying the heaviest global burden of migraine prevalence and disability.

    • A neurologist's diagnosis of chronic migraine established in accordance with International Headache Society criteria.
    • A MIDAS total of 21 or above, so that participants carried a level of impairment and had room to improve (Stewart et al., 2001).
    • A score in the mild to moderate band on at least one DASS-21 subscale, since the study concerned migraine-associated distress rather than primary psychiatric disorder (Lovibond \& Lovibond, 1995).
    • A stable prophylactic medication regimen for at least one month before enrolment, with no change planned during the study, so that any shift in outcome could not be laid at the door of a change in drugs.
    • Both men and women were eligible, so that the sample resembled the clinical population rather than one gender.
    • At least primary-level education, sufficient to read and complete the self-report instruments independently.
    • Enough Urdu or English to engage with the intervention material.
    • Willingness to give written and to commit to the full schedule of six weekly sessions and both assessment appointments.
    • Residence in Gujranwala for the duration of the study and reachable by telephone, so that attendance could be monitored and attrition kept down.
    • Not receiving any other form of psychotherapy at enrolment, so that the effect of the study interventions could be isolated.

Exclusion criteria

Exclusion Criteria:

Aged below 18 or above 40 years.

  • A diagnosed severe psychiatric disorder, including psychotic disorder, bipolar disorder, or severe major depressive disorder with active suicidality.
  • A score in the severe or extremely severe range on any DASS-21 subscale, or any indication of suicidal thinking.
  • A current need for intensive or immediate psychiatric treatment.
  • A substance use disorder within the preceding six months. Substance use and withdrawal are themselves recognised causes of headache under the International Classification of Headache Disorders (Headache Classification Committee of the International Headache Society, 2018) and independently raise scores on measures of depression, anxiety, and stress, so their inclusion would have confounded both the primary and the secondary outcomes. Six months was adopted because it maps onto the early remission specifier of the , under which someone who has met no criterion for a substance use disorder for at least three months but less than twelve is classified as in early remission (American Psychiatric Association, 2022), making it a recognised diagnostic boundary rather than an arbitrary line.
  • A neurological disorder other than migraine, such as epilepsy, brain tumour, or multiple sclerosis.
  • A serious medical condition likely to interfere with participation or to confound the outcomes.
  • Concurrent psychotherapy or enrolment in another intervention study.
  • Inability to give or to comply with the study procedures.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
45 participants (actual)

Study arms

  • Experimental
    CBT Group

    Cognitive Behavioral Therapy

    Behavioral: Cognitive Behavioral Therapy (CBT) · Behavioral: Traditional Integrated Islamic Psychotherapy (TIIP) · Other: Medication Group

  • Experimental
    TIIP

    Traditional Integrated Islamic Psychotherapy

    Behavioral: Cognitive Behavioral Therapy (CBT) · Behavioral: Traditional Integrated Islamic Psychotherapy (TIIP) · Other: Medication Group

  • Active comparator
    Medication-Only Control Group

    Medication/Usual Care

    Behavioral: Cognitive Behavioral Therapy (CBT) · Behavioral: Traditional Integrated Islamic Psychotherapy (TIIP) · Other: Medication Group

Interventions

  • BehavioralCognitive Behavioral Therapy (CBT)

    A structured six-week Cognitive Behavioral Therapy intervention consisting of weekly 45-60 minute sessions for participants with chronic migraine. The intervention targets maladaptive thoughts, emotional distress, stress management, coping strategies, behavioral responses to migraine, and self-management skills. The intervention is designed to reduce migraine-related disability and improve psychological well-being, headache self-efficacy, and quality of life.

  • BehavioralTraditional Integrated Islamic Psychotherapy (TIIP)

    A structured six-week Traditional Integrated Islamic Psychotherapy intervention consisting of weekly 45-60 minute sessions for participants with chronic migraine. The intervention integrates Islamic psychological and spiritual principles, including Tawheed, Fitrah, Qalb, Aql, Nafs, Tazkiyah, Qur'anic reflection, and coping strategies, with particular use of Surah Al-Rahman. The intervention aims to promote psychological and spiritual well-being, improve coping and headache self-efficacy, reduce psychological distress, and improve migraine-related quality of life.

  • OtherMedication Group

    Only pre and post will be taken of 15 participants to compare CBT and TIIP results

06

What researchers measure

Primary outcomes

  1. Migraine-Related Disability as Measured by the Migraine Disability Assessment (MIDAS)

    Change in migraine-related disability from baseline to post-intervention, assessed using the Migraine Disability Assessment (MIDAS). Lower MIDAS scores indicate less migraine-related disability. The outcome will be compared across the Traditional Integrated Islamic Psychotherapy (TIIP), Cognitive Behavioral Therapy (CBT), and medication-only groups.

    Time frame: Baseline and immediately after completion of the 6-week interventio

Secondary outcomes

  1. DASS 21

    Change in symptoms of depression, anxiety, and stress from baseline to post-intervention, assessed using the Depression Anxiety Stress Scale-21 (DASS-21). The three subscale scores will be examined separately to determine changes in depression, anxiety, and stress symptoms across the TIIP, CBT, and medication-only groups.

    Time frame: Baseline and immediately after completion of the 6-week intervention

  2. Headache Management Self-Efficacy Scale (HMSE)

    a 25-item self-report questionnaire designed to measure an individual's confidence in their ability to prevent headache episodes and manage head pain

    Time frame: Baseline and immediately after completion of the 6-week interventio

  3. WHO-QOL BREF

    a 26-question survey made by the World Health Organization. It measures a person's physical health, mind, social life, and living place to check their overall quality of life.

    Time frame: Baseline and immediately after completion of the 6-week intervention

07

Study locations

1 site
  • GIFT University
    Gujranwala, Punjab Province 52250, Pakistan
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2025 to primary completion in Jun 2026, 15 months.

Of 309 non-industry interventional studies with no phase under Migraine Disorders, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 36. This study's 15 months is below that.

Counting every sponsor, half of 358 studies reached it within 15 months; a quarter within 7 and three quarters within 34.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 31, 2026
First posted
Sep 3, 2026
StartActual
Mar 10, 2025
Primary completionActual
Jun 20, 2026
CompletionActual
Jul 20, 2026
Last update
Sep 3, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07802912
Lead sponsor
GIFT University
Responsible party
Marwa Qamar (Prinicipal Investigator, GIFT University) — Principal investigator
First posted
Sep 3, 2026
Start date
Mar 10, 2025
Primary completion
Jun 20, 2026
Completion
Jul 20, 2026
Last update
Sep 3, 2026

Study contacts

Ather Mujitaba, pHD in Clincal Psychology
study director · Assistant Professor

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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