Electronic Theses and Dissertations

Date of Award

12-1-2025

Document Type

Thesis

Degree Name

M.A. in Psychology

First Advisor

Todd A Smitherman

Second Advisor

Aaron A Lee

Third Advisor

Stefan E Schulenberg

School

University of Mississippi

Relational Format

dissertation/thesis

Abstract

Purpose in life is a motivational aspect of meaning in life that fosters goal-directed behavior. Purpose in life has been linked to improved health outcomes in a variety of chronic medical conditions, and this effect seems at least partly attributable to engagement in health-promoting behaviors. However, the literature has not explored its role in headache disorders, which represent leading global causes of disability and are strongly influenced by other psychological factors. This study aimed to investigate the relationship between purpose in life and headache-related disability among individuals with migraine and tension-type headache. Given self-efficacy’s established mechanistic role in headache-related functioning, the present study also sought to examine if self-efficacy mediated the relationship between purpose in life and headache disability with consideration for headache type. In alignment with the proposed hypotheses, greater purpose in life was associated with lower headache-related disability, and this relationship was partially mediated by headache management self-efficacy. Although the moderated mediation analysis was not statistically significant in all groups, headache type significantly moderated the observed mediation, such that the relationship was stronger among those with episodic migraine than individuals with tension-type headache. Purpose in life may represent a protective factor regarding headache-related functioning, though the size of the purpose-disability relationship was small. Further work on purpose and positive psychology variables may expand the literature on headache disorders beyond a focus on risk factors and symptoms.

Available for download on Wednesday, March 01, 2028

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