Honors Theses

Date of Award

Spring 5-8-2026

Document Type

Undergraduate Thesis

Department

Psychology

First Advisor

Todd Smitherman

Second Advisor

Aaron Lee

Third Advisor

Allison Ford-Wade

Relational Format

Dissertation/Thesis

Abstract

Migraine is a chronic neurological disorder that affects millions of individuals throughout the world and is associated with a range of psychological influences. Stigma, or the discrediting of individuals based on a particular characteristic, plays an important role in various health conditions but has rarely been explored in migraine. The purpose of this study was to explore public stigma toward migraine in comparison to epilepsy among individuals without either condition. Two hundred sixty-seven undergraduates responded to one of four randomly assigned vignettes, in which they were told a hypothetical class partner (man/woman) canceled a meeting for a group project due to a migraine attack or epileptic seizure. They were then asked questions evaluating their attitudes toward the partner and responded to a self-report measure about stigma toward individuals with migraine or epilepsy more broadly. Mann-Whitney U tests were used to compare stigmatizing attitudes as a function of gender and health condition, and ordinal regression was used to explore interaction effects.

Individuals with migraine were evaluated as significantly less competent, trustworthy, and dependable than those with epilepsy (all ps < .001), with effect sizes ranging from .28 to .33. Respondents also evaluated the partner with migraine as less committed to their education and were more likely to provide a negative evaluation of that partner to their professor (both ps < .001). Consistent with the vignette data, the number of stigmatizing attitudes toward individuals with migraine was more than double that toward those with epilepsy (median = 6.0 vs. 2.0; mean = 5.98 [3.30] vs. 2.81 [3.01]). No interaction effects with gender and medical condition were found. These results indicate that migraine is associated with greater judgments of personal inadequacy and perceived use for secondary gain, rather than being viewed as a legitimate medical condition. Future studies with broader samples should explore the negative effects of public stigma on individuals with migraine and strategies to reduce or prevent stigma.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Available for download on Wednesday, April 21, 2027

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