EHMTI-0313. Factors influencing stigma towards persons with migraine

  • RE Shapiro
  • RB Lipton
  • PB Reiner
Open Access
Meeting abstract


Public Health Internal Medicine Migraine Research Service Panic Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Previously, we demonstrated that stigma towards persons with migraine was comparable in magnitude to stigma towards individuals with epilepsy or panic disorder.


We sought to measure stigma towards individuals with differing migraine phenotypes versus comparator conditions.


Subjects were recruited on-line (MTurk), consented, and randomized to assess one of six fictional vignettes:
  1. 1)

    a woman with migraine four days/month with zero lost workdays/year (W0)

  2. 2)

    a woman with migraine four days/month with two lost workdays/year (W2)

  3. 3)

    a man with migraine four days/month with two lost workdays/year (M2)

  4. 4)

    a woman with seizures four days/month with two lost workdays/year (E2)

  5. 5)

    a woman caring for her invalid husband four days/month with two lost workdays/year (H2)

  6. 6)

    a woman with migraine twenty days/month with ten lost workdays/year (W10)


Subjects used sliders from 0 to 100 to answer five questions measuring social distance attitudes (SDA) towards the individual described in the vignette; maximum stigmatizing attitude would be a total SDA score of 500. [Study approved by UBC Office of Research Services.]


3,617 total US subjects ≥19 years old completed the survey (mean age 33.2 years; 51% female).

W2/M2/E2 scores and W0/E2 scores did not differ significantly. Relative to W2/M2, W0 was significantly lower and H2 was significantly higher. W10 was significantly higher than H2.


Among MTurk subjects, stigma towards persons with migraine increased with their absenteeism, but did not vary by gender.

No conflict of interest.

Copyright information

© Shapiro et al; licensee Springer. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Authors and Affiliations

  • RE Shapiro
    • 1
  • RB Lipton
    • 2
  • PB Reiner
    • 3
  1. 1.Neurological SciencesUniversity of Vermont College of MedicineBurlingtonUSA
  2. 2.NeurologyAlbert Einstein College Of MedicineNew YorkUSA
  3. 3.PsychiatryUniversity of British ColumbiaVancouverCanada

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