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Psychosocial repercussion of migraine: is it a stigmatized disease?

Introduction Stigma manifests both in prejudices and rejection from society towards patients who suffer from a specific pathology, and by patient’s internalization of this discrimination, with the consequent repercussions on their state of mind and quality of life. The aim of the study was to quanti...

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Published in:Neurological sciences 2020-08, Vol.41 (8), p.2207-2213
Main Authors: Martínez-Fernández, A., Rueda Vega, M., Quintas, S., de Toledo Heras, M., Díaz de Terán, J., Latorre González, G., Trabajos García, O., Vivancos Mora, J., Gago-Veiga, A. B.
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creator Martínez-Fernández, A.
Rueda Vega, M.
Quintas, S.
de Toledo Heras, M.
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Latorre González, G.
Trabajos García, O.
Vivancos Mora, J.
Gago-Veiga, A. B.
description Introduction Stigma manifests both in prejudices and rejection from society towards patients who suffer from a specific pathology, and by patient’s internalization of this discrimination, with the consequent repercussions on their state of mind and quality of life. The aim of the study was to quantify the stigma associated with migraine and analyze whether it is related to the clinical-demographic characteristics of the patients, as well as the possible impact on their daily lives. Materials and methods The stigma scale for chronic illness (SSCI) and other questionnaires were administered to 56 patients with episodic migraine (EM), 18 with chronic migraine (CM), and 21 with epilepsy, as a control group. Results The mean SSCI score was higher (51.6 ± 15.0) in the CM group than in the EM (45.0 ± 13.5) and epilepsy (47.6 ± 15.5) groups, without reaching statistical significance. In addition, the score was higher in patients who were unemployed, divorced, and in those who had migraine with aura. A statistically significant correlation was found between the SSCI score and the impact of migraine on daily life, the presence of stress, anxiety and depression, and low self-esteem. Conclusions There is a stigma around migraine in our society, which seems to be more prevalent in patients with certain socio-demographic characteristics, and that is related to stress, mood alterations, and low self-esteem. Trying to reduce stigma could contribute to improve the control of migraine and reduce the impact of the disease at a socio-economic level.
doi_str_mv 10.1007/s10072-020-04332-6
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B.</creator><creatorcontrib>Martínez-Fernández, A. ; Rueda Vega, M. ; Quintas, S. ; de Toledo Heras, M. ; Díaz de Terán, J. ; Latorre González, G. ; Trabajos García, O. ; Vivancos Mora, J. ; Gago-Veiga, A. B.</creatorcontrib><description>Introduction Stigma manifests both in prejudices and rejection from society towards patients who suffer from a specific pathology, and by patient’s internalization of this discrimination, with the consequent repercussions on their state of mind and quality of life. The aim of the study was to quantify the stigma associated with migraine and analyze whether it is related to the clinical-demographic characteristics of the patients, as well as the possible impact on their daily lives. Materials and methods The stigma scale for chronic illness (SSCI) and other questionnaires were administered to 56 patients with episodic migraine (EM), 18 with chronic migraine (CM), and 21 with epilepsy, as a control group. Results The mean SSCI score was higher (51.6 ± 15.0) in the CM group than in the EM (45.0 ± 13.5) and epilepsy (47.6 ± 15.5) groups, without reaching statistical significance. In addition, the score was higher in patients who were unemployed, divorced, and in those who had migraine with aura. A statistically significant correlation was found between the SSCI score and the impact of migraine on daily life, the presence of stress, anxiety and depression, and low self-esteem. Conclusions There is a stigma around migraine in our society, which seems to be more prevalent in patients with certain socio-demographic characteristics, and that is related to stress, mood alterations, and low self-esteem. Trying to reduce stigma could contribute to improve the control of migraine and reduce the impact of the disease at a socio-economic level.</description><identifier>ISSN: 1590-1874</identifier><identifier>EISSN: 1590-3478</identifier><identifier>DOI: 10.1007/s10072-020-04332-6</identifier><identifier>PMID: 32172402</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Anxiety ; Chronic illnesses ; Epilepsy ; Headache ; Humans ; Internalization ; Medicine ; Medicine &amp; Public Health ; Migraine ; Migraine Disorders - epidemiology ; Mood ; Neurology ; Neuroradiology ; Neurosciences ; Neurosurgery ; Original Article ; Psychiatry ; Quality of Life ; Social Stigma ; Statistical analysis ; Stigma ; Surveys and Questionnaires</subject><ispartof>Neurological sciences, 2020-08, Vol.41 (8), p.2207-2213</ispartof><rights>Fondazione Società Italiana di Neurologia 2020</rights><rights>Fondazione Società Italiana di Neurologia 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-d7a4da92fd1d732e1c8dd227f9815b841ecc7520f5887845edc7e4bbcbee2af13</citedby><cites>FETCH-LOGICAL-c375t-d7a4da92fd1d732e1c8dd227f9815b841ecc7520f5887845edc7e4bbcbee2af13</cites><orcidid>0000-0002-2313-4437 ; 0000-0003-0064-6269 ; 0000-0002-0038-3406 ; 0000-0003-0622-8228</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32172402$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martínez-Fernández, A.</creatorcontrib><creatorcontrib>Rueda Vega, M.</creatorcontrib><creatorcontrib>Quintas, S.</creatorcontrib><creatorcontrib>de Toledo Heras, M.</creatorcontrib><creatorcontrib>Díaz de Terán, J.</creatorcontrib><creatorcontrib>Latorre González, G.</creatorcontrib><creatorcontrib>Trabajos García, O.</creatorcontrib><creatorcontrib>Vivancos Mora, J.</creatorcontrib><creatorcontrib>Gago-Veiga, A. B.</creatorcontrib><title>Psychosocial repercussion of migraine: is it a stigmatized disease?</title><title>Neurological sciences</title><addtitle>Neurol Sci</addtitle><addtitle>Neurol Sci</addtitle><description>Introduction Stigma manifests both in prejudices and rejection from society towards patients who suffer from a specific pathology, and by patient’s internalization of this discrimination, with the consequent repercussions on their state of mind and quality of life. The aim of the study was to quantify the stigma associated with migraine and analyze whether it is related to the clinical-demographic characteristics of the patients, as well as the possible impact on their daily lives. Materials and methods The stigma scale for chronic illness (SSCI) and other questionnaires were administered to 56 patients with episodic migraine (EM), 18 with chronic migraine (CM), and 21 with epilepsy, as a control group. Results The mean SSCI score was higher (51.6 ± 15.0) in the CM group than in the EM (45.0 ± 13.5) and epilepsy (47.6 ± 15.5) groups, without reaching statistical significance. In addition, the score was higher in patients who were unemployed, divorced, and in those who had migraine with aura. A statistically significant correlation was found between the SSCI score and the impact of migraine on daily life, the presence of stress, anxiety and depression, and low self-esteem. Conclusions There is a stigma around migraine in our society, which seems to be more prevalent in patients with certain socio-demographic characteristics, and that is related to stress, mood alterations, and low self-esteem. 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B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychosocial repercussion of migraine: is it a stigmatized disease?</atitle><jtitle>Neurological sciences</jtitle><stitle>Neurol Sci</stitle><addtitle>Neurol Sci</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>41</volume><issue>8</issue><spage>2207</spage><epage>2213</epage><pages>2207-2213</pages><issn>1590-1874</issn><eissn>1590-3478</eissn><abstract>Introduction Stigma manifests both in prejudices and rejection from society towards patients who suffer from a specific pathology, and by patient’s internalization of this discrimination, with the consequent repercussions on their state of mind and quality of life. The aim of the study was to quantify the stigma associated with migraine and analyze whether it is related to the clinical-demographic characteristics of the patients, as well as the possible impact on their daily lives. Materials and methods The stigma scale for chronic illness (SSCI) and other questionnaires were administered to 56 patients with episodic migraine (EM), 18 with chronic migraine (CM), and 21 with epilepsy, as a control group. Results The mean SSCI score was higher (51.6 ± 15.0) in the CM group than in the EM (45.0 ± 13.5) and epilepsy (47.6 ± 15.5) groups, without reaching statistical significance. In addition, the score was higher in patients who were unemployed, divorced, and in those who had migraine with aura. A statistically significant correlation was found between the SSCI score and the impact of migraine on daily life, the presence of stress, anxiety and depression, and low self-esteem. Conclusions There is a stigma around migraine in our society, which seems to be more prevalent in patients with certain socio-demographic characteristics, and that is related to stress, mood alterations, and low self-esteem. Trying to reduce stigma could contribute to improve the control of migraine and reduce the impact of the disease at a socio-economic level.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32172402</pmid><doi>10.1007/s10072-020-04332-6</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2313-4437</orcidid><orcidid>https://orcid.org/0000-0003-0064-6269</orcidid><orcidid>https://orcid.org/0000-0002-0038-3406</orcidid><orcidid>https://orcid.org/0000-0003-0622-8228</orcidid></addata></record>
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subjects Anxiety
Chronic illnesses
Epilepsy
Headache
Humans
Internalization
Medicine
Medicine & Public Health
Migraine
Migraine Disorders - epidemiology
Mood
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Original Article
Psychiatry
Quality of Life
Social Stigma
Statistical analysis
Stigma
Surveys and Questionnaires
title Psychosocial repercussion of migraine: is it a stigmatized disease?
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