Original Article

Clinical Rheumatology

, Volume 32, Issue 7, pp 983-990

The prevalence of fibromyalgia and its relation with headache characteristics in episodic migraine

  • Sami KüçükşenAffiliated withDepartment of Physical Medicine and Rehabilitation, Meram Medical School, Necmettin Erbakan University Email author 
  • , Emine GençAffiliated withDepartment of Neurology, Meram Medical School, Necmettin Erbakan University
  • , Halim YılmazAffiliated withDepartment of Physical Medicine and Rehabilitation, Konya Education and Research Hospital
  • , Ali SallıAffiliated withDepartment of Physical Medicine and Rehabilitation, Meram Medical School, Necmettin Erbakan University
  • , İlknur Albayrak GezerAffiliated withDepartment of Physical Medicine and Rehabilitation, Beyşehir State Hospital
  • , Ali Yavuz KarahanAffiliated withDepartment of Physical Medicine and Rehabilitation, Karaman State Hospital
  • , Ender SalbaşAffiliated withDepartment of Physical Medicine and Rehabilitation, Meram Medical School, Necmettin Erbakan University
  • , Havva Turaç CingözAffiliated withDepartment of Physical Medicine and Rehabilitation, Meram Medical School, Necmettin Erbakan University
  • , Ömer NasAffiliated withDepartment of Physical Medicine and Rehabilitation, Meram Medical School, Necmettin Erbakan University
    • , Hatice UğurluAffiliated withDepartment of Physical Medicine and Rehabilitation, Meram Medical School, Necmettin Erbakan University

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

The objective of this study was to assess the prevalence of fibromyalgia (FM) in patients with episodic migraine and to evaluate the relationship between migraine characteristics and FM. One hundred and eighteen consecutive patients (mean age = 38 years, 75 % women) fulfilling the International Classification of Headache Disorders-II criteria for migraine with (n = 22) and without (n = 96) aura from an outpatient headache clinic of a university hospital were evaluated. The diagnosis of FM was made based on the 1990 American College of Rheumatology classification criteria. Participants completed some self-administered questionnaires ascertaining sociodemographics, headache severity, frequency and duration, headache-related disability (Headache Impact Test [HIT-6]) and Migraine Disability Assessment Scale, widespread musculoskeletal pain (visual analog scale), depression (Beck depression inventory), anxiety (Beck anxiety inventory), sleep quality (Pittsburgh Sleep Quality Index), fatigue (Multidimensional Assessment of Fatigue), and quality of life (Short Form-36 Health Survey [SF-36]). In patients with FM, the tender point count and the Fibromyalgia Impact Questionnaire were employed. FM was diagnosed in 37 (31.4 %) of the patients. FM comorbidity was equally distributed across patients with and without aura. Severity of migraine headache, HIT-6, and anxiety were especially associated with FM comorbidity. Patients suffering from migraine plus FM reported lower scores on all items of the SF-36. This study indicates that the assessment and management of coexisting FM should be taken into account in the assessment and management of migraine, particularly when headache is severe or patients suffer from widespread musculoskeletal pain.

Keywords

Comorbidity Fibromyalgia Headache Migraine