Clinical Rheumatology

, Volume 32, Issue 10, pp 1553–1556 | Cite as

Fibromyalgia comorbidity in a community sample of adults with migraine

  • Dawn A. MarcusEmail author
  • Amrita Bhowmick
Brief Report


Patients with one chronic pain condition often have additional pain complaints. A survey of data from Thomson Reuters’ MarketScan United States Commercial and Medicare Supplemental retrospective claims databases found that, on average, patients with migraine had an average of 1.4 chronic pain conditions [1]. Comorbid pain conditions were shown to substantially add to burden by adding symptoms, disability, and cost for patients with another primary pain disorder. Because of the difficulty identifying and diagnosing chronic pain conditions identified in that study, recognizing when common comorbid conditions are more likely is important.

Fibromyalgia is a chronic pain condition characterized by widespread pain, sleep disturbance, fatigue, mood disturbance, and other somatic complaints. The American College of Rheumatology (ACR) originally published classification criteria for fibromyalgia in 1990, based on physician assessment and a tender point assessment [2]. Applying the...


Migraine Fibromyalgia Relationship Satisfaction Chronic Pain Condition Episodic Migraine 
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.



This project was supported by the National Institutes of Health through grant numbers UL1 RR024153 and UL1TR000005.




  1. 1.
    Davis JA, Robinson RL, Le TK, Xie J (2011) Incidence and impact of pain conditions and comorbid illnesses. J Pain Res 4:331–345. doi: 10.2147/JPR.S24170 PubMedCrossRefGoogle Scholar
  2. 2.
    Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, Tugwell P, Campbell SM, Abeles M, Clark P et al (1990) The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 33:160–172PubMedCrossRefGoogle Scholar
  3. 3.
    Katz RS, Wolfe, Michaud K (2006) Fibromyalgia diagnosis: a comparison of clinical, survey, and American College of Rheumatology criteria. Arthritis Rheum 54:169–176PubMedCrossRefGoogle Scholar
  4. 4.
    Wolfe F, Clauw DJ, Fitzcharles M, Goldenberg DL, Häuser W, Katz RS, Mease P, Russell AS, Russell IJ, Winfield JB (2011) Fibromyalgia criteria and severity scales for clinical and epidemiological studies: a modification of the ACR preliminary diagnostic criteria for fibromyalgia. J Rheumatol 38:1113–1122. doi: 10.3899/jrheum.100594 PubMedCrossRefGoogle Scholar
  5. 5.
    Häuser W, Jung E, Erbslöh-Möller B, Gesmann M, Kühn-Becker H, Petermann F, Langhorst J, Weiss T, Winkelmann A, Wolfe F (2012) Validation of the fibromyalgia survey questionnaire within a cross-sectional survey. PLoS One 7:e37504. doi: 10.1371/journal.pone.0037504 PubMedCrossRefGoogle Scholar
  6. 6.
    Marcus DA, Bernstein C, Albrecht KL (2013) Brief, self-report fibromyalgia screener evaluated in a sample of chronic pain patients. Pain Med 14(5):730–735PubMedCrossRefGoogle Scholar
  7. 7.
    de Tommaso M (2012) Prevalence, clinical features and potential therapies for fibromyalgia in primary headaches. Expert Rev Neurother 12:287–295. doi: 10.1586/ern.11.190 PubMedCrossRefGoogle Scholar
  8. 8.
    Küçükşen S, Genç E, Yilmaz H, Salli A, Gezer IA, Karahan AY, Salbaş E, Cingöz HT, Nas O, Uğurlu H (2013) The prevalence of fibromyalgia and its relation with headache characteristics in episodic migraine. Clin Rheumatol. doi: 10.1007/s10067-013-2218-2
  9. 9.
    Aaron LA, Bradley LA, Alarcon GS, Alexander RW, Tiana-Alexander M, Martin MY, Alberts KR (1996) Psychiatric diagnoses in patients with fibromyalgia are related to health care-seeking behavior rather than to illness. Arthritis Rheum 39:436–445PubMedCrossRefGoogle Scholar
  10. 10.
    Kersh BC, Bradley LA, Alarcón GS, Alberts KR, Sotolongo A, Martin MY, Aaron LA, Dewaal DF, Domino ML, Chaplin WF, Palardy NR, Cianfrini LR, Triana-Alenxander M (2001) Psychosocial and health status variables independently predict health care seeking in fibromyalgia. Arthritis Rheum 45:362–371PubMedCrossRefGoogle Scholar
  11. 11.
    Häuser W, Biewer W, Gesmann M, Kühn-Becker H, Petzke F, Wilmonswky H, Langhorst J, Glaesmer H (2011) A comparison of the clinical features of fibromyalgia syndrome in different settings. Eur J Pain 15:936–941. doi: 10.1016/j.ejpain.2011.05.008 PubMedCrossRefGoogle Scholar
  12. 12.
    Lipton RB, Dodick D, Sadovsky R, Kolodner K, Endicott J, Hettiarachchi J, Harrison W (2003) A self-administered screener for migraine in primary care: the ID migraine validation study. Neurology 61:375–382PubMedCrossRefGoogle Scholar
  13. 13.
    Kroenke K, Spitzer RL, Williams JW, Löwe B (2009) An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics 50:613–621. doi: 10.1176/appi.psy.50.6.613 PubMedGoogle Scholar
  14. 14.
    Hendrick SS (1988) A generic measure of relationship satisfaction. J Marriage Fam 50:93–98CrossRefGoogle Scholar
  15. 15.
    Hendrick SS, Dicke A, Hendrick C (1998) The relationship assessment scale. J Soc Pers Relat 15:137–142. doi: 10.1177/0265407598151009 CrossRefGoogle Scholar
  16. 16.
    Vaughn MJ, Baier MM (1999) Reliability and validity of the relationship assessment scale. Am J Fam Ther 27:137–147CrossRefGoogle Scholar
  17. 17.
    Marcus DA, Richards KL, Chambers JF, Bhowmick A (2013) Fibromyalgia family and relationship impact exploratory survey. Musculoskeletal Care. doi: 10.1002/msc.1039 Google Scholar
  18. 18.
    Buse DC, Manack AN, Fanning KM, Serrano D, Reed ML, Turkel CC, Lipton RB (2013) Chronic migraine prevalence, disability, and sociodemographic factors: results from the American Migraine Prevalence and Prevention Study. Headache. doi: 10.1111/j.1526-4610.2012.02223.x Google Scholar
  19. 19.
    Natoli JL, Manack A, Dean B, Butler Q, Turkel CC, Stovner L, Lipton RB (2010) Global prevalence of chronic migraine: a systematic review. Cephalalgia 30:599–609. doi: 10.1111/j.1468-2982.2009.01941.x PubMedGoogle Scholar
  20. 20.
    Marcus DA, Bhowmick A (2013) Migraine frequency but not self-efficacy drives utilization and impact from online resources. Headache 53:551–552. doi: 10.1111/j.1526-4610.2012.02298.x PubMedCrossRefGoogle Scholar
  21. 21.
    Perrot S, Choy E, Petersel D, Ginovker A, Kramer E (2012) Survey of physician experiences and perceptions about the diagnosis and treatment of fibromyalgia. BMC Health Serv Res 12:356. doi: 10.1186/1472-6963-12-356 PubMedCrossRefGoogle Scholar

Copyright information

© Clinical Rheumatology 2013

Authors and Affiliations

  1. 1.Department of AnesthesiologyUniversity of PittsburghPittsburghUSA
  2. 2.Health Union, LLCPhiladelphiaUSA

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