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Fibromyalgia comorbidity in primary headaches.
Cephalalgia. 2009 Apr; 29(4):453-64.C

Abstract

Fibromyalgia syndrome (FMS) is a chronic pain condition of unknown aetiology characterized by diffuse pain and tenderness at tender points. The aim of the study was to assess the prevalence and clinical features of FMS in the different forms of primary headaches, in a tertiary headache centre. Primary headache patients (n = 217) were selected and submitted to the Total Tenderness Score, anxiety and depression scales, Migraine Disability Assessment, allodynia questionnaire, Short Form 36 Health Survey and the Medical Outcomes Study-Sleep Scale. In patients with FMS, the Multidimensional Assessment of Fatigue, the Pain Visual Analog Scale, the Manual Tender Point Survey and the Fibromyalgia Impact Questionnaire were employed. FMS was present in 36.4% of patients and prevailed significantly in tension-type headache and in patients with higher headache frequency. Headache frequency, pericranial muscle tenderness, anxiety and sleep inadequacy were especially associated with FMS comorbidity. In the FMS patients, fatigue and pain at tender points were significantly correlated with headache frequency. FMS seems increasingly prevalent with increased headache frequency, for the facilitation of central sensitization phenomena favoured by anxiety and sleep disturbances.

Authors+Show Affiliations

Neurological and Psychiatric Sciences Department, Neurophysiopathology of Pain Unit, University of Bari, Bari, Italy. m.detommaso@neurol.uniba.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19170692

Citation

de Tommaso, M, et al. "Fibromyalgia Comorbidity in Primary Headaches." Cephalalgia : an International Journal of Headache, vol. 29, no. 4, 2009, pp. 453-64.
de Tommaso M, Sardaro M, Serpino C, et al. Fibromyalgia comorbidity in primary headaches. Cephalalgia. 2009;29(4):453-64.
de Tommaso, M., Sardaro, M., Serpino, C., Costantini, F., Vecchio, E., Prudenzano, M. P., Lamberti, P., & Livrea, P. (2009). Fibromyalgia comorbidity in primary headaches. Cephalalgia : an International Journal of Headache, 29(4), 453-64. https://doi.org/10.1111/j.1468-2982.2008.01754.x
de Tommaso M, et al. Fibromyalgia Comorbidity in Primary Headaches. Cephalalgia. 2009;29(4):453-64. PubMed PMID: 19170692.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fibromyalgia comorbidity in primary headaches. AU - de Tommaso,M, AU - Sardaro,M, AU - Serpino,C, AU - Costantini,F, AU - Vecchio,E, AU - Prudenzano,M Pia, AU - Lamberti,P, AU - Livrea,P, Y1 - 2009/12/15/ PY - 2009/1/28/entrez PY - 2009/1/28/pubmed PY - 2009/8/26/medline SP - 453 EP - 64 JF - Cephalalgia : an international journal of headache JO - Cephalalgia VL - 29 IS - 4 N2 - Fibromyalgia syndrome (FMS) is a chronic pain condition of unknown aetiology characterized by diffuse pain and tenderness at tender points. The aim of the study was to assess the prevalence and clinical features of FMS in the different forms of primary headaches, in a tertiary headache centre. Primary headache patients (n = 217) were selected and submitted to the Total Tenderness Score, anxiety and depression scales, Migraine Disability Assessment, allodynia questionnaire, Short Form 36 Health Survey and the Medical Outcomes Study-Sleep Scale. In patients with FMS, the Multidimensional Assessment of Fatigue, the Pain Visual Analog Scale, the Manual Tender Point Survey and the Fibromyalgia Impact Questionnaire were employed. FMS was present in 36.4% of patients and prevailed significantly in tension-type headache and in patients with higher headache frequency. Headache frequency, pericranial muscle tenderness, anxiety and sleep inadequacy were especially associated with FMS comorbidity. In the FMS patients, fatigue and pain at tender points were significantly correlated with headache frequency. FMS seems increasingly prevalent with increased headache frequency, for the facilitation of central sensitization phenomena favoured by anxiety and sleep disturbances. SN - 1468-2982 UR - https://www.unboundmedicine.com/medline/citation/19170692/Fibromyalgia_comorbidity_in_primary_headaches_ DB - PRIME DP - Unbound Medicine ER -