Type and Frequency of Primary Headache in Female Patients with Fibromyalgia Syndrome

Abstract

ABSTRACT Objective: To evaluate the frequency and types of primary headache, and to research effects on quality of life and sleep in female patients with fibromyalgia syndrome (FMS). Material and Methods: 216 female patients with FMS were admitted to study. Fibromyalgia Impact Questionnaire (FIQ) was filled out. Visual analogue scale (VAS), Beck Depression Inventory(BDI), Beck Anxiety Inventory(BAI), Checklist Individual Strength(CIS), Pittsburg Sleep Quality Index(PSQI) and Short Form-36(SF-36) were used to determine pain, depression, anxiety, chronic fatigue, quality of sleep, quality of life and physical and mental health respectively. Results: 84.7% of 216 patients included to study had headache, 77.8% of patients with headache diagnosed as primary headache. Patients with primary headache had higher mean age significantly. Tender point number, VAS and FIQ scores were higher despite no significant difference in patients with primary headache. Poor sleep quality, depression and anxiety frequencies were 83.3%, 42.6% and 88% respectively. BDI, BAI and BAI outcome scores were significantly higher in patients with primary headache. The PSQI scores were higher in patients with primary headache despite no significant difference. SF-36 physical component, physical role limitation, mental component, mental health and vitality scores were significantly lower in patients with primary headache CIS total score, fatigue, concentration and physical activity score were significantly higher in patients with primary headache. Conclusion: Depression, anxiety and chronic fatigue level increases