16 Those with the constellation defined by depression, anxiety, and FM also reported more sexual, physical and, in particular, emotional abuse than the cluster with no comorbidity, despite similar demographic profiles. In this current migraine clinic cohort, we report in Part I that 58% have reported some type of childhood maltreatment, and that each type of abuse (sexual, physical, emotional) and neglect (physical and emotional) was strongly associated with depression and anxiety.17 Childhood emotional

abuse was most prevalent, and it was associated with chronic headache frequency and transformed migraine, learn more even when controlling for depression and

anxiety. The literature suggests that chronic daily headache and transformed migraine are associated with other painful conditions.18 Our objectives in this paper were to assess in a clinic-based population with migraine the relationships of different types of childhood abuse and neglect to comorbid pain conditions. Because childhood maltreatment is also associated with depression see more and anxiety, which in turn are associated with pain, the influence of these psychiatric conditions on the relationship between maltreatment and migraine comorbidities was examined. Patient Selection and Data Collection.— This multicenter study was conducted by the members of the Women’s Issues Section research consortium of the American Headache Society. The recruitment of the cross-sectional survey of headache clinic patients occurred between February 2006 and June 2008 at 11 outpatient headache centers, after each center separately obtained approval from the Institutional Review Aurora Kinase Boards (IRB). Participants included adult men and women with primary headache disorder

as defined by the International Classification of Headache Disorders (ICHD)-2 criteria,19 who were able to complete an electronic questionnaire. Full details of inclusion/exclusion criteria, and data collection are included in Part I of this study.17 Childhood Abuse and Neglect.— In this study, maltreatment exposure occurring in childhood was assessed using the Childhood Trauma Questionnaire (CTQ).20,21 This questionnaire is a 28-item self-reported quantitative measure that provides brief, reliable, and valid screening for history of childhood abuse (physical, sexual, and emotional) and neglect (physical and emotional). Details on the CTQ measure, prevalence of childhood abuse and neglect, correlation between the different categories of abuse and neglect, and the relationship with depression and anxiety in this study population are discussed in Part I of this article.17 Comorbid Conditions.