Three-quarters of the chronic headache sufferers reported a transformation from episodic to chronic headache (26% of total study population). Prevalence of current depression was 28% and anxiety was 56%. Frequencies of self-reported physician diagnoses of comorbid pain conditions ranged from 25% for arthritis to 5% for CFS. Additional

diagnosis based on validated criteria was JAK assay also reported for conditions of IBS, FM, and CFS (Table 1). Thirty-one percent (n = 411) of the study population had IBS based on physician diagnosis or validated criteria, 16% (n = 219) had CFS, and 10% (n = 133) had FM. Childhood trauma, either abuse or neglect, was reported by 58% of the study population (n = 781). Physical abuse was reported by 21%, sexual abuse by 25%, emotional abuse by 38%, physical neglect by 22%, and emotional neglect by 38% of the study population. Table 2 shows the differences in the prevalence of comorbid pain conditions based on the reports of childhood abuse and neglect. For IBS, FM, and CFS, a self-reported find more physician diagnosis

or validated positive criteria, or both, was considered as presence of the condition. Due to testing of multiple hypotheses, only associations reported in Table 2 with P < .01 should be viewed as significant. Persons with childhood physical abuse had a higher prevalence of arthritis (χ2 = 9.93, P = .002). Emotional abuse was associated with a higher prevalence of IBS (χ2 = 16.65, P < .001), FM (χ2 = 18.76, P < .001), CFS (χ2 = 26.27, P < .001), and arthritis (χ2 = 16.04, P < .001). Physical

neglect was associated with higher prevalence of IBS (χ2 = 6.90, P = .009), isothipendyl CFS (χ2 = 16.63, P < .001), IC (χ2 = 6.90, P = .009), and arthritis (χ2 = 9.36, P = .002). In women, physical abuse was associated with EM (χ2 = 12.02, P = .0015) and uterine fibroids (χ2 = 11.08, P = .001), emotional abuse with EM (χ2 = 6.449, P = .011), physical neglect with EM (χ2 = 10.93, P = .001), and uterine fibroids (χ2 = 13.11, P = .001). Emotional neglect was associated only with prevalence of uterine fibroids (χ2 = 5.97, P = .011). In the study population, 61% (n = 827) had at least 1 comorbid pain condition. Eighteen percent (n = 237) had 2, and 13% (n = 171) had 3 or more pain conditions. Table 3 shows the relationship of childhood abuse and neglect with prevalence of comorbid pain conditions based on total number present. Migraineurs reporting emotional abuse or physical neglect had significantly higher number of comorbid pain conditions compared with those without these childhood trauma categories. Similarly, in the sub-group analysis of women that included conditions of EM and uterine fibroids, about 65% (n = 761) had at least 1 comorbid pain condition. Eighteen percent (n = 215) had 2, 7% (n = 83) had 3, and the remaining 7% (n = 83) had 4 or more comorbid conditions.