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Several studies have shown a strong association between alexithymia and psychological distress in both healthy and clinical populations. The aim of this study was to investigate the prevalence and association between alexithymia and psychological distress in individuals with fibromyalgia (FM) and chronic migraine (CM) compared with healthy controls (HC). A cross-sectional study was conducted. Two hundred fifty women with FM (age 51.2±10.5) and 250 women with CM (age 46.1±11.5) were assessed with the Toronto Alexithymia Scale (TAS-2 and