With respect to the reviewer’s comment on generalizability, we agree that our exclusionary criteria were stringent and have added the following sentence to our limitations section. “Further, we excluded individuals with diagnosed mental health conditions and those who were taking medications that could impact pain or the interpretation of brain responses. As such our results may not apply to FM patients with comorbid conditions.”
Also, the discussion section should be revised to acknowledge that many patients with FM would have been excluded from participation in this study due to major depression and medication consumption so there may be concerns about the generalizability of the sample, BUT the authors appropriately compared the Fibromyalgia Impact Questionnaire scores of their sample to normative data and found no significant difference.