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129. Katon W, Sullivan M, Walker E. Medical symptoms without identified pathology:€relationship to psychiatric disorders, childhood and adult trauma, and personality traits. Annals of Internal Medicine 2001; 134:€917–25. 136. Watson D, Pennebaker JW, Watson D, Pennebaker JW. Health complaints, stress, and distress:€exploring the central role of negative affectivity. Psychological Review 1989; 96(2):€234–54. 137. Rosmalen JG, Neeleman J, Gans RO, de Jonge P, Rosmalen JGM, Neeleman J et€al. The association between neuroticism and self-reported common somatic symptoms in a population cohort.

Diagnoses based on the Research Diagnostic Criteria for Temporomandibular Disorders in a biracial population of young women. Journal of Orofacial Pain 2005; 19(1):€65–75. 118. Yunus MB, Yunus MB. Central sensitivity syndromes:€a new paradigm and group nosology for fibromyalgia and overlapping conditions, and the related issue of disease versus illness. Seminars in Arthritis and Rheumatism 2008; 37(6):€339–52. 119. Palmer KT, Calnan M, Wainwright D, Poole J, O’Neill C, Winterbottom A et al. Disabling musculoskeletal pain and its relation to somatization:€a communitybased postal survey.

The costs appear to be higher than those incurred by stroke and cancer. The high healthcare costs do not include time lost from work and the reduced �productivity, nor time of carers. 4 shows that the number of doctor visits increased linearly with number of somatic symptoms in a US-based study also described above [54]. 8╇ The 10 most expensive diagnostic groups in Netherlands [182]. 5 a Dementia, schizophrenia, depression, alcohol and drugs, mental handicap. No. 2) [54]. PHQ, Patient Health Questionnaire.

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