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The nature and extent of the symptoms or the distress and pre\u2010occupation of the patient cannot be explained fully by a general medical condition or by the direct effect of a substance, and are not attributable to another mental disorder. Emotional and psychosocial conflicts play a major role in the onset, severity, exacerbation or maintenance of the physical symptoms. There is disagreement in the\n                      <jats:styled-content style=\"fixed-case\">FMS<\/jats:styled-content>\n                      research community on the existence of somatic factors sufficiently explaining\n                      <jats:styled-content style=\"fixed-case\">FMS<\/jats:styled-content>\n                      symptoms. Psychosocial factors play a major role in the onset, exacerbation or maintenance of\n                      <jats:styled-content style=\"fixed-case\">FMS<\/jats:styled-content>\n                      symptoms in the majority of patients. A biopsychosocial model of interacting biological and psychosocial factors in the predisposition, onset and maintenance of\n                      <jats:styled-content style=\"fixed-case\">FMS<\/jats:styled-content>\n                      symptoms is more appropriate than the dichotomy between a somatic disease and a mental (somatoform) disorder.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The clinical features of\n                      <jats:styled-content style=\"fixed-case\">FMS<\/jats:styled-content>\n                      and persistent somatoform pain disorder or somatization disorder according to the\n                      <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>\n                      nternational\n                      <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\n                      lassification of\n                      <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\n                      iseases (\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      )\u201010 overlap in individuals with chronic widespread pain without specific somatic disease factors.\n                      <jats:styled-content style=\"fixed-case\">FMS<\/jats:styled-content>\n                      is not synonymous with somatoform disorder.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/j.1532-2149.2014.00453.x","type":"journal-article","created":{"date-parts":[[2014,1,23]],"date-time":"2014-01-23T06:07:18Z","timestamp":1390457238000},"page":"1052-1059","source":"Crossref","is-referenced-by-count":71,"title":["Fibromyalgia syndrome: A somatoform disorder?"],"prefix":"10.1002","volume":"18","author":[{"given":"W.","family":"H\u00e4user","sequence":"first","affiliation":[{"name":"Department of Internal Medicine I Klinikum Saarbr\u00fccken  Germany"},{"name":"Department of Psychosomatic Medicine and Psychotherapy Technische Universit\u00e4t M\u00fcnchen  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Henningsen","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy Technische Universit\u00e4t M\u00fcnchen  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,1,23]]},"reference":[{"key":"e_1_2_11_1_2_1","unstructured":"Ablin J.N. 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