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At least 33% of somatic symptoms are medically unexplained, and these symptoms are chronic or recurrent in 20% to 25% of patients. Unexplained or multiple somatic symptoms are strongly associated with coexisting depressive and anxiety disorders. Other predictors of psychiatric co\u2010morbidity include recent stress, lower self\u2010rated health and higher somatic symptom severity, as well as high healthcare utilization, difficult patient encounters as perceived by the physician, and chronic medical disorders. Antidepressants and cognitive\u2010behavioural therapy are both effective for treatment of somatic symptoms, as well as for functional somatic syndromes such as irritable bowel syndrome, fibromyalgia, pain disorders, and chronic headache. A stepped care approach is described, which consists of three phases that may be useful in the care of patients with somatic symptoms. Copyright \u00a9 2003 Whurr Publishers Ltd.<\/jats:p>","DOI":"10.1002\/mpr.140","type":"journal-article","created":{"date-parts":[[2006,3,24]],"date-time":"2006-03-24T08:46:59Z","timestamp":1143190019000},"page":"34-43","source":"Crossref","is-referenced-by-count":491,"title":["Patients presenting with somatic complaints: epidemiology, psychiatric co\u2010morbidity and 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