“…Since it is likely that the aetiology is multi-factorial, and as in functional disorders [38], it can be argued that the complexities of IEI should be studied from a bio-psycho-social perspective. Such an approach would involve considering (1) the influence of biological factors, such as central sensitization processes, which have been suggested as a mechanism involved in the acquisition and maintenance of IEI [39][40][41], (2) changes in the reactivity of the hypothalamic-pituitaryadrenal axis [42] and/or psychopathological processes, such as the role of anxiety and depression [17], (3) processes involved in symptom perception and amplification and in emotional regulation [43,44] and (4) socioeconomic factors [7].…”