“…Numerous epidemiological studies have reported SFDs to be more prevalent among female and younger patients (Barsky et al, 2001, Fink et al, 2004Jacobi et al, 2004;Nimnuan et al, 2001), among those who were not married, and those of lower social class (Fink et al, 2004;Jacobi et al, 2004). Reasons put forward to explain sex differences include: a greater willingness of women to admit health problems and to seek medical help, a higher incidence of depressive and anxiety disorders among women which in turn are associated with somatic symptoms, a higher incidence of predisposing factors such as physical and sexual abuse in women, biological differences in responses to pain, a greater bodily awareness of women as compared to men, and gender bias in research and clinical practice (Barsky et al, 2001).…”