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In a family with somatic symptom disorder, the male relatives are at increased risk for antisocial personality disorder.  Absence of inhibition and high negative emotion is the underlying characteristics that tie these disorders together.

What is somatic symptom disorder?

Extreme attention paid to physical symptoms, such as pain or fatigue, is a sign of somatic symptom disorder, which results in significant emotional distress and functional difficulties. Your response to the symptoms is abnormal, whether or not there is another medical condition that has been diagnosed and is present with these symptoms.

Having a significant focus on physical symptoms, such as pain, fatigue, or shortness of breath, to a degree that causes significant distress and/or functional difficulties, is a sign of somatic symptom disorder. Regarding the physical symptoms, the person behaves excessively in terms of thoughts, feelings, and behaviours.

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