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How common is it?
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WMH shows modest association with common chronic physical conditions; no universal SSD prevalence
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Is it more common among people living with chronic illness?
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SSD explicitly can coexist with real medical disease
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Are people living with chronic illness at higher risk?
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Yes — chronic conditions modestly associated in WMH
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How much higher is the risk?
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WMH: significant but modest associations with arthritis, asthma, diabetes, hypertension, ulcer disease
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How often can it be missed?
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Extremely High
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Does it show up differently among people living with chronic illness?
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Very Strong Yes
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How might it look different?
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Actual disease and SSD are not mutually exclusive; excessive health-related thoughts, fear, checking, avoidance or repeated care-seeking are central
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What commonly occurs alongside it?
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Depression; GAD; panic; health anxiety
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What can it be confused with?
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Appropriate concern about real illness; illness anxiety disorder; adjustment disorder
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Common screening tool
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SSD-12 — Somatic Symptom Disorder–B Criteria Scale
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Separate screening tool for people living with chronic illness
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None universal
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