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33% (n=47) responded to postal questionnaires; high levels of pain, symptom chronicity and disability were ubiquitous but self-reported mental health diagnoses and PHQ-15 were higher for SN patients. CONCLUSIONS Conflicting data suggests further research is needed to investigate the prevalence of mental illness and somatic symptoms in SN cases. SN patients have higher rates of co-morbid functional disorders and inconsistent referral pathways. Self-report measures indicate impaired quality of life across all groups. The low response rate
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