“…Symptoms are accompanied by avoidance, minimization, and somatization ( 25 ). Case reports have reviewed patients with history of psychological factors that include severe childhood deprivation, disturbance of family vitality, significant separation anxiety and feelings of emptiness, a history of infertility, low frustration tolerance, inability to resolve tension, cognitive misinterpretation of bodily sensations and physical changes, emotional attachment (e.g., a strong bond between mother and daughter), childhood sexual abuse and emotional turmoil ( 6 , 9 , 10 , 19 , 44 , 45 , 49 , 51 - 52 ). Several studies have also suggested that some kind of psychological loss can lead to pseudocyesis.…”