Practical Geriatrics ›› 2026, Vol. 40 ›› Issue (8): 775-780.doi: 10.3969/j.issn.1003-9198.2026.08.005

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Advances in the clinical diagnosis and treatment of geriatric somatic distress disorder

WU Heng, YUAN Yonggui   

  1. Department of Psychiatry, the Affiliated Hospital of Tongji University, Shanghai 200065,China(WU Heng);
    Department of Psychomatics and Psychiatry, the Affiliated Zhongda Hospital of Southeast University,Nanjing 210009,China(YUAN Yonggui)
  • Received:2026-06-05 Online:2026-08-20 Published:2026-08-24

Abstract: According to statistics released by the World Health Organization (WHO), the global population aged 60 years and over is projected to reach 2.1 billion by 2050, accounting for 22% of the total global population. With the progressive intensification of population aging, bodily distress disorder (BDD), as one of the prevalent psychosomatic health conditions in the elderly population, has garnered growing attention in the fields of clinical practice and public health. Characterized by core symptoms of excessive attention to and preoccupation with physical discomfort, BDD is often accompanied by abnormalities in emotional regulation, cognitive function, and social functioning. It not only significantly impairs the quality of life of elderly patients but also imposes a substantial burden on medical resources. Notably, the clinical manifestations of geriatric BDD are more insidious and complex, and it is highly prone to comorbidity with various physical diseases, which renders its identification and intervention relatively challenging. In this review, we systematically collate relevant research findings at home and abroad, summarize the current research status and diagnosis and treatment advances in geriatric BDD, aiming to provide a theoretical reference for its clinical identification, standardized management, and subsequent research.

Key words: aged, bodily distress disorder, diagnosis, treatment

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