Prevalence of Psychosomatic Problems in Geriatric With Chronic Disease: A Systematic Review

Yudhistira Hutomo

Abstract

Background: Psychosomatic problems, such as anxiety, depression, and stress, are frequently experienced by the elderly with chronic diseases due to the complex interaction between physical and psychological conditions.

Objective: This study aims to examine the prevalence of psychosomatic problems in the elderly with chronic diseases through a systematic review.

Methods: Data were collected from PubMed, Scopus, and ScienceDirect using keywords including "psychosomatic," "elderly," and "chronic disease." A total of 6 studies involving 14,500 participants (aged ≥60 years) with various chronic conditions met the inclusion criteria.

Results: The analysis revealed that the prevalence of psychosomatic problems ranged from 30% to 70%, with depression (50%) and anxiety disorders (45%) being the primary issues. Key risk factors identified included duration of illness, pain intensity, social isolation, and limitations in daily activities.

Conclusion: There is a high prevalence of psychosomatic problems among the elderly with chronic diseases. An interdisciplinary approach involving early diagnosis and bio-psychosocial intervention is essential to improve the quality of life in this population.

Keywords

Psychosomatic; Geriatry; Chronic Disease; Prevalence

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References

1. Arshadipour, A., Thorand, B., Linkohr, B., Rospleszcz, S., Ladwig, K. H., Heier, M., & Peters, A. (2022). Impact of prenatal and childhood adversity effects around World War II on multimorbidity: results from the KORA-Age study. BMC Geriatrics, 22(1), 1–12. https://doi.org/10.1186/s12877-022-02793-2

2. Banerjee, K., Sahoo, H., & Govil, D. (2023). Financial stress, health and malnourishment among older adults in India. BMC Geriatrics, 23(1), 1–12. https://doi.org/10.1186/s12877-023-04532-7

3. Bernard, P., Romain, A. J., Caudroit, J., Chevance, G., Carayol, M., Gourlan, M., … Moullec, G. (2018). Common Psychological Factors in Chronic Diseases. Health Psychology, 37(5), 433–450. https://doi.org/10.1037/hea0000578

4. Feng, L., Li, Z., Gu, X., Jiang, J., & Liu, X. (2021). Psychosomatic Disorders in Patients with Gastrointestinal Diseases: Single-Center Cross-Sectional Study of 1186 Inpatients. Gastroenterology Research and Practice, 2021. https://doi.org/10.1155/2021/6637084

5. Lebel, S., Mutsaers, B., Tomei, C., Leclair, C. S., Jones, G., Petricone-Westwood, D., ... Dinkel, A. (2020). Health anxiety and illness-related fears across diverse chronic illnesses: A systematic review on conceptualization, measurement, prevalence, course, and correlates. In PLoS ONE (Vol. 15). https://doi.org/10.1371/journal.pone.0234124

6. Li, L., Reinhardt, J. D., Van Dyke, C., Wang, H., Liu, M., Yamamoto, A., ... Hu, X. (2020). Prevalence and risk factors of post-Traumatic stress disorder among elderly survivors six months after the 2008 Wenchuan earthquake in China. BMC Psychiatry, 20(1), 1–10. https://doi.org/10.1186/s12888-020-2474-z

7. Linden, M., Linden, U., Goretzko, D., & Gensichen, J. (2022). Prevalence and pattern of acute and chronic multimorbidity across all body systems and age groups in primary health care. Scientific Reports, 12(1), 1–8. https://doi.org/10.1038/s41598-021-04256-x

8. Muhammad, T., Gharge, S., & Meher, T. (2022). The associations of BMI, chronic conditions and lifestyle factors with insomnia symptoms among older adults in India. PLoS ONE, 17(9 September), 1–18. https://doi.org/10.1371/journal.pone.0274684

9. Nematillayevna, S. D., Temirpulotovich, T. B., & Qizi, O. N. U. (2024). PREVALENCE OF ANXIETY AND DEPRESSIVE DISORDERS IN ELDERLY PATIENTS. AMALIY VA TIBBIYOT FANLARI ILMIY JURNALI, 03(02), 3–5.

10. Nurdin, R., & Arina Pure Science. (2022). Psychosomatic Aspect of the COVID-19 Pandemic. Bioscientia Medicina : Journal of Biomedicine and Translational Research, 6(13), 2582–2590. https://doi.org/10.37275/bsm.v6i13.650

11. Otten, D., Ernst, M., Werner, A. M., Tibubos, A. N., Reiner, I., Brähler, E., … Beutel, M. E. (2023). Depressive symptoms predict the incidence of common chronic diseases in women and men in a representative community sample. Psychological Medicine, 53(9), 4172–4180. https://doi.org/10.1017/S0033291722000861

12. Petito, A., Piazzoli, A., Altamura, M., Bellomo, A., Bernardini, F., Scarponi, L., & Porcelli, P. (2020). PSYCHOSOMATIC SYNDROMES AND SYMPTOM SEVERITY IN CHRONIC PSORIASIS. Su-Un and His World of Symbols, (July), 27–36. https://doi.org/10.4324/9781315611617-9

13. Plassmann, R. (2024). The Crack in the Self of Chronic Pain Patients: The Emotional Processes Involved in the Development of Psychosomatic Diseases and the Consequences for Treatment. The Bodily Unconscious in Psychoanalytic Technique, 9–30. https://doi.org/10.4324/9781003370130-2

14. Santana, A. R. A. A., Sousa, B. R., Lopes, A. O. S., Teixeira, M. C. P., Moreira, N. A. F., Dias, Í. S., … Duarte, S. F. P. (2019). Prevalence of Mental Disorder in Adults and Elderly. International Journal of Advanced Engineering Research and Science, 6(5), 240–245. https://doi.org/10.22161/ijaers.6.5.31

15. Shang, B., Chen, R., Luo, C., Lv, F., Wu, J., Shao, X., & Li, Q. (2023). The relationship between alexithymia, depression, anxiety, and stress in elderly with multiple chronic conditions in China: a network analysis. Frontiers in Psychiatry, 14(July), 1–13. https://doi.org/10.3389/fpsyt.2023.1209936

16. Tatayeva, R., Ossadchaya, E., Sarculova, S., Sembayeva, Z., & Koigeldinova, S. (2022). Psychosomatic Aspects of The Development of Comorbid Pathology: A Review. Medical Journal of the Islamic Republic of Iran, 36. Retrieved from https://pubmed.ncbi.nlm.nih.gov/36636258/

17. Torrubia-Pérez, E., Reverté-Villarroya, S., Fernández-Sáez, J., & Martorell-Poveda, M. A. (2022). Analysis of Psychosomatic Disorders According to Age and Sex in a Rural Area: A Population-Based Study. Journal of Personalized Medicine, 12(10). https://doi.org/10.3390/jpm12101730

18. Wild, B., Herzog, W., Schellberg, D., Böhlen, F., Brenner, H., Saum, K. U., & Maatouk, I. (2019). A short intervention targeting psychosomatic care in older adults with complex health care needs–results of a randomized controlled trial. International Journal of Geriatric Psychiatry, 34(2), 272–279. https://doi.org/10.1002/gps.5017

19. Xu, W., Jiang, W., Ding, R., Tao, H., Wang, Y., Tang, Y., ... Yuan, Y. (2024). Study of Rates and Factors Associated to Psychosomatic Syndromes Assessed Using the Diagnostic Criteria for Psychosomatic Research across Different Clinical Settings. Psychotherapy and Psychosomatics, 386–396. https://doi.org/10.1159/000541404

20. Yep, K. H., Warren, N., Allotey, P., & Reidpath, D. D. (2020). Chronic disease profiles of subjective memory complaints: a latent class analysis of older people in a rural Malaysian community. Aging and Mental Health, 24(5), 709–716. https://doi.org/10.1080/13607863.2018.1550632

DOI: https://doi.org/10.20961/tscm.v3i1.98471

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