Somatic Symptom Disorder in Older adults / Seniors

Key things to know What the evidence shows
How common is it? WMH: prevalence increases with age; one Shanghai screening study reported very high rates but does not represent interview-diagnosed SSD
Is it more common among older adults / seniors? Higher prevalence with age in recent WMH data
Are older adults / seniors at higher risk? Yes
How much higher is the risk? Direction supported: prevalence increases with age
How often can it be missed? Very High
Does it show up differently among older adults / seniors? Strong Yes
How might it look different? Multiple genuine illnesses make diagnosis difficult; excessive checking/health anxiety must be distinguished from appropriate concern about real disease
What commonly occurs alongside it? Depression; anxiety; chronic medical illness
What can it be confused with? Medical illness; medication effects; depression; illness anxiety; cognitive impairment
Common screening tool SSD-12 — Somatic Symptom Disorder–B Criteria Scale
Separate screening tool for older adults / seniors None established
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