Psychosomatic diseases are highly preralent and impose a substantial disease burden. However, the current clinical practice of psychosomatic medicine is inadequate, and the current status of diagnosis and management of psychosomatic diseases is weak.

To explore the research progress of disease diagnosis and management based on psychosomatic medicine at home and abroad, improving the level of prevention and treatment of psychosomatic diseases and providing the reference for conducting psychosomatic medicine research in China.

From June to November 2022, studies were searched using the subject themes of ("psychosomatic medicine") and ("diseases" or "management" or "treatment" or "strategy") in CNKI, CQVIP, PubMed and Web of Science, for the period January 2012 to November 2022. Repetitive, unavailable and irrelevant studies were excluded, and studies which related to psychosomatic medicine was selected for systematic analysis.

Altogether, 2 167 studies were retrieved, and after screening, 97 relevant studies were finally obtained. Seven studies involved the significance of psychosomatic medicine, mentioning it was useful as a heuristic clinical tool to better describe medical processes and disease behaviour, etc, but it is not fully applied to clinical practice work. 4 studies proposed the application of psychosomatic medicine in combination with palliative medicine, critical care medicine, neurology, and behavioral medicine, suggesting that the combination contributed to understanding psychosomatic phenomena, but the application in practice need further study. Forty six studies were about psychosomatic diseases or problems in various populations, covering adults, women, children and adolescents, indicating a widespread presence. The psychosomatic assessment literature consisted of 18 studies, of which the Diagnostic Criteria for Psychosomatic (DCPR) and influencing factors were the most investigated, providing some basis for comprehensive assessment, but are not translated into practical tools. The 41 studies which related to consultation and management practices or recommendations mentioned multidisciplinary or integrated psychosomatic management, management of psychosocial factors and maladaptive behaviors, strengthening training of clinicians' psychosomatic knowledge, advocating management by general practitioners, but the specific implementation and measures in practice need further exploration.

There are barriers in the treatment and management of psychosomatic diseases or problems, such as inadequate consideration of psychosocial factors in the medical service and the lack of ability to diagnose and treat them, unsound diagnosis and treatment management methods, and psychosomatic distress of patients affecting access to medical care and treatment. While multidisciplinary or integrated psychosomatic management and psychosomatic hospitalization modes provide systematic strategies. Research on DCPR and psychosomatic influences provide the basis for treatment ideas. It is recommended to continuously conduct research and knowledge training in psychosomatic medicine, implement multidisciplinary assistance, strengthen community mental health policies and measures, take advantage of the GP function.

心身疾病高发、疾病负担重，然而目前心身医学临床实践不足，心身疾病的诊治管理现况不佳。

探索国内外基于心身医学的疾病诊治管理研究进展，提升心身疾病的防治水平，为我国开展心身医学研究提供依据。

2022年6—11月，在中国知网、维普网分别主题检索"心身医学"与"疾病"，"心身医学"与"治疗"，"心身医学"与"管理"，"心身医学"与"策略"，在PubMed、Web of Science数据库主题检索（"psychosomatic medicine"）and（"diseases"or"management"or"treatment"or"strategy"）获得发表时间为2012年1月—2022年11月的文献。剔除重复、未能获取和不相关文献，纳入涉及心身医学诊治管理的文献进行系统分析。

共检索到2 167篇文献，经过筛选，最终得到97篇相关文献。7篇文献涉及心身医学的意义，提到了其是有用的启发式临床工具，可更好地描述医疗过程和疾病行为等，但未被充分应用至临床实践工作。4篇文献涉及心身医学的应用，分别与姑息医学、重症医学、神经病学、行为医学结合，有助于理解心身现象，但实际应用效果有待进一步研究。有关各种人群的心身疾病或问题的文献共46篇，涉及成年人、妇女、儿童、青少年等，表明其普遍存在。心身评估的文献18篇，其中心身研究诊断标准（DCPR）和影响因素研究最多，为综合评估提供了一定依据，但是没有转化为实际操作工具。涉及诊治管理实践和建议的文献41篇，主要提到了多学科或心身综合管理、社会心理因素和不良行为管理、加强临床医生心身知识培训、提倡全科医生管理等，但在实际工作中的具体开展情况和措施尚需进一步探索。

目前存在医学服务中的心理社会因素考虑和诊治能力不足、诊治管理方法和制度不健全、患者心身困扰多影响就医和治疗等障碍。而多学科或心身综合管理、心身住院模式提供了心身医学疾病诊治管理的系统性策略，DCPR和心身影响因素研究为诊疗思路提供了依据。建议持续开展心身医学研究和知识培训、多学科协作，完善并落实社区心理卫生政策和举措，发挥全科医生职能优势。