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Multimorbidity can be operationalized as the presence of multiple psychosomatic symptoms and has been shown to be detrimental to the quality of life across the life span. Middle-aged adults are generally engaged in multiple life domains simultaneously. This is one of the developmental challenges of middle adulthood as it can lead to conflict between the demands of different domains and, in turn, contribute to multiple psychosomatic symptoms, thereby diminishing the quality of life. This may be particularly true for women. Facilitation between life domains may serve to reduce the number of psychosomatic symptoms. However, this subject has been largely neglected in the literature.

Multidomain Engagement and Self-Reported Psychosomatic Symptoms in Middle-Aged Women and Men