ArticleBelitung nursing journal2025
Beyond the pandemic: Posttraumatic stress and its association with physical and mental health outcomes among older adults in Egypt - a cross-sectional study.
Article in Belitung nursing journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The COVID-19 pandemic has severely affected older adults worldwide, with the Egyptian geriatric population facing vulnerabilities due to limited healthcare access and cultural factors. Posttraumatic stress disorder (PTSD) following COVID-19 may significantly impact physical and mental health, yet data specific to older Egyptians are limited. Objective: This study aimed to assess the prevalence of PTSD and its association with physical and mental health outcomes among older adults in Egypt after COVID-19 infection. Methods: A cross-sectional study included 290 geriatric patients (≥60 years) recruited from outpatient clinics at two Egyptian university hospitals. Data collection took place over three months, from September to December 2023. PTSD symptoms were measured using the PTSD Checklist-Civilian Version (PCL-C), and physical and mental health were evaluated by the 12-item Short Form Health Survey (SF-12). Pearson correlation and multiple linear regression were used to analyze the relationships between PTSD and health outcomes, controlling for sociodemographic and clinical factors. Results: Moderate PTSD symptoms were present in 60.3% of participants, and 18.6% showed severe symptoms. Physical health (PCS mean = 31.97, SD = 6.66) and mental health (MCS mean = 32.54, SD = 13.34) scores were significantly reduced. PTSD symptom clusters, such as hyperarousal and avoidance, were negatively correlated with physical and mental health components (e.g., hyperarousal vs. PCS: Conclusion: Nearly four out of five older Egyptian adults experienced moderate to severe PTSD after COVID-19, and PTSD symptoms were significantly associated with poorer physical and mental health. Chronic illness emerged as the strongest determinant of health outcomes, with age showing a modest effect. These findings highlight the importance of culturally sensitive, trauma-informed nursing interventions that address both PTSD and chronic illness to improve the well-being of older adults.
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