{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T05:06:48Z","timestamp":1779944808545,"version":"3.53.1"},"reference-count":63,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"\n Background<\/jats:title>\n Social frailty represents a critical dimension of aging, yet its specific associations with mental health and social capital remain underexplored, particularly in non-Western contexts. This study investigated the influence of psychological distress and social capital on social frailty among older adults in Egypt.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In a cross-sectional study conducted at a university hospital outpatient clinic, 316 adults aged \u226560\u202fyears were assessed using the Depression Anxiety Stress Scale-21 (DASS-21), the Personal Social Capital Scale-16 (PSCS-16), and the Social Frailty Scale (SFS-8). Data were analyzed using descriptive statistics, correlation analyses, and multiple linear regression.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Participants demonstrated moderate to high levels of social frailty (Mean\u202f=\u202f5.55\u202f\u00b1\u202f1.44). A significant positive correlation was found between psychological distress and social frailty (\n \u03b2<\/jats:italic>\n \u202f=\u202f0.333,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001), while a significant negative correlation was observed between social capital and social frailty (\n r<\/jats:italic>\n \u202f=\u202f\u22120.349,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001). Multiple regression analysis confirmed that both higher psychological distress (\n \u03b2<\/jats:italic>\n \u202f=\u202f0.369,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001) and lower social capital (\n \u03b2<\/jats:italic>\n \u202f=\u202f\u22120.327,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001) were significant independent predictors of social frailty, after controlling for key sociodemographic and health-related covariates. The final model explained 13.5% of the variance in social frailty scores (\n F<\/jats:italic>\n \u202f=\u202f24.510,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Psychological distress and low social capital are significant, independent contributors to social frailty in Egyptian older adults. These findings advocate for integrated geriatric care interventions that concurrently address mental well-being and strengthen social networks to effectively prevent and mitigate the adverse outcomes associated with social frailty.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fmed.2026.1778410","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T04:53:40Z","timestamp":1779944020000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["When minds and networks matter: how mental health and social capital shape social frailty in older adults"],"prefix":"10.3389","volume":"13","author":[{"given":"Sarah","family":"Almutairi","sequence":"first","affiliation":[{"name":"Department of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University","place":["Buraydah, Saudi Arabia"]},{"name":"Nursing Services Department, Qassim University Medical City","place":["Buraydah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Hussein Ramadan Atta","sequence":"additional","affiliation":[{"name":"Nursing Department, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University","place":["Wadi Addawasir, Saudi Arabia"]},{"name":"Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University","place":["Alexandria, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Alasqah","sequence":"additional","affiliation":[{"name":"Department of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University","place":["Buraydah, Saudi Arabia"]},{"name":"Nursing Services Department, Qassim University Medical City","place":["Buraydah, Saudi Arabia"]},{"name":"School of Health, University of New England","place":["Armidale, NSW, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona Metwally","family":"El-Sayed","sequence":"additional","affiliation":[{"name":"Department of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University","place":["Buraydah, Saudi Arabia"]},{"name":"Nursing Services Department, Qassim University Medical City","place":["Buraydah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safia","family":"Gomaa Mohammed","sequence":"additional","affiliation":[{"name":"Gerontological Nursing, Faculty of Nursing, Zagazig University","place":["Zagazig, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Abdellah","family":"Othman","sequence":"additional","affiliation":[{"name":"Nursing Administration, Faculty of Nursing, Sohag University","place":["Sohag, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haitham Mokhtar Mohamed","family":"Abdallah","sequence":"additional","affiliation":[{"name":"Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University","place":["Alexandria, Egypt"]},{"name":"Medical Surgical Department, College of Nursing, Jouf University","place":["Sakaka, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaimaa Mohamed","family":"Amin","sequence":"additional","affiliation":[{"name":"Department of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University","place":["Buraydah, Saudi Arabia"]},{"name":"Nursing Services Department, Qassim University Medical City","place":["Buraydah, Saudi Arabia"]},{"name":"Community Health Nursing Department, Faculty of Nursing, Damanhour University","place":["Damanhour, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"ref1","volume-title":"Ageing and Health","year":"2025"},{"key":"ref2","volume-title":"World Report on Ageing and 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