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Background: Old age is a period of transition when one has to deal not only with the physical aging, but also with the challenges affecting the mental and social well-being of the elderly. Aim: to assess the effect of social environment of elderly care homes on their psychosocial health in Helwan City. Research design: A descriptive correlational design. Setting: The study was carried out in four governmental elderly care homes in Helwan City. Subjects: One hundred elderly residents. Tool: A structured interview questionnaire consisted of five parts (Demographic characteristics of the elderly and data about the geriatric homes, history of chronic diseases and medication, elderly's satisfaction with geriatric home, elderly social relations in geriatric home, and assessment of psychosocial health of the elderly). Results: Half of the elderly were having fair relationship with their colleagues and family members and two thirds of them were having good relationship with their caregivers. About three quarters of the elderly had accepted psychological and social health. Highly statistically significant positive correlations were found between the scores of elderly psychological health, social health and their social relations scores. Conclusion: The present study revealed that there were highly statically significant positive correlations between the social environment of elderly care homes and their psychosocial health. Recommendations: Continuous assessment of social relations and psychosocial health of elderly residing in care homes. Developing and conducting programs to enhance social relations of elderly residents with specific focus on their psychosocial health

Background: psoriatic arthritis (PsA) is a chronic, inflammatory, progressive joint disease. It has much psychosocial impact and affects quality of life (QOL) of the patients. Aim of the study: to determine the psychosocial impact of PsA on the patients and to define QOL of them. Patients and Methods: the study was conducted on 50 PsA patients, 68 psoriasis (Ps) patients, and 100 controls. A case-control, clinic-based study design was used in this research. An interviewing form and Middle Sex Hospital Questionnaire were used to survey the characteristics of the patients and controls. Severity of PsA was determined clinically. Also, the medical outcomes study 36-item short form (SF-36) was used to assess impact of the disease on the patient’s QOL. Results: most (92.0%) of PsA patients had psychiatric symptoms. The disease had interfered with most of patients' personal feelings and relationships, daily activities, school/work, and leisure/sport. Majority (88.0%) of the patients had stigma feeling. Also, 40.0% and 60.0% of PsA patients had severe and mild forms, respectively. The differences between two forms of PsA regarding interference with school/work and presence of suicidal ideation were significant. The difference regarding presence of familial psychological stress was significant. The highly affected SF-36 domain scores were general health and physical limitation. The eight mean domain scores were significantly lower among PsA patients than controls. The mean domain scores of physical functioning, physical limitation, social functioning, emotional limitation, and mental health were significantly lower among patients with severe PsA than those with mild PsA. The eight mean domain scores were significantly lower among PsA patients than those with only Ps. Conclusions: the physical and psychosocial aspects of PsA may interact and influence one another. So, PsA has a great effect on the patients’ QOL; disrupting physical and psychosocial aspects, and interfering with daily activities, school/work, and leisure/sport. QOL scores were significantly lower among PsA than only Ps patients.