Xin YL, Wang F, Ma LY, Cui BH. Analysis of psychological problems and intervention effects in patients undergoing digital subtraction angiography neurointervention: A retrospective study. World J Psychiatry 2026; 16(9): 121125 [DOI: 10.5498/wjp.121125]
Corresponding Author of This Article
Yong-Li Xin, Assistant Professor, Department of Interventional Digital Subtraction Angiography Operating Room, Nantong First People’s Hospital, No. 666 Shengli Road, Chongchuan District, Nantong 226000, Jiangsu Province, China. xinyl1218@126.com
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Xin YL, Wang F, Ma LY, Cui BH. Analysis of psychological problems and intervention effects in patients undergoing digital subtraction angiography neurointervention: A retrospective study. World J Psychiatry 2026; 16(9): 121125 [DOI: 10.5498/wjp.121125]
World J Psychiatry. Sep 19, 2026; 16(9): 121125 Published online Sep 19, 2026. doi: 10.5498/wjp.121125
Analysis of psychological problems and intervention effects in patients undergoing digital subtraction angiography neurointervention: A retrospective study
Yong-Li Xin, Fang Wang, Ling-Yu Ma, Bai-Hong Cui
Yong-Li Xin, Ling-Yu Ma, Department of Interventional Digital Subtraction Angiography Operating Room, Nantong First People’s Hospital, Nantong 226000, Jiangsu Province, China
Fang Wang, Department of Nursing, Nantong First People’s Hospital, Nantong 226000, Jiangsu Province, China
Bai-Hong Cui, Department of Interventional Radiology, Nantong First People’s Hospital, Nantong 226000, Jiangsu Province, China
Author contributions: Xin YL and Wang F conceived and designed the study; Xin YL and Ma LY collected and analyzed the data and wrote the initial draft; Xin YL, Ma LY, and Cui BH supervised the study and critically revised the manuscript; Cui BH contributed to data analysis and methodology. All authors approved the final version for submission.
AI contribution statement: AI tools (DeepSeek) were used solely for linguistic refinement and formatting assistance. No AI tool was involved in the generation of research data, interpretation of results, or formulation of conclusions. All AI-generated outputs were critically reviewed and revised by the authors.
Institutional review board statement: The study protocol was approved by the Ethics Review Committee of Nantong First People’s Hospital (Approval No. P2025022028).
Informed consent statement: The requirement for informed patient consent was waived.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: The datasets generated and analyzed during the current study are available from the corresponding author upon reasonable request.
Corresponding author: Yong-Li Xin, Assistant Professor, Department of Interventional Digital Subtraction Angiography Operating Room, Nantong First People’s Hospital, No. 666 Shengli Road, Chongchuan District, Nantong 226000, Jiangsu Province, China. xinyl1218@126.com
Received: April 10, 2026 Revised: May 7, 2026 Accepted: May 25, 2026 Published online: September 19, 2026 Processing time: 135 Days and 21.7 Hours
Abstract
BACKGROUND
Perioperative anxiety and depression are common in patients undergoing invasive procedures and can adversely affect recovery; however, the prevalence and modifiable factors in digital subtraction angiography (DSA) neurointerventional populations remain understudied.
AIM
To evaluate anxiety, depression, and social support status in patients undergoing DSA neurointerventional procedures and to analyze the effectiveness of structured psychological interventions in improving patients' psychological status.
METHODS
The medical records of 328 patients who underwent DSA neurointerventional procedures at Nantong First People’s Hospital between January 2022 and June 2024 were collected in this retrospective cohort study. The patients were divided into an intervention group (n = 168) and a routine care group (n = 160) based on whether they received a systematic psychological intervention during hospitalization. The Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and Social Support Rating Scale (SSRS) scores and abnormal detection rates at discharge were compared between the two groups. Logistic regression analysis was used to identify the factors influencing anxiety status.
RESULTS
The intervention group showed significantly lower SAS scores (42.1 ± 7.8 vs 48.6 ± 9.2, P < 0.001) and SDS scores (43.5 ± 8.4 vs 49.3 ± 9.7, P < 0.001) at discharge compared with the routine care group, while SSRS scores (41.2 ± 6.3 vs 37.8 ± 7.1, P < 0.001) were significantly higher. The detection rates of anxiety (SAS ≥ 50) and depression (SDS ≥ 53) in the intervention group were 21.4% and 26.2%, respectively, significantly lower than 46.9% and 48.1% in the routine care group (both P < 0.001). Multivariate logistic regression showed that receiving psychological intervention was an independent protective factor for anxiety at discharge (odds ratio = 0.32, 95% confidence interval: 0.19-0.53), while low-level social support (SSRS < 40) was an independent risk factor (odds ratio = 2.87, 95% confidence interval: 1.68-4.90).
CONCLUSION
Patients undergoing DSA interventional procedures commonly experience anxiety, depression, and insufficient social support. Systematic psychological interventions can effectively improve patients’ negative emotions and enhance their perceived social support, thereby representing a key measure for promoting psychological recovery.
Core Tip: This retrospective study of 328 patients demonstrates that structured psychological interventions significantly reduce anxiety and depression while enhancing social support in patients undergoing digital subtraction angiography (DSA) neurointerventional procedures. Multivariate analysis revealed that psychological intervention independently reduced anxiety risk by 68%, whereas low social support increased risk nearly threefold. These findings provide the first systematic evidence from the broader DSA interventional population - extending beyond cardiac patients - and identify modifiable risk factors. We recommend integrating psychological assessment and intervention as routine components of DSA perioperative care, particularly for female patients and those with weak social support networks.
