Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Oct 19, 2023; 13(10): 732-742
Published online Oct 19, 2023. doi: 10.5498/wjp.v13.i10.732
Sleep disturbances are associated with anxiety, depression, and decreased quality of life in patients with coronary heart disease
Da Zheng, Rui-Juan Tan, Wei Liu, Peng-Cheng Song, Feng-De Li
Da Zheng, Feng-De Li, Department of Cardiovascular Medicine, Hengshui People’s Hospital, Hengshui 053000, Hebei Province, China
Rui-Juan Tan, Department of Pharmacy, Hengshui People’s Hospital, Hengshui 053000, Hebei Province, China
Wei Liu, Department of Psychiatry, Hengshui People’s Hospital, Hengshui 053000, Hebei Province, China
Peng-Cheng Song, Department of Traditional Chinese Medicine, Hengshui People’s Hospital, Hengshui 053000, Hebei Province, China
Author contributions: Zheng D initiated the project and designed the experiment; Tan RJ conducted the clinical data collection; Liu W performed postoperative follow-up and recorded the data; Song PC conducted a number of collation and statistical analyses; Li FD wrote the original manuscript and revised the paper; All authors read and approved the final manuscript.
Supported by Scientific Research Program on Chinese Medicine, No. 2023460.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of the Hengshui People’s Hospital.
Informed consent statement: As the study used anonymous and pre-existing data, the requirement for the informed consent from patients was waived.
Conflict-of-interest statement: The authors have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Feng-De Li, Doctor, Department of Cardiovascular Medicine, Hengshui People’s Hospital, No. 180 Renmin Road, Taocheng District, Hengshui 053000, Hebei Province, China. lifengdehssrmyy@163.com
Received: June 30, 2023
Peer-review started: June 30, 2023
First decision: July 18, 2023
Revised: August 8, 2023
Accepted: August 25, 2023
Article in press: August 25, 2023
Published online: October 19, 2023
ARTICLE HIGHLIGHTS
Research background

Studies have shown that sleep disorders are closely related to anxiety and depression, and the quality of life (QoL) of patients with sleep disorders is generally poor. The significance of this study is to explore the status quo and risk factors of sleep disorders in patients with coronary heart disease (CHD) and their correlation with anxiety, depression and QoL. To provide reference for the prevention and treatment of sleep disorders in clinical CHD.

Research motivation

The current status of sleep disorders in patients with CHD is the main topic of this study. At present, it is clinically necessary to explore the current status of sleep disorders in patients with CHD and its correlation with anxiety, depression and QoL, so as to provide reference for the prevention and treatment of patients with CHD sleep disorders. The significance of this study is to explore the risk factors of patients with CHD sleep disorders and their correlation with anxiety, depression and QoL, encourage clinical teams to continue to explore CHD sleep disorders, and promote the continuous progress of sleep disorder prevention and treatment technology.

Research objectives

The incidence of sleep disorders in patients with CHD was 46.67%. Sex, female, new rural cooperative medical insurance, anxiety and depression were independent risk factors for CHD sleep disorders. It was confirmed that CHD sleep disorders were closely related to anxiety, depression and QoL, providing a new reference for clinical prevention and treatment of CHD sleep disorders in the future.

Research methods

The clinical data of patients were retrospectively analyzed, and the patients were divided into the sleep disorder group and the non-sleep disorder group according to their sleep conditions. The general data of the two groups were statistically analyzed by independent sample t-test and χ2 test. The risk factors of sleep disorders in patients with CHD were analyzed by the logistic multivariate regression method and a risk prediction model was built. Receiver operating characteristic was used to analyze the effectiveness of the risk prediction model, and Spearman’s correlation was used to analyze the correlation between sleep disorders and anxiety, depression, and QoL.

Research results

Patients with CHD sleep disorder are closely related to anxiety, depression and QoL, and sex, female, new rural medical insurance, anxiety and depression are risk factors for patients with CHD sleep disorder, providing a new reference for the prevention and treatment of patients with CHD sleep disorder. It is necessary to further expand the sample size to explore the influencing factors of patients with CHD sleep disorder.

Research conclusions

Patients with CHD sleep disorders can interact with anxiety and depression, forming a vicious circle, so clinical attention should be paid to psychological intervention for patients with CHD sleep disorders.

Research perspectives

Sleep disorders in patients with CHD are closely related to anxiety and depression, which can have a negative impact on QoL. Emotional intervention methods can be used to improve sleep disorders and QoL in patients with CHD.