Neuropsychiatric Disease and Treatment (Aug 2022)

Psychological Disturbances and Their Association with Sleep Disturbance in Patients Admitted for Arrhythmia Diseases

  • Hu LX,
  • Tang M,
  • Hua W,
  • Ren XQ,
  • Jia YH,
  • Chu JM,
  • Zhang JT,
  • Liu XN

Journal volume & issue
Vol. Volume 18
pp. 1739 – 1750

Abstract

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Li-xing Hu, Min Tang, Wei Hua, Xiao-qing Ren, Yu-he Jia, Jian-min Chu, Jing-tao Zhang, Xiao-ning Liu Center of Arrhythmia, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100037, People’s Republic of ChinaCorrespondence: Xiao-ning Liu, Center of Arrhythmia, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College, No. 167 North Lishi Road, Xicheng District, Beijing, 100037, People’s Republic of China, Tel/Fax +86 10 8839 6965, Email [email protected]: This study aimed to assess the depression and anxiety status and their association with sleep disturbance among one single center Chinese inpatients with arrhythmia and help cardiologists better identify patients who need psychological care.Methods: A cross-sectional survey was conducted among 495 inpatients with arrhythmia treated in Fuwai Hospital from October to December 2019. The psychological status and sleep quality were assessed using the Zung Self-Rating Anxiety Scale (SAS), the Zung Self-Rating Depression Scale (SDS) and the Pittsburgh Sleep Quality Index (PSQI). Multivariate logistic regression was used to identify the potential risk factors for anxiety and depression.Results: The mean age of the participants was 52.8 ± 14.4 years, and 58.0% were male. Approximately 18.3% were in an anxious state, and 33.5% were in a depressive state. In multivariate logistic regression, age from 50 to 59 (p = 0.03), unemployment (p = 0.026) and sleep disturbance (p 7). The adjusted odds ratio (OR) of having poor sleep quality was 4.30-fold higher in patients with both anxiety and depression (OR: 4.30; 95% confidence interval [CI]: 2.52– 7.35); 2.67-fold higher in patients with depression (OR: 2.67; 95% CI: 1.78– 4.00); and 3.94-fold higher in patients with anxiety (OR: 3.94; 95% CI: 2.41– 6.44).Conclusions: Psychological intervention is critical for Chinese inpatients with arrhythmia, especially for patients aged 50– 59, unemployed, or those using CIEDs. Poor sleep quality could be an important risk factor linked to psychological disturbances.Keywords: anxiety, depression, arrhythmia, sleep disturbance

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