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Psychological Disturbances and Their Association with Sleep Disturbance in Patients Admitted for Arrhythmia Diseases
OBJECTIVES: 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 conducte...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9393031/ https://www.ncbi.nlm.nih.gov/pubmed/36000025 http://dx.doi.org/10.2147/NDT.S370128 |
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author | Hu, Li-xing Tang, Min Hua, Wei Ren, Xiao-qing Jia, Yu-he Chu, Jian-min Zhang, Jing-tao Liu, Xiao-ning |
author_facet | Hu, Li-xing Tang, Min Hua, Wei Ren, Xiao-qing Jia, Yu-he Chu, Jian-min Zhang, Jing-tao Liu, Xiao-ning |
author_sort | Hu, Li-xing |
collection | PubMed |
description | OBJECTIVES: 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 < 0.001) were the risk factors for anxiety status. Cardiac implanted electronic devices (CIEDs) (p = 0.004) and sleep disturbance (p < 0.001) were the risk factors for depression status. A total of 150 patients (30.3%) were categorized as having poor sleep quality (PSQI > 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. |
format | Online Article Text |
id | pubmed-9393031 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-93930312022-08-22 Psychological Disturbances and Their Association with Sleep Disturbance in Patients Admitted for Arrhythmia Diseases Hu, Li-xing Tang, Min Hua, Wei Ren, Xiao-qing Jia, Yu-he Chu, Jian-min Zhang, Jing-tao Liu, Xiao-ning Neuropsychiatr Dis Treat Original Research OBJECTIVES: 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 < 0.001) were the risk factors for anxiety status. Cardiac implanted electronic devices (CIEDs) (p = 0.004) and sleep disturbance (p < 0.001) were the risk factors for depression status. A total of 150 patients (30.3%) were categorized as having poor sleep quality (PSQI > 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. Dove 2022-08-17 /pmc/articles/PMC9393031/ /pubmed/36000025 http://dx.doi.org/10.2147/NDT.S370128 Text en © 2022 Hu et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Hu, Li-xing Tang, Min Hua, Wei Ren, Xiao-qing Jia, Yu-he Chu, Jian-min Zhang, Jing-tao Liu, Xiao-ning Psychological Disturbances and Their Association with Sleep Disturbance in Patients Admitted for Arrhythmia Diseases |
title | Psychological Disturbances and Their Association with Sleep Disturbance in Patients Admitted for Arrhythmia Diseases |
title_full | Psychological Disturbances and Their Association with Sleep Disturbance in Patients Admitted for Arrhythmia Diseases |
title_fullStr | Psychological Disturbances and Their Association with Sleep Disturbance in Patients Admitted for Arrhythmia Diseases |
title_full_unstemmed | Psychological Disturbances and Their Association with Sleep Disturbance in Patients Admitted for Arrhythmia Diseases |
title_short | Psychological Disturbances and Their Association with Sleep Disturbance in Patients Admitted for Arrhythmia Diseases |
title_sort | psychological disturbances and their association with sleep disturbance in patients admitted for arrhythmia diseases |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9393031/ https://www.ncbi.nlm.nih.gov/pubmed/36000025 http://dx.doi.org/10.2147/NDT.S370128 |
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