Key result
Co-occurring anxiety and depression linked to ~330% higher odds of poor sleep in arrhythmia inpatients.
Why the study?
The study aimed to evaluate depression and anxiety status and their association with sleep disturbance among inpatients with arrhythmia to help cardiologists identify patients requiring psychological care.
Are anxiety and depression associated with poor sleep quality in inpatients with arrhythmia?
Cross-Sectional (n=495)
No
Are anxiety and depression associated with poor sleep quality in inpatients with arrhythmia?
Effect estimate: OR 4.30 (95% CI 2.52-7.35)
Anxiety and depression are strongly associated with poor sleep quality among inpatients with arrhythmia, highlighting the need for psychological screening and intervention.
May support psychological screening in arrhythmia inpatients; leaves open whether intervention improves sleep quality.
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: < 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.
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Hu et al. (2022) conducted a cross-sectional in Arrhythmia (n=495). Anxiety and depression was evaluated on Poor sleep quality (PSQI > 7) (OR 4.30, 95% CI 2.52-7.35). Co-occurring anxiety and depression in inpatients with arrhythmia was associated with a 4.30-fold higher odds of poor sleep quality (OR 4.30; 95% CI 2.52-7.35).
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