Journal of International Psychiatry

[Abstract] Objective To explore the correlation between anxiety and depression and sleep quality and cognitive function in patients with coronary heart disease. Methods From February 2022 to January 2024, 540 patients with coronary heart disease treated in our hospital were investigated by using Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD-24), Pittsburgh Sleep Quality Index (PSQI) and Simple Mental State Scale (MMSE). Multivariate logistic regression analysis was used to analyze the correlation between anxiety and depression, sleep quality and cognitive function in patients with coronary heart disease. Results: Among 502 patients with CHD, 23.00% had anxiety and 31.00% had depression. Univariate analysis showed that the prevalence of anxiety and depression in CHD patients of each group with monthly income, payment method, chronic disease, cognitive dysfunction and sleep disorder had statistical significance (P<0.05). By binary logistic regression analysis, low monthly income, chronic disease, self-funded/urban medical insurance were independent risk factors for anxiety and depression in patients with CHD (P<0.05). Coronary heart disease combined with anxiety disorder alone and depression disorder alone were associated with higher risk of sleep disorder and cognitive dysfunction (P<0.05). Conclusion: Anxiety and depression in patients with coronary heart disease have significant correlation with cognitive disorders and sleep disorders.

【 Key words 】 Coronary heart disease; Anxiety; Depression; Cognitive function; Sleep quality