Anxiety, depression and sleep problems in PCI patients: a cross-lag panel analysis

In recent years, Percutaneous Coronary Intervention (PCI) has been the method of choice for blood flow reconstruction in cardiovascular disease patients. Patients with undergoing CVD interventional therapy often have sleep disorders. Additionally, anxiety, depression and other mental health problems are common in coronary heart disease patients post-PCI. This study employed a longitudinal cross-lagged panel model to determine whether sleep problems and anxiety and depression in patients post-PCI could predict each other. A total of 333 patients were recruited to measure the required variables using Hospital Anxiety and Depression Scale and Athens Insomnia Scale. This study provides empirical evidence for the prospective effect of sleep problems and mental health problems on Chinese post-PCI patients. Over time, anxiety levels of post-PCI patients predicted their sleep quality; postoperative sleep quality predicted mental health status. In the male population, anxiety levels predicted sleep quality. We need to assess the patient’s sleep quality and mental health as soon as possible after surgery. Provide appropriate health education to patients with sleep and psychiatric problems. In addition, psychological intervention should be initiated as soon as possible after surgery, with active communication to avoid the accumulation of negative emotions in patients, as this may affect their postoperative recovery.