Patterns of Sleep Quality and Their Associations With Depressive and Anxiety Symptoms Among Chinese Coronary Heart Disease Patients: A Latent Class Analysis.
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| Title: | Patterns of Sleep Quality and Their Associations With Depressive and Anxiety Symptoms Among Chinese Coronary Heart Disease Patients: A Latent Class Analysis. |
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| Authors: | Bai, Shuwen (AUTHOR), Chen, Wenwen (AUTHOR), Li, Qi (AUTHOR), Zhao, Jiukai (AUTHOR), Qi, Dianjun (AUTHOR), Zang, Shuang (AUTHOR), Manthey, Marie Kristin (AUTHOR) |
| Source: | Depression & Anxiety (1091-4269). 11/14/2025, Vol. 2025, p1-10. 10p. |
| Subjects: | Sleep quality, Mental depression, Anxiety, Coronary disease, Latent class analysis (Statistics), Chinese people, Mental health, Therapeutics |
| Geographic Terms: | China |
| Abstract: | Background: Sleep problem among coronary heart disease (CHD) patients has emerged as a pressing health problem. This study aimed to explore different sleep quality patterns and their associations with depressive and anxiety symptoms among CHD patients. Methods: This study included 691 CHD patients from China and was conducted in 2023. Basic demographic characteristics, sleep quality, depressive, and anxiety symptoms were collected. Latent class analysis (LCA) and binary logistic regression analysis were conducted to identify sleep quality patterns and to explore the associations between these patterns and symptoms of depression and anxiety. Results: Among the patients, 62.81% reported depressive symptoms and 48.48% had anxiety symptoms. Four sleep quality patterns were identified: "Good sleep group" (55.57%), "Inefficient short sleep group" (14.33%), "Poor sleep group" (8.68%), and "Disturbed sleep group" (21.42%). Compared to the "Good sleep group," both "Disturbed sleep group" (OR = 4.39, 95% CI: 2.76–6.97) and "Poor sleep group" (OR = 3.92, 95% CI: 2.02–7.61) exhibited high depressive symptoms, with "Inefficient short sleep group" also showing increased depressive symptoms (OR = 2.48, 95% CI: 1.54–4.02). For anxiety symptoms, "Poor sleep group" (OR = 2.90, 95% CI: 1.64–5.12), "Disturbed sleep group" (OR = 2.35, 95% CI: 1.60–3.47), and "Inefficient short sleep group" (OR = 2.12, 95% CI: 1.35–3.31) all exhibited elevated levels of anxiety symptoms. These associations remained robust after adjusting for potential confounders. Conclusion: This study highlights the critical role of sleep quality in the mental health of CHD patients, identifying specific sleep quality patterns associated with higher risks of depressive and anxiety symptoms. Improving sleep quality may serve as an effective approach to alleviating these mental health symptoms, offering valuable insights for targeted interventions to enhance well‐being of CHD patients. [ABSTRACT FROM AUTHOR] |
| Copyright of Depression & Anxiety (1091-4269) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 189332825 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Patterns of Sleep Quality and Their Associations With Depressive and Anxiety Symptoms Among Chinese Coronary Heart Disease Patients: A Latent Class Analysis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Bai%2C+Shuwen%22">Bai, Shuwen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chen%2C+Wenwen%22">Chen, Wenwen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Li%2C+Qi%22">Li, Qi</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhao%2C+Jiukai%22">Zhao, Jiukai</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Qi%2C+Dianjun%22">Qi, Dianjun</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zang%2C+Shuang%22">Zang, Shuang</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Manthey%2C+Marie+Kristin%22">Manthey, Marie Kristin</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Depression+%26+Anxiety+%281091-4269%29%22">Depression & Anxiety (1091-4269)</searchLink>. 11/14/2025, Vol. 2025, p1-10. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Sleep+quality%22">Sleep quality</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Coronary+disease%22">Coronary disease</searchLink><br /><searchLink fieldCode="DE" term="%22Latent+class+analysis+%28Statistics%29%22">Latent class analysis (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Chinese+people%22">Chinese people</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22China%22">China</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Sleep problem among coronary heart disease (CHD) patients has emerged as a pressing health problem. This study aimed to explore different sleep quality patterns and their associations with depressive and anxiety symptoms among CHD patients. Methods: This study included 691 CHD patients from China and was conducted in 2023. Basic demographic characteristics, sleep quality, depressive, and anxiety symptoms were collected. Latent class analysis (LCA) and binary logistic regression analysis were conducted to identify sleep quality patterns and to explore the associations between these patterns and symptoms of depression and anxiety. Results: Among the patients, 62.81% reported depressive symptoms and 48.48% had anxiety symptoms. Four sleep quality patterns were identified: "Good sleep group" (55.57%), "Inefficient short sleep group" (14.33%), "Poor sleep group" (8.68%), and "Disturbed sleep group" (21.42%). Compared to the "Good sleep group," both "Disturbed sleep group" (OR = 4.39, 95% CI: 2.76–6.97) and "Poor sleep group" (OR = 3.92, 95% CI: 2.02–7.61) exhibited high depressive symptoms, with "Inefficient short sleep group" also showing increased depressive symptoms (OR = 2.48, 95% CI: 1.54–4.02). For anxiety symptoms, "Poor sleep group" (OR = 2.90, 95% CI: 1.64–5.12), "Disturbed sleep group" (OR = 2.35, 95% CI: 1.60–3.47), and "Inefficient short sleep group" (OR = 2.12, 95% CI: 1.35–3.31) all exhibited elevated levels of anxiety symptoms. These associations remained robust after adjusting for potential confounders. Conclusion: This study highlights the critical role of sleep quality in the mental health of CHD patients, identifying specific sleep quality patterns associated with higher risks of depressive and anxiety symptoms. Improving sleep quality may serve as an effective approach to alleviating these mental health symptoms, offering valuable insights for targeted interventions to enhance well‐being of CHD patients. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Depression & Anxiety (1091-4269) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1155/da/2442363 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 1 Subjects: – SubjectFull: Sleep quality Type: general – SubjectFull: Mental depression Type: general – SubjectFull: Anxiety Type: general – SubjectFull: Coronary disease Type: general – SubjectFull: Latent class analysis (Statistics) Type: general – SubjectFull: Chinese people Type: general – SubjectFull: Mental health Type: general – SubjectFull: Therapeutics Type: general – SubjectFull: China Type: general Titles: – TitleFull: Patterns of Sleep Quality and Their Associations With Depressive and Anxiety Symptoms Among Chinese Coronary Heart Disease Patients: A Latent Class Analysis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Bai, Shuwen – PersonEntity: Name: NameFull: Chen, Wenwen – PersonEntity: Name: NameFull: Li, Qi – PersonEntity: Name: NameFull: Zhao, Jiukai – PersonEntity: Name: NameFull: Qi, Dianjun – PersonEntity: Name: NameFull: Zang, Shuang – PersonEntity: Name: NameFull: Manthey, Marie Kristin IsPartOfRelationships: – BibEntity: Dates: – D: 14 M: 11 Text: 11/14/2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 10914269 Numbering: – Type: volume Value: 2025 Titles: – TitleFull: Depression & Anxiety (1091-4269) Type: main |
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