Anxiety of Cerebral Infarction Patients with Sleep-disordered Breathing and Correlated with Sleep Quality

Objective To investigate the anxiety and its effect on the sleep quality in patients with cerebral infarction and sleep-disordered breathing.Methods 149 cerebral infarction patients were divided as 95 without sleep-disordered breathing and 54 with sleep-disordered breathing.They were evaluated with Hamilton Anxiety scale (HAMA) and Pittsburgh Sleep Quality Index (PSQI).Results Patients with sleep-disordered breathing showed higher HAMA overall score and factor scores of somatic anxiety and psychic anxiety(P0.001).In the factors of somatic anxiety,the scores of sensing,cardiovascular,gastrointestinal and autonomic nerve system were higher in patients with sleep-disordered breathing than those without sleep-disordered breathing (P0.05).In the factors of psychic anxiety,the scores of anxious mood,tension,fears,insomnia,depressed mood were higher in patients with sleep-disordered breathing(P0.05).PSQI overall score and all factor scores were also higher in patients with sleep-disordered breathing(P0.001).HAMA overall score as well as psychic anxiety and somatic anxiety scores were closely correlated with the PSQI overall score (P0.001).Somatic anxiety score was correlated with subjective sleep quality,sleep latency,sleep disturbance and daily dysfunction scores (P0.05).Psychic anxiety score was correlated with all the dimension scores of PSQI (P0.01).Conclusion Cerebral infarction patients with sleep-disordered breathing appeared anxiety and worse sleep quality than patients without sleep-disordered breathing.Anxiety is closely related with sleep quality.