It is known that sleep quality and psycho-emotional status can influence the onset and course of diseases. However, usually, patients’ sleep disorders and psycho-emotional state are not given as much attention as the main or concomitant disease, despite the importance of these factors.

OBJECTIVE

To study the impact of poor sleep quality on the psycho-emotional status of stroke and medical patients.

MATERIALS AND METHODS

In November-December 2023, in the Cerebrovascular Accident (CVA) Department of the regional vascular center of the Tula City Clinical Emergency Hospital named after D.Ya. Vanykin and the Medical Department of the Tula City Hospital No. 9, 64 patients (32 patients in each department) completed the following questionnaires: PSQI, HADS, Apathy Scale, and PHQ-9. The CVA and medical groups were divided into subgroups based on sleep quality: poor and normal.

RESULTS

The CVA group included 32 patients with a median age of 56 years. The medical group included 32 patients with a median age of 65 years. When comparing the two groups, a statistically significant difference was found only in the apathy scale score. Differences in the severity of depression symptoms were found between all subgroups: 6.5 [4; 10] points on the PHQ-9 scale in CVA patients with poor sleep quality and 1 [0; 2] point in CVA patients with normal sleep quality (p=0.00001). The same pattern was observed in patients in the medical group: 10 [4; 12] points on the PHQ-9 scale in patients with poor sleep quality and 5 [1; 6] points in patients with normal sleep quality (p=0.0388).

CONCLUSION

Poor sleep quality can similarly affect the psycho-emotional status of patients, regardless of profile, statistically significantly increasing the severity of apathy, depressive symptoms, and anxiety.