ReviewFrontiers in psychology2025
Impact of anxiety and sleep disturbances on postoperative outcomes in male cardiothoracic surgery patients: a multicenter randomized controlled trial evaluating a psychological intervention during the ICU phase.
Review in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of Perioperative Music Interventions on Emotional Outcomes in Children and Adolescents: A Systematic Review and Meta-Analysis Integrating Developmental Psychology and Music Education Perspectives.Paediatric anaesthesia · 2026Pooled it
- Perioperative sleep management in cardiac surgery: an evidence-oriented narrative review of pharmacological, behavioral, and respiratory support strategies.Frontiers in cardiovascular medicine · 2026Review
- Analysis of factors influencing anxiety in patients undergoing thoracoscopic surgery for lung tumors.Frontiers in psychology · 2026Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To investigate the prevalence and impact of anxiety and sleep disturbances during the intensive care unit (ICU) stay following cardiothoracic surgery in male patients, and to evaluate the efficacy and feasibility of a structured psychological intervention combining Cognitive Behavioral Therapy for Insomnia (CBT-I) principles with environmental optimization. Methods: This study was designed as a multicenter, prospective, randomized controlled trial (RCT) conducted from January to April 2025 across three tertiary hospitals. A total of 120 adult male patients who underwent radical surgery for cardiac or lung cancer and were subsequently admitted to the ICU were enrolled. Baseline assessments were performed within 48 h after surgery. Participants were randomly allocated in a 1:1 ratio to either the intervention group ( Results: On postoperative day 3, the intervention group showed significantly lower GAD-7 scores (6.3 ± 1.6 vs. 8.4 ± 2.3, p = 0.016) and PSQI scores (7.5 ± 1.6 vs. 10.2 ± 2.3, Conclusion: Anxiety and sleep disturbances are common during the postoperative ICU phase in male patients undergoing cardiothoracic surgery and are significantly associated with pain, complications, and recovery outcomes. Early implementation of a CBT-I-based psychological intervention in the ICU can effectively improve psychological status, shorten ICU stays, and reduce postoperative complications. The intervention is safe and shows high clinical utility, warranting consideration for integration into standardized postoperative care pathways, particularly in high-risk male populations. Clinical trial registration: The study was retrospectively registered on the Chinese Clinical Trial Registry (ChiCTR) under the identifier ChiCTR240000123.
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