Psychological Intervention for Promoting Sleep in Cardiac Patients: A Narrative Review


Authors : Ranjita Karmacharya; Dr. David Ratna Paul Talagathoti; Dr. Imran Khan; Dr. R. Sreeraja Kumar

Volume/Issue : Volume 10 - 2025, Issue 6 - June


Google Scholar : https://tinyurl.com/44ver9u3

DOI : https://doi.org/10.38124/ijisrt/25jun590

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Background: Sleep deprivation may increase the cardiovascular events. The possible mechanisms related to cardiovascular disease and insomnia may be related to neurochemicals changes. Psychological intervention helps in promoting sleep by modifying habitual behaviors and promoting necessary lifestyle changes. The aim of this study was identifying the role of psychological intervention for promoting sleep for cardiac patients. Methods: A review was done of six articles related to randomized controlled trial related to psychological intervention. Literature was search from 2020 to 2025 to identify relevant studies. Insomnia Severity Index, Pittsburgh Sleep Quality was most repeatedly used tool and Cognitive behaviour therapy was most preferred intervention. Results: Cognitive behaviour therapy, Sleep hygiene, Mindfulness meditation, Progressive muscle relaxation technique, Supportive psychotherapy are found effective psychological intervention. Conclusions: Psychological interventions address an individual’s psychological and emotional symptoms, helping to restore motivation, reduce anxiety, and enhance self-esteem, all of which contribute to improved sleep quality.

Keywords : Sleep, Insomnia, psychological intervention, Cardiac Patients, Narrative Review.

References :

  1. World Health Organization. Cardiovascular diseases (CVDs),2021. Available from: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
  2. Cesare MD, Bixby H, Gaziano T, Hadeed L, Kabudula C, McGhie DV, et al. World Heart Report, 2023: Confronting the world’s Number one Killer. World Heart Fed. 2023; Available from: https://world-heart-federation.org/resource/world-heart-report-2023/
  3. Mensah GA, Fuster V, Murray CJL, Roth GA, Mensah GA, Abate YH, et al. Global Burden of Cardiovascular Diseases and Risks, 1990-2022. J Am Coll Cardiol. 2023 Dec;82(25):2350–473.
  4. Wang C, Bangdiwala SI, Rangarajan S, Lear SA, AlHabib KF, Mohan V, et al. Association of estimated sleep duration and naps with mortality and cardiovascular events: a study of 116 632 people from 21 countries. Eur Heart J. 2019 May 21;40(20):1620–9.
  5. Kryger M, Roth T, Goldstein CA, Dement WC. Principles and Practice of Sleep Medicine. Seventh Edition. Vol. 1. ELSEVIER 1600 John F. Kennedy Blvd. Ste 1600 Philadelphia, PA 19103-2899: Elsevier,; 2022.
  6. Lee S, Kim JH, Chung JH. The association between sleep quality and quality of life: a population-based study. Sleep Med. 2021 Aug;84:121–6.
  7. Shen Z, Chen H, Cai Y, Zhou B, Chen H, Xie N. Study on the Correlation among Sleep Quality, Cognitive Function, and Self-Management Ability in Hospitalized Elderly Patients with Coronary Heart Disease. J Nanomater. 2021;2021(1):4580949.
  8. Särnholm J, Skúladóttir H, Rück C, Axelsson E, Bonnert M, Bragesjö M, et al. Cognitive Behavioral Therapy Improves Quality of Life in Patients With Symptomatic Paroxysmal Atrial Fibrillation. J Am Coll Cardiol. 2023 Jul;82(1):46–56.
  9. Giordano A, Ponzio MD, Cicolin A, Giordano A, Ponzio MD, Cicolin A. Psychological interventions in behavioral sleep medicine: An overview for clinicians and psychologists. Ann Psychiatry Treat. 2022 Nov 10;6(1):033–48.
  10. Rusch HL, Rosario M, Levison LM, Olivera A, Livingston WS, Wu T, et al. The effect of mindfulness meditation on sleep quality: a systematic review and meta-analysis of randomized controlled trials. Ann N Y Acad Sci. 2019 Jun;1445(1):5–16.
  11. Nabors M. Muscle Relaxation: The Best Exercises for Joint and Muscle Pain Relief. Youcanprint; 2021. 87 p.
  12. Solan M. Harvard Health. 2023 [cited 2025 May 29]. Try this: Progressive muscle relaxation for sleep. Available from: https://www.health.harvard.edu/staying-healthy/try-this-progressive-muscle-relaxation-for-sleep
  13. Shree Ganesh HR, Subramanya P, Rao M R, Udupa V. Role of yoga therapy in improving digestive health and quality of sleep in an elderly population: A randomized controlled trial. J Bodyw Mov Ther. 2021 Jul 1;27:692–7.
  14. Lallukka T, Sivertsen B, Kronholm E, Bin YS, Øverland S, Glozier N. Association of sleep duration and sleep quality with the physical, social, and emotional functioning among Australian adults. Sleep Health. 2018 Apr 1;4(2):194–200.
  15. Heenan A, Pipe A, Lemay K, Davidson JR, Tulloch H. Cognitive-Behavioral Therapy for Insomnia Tailored to Patients With Cardiovascular Disease: A Pre–Post Study. Behav Sleep Med. 2020 May 3;18(3):372–85.
  16. Mumtaz O, Hameed M, Kashif RS, Abazeed S, Ali A, Qureshi AU, et al. Yoga Exercises as a Therapeutic Approach for Adults with Insomnia to Promote better Sleep: A Randomized Control Trial. J Health Rehabil Res. 2024 May 9;4(2):585–92.
  17. Zhang C, Liu Y, Guo X, Liu Y, Shen Y, Ma J. Digital Cognitive Behavioral Therapy for Insomnia Using a Smartphone Application in China: A Pilot Randomized Clinical Trial. JAMA Netw Open. 2023 Mar 27;6(3):e234866.
  18. Gheiasi SF, Hosseini E, Sharifi F, Esmaeili M, Etesam F, Navab E. Effect of a Nurse-Led Cognitive-Behavioral Therapy on Sleep Quality in Patients Undergoing Open Heart Surgery: A Prospective Randomized Clinical Trial. Health Scope . 2024 Feb 15;13(1). Available from: https://brieflands.com/articles/healthscope-133858
  19. Kou L, Liu M, Kang S, Ni G. Efficacy of Mindfulness Meditation on Patients With Stroke With Concurrent Coronary Heart Disease: A Randomised Controlled Trial. Clin Psychol Psychother. 2024;31(6):e70012.
  20. Lee SY, Kang J. Effect of virtual reality meditation on sleep quality of intensive care unit patients: A randomised controlled trial. Intensive Crit Care Nurs. 2020 Aug;59:102849.
  21. Redeker NS, Yaggi HK, Jacoby D, Hollenbeak CS, Breazeale S, Conley S, et al. Cognitive behavioral therapy for insomnia has sustained effects on insomnia, fatigue, and function among people with chronic heart failure and insomnia: the HeartSleep Study. Sleep. 2022 Jan 11;45(1):zsab252.
  22. Harada G, Takeuchi D, Inai K, Shinohara T, Nakanishi T. Prevalence and risk factors of sleep apnea in adult patients with congenital heart disease. Cardiol Young. 2019 May;29(5):576–82.
  23. Kadier K, Qin L, Ainiwaer A, Rehemuding R, Dilixiati D, Du YY, et al. Association of sleep-related disorders with cardiovascular disease among adults in the United States: A cross-sectional study based on national health and nutrition examination survey 2005–2008. Front Cardiovasc Med. 2022 Aug 4;9:954238.

Background: Sleep deprivation may increase the cardiovascular events. The possible mechanisms related to cardiovascular disease and insomnia may be related to neurochemicals changes. Psychological intervention helps in promoting sleep by modifying habitual behaviors and promoting necessary lifestyle changes. The aim of this study was identifying the role of psychological intervention for promoting sleep for cardiac patients. Methods: A review was done of six articles related to randomized controlled trial related to psychological intervention. Literature was search from 2020 to 2025 to identify relevant studies. Insomnia Severity Index, Pittsburgh Sleep Quality was most repeatedly used tool and Cognitive behaviour therapy was most preferred intervention. Results: Cognitive behaviour therapy, Sleep hygiene, Mindfulness meditation, Progressive muscle relaxation technique, Supportive psychotherapy are found effective psychological intervention. Conclusions: Psychological interventions address an individual’s psychological and emotional symptoms, helping to restore motivation, reduce anxiety, and enhance self-esteem, all of which contribute to improved sleep quality.

Keywords : Sleep, Insomnia, psychological intervention, Cardiac Patients, Narrative Review.

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