Annals of Behavioral Medicine

, Volume 47, Issue 3, pp 347–357 | Cite as

Preoperative Sleep Complaints Are Associated with Poor Physical Recovery in the Months Following Cardiac Surgery

  • Lydia Poole
  • Tara Kidd
  • Elizabeth Leigh
  • Amy Ronaldson
  • Marjan Jahangiri
  • Andrew Steptoe
Original Article



Sleep disturbance is associated with poorer outcomes in cardiac patients, but little is known about the independent role of sleep quality in coronary artery bypass graft (CABG) patients.


This study aims to examine the relationship between preoperative sleep complaints and post-operative emotional and physical recovery in CABG surgery patients, independently of demographic, clinical and mood factors.


Two hundred thirty CABG patients (aged 67.81 ± 9.07 years) completed measures of self-reported sleep complaints before surgery and health-related quality of life (HRQoL), physical symptoms and pain 2 months after surgery.


Greater sleep complaints prior to surgery were associated with greater physical symptoms, poorer physical HRQoL and greater sensory pain after surgery (p < 0.05), but not with affective pain or mental HRQoL. Preoperative mood was not able to explain these associations.


Sleep complaints may be implicated in physical recovery from CABG surgery but further work is needed to understand the role of causal pathways.


Sleep Coronary artery bypass graft surgery Depression Health-related quality of life Recovery 



This research was funded by the British Heart Foundation.

Conflict of Interest

The authors have no conflict of interest to disclose.


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Copyright information

© The Society of Behavioral Medicine 2013

Authors and Affiliations

  • Lydia Poole
    • 1
  • Tara Kidd
    • 1
  • Elizabeth Leigh
    • 1
  • Amy Ronaldson
    • 1
  • Marjan Jahangiri
    • 2
  • Andrew Steptoe
    • 1
  1. 1.Department of Epidemiology and Public HealthUniversity College LondonLondonUK
  2. 2.Department of Cardiac Surgery, St George’s HospitalUniversity of LondonLondonUK

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