Rural revitalization is one of the important development strategies in China. However, in rural areas, due to backward building design and energy utilization methods, residents have more symptoms of anxiety. It constitutes a certain obstacle to the sustainable development of rural revitalization. Therefore, the purpose of this study is to explore the effect of building energy-saving design optimization combined with psychological treatment on improving rural residents’ anxiety.

This study used a controlled experiment, 100 patients were randomly divided into the intervention group and control group. The intervention group received improved building energy efficiency design, including insulation materials used, rational ventilation design, and efficient energy use facilities in combination with psychotherapy. The control group maintained traditional building design and energy use. The study period was 12 months, and the analysis method was SPSS23.0.

The analysis results showed that the anxiety level of residents in the intervention group decreased significantly during the study period, and the difference was significant compared with the control group. At the same time, the sleep quality of the intervention group improved, and the satisfaction with the living environment also significantly increased. In addition, the energy efficiency of the intervention group was significantly higher than that of the control group.

The anxiety symptoms of rural residents can be effectively alleviated by improving building energy-saving design. Energy-saving design measures can reduce energy consumption, improve the comfort of the living environment and residents’ life quality.