Effects of Psycho-Cardiology Model-Based Psychological and Behavioural Management on Negative Emotions and Sleep Disorders in Patients With Resistant Hypertension Complicated by Anxiety and Depression
- 1Department of Cardiology, Tonglu Hospital, Hangzhou First People's Hospital Tonglu Campus, 311500 Hangzhou, Zhejiang, China
Abstract
Background:: To explore the effect of psycho-cardiology model-based psychological and behavioural management on top of routine cardiovascular treatment on negative emotions and sleep disorders in patients with resistant hypertension complicated by anxiety and depression.
Methods:: This retrospective study reviewed electronic medical records and follow-up data of patients treated in the Department of Cardiology of Tonglu Hospital, Hangzhou First People's Hospital Tonglu Campus between August 2022 and May 2025. A total of 126 patients diagnosed with resistant hypertension complicated with anxiety and depression who met the predefined inclusion criteria were enrolled. Based on whether the psycho-cardiology model-related assessment and psychological and behavioural management were systematically documented in their medical records, the patients were divided into a psycho-cardiology group (n = 63) and a regular group (n = 63). Changes in anxiety, depression, sleep quality, and blood pressure level were compared between the two groups during the follow-up period.
Results:: At the end of follow-up, the Hamilton Anxiety Rating Scale, Hamilton Depression Rating Scale, and Pittsburgh Sleep Quality Index scores of the psycho-cardiology group were significantly lower than those of the regular group (p < 0.05); Reductions in systolic and diastolic blood pressure were greater in the psycho-cardiology group than in the regular group (p < 0.05).
Conclusions:: In the long-term management of patients with resistant hypertension and anxiety and depression, the psycho-cardiology model combined with psychological and behavioural management was associated with milder negative emotions, better sleep status, improved autonomic function and more stable blood pressure profiles in this retrospective cohort.
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BibTeX
@article{zhu2026effects,
title = {{Effects of Psycho-Cardiology Model-Based Psychological and Behavioural Management on Negative Emotions and Sleep Disorders in Patients With Resistant Hypertension Complicated by Anxiety and Depression}},
author = {Liyan Zhu and Weihua Hu},
journal = {Actas Españolas de Psiquiatría},
year = {2026},
month = oct,
doi = {10.62641/aep.2241},
url = {https://doi.org/10.62641/aep.2241},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Effects of Psycho-Cardiology Model-Based Psychological and Behavioural Management on Negative Emotions and Sleep Disorders in Patients With Resistant Hypertension Complicated by Anxiety and Depression
AU - Liyan Zhu
AU - Weihua Hu
PY - 2026
DA - 2026/10/15
JO - Actas Españolas de Psiquiatría
DO - 10.62641/aep.2241
UR - https://doi.org/10.62641/aep.2241
AB - Background:: To explore the effect of psycho-cardiology model-based psychological and behavioural management on top of routine cardiovascular treatment on negative emotions and sleep disorders in patients with resistant hypertension complicated by anxiety and depression. Methods:: This retrospective study reviewed electronic medical records and follow-up data of patients treated in the Department of Cardiology of Tonglu Hospital, Hangzhou First People's Hospital Tonglu Campus between August 2022 and May 2025. A total of 126 patients diagnosed with resistant hypertension complicated with anxiety and depression who met the predefined inclusion criteria were enrolled. Based on whether the psycho-cardiology model-related assessment and psychological and behavioural management were systematically documented in their medical records, the patients were divided into a psycho-cardiology group (n = 63) and a regular group (n = 63). Changes in anxiety, depression, sleep quality, and blood pressure level were compared between the two groups during the follow-up period. Results:: At the end of follow-up, the Hamilton Anxiety Rating Scale, Hamilton Depression Rating Scale, and Pittsburgh Sleep Quality Index scores of the psycho-cardiology group were significantly lower than those of the regular group (p < 0.05); Reductions in systolic and diastolic blood pressure were greater in the psycho-cardiology group than in the regular group (p < 0.05). Conclusions:: In the long-term management of patients with resistant hypertension and anxiety and depression, the psycho-cardiology model combined with psychological and behavioural management was associated with milder negative emotions, better sleep status, improved autonomic function and more stable blood pressure profiles in this retrospective cohort.
SN - 1139-9287
SN - 1578-2735
ER -