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.

At the end of follow-up, patients managed under the psycho-cardiology model had significantly lower anxiety scores than patients receiving regular management.

• Anxiety was measured with the Hamilton Anxiety Rating Scale (HAMA).
• The abstract reports the psycho-cardiology group's scores were 'significantly lower' than the regular group (p < 0.05).
• The cohort comprised 126 patients, 63 per group, treated at Tonglu Hospital between August 2022 and May 2025.

At the end of follow-up, the psycho-cardiology group had significantly lower depression scores than the regular group.

• Depression was measured with the Hamilton Depression Rating Scale (HAMD).
• The difference between groups was reported as p < 0.05.
• Both groups received routine cardiovascular treatment; the psycho-cardiology group also received systematically documented psychological and behavioural management.

Sleep quality was better in the psycho-cardiology group at the end of follow-up, as indicated by lower Pittsburgh Sleep Quality Index scores.

• Lower PSQI scores indicate better sleep quality.
• The abstract reports the between-group difference as p < 0.05.
• Sleep disorder was one of the main outcomes alongside anxiety and depression.

Blood pressure reductions, both systolic and diastolic, were greater in the psycho-cardiology group than in the regular group.

• Reported significance was p < 0.05 for both systolic and diastolic blood pressure reductions.
• Authors describe more stable blood pressure profiles in the psycho-cardiology group.
• Patients had resistant hypertension, so the comparison was on top of routine cardiovascular treatment.

The study was a retrospective cohort in which group assignment was determined by documentation in medical records rather than randomization.

• Patients were divided according to whether psycho-cardiology model-related assessment and psychological/behavioural management were systematically documented in their records.
• 126 patients met predefined inclusion criteria, split into psycho-cardiology (n = 63) and regular (n = 63) groups.
• Data came from electronic medical records and follow-up data from the Department of Cardiology, Tonglu Hospital, Hangzhou First People's Hospital Tonglu Campus.

The authors conclude that the psycho-cardiology model was associated with improved autonomic function in addition to milder negative emotions and better sleep.

• The conclusion states associations 'in this retrospective cohort', not causation.
• Autonomic function improvement is mentioned in the conclusion; no specific measures or values appear in the abstract.