• Hailiang Zhang, Xiaomei Jiang, Haixia Da, Runjing Dai, Na Zhao, Weimin Pan, and Jingchun Fan.
• aSchool of Public Health, Center for Evidence-Based Medicine, Gansu University of Chinese Medicine bPsychosomatic and Sleep Medicine, Gansu Gem Flower Hospital cDepartment of Mental Health, Gansu Provincial Centre for Disease Control and Prevention, Lanzhou City, Gansu Province, P.R. China.
• Medicine (Baltimore). 2020 Aug 14; 99 (33): e21451.

BackgroundMental health is closely related to the occurrence of hypertension, particularly the prognosis of hypertension patients. The role of psychotherapy in the occurrence, development, prevention, and prognosis of hypertension, remains to be clarified.Methods/DesignWe will conduct a prospective, double-blind, randomized, multiple-centers study. Eighty patients enrolled in this trial will be randomized at 1:1 ratio. The primary endpoint is will be the reduction of the patient psychological scale (PHQ-9) score. Secondary endpoints will be the drop in blood pressure, awareness of physical and mental health and self-efficacy scale. Measurements will be performed at baseline, 5-week (questionnaires only), 10-week (primary endpoint), using the Anxiety Screening Questionnaire (GAD-7) and Depression Scale (PHQ-9). Data analysis will be carried out using the SPSS v.25 software assuming a level of significance of 5%. Results will be analyzed using multilevel, regression analysis and hierarchical linear models.DiscussionWe hope to provide some insight in the understanding the underlying mechanism of the novel mindfulness in the management of hypertension related psychological stress/disturbance, and will enable us to develop novel approach to manage essential hypertension and its related psychological disorders. CLINICAL TRIAL REGISTRY:: http://www.chictr.org.cn (ChiCTR1900028258).

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