Abstract:
OBJECTIVES:Emotional issues such as depression, anxiety and post-traumatic stress disorder are common following a cardiac event. Despite their high prevalence, they often go undiagnosed and research suggests that men in particular are at higher risk. Therefore, a better understanding of men's experiences with a cardiac event and ensuing health services is key for adapting approaches that meet their needs. The aim of this study was to describe the self-reported emotional challenges that men face following a cardiac event and to understand their patterns of psychosocial adjustment. DESIGN:Qualitative study (focus groups and one-on-one interviews) using an interpretive phenomenal analysis. SETTING:Clinical settings (cardiac departments in hospitals, cardiac rehabilitation programme and family medicine clinics) and in the community in three Canadian provinces. PARTICIPANTS:A total of 93 men participated in the study through 22 focus groups and 5 semi-structured interviews, none has been excluded based on comorbidities. RESULTS:Four major themes emerged: (1) managing uncertainty and adversity; (2) distancing, normalising and accepting; (3) conformity to traditional masculine norms and (4) social, literacy and communication challenges. CONCLUSIONS:Healthcare professionals caring for men following a cardiac event must be aware of the psychological and social adjustments that accompany the physical challenges. However, there is a lack of explicit guidelines, tools and clinical training in men-sensitive approaches. Further research is required to better inform clinical practices and healthcare services.
journal_name
BMJ Openjournal_title
BMJ openauthors
Jbilou J,Grenier J,Chomienne MH,Talbot F,Tulloch H,D'Antono B,Greenman P,MindTheHeart Project Team.doi
10.1136/bmjopen-2019-029560subject
Has Abstractpub_date
2019-09-27 00:00:00pages
e029560issue
9issn
2044-6055pii
bmjopen-2019-029560journal_volume
9pub_type
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