Understanding men's psychological reactions and experience following a cardiac event: a qualitative study from the MindTheHeart project. Issue 9 (27th September 2019)

• Record Type: Journal Article
• Authors: Jbilou, Jalila; Grenier, Jean; Chomienne, Marie-Helene; Talbot, France; Tulloch, Heather; D'Antono, Bianca; Greenman, Paul
• Is Part Of: BMJ open. Volume 9:Issue 9(2019)
• Publication Date: 2019-09-27
• Subjects: depression & mood disorders -- qualitative research -- rehabilitation medicine -- coronary heart disease -- ischaemic heart disease -- myocardial infarction; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2019-029560
• Languages: English
• ISSNs: 2044-6055

Abstract

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.