{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:23:27Z","timestamp":1765887807620,"version":"3.48.0"},"reference-count":31,"publisher":"BMJ","issue":"7","funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["NIHR CSP 41223"],"award-info":[{"award-number":["NIHR CSP 41223"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["Study no 3.83 Award code GZJZ; Award number 156822"],"award-info":[{"award-number":["Study no 3.83 Award code GZJZ; Award number 156822"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,6,21]]},"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>There is little research on how different ethnic groups adapt after an acute cardiac event. This qualitative study explores between-ethnicity and within-ethnicity variation in adaptation, and the psychological impact of an acute cardiac event among UK South Asian and white British people.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>We purposively sampled people by ethnic group from general practices in London who had a new myocardial infarction, angina or acute arrhythmia in the preceding 18\u2005months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>We conducted 28 semistructured interviews for exploring the psychological symptoms, experiences and adaptations following a cardiac event among South Asians (Indian and Bangladeshi) in comparison to white British people. Data were analysed using a thematic \u2018framework\u2019 approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings showed heterogeneity in experiences of the cardiac event and its subsequent psychological and physical impact. Adaptation to the event related predominantly to life circumstances, personal attitudes and employment status. Anxiety and low mood symptoms were common sequelae, especially in the Bangladeshi group. Indian men tended to normalise symptoms and the cardiac event, and reported less negative mood symptoms than other groups. Fear of physical exertion, particularly heavy lifting, persisted across the groups. Some people across all ethnic groups indicated the need for more psychological therapy postcardiac event. Socioeconomic circumstances, age and prior work status appeared to be more important in relation to adaptation after a cardiac event than ethnic status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Heterogeneity in views and experiences related to the socioeconomic background, age and work status of the participants along with some cultural influences. Rehabilitation programmes should be flexibly tailored for individuals in particular and where relevant, specific support should be provided for returning to work.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2015-010195","type":"journal-article","created":{"date-parts":[[2016,7,12]],"date-time":"2016-07-12T00:43:28Z","timestamp":1468284208000},"page":"e010195","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Exploration of the psychological impact and adaptation to cardiac events in South Asians in the UK: a qualitative study"],"prefix":"10.1136","volume":"6","author":[{"given":"Mimi","family":"Bhattacharyya","sequence":"first","affiliation":[{"name":"Research Department of Primary Care and Population Health, University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"Stevenson","sequence":"additional","affiliation":[{"name":"Research Department of Primary Care and Population Health, University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Walters","sequence":"additional","affiliation":[{"name":"Research Department of Primary Care and Population Health, University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,7,8]]},"reference":[{"key":"2025121222143747000_6.7.e010195.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7204.215"},{"key":"2025121222143747000_6.7.e010195.2","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/22.3.375"},{"key":"2025121222143747000_6.7.e010195.3","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdh158"},{"key":"2025121222143747000_6.7.e010195.4","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/24.2.95"},{"key":"2025121222143747000_6.7.e010195.5","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000151788.08740.5C"},{"key":"2025121222143747000_6.7.e010195.6","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.58.110405.085615"},{"key":"2025121222143747000_6.7.e010195.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.0956-7976.2004.00734.x"},{"key":"2025121222143747000_6.7.e010195.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-3223(03)00111-2"},{"key":"2025121222143747000_6.7.e010195.9","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.190769"},{"key":"2025121222143747000_6.7.e010195.10","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291705004563"},{"key":"2025121222143747000_6.7.e010195.11","doi-asserted-by":"publisher","DOI":"10.1023\/A:1016697719078"},{"issue":"4","key":"2025121222143747000_6.7.e010195.12","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1348\/135910706X144441","article-title":"Psychosocial factors related to cardiovascular disease risk in UK South Asian men: a preliminary study","volume":"12","author":"Williams","year":"2007","journal-title":"Br J Health Psychol"},{"key":"2025121222143747000_6.7.e010195.13","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdq093"},{"key":"2025121222143747000_6.7.e010195.14","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.314.7081.639"},{"key":"2025121222143747000_6.7.e010195.15","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7042.1330"},{"key":"2025121222143747000_6.7.e010195.16","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1016\/j.jcin.2013.11.013","article-title":"Mortality in South Asians and Caucasians after percutaneous coronary intervention in the United Kingdom: an observational cohort study of 279,256 patients from the BCIS (British Cardiovascular Intervention Society) National Database","volume":"7","author":"Jones","year":"2014","journal-title":"JACC Cardiovasc Interv"},{"key":"2025121222143747000_6.7.e010195.17","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1614.2000.00645.x"},{"key":"2025121222143747000_6.7.e010195.18","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cml043"},{"key":"2025121222143747000_6.7.e010195.19","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2003.032946"},{"key":"2025121222143747000_6.7.e010195.20","doi-asserted-by":"crossref","unstructured":"Ritchie J , Spencer L . Qualitative data analysis for applied policy research. Chapter 12. In: Huberman A , Miles MB, eds . The qualitative researchers companion. 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