{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T14:26:52Z","timestamp":1793629612521,"version":"4.5.1"},"reference-count":24,"publisher":"BMJ","issue":"9","funder":[{"name":"Centre de formation m\u00e9dicale du Nouveau-Brunswick"},{"name":"Movember Foundation-Canada"},{"DOI":"10.13039\/100013123","name":"New Brunswick Health Research Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100013123","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,9,9]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>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\u2019s 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative study (focus groups and one-on-one interviews) using an interpretive phenomenal analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Clinical settings (cardiac departments in hospitals, cardiac rehabilitation programme and family medicine clinics) and in the community in three Canadian provinces.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-029560","type":"journal-article","created":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T14:05:32Z","timestamp":1569593132000},"page":"e029560","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Understanding men\u2019s psychological reactions and experience following a cardiac event: a qualitative study from the MindTheHeart project"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1776-4141","authenticated-orcid":false,"given":"Jalila","family":"Jbilou","sequence":"first","affiliation":[{"name":"Psychology, Universite de Moncton, Moncton, New Brunswick, Canada"},{"name":"Centre de formation m\u00e9dicale du Nouveau Brunswick, Universite de Moncton, Moncton, New Brunswick, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Grenier","sequence":"additional","affiliation":[{"name":"Institut du Savoir Montfort, Hopital Montfort, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Helene","family":"Chomienne","sequence":"additional","affiliation":[{"name":"Family Medicine, University of Ottawa, Ottawa, Ontario, Canada"},{"name":"School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"France","family":"Talbot","sequence":"additional","affiliation":[{"name":"Psychology, Universite de Moncton, Moncton, New Brunswick, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Tulloch","sequence":"additional","affiliation":[{"name":"University of Ottawa Heart Institute, Cardiac Prevention and Rehabilitation, University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca","family":"D'Antono","sequence":"additional","affiliation":[{"name":"Psychology Department and Research Centre at the Montreal Heart Institute, Universite de Montreal, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Greenman","sequence":"additional","affiliation":[{"name":"Institut du Savoir Montfort, Hopital Montfort, Ottawa, Ontario, Canada"},{"name":"D\u00e9partement de Psycho\u00e9ducation et de Psychologie, Universite du Quebec en Outaouais, Gatineau, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,9,27]]},"reference":[{"key":"2025121223363966000_9.9.e029560.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2014.10.001"},{"key":"2025121223363966000_9.9.e029560.2","doi-asserted-by":"crossref","first-page":"E16","DOI":"10.1097\/JCN.0000000000000508","article-title":"Of sound heart and mind: a scoping review of risk and protective factors for symptoms of depression, anxiety, and posttraumatic stress in people with heart disease","volume":"33","author":"Greenman","year":"2018","journal-title":"J Cardiovasc Nurs"},{"key":"2025121223363966000_9.9.e029560.3","first-page":"160","article-title":"Psychocardiology - forgotten science in the service of cardiovascular disease prophylaxis","volume":"8","author":"Jankowska","year":"2018","journal-title":"J Educ Health Sport"},{"key":"2025121223363966000_9.9.e029560.4","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291714000701"},{"key":"2025121223363966000_9.9.e029560.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2010.03.011"},{"key":"2025121223363966000_9.9.e029560.6","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1001\/jamainternmed.2013.915","article-title":"Centralized, stepped, patient preference-based treatment for patients with post-acute coronary syndrome depression: CODIACS vanguard randomized controlled trial","volume":"173","author":"Davidson","year":"2013","journal-title":"JAMA Intern Med"},{"key":"2025121223363966000_9.9.e029560.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2012.07.024"},{"key":"2025121223363966000_9.9.e029560.8","doi-asserted-by":"crossref","DOI":"10.1136\/openhrt-2017-000764","article-title":"Gender differences in the factors predicting initial engagement at cardiac rehabilitation","volume":"5","author":"Galdas","year":"2018","journal-title":"Open Heart"},{"key":"2025121223363966000_9.9.e029560.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2013.11.007"},{"key":"2025121223363966000_9.9.e029560.10","doi-asserted-by":"crossref","first-page":"1758","DOI":"10.1111\/jan.12620","article-title":"A secondary meta-synthesis of qualitative studies of gender and access to cardiac rehabilitation","volume":"71","author":"Angus","year":"2015","journal-title":"J Adv Nurs"},{"key":"2025121223363966000_9.9.e029560.11","unstructured":"Yin RK . 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