The study found higher levels of depression and anxiety for women than men with early IP. Psychological distress was predicted by younger age, specific coping strategies and high levels of pain.

This article discusses the purpose, process and usefulness of narrative-based research. Drawing on elements of naturalistic and constructivist approaches, the authors explore the processes and consequences of engaging in narrative-based inquiry. They propose a reconsideration of the intention, purpose and usefulness of gathering and using narratives, and suggest that narratives can provide healthcare practitioners with the opportunity to engage in inclusive research that can have a transformational effect on all research informants, including the researchers.

The use of helplessness (inactivity and passive coping) and escape/avoidant coping strategies, including denial and wishful thinking, could be identified and addressed by nurses and other health professionals to reduce the associated negative outcomes.

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Diagnosing depression in post-myocardial infarction patients is perceived by nurses as complex but training in the management of depression is seen as helping practice.