Original ArticlesClarifying the Concept of Depression in Women With Coronary Heart DiseaseBuckland, Sydney MSN, APRN-FNP; Pozehl, Bunny PhD, APRN-NP, FHSFA, FAHA, FAAN; Yates, Bernice PhD, RN, FAHAAuthor Information College of Nursing, University of Nebraska Medical Center, Omaha. Correspondence: Sydney Buckland, MSN, APRN-FNP, UNMC College of Nursing, 985330 Nebraska Medical Center, 4111 Dewey Ave, Omaha, NE 68198 (firstname.lastname@example.org). The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Advances in Nursing Science: October/December 2019 - Volume 42 - Issue 4 - p E24-E37 doi: 10.1097/ANS.0000000000000264 Buy Metrics Abstract The concept of depression in women with coronary heart disease has been poorly defined for several reasons: numerous widely variable instruments that operationalize the concept, divergent proposed instrument cutoff scores, and continued lack of female participants and data analysis by gender in coronary heart disease research. In the forty articles from 1990 to 2018 evaluating depression in women with coronary heart disease, the concept is defined by specific somatic and cognitive symptoms, preceded by particular physiological and psychosocial vulnerabilities, and leads to poorer outcomes. Concept clarification is necessary for accurate diagnosis of depression, leading to more timely and appropriate interventions for women. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.