{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T05:45:22Z","timestamp":1773899122897,"version":"3.50.1"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T00:00:00Z","timestamp":1607040000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"German Federal Ministry of Education and Research","award":["01EO1302"],"award-info":[{"award-number":["01EO1302"]}]},{"name":"IFB-Tx"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Living with a left ventricular assist device (LVAD) can be associated with many burdens and worries for patients. They are often dependent on the support of their spouses. This can also be a burden on the spouses and the relationship. However, the relationships quality of LVAD couples has so far scarcely been investigated. Couple\u2019s mutual coping with stress (dyadic coping, DC), as well as depression are important factors influencing relationship quality. To examine patients\u2019 with an LVAD and their partners\u2019 ability to cope with stress and levels of depression, and the impact these have on relationship quality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>The study investigates relationship satisfaction in couples after LVAD implantation as well as influencing factors such as DC or depression. Differences in relationship quality, DC, and depression between patients and spouses are examined using validated questionnaires. N = 39 heterosexual couples with male patients participated. Relationship quality of patients was higher than that of their spouses. The actor\u2013partner\u2013interdependence model provided for spouses actor effects on relationship satisfaction of their own DC, partner DC, and depression. For patients, actor effects of partner DC and depression as well as a partner effect of depression were found. In addition, DC of patients was estimated by both partners to be lower than DC of spouses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The results indicate a high rate of depression among LVAD patients and spouses. This study contributes to the knowledge about the mental state of LVAD couples and demonstrates that the spouses should be considered during treatment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvaa004","type":"journal-article","created":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T04:13:25Z","timestamp":1609474405000},"page":"342-347","source":"Crossref","is-referenced-by-count":12,"title":["Relationship quality, dyadic coping, and depression in couples with left ventricular assist device implantation"],"prefix":"10.1093","volume":"20","author":[{"given":"Tanja","family":"Zimmermann","sequence":"first","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Hanover Medical School, Carl-Neuberg-Str. 1, 30625 Hanover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samira","family":"Dolle","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Hanover Medical School, Carl-Neuberg-Str. 1, 30625 Hanover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Waldenburger","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Hanover Medical School, Carl-Neuberg-Str. 1, 30625 Hanover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Finja","family":"J\u00fcnemann","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Hanover Medical School, Carl-Neuberg-Str. 1, 30625 Hanover, Germany"},{"name":"Integrated Research and Treatment Center Transplantation IFB-Tx, Hanover Medical School, Carl-Neuberg-Str. 1, 30625 Hanover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Bara","sequence":"additional","affiliation":[{"name":"Department of Heart-, Thoracic-, Transplant- and Vascular Surgery, Hanover Medical School, Carl-Neuberg-Str. 1, 30625 Hanover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,12,4]]},"reference":[{"key":"2021052219492422000_zvaa004-B1","doi-asserted-by":"crossref","first-page":"e008080","DOI":"10.1161\/JAHA.117.008080","article-title":"Patient and caregiver determinants of patient quality of life and caregiver strain in left ventricular assist device therapy","volume":"7","author":"Bidwell","year":"2018","journal-title":"J Am Heart Assoc"},{"key":"2021052219492422000_zvaa004-B2","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1097\/00002480-200005000-00025","article-title":"Human factors issues in ventricular assist device recipients and their family caregivers","volume":"46","author":"Dew","year":"2000","journal-title":"ASAIO J"},{"key":"2021052219492422000_zvaa004-B3","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1016\/j.healun.2007.01.025","article-title":"Mechanical circulatory support as a bridge to heart transplantation: what remains? Long-term emotional sequelae in patients and spouses","volume":"26","author":"Bunzel","year":"2007","journal-title":"J Heart Lung Transplant"},{"key":"2021052219492422000_zvaa004-B4","doi-asserted-by":"crossref","first-page":"e44","DOI":"10.1016\/j.ejcts.2010.11.074","article-title":"Supportive psychotherapy for patients with heart transplantation or ventricular assist devices","volume":"39","author":"Heilmann","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"2021052219492422000_zvaa004-B5","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1177\/152692481002000208","article-title":"Emotional experiences of caregivers of patients with a ventricular assist device","volume":"20","author":"Kaan","year":"2010","journal-title":"Prog Transplant"},{"key":"2021052219492422000_zvaa004-B6","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1161\/CIRCOUTCOMES.113.000660","article-title":"Choices for patients \u201cwithout a choice\u201d: Interviews with patients who received a left ventricular assist device as destination therapy","volume":"7","author":"Ottenberg","year":"2014","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"2021052219492422000_zvaa004-B7","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1097\/HRP.0000000000000162","article-title":"Depression and anxiety in heart failure: a review","volume":"26","author":"Celano","year":"2018","journal-title":"Harv Rev Psychiatry"},{"key":"2021052219492422000_zvaa004-B8","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1177\/1474515113517607","article-title":"Psychological distress in patients with a left ventricular assist device and their partners: an exploratory study","volume":"14","author":"Brouwers","year":"2015","journal-title":"Eur J Cardiovasc Nurs"},{"key":"2021052219492422000_zvaa004-B9","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/S0002-9149(01)01731-3","article-title":"Prognostic importance of marital quality for survival of congestive heart failure","volume":"88","author":"Coyne","year":"2001","journal-title":"Am J Card"},{"key":"2021052219492422000_zvaa004-B10","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1016\/j.cardfail.2015.05.016","article-title":"Caregivers and left ventricular assist devices as a destination, not a journey","volume":"21","author":"Kirkpatrick","year":"2015","journal-title":"J Card Fail"},{"key":"2021052219492422000_zvaa004-B11","first-page":"5","volume-title":"Couples Coping with Stress: A Cross-Cultural Perspective","author":"Bodenmann","year":"2016"},{"key":"2021052219492422000_zvaa004-B12","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.cpr.2015.07.002","article-title":"Dyadic coping and relationship satisfaction: a meta-analysis","volume":"42","author":"Falconier","year":"2015","journal-title":"Clin Psychol Rev"},{"key":"2021052219492422000_zvaa004-B13","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1016\/j.amjcard.2006.05.034","article-title":"Effect of marital quality on eight-year survival of patients with heart failure","volume":"98","author":"Rohrbaugh","year":"2006","journal-title":"Am J Card"},{"key":"2021052219492422000_zvaa004-B14","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1097\/MAT.0000000000000681","article-title":"The relationship of anxiety, depression, and quality of life in adults with left ventricular assist devices","volume":"64","author":"Casida","year":"2018","journal-title":"ASAIO J"},{"key":"2021052219492422000_zvaa004-B15","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1037\/10350-001","volume-title":"Marital and Family Processes in Depression: A Scientific Foundation for Clinical Practice","author":"Whisman","year":"2001"},{"key":"2021052219492422000_zvaa004-B16","year":"2018"},{"key":"2021052219492422000_zvaa004-B17","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.hrtlng.2015.09.009","article-title":"Gender differences in appraisal of stress and coping 5 years after heart transplantation","volume":"45","author":"Grady","year":"2016","journal-title":"Heart Lung"},{"key":"2021052219492422000_zvaa004-B18","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/j.healun.2016.01.1222","article-title":"Age and gender differences and factors related to change in health-related quality of life from before to 6 months after left ventricular assist device implantation: Findings from Interagency Registry for Mechanically Assisted Circulatory Support","volume":"35","author":"Grady","year":"2016","journal-title":"J Heart Lung Transplant"},{"key":"2021052219492422000_zvaa004-B19","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.healun.2017.06.016","article-title":"Gender differences and outcomes in left ventricular assist device support: the European Registry for Patients with Mechanical Circulatory Support","volume":"37","author":"Magnussen","year":"2018","journal-title":"J Heart Lung Transplant"},{"key":"2021052219492422000_zvaa004-B20","doi-asserted-by":"crossref","first-page":"e0212758","DOI":"10.1371\/journal.pone.0212758","article-title":"The German version of the Quality of Marriage Index: psychometric properties in a representative sample and population-based norms","volume":"14","author":"Zimmermann","year":"2019","journal-title":"PLoS One"},{"key":"2021052219492422000_zvaa004-B21","volume-title":"Dyadisches Coping Inventar\u2014DCI","author":"Bodenmann","year":"2008"},{"key":"2021052219492422000_zvaa004-B22","first-page":"185","article-title":"Dyadisches Coping Inventar (DCI): ein Fragebogen zur Erfassung des partnerschaftlichen Umgangs mit Stress","volume":"20","author":"Gmelch","year":"2008","journal-title":"Zeitschrift F\u00fcr Familienforschung"},{"key":"2021052219492422000_zvaa004-B23","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J Gen Int Med"},{"key":"2021052219492422000_zvaa004-B24","volume-title":"Dyadic Data Analysis","author":"Kenny","year":"2006"},{"key":"2021052219492422000_zvaa004-B25","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1037\/0033-2909.112.1.155","article-title":"A power primer","volume":"112","author":"Cohen","year":"1992","journal-title":"Psychol Bull"},{"key":"2021052219492422000_zvaa004-B26","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1159\/000371478","article-title":"Fragebogen zur Partnerschaftsqualit\u00e4t: Quality of Marriage Index-Deutsche Version (QMI-D)","volume":"25","author":"Zimmermann","year":"2015","journal-title":"Verhaltenstherapie"},{"key":"2021052219492422000_zvaa004-B27","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1111\/jomf.12077","article-title":"Gender differences in marital satisfaction: a meta-analysis","volume":"76","author":"Jackson","year":"2014","journal-title":"J Marr Fam"},{"key":"2021052219492422000_zvaa004-B28","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1037\/0893-3200.21.3.380","article-title":"Protective buffering and psychological distress among couples coping with breast cancer: the moderating role of relationship satisfaction","volume":"21","author":"Manne","year":"2007","journal-title":"J Fam Psychol"},{"key":"2021052219492422000_zvaa004-B29","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1111\/j.1475-6811.2004.00078.x","article-title":"Coping in marital dyads: a contextual perspective on the role of gender and health","volume":"11","author":"Badr","year":"2004","journal-title":"Pers Rel"},{"key":"2021052219492422000_zvaa004-B30","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/s00115-013-3961-y","article-title":"Psychische St\u00f6rungen in der Allgemeinbev\u00f6lkerung","volume":"85","author":"Jacobi","year":"2014","journal-title":"Nervenarzt"},{"key":"2021052219492422000_zvaa004-B31","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1093\/ejcts\/ezx426","article-title":"Sexual activity in patients with left ventricular assist devices and their partners: impact of the device on quality of life, anxiety and depression","volume":"53","author":"Kugler","year":"2018","journal-title":"Eur J Cardiothorac Surg"},{"key":"2021052219492422000_zvaa004-B32","doi-asserted-by":"crossref","first-page":"1365","DOI":"10.1016\/j.transproceed.2004.12.248","article-title":"Posttraumatic stress disorder after implantation of a mechanical assist device followed by heart transplantation: evaluation of patients and partners","volume":"37","author":"Bunzel","year":"2005","journal-title":"Transplant Proc"},{"key":"2021052219492422000_zvaa004-B33","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1037\/0021-843X.85.2.186","article-title":"Depression and the response of others","volume":"85","author":"Coyne","year":"1976","journal-title":"J Abnorm Psychol"},{"key":"2021052219492422000_zvaa004-B34","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.cpr.2007.04.007","article-title":"The marital context of depression: research, limitations, and new directions","volume":"28","author":"Rehman","year":"2008","journal-title":"Clin Psychol Rev"}],"container-title":["European Journal of Cardiovascular Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/eurjcn\/article-pdf\/20\/4\/342\/38108048\/zvaa004.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/eurjcn\/article-pdf\/20\/4\/342\/38108048\/zvaa004.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,22]],"date-time":"2021-05-22T19:50:24Z","timestamp":1621713024000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurjcn\/article\/20\/4\/342\/6024431"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,4]]},"references-count":34,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,12,4]]},"published-print":{"date-parts":[[2021,5,22]]}},"URL":"https:\/\/doi.org\/10.1093\/eurjcn\/zvaa004","relation":{},"ISSN":["1474-5151","1873-1953"],"issn-type":[{"value":"1474-5151","type":"print"},{"value":"1873-1953","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,4,1]]},"published":{"date-parts":[[2020,12,4]]}}}