{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T02:40:09Z","timestamp":1775011209964,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T00:00:00Z","timestamp":1581033600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Implantable left ventricular assist devices (LVADs) are increasingly used for patients with heart failure. Despite this evidence, the psychological processes affecting implanted patients and their caregivers are only marginally studied. While common emotional reactions, such as anxiety and depression already receive attention, very little is known about the course of caregiver strain, illness denial, and their reciprocal relation. This preliminary study aims at exploring these critical topics in a cardiac rehabilitation setting, besides offering indications for future research. A total of 44 LVAD patients and caregivers were administered specific questionnaires at admission and discharge from cardiac rehabilitation. Overall, questionnaires completed at discharge showed a positive improvement in the emotional measures used. However, they also showed a worsening in the illness denial measure. We suggest that the denial process may prepare patients and caregivers in returning home. Moreover, we conclude that studying only the common emotional reactions may limit the understanding of the psychological process adaptation to severe illness.<\/jats:p>","DOI":"10.1111\/aor.13630","type":"journal-article","created":{"date-parts":[[2020,1,6]],"date-time":"2020-01-06T12:41:17Z","timestamp":1578314477000},"page":"655-660","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Exploring illness denial of LVAD patients in cardiac rehabilitation and their caregivers: A preliminary study"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9498-0166","authenticated-orcid":false,"given":"Silvia","family":"Rossi Ferrario","sequence":"first","affiliation":[{"name":"Psychology and Neuropsychology Unit Istituti Clinici Scientifici Maugeri IRCCS Veruno Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5999-858X","authenticated-orcid":false,"given":"Anna","family":"Panzeri","sequence":"additional","affiliation":[{"name":"Psychology and Neuropsychology Unit Istituti Clinici Scientifici Maugeri IRCCS Veruno Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2012.09.013"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2016.05.035"},{"issue":"2","key":"e_1_2_11_4_1","first-page":"88","article-title":"Preliminary report on left\u2010ventricular assist devices: are patients\u2019 and caregivers\u2019 psychosocial needs adequately addressed?","volume":"39","author":"Rossi FS","year":"2017","journal-title":"G Ital Med Lav Ergon."},{"issue":"6","key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"1","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 JT","year":"2018","journal-title":"J Am Heart Assoc."},{"key":"e_1_2_11_6_1","first-page":"630","article-title":"The spectrum of complications following left ventricular assist device placement","volume":"27","author":"Yuan N","year":"2012","journal-title":"Transplant Mech Support."},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000658"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2007.00698.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10741-007-9075-5"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2018.02.003"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12297"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jjcc.2017.06.004"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.02045"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1023513218433"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.304"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2006.03942.x"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(97)00168-2"},{"issue":"5","key":"e_1_2_11_18_1","first-page":"PCC.11f01166","article-title":"Denial of cardiac illness: consequences and management","volume":"13","author":"Covino JM","year":"2011","journal-title":"Prim Care Companion CNS Disord."},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S128622"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.2147\/PRBM.S207622"},{"key":"e_1_2_11_21_1","volume-title":"Fifty years of the research and theory of R. 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