Positive Behavioral Impact of Reptile-Assisted Support on the Internalizing and Externalizing Behaviors of Female Children with Emotional Disturbance

ABSTRACT

The effects of animal-assisted support were tested with children identified with emotional disturbance. Forty female children, aged 12 years old, participated in one of two treatments: animal-assisted support or control support. All participants had experienced the death of a parent in the preceding year. When offered animals for their support group, the participants chose reptiles. The reptile-assisted support group discussed death and grief along with training in animal care and identifying displays of emotions and grief. The control group discussed death and grief without reference to, or interactions with, reptiles. Primary caregivers completed the Child Behavior Checklist-Parent version (CBCL-P) before and after the 16-week support group sessions. A repeated measures ANOVA was used to examine the effects of reptile-assisted support on internalizing, externalizing, and other behaviors, as measured by the CBCL-P. The findings suggest that the use of reptile-assisted support improved internalizing behaviors such as withdrawal and somatic behaviors, externalizing behaviors such as aggression/delinquency behaviors, and other behaviors such as social, attention, and thought. Future work is suggested to identify why these children with emotional disturbance chose reptiles rather than pets such as dogs and horses, which are commonly used in animal-assisted programs with children with disabilities.     

A Systematic Review of Research on Pet Ownership and Animal Interactions among Older Adults

ABSTRACT

Research on the impact of companion animals in the lives of older adults is considered from two perspectives: pet ownership and in animal-assisted interventions (AAI). This paper first presents a discussion of potential theoretical explanations of the impact of animals on human health and wellbeing among older adults, and then provides a systematic review and evaluation of existing research on the topics of human–animal interaction (HAI) and physical health and exercise, depression and anxiety, and loneliness and social functioning. Each of the studies in this review (n = 145) are rated according to modified Oxford Center for Evidence Based Medicine (OCEBM) levels and the role of theory, in conceptualizing the study or interpreting outcomes, is discussed. The quality of evidence for each topical area of HAI and aging research is summarized, and recommendations are made for future research directions that will increase our knowledge of the relationship between HAI and health outcomes for older adults in different settings.     

Dogs as an Adjunct to Therapy: Effects of Animal-Assisted Therapy on Rehabilitation Following Spinal Cord Injury

ABSTRACT

Approximately 17,000 new cases of spinal cord injury (SCI) are reported annually in the United States. Rehabilitation from SCI involves substantial mental, emotional, and physical challenges. Using a randomized controlled trial design, we assessed the efficacy of animal-assisted therapy (AAT) as an aid in rehabilitation following a SCI. We hypothesized that patients with SCI undergoing rehabilitation occupational therapy with AAT would demonstrate greater positive shifts in mood and outlook, reduced pain, and reduced stress compared with patients exposed to the same rehabilitation therapy but without AAT. Over four sessions of occupational therapy, 31 patients completed standard rehabilitation activities (control group) or rehabilitation activities integrating an animal therapy team (treatment group). Patients completed the Positive and Negative Affect Schedule (PANAS) and Numerical Rating Scale (NRS) at each session, had salivary cortisol sampled at the second session, and completed the Brief Pain Inventory at study baseline and exit. Data were analyzed using repeated measures ANOVAs and t-tests. The results revealed a small but significant effect of animal-assisted therapy on self-reported negative affect. Findings for group differences on positive affect, stress, and pain unpleasantness were null, although non-significant findings were in the hypothesized direction for several variables and yielded small effect sizes. Continued research is needed on the influence of AAT on mood improvement, stress reduction, and ultimately improved physical health outcomes during rehabilitation after SCI.     

The Effect of an Animal-Assisted Intervention on Anxiety and Pain in Hospitalized Children

ABSTRACT

Forty children between the ages of 8 and 18 years, who were admitted to a hospital pediatric unit, were randomly assigned to an animal-assisted intervention (AAI) or an active control condition (working on an age-appropriate jigsaw puzzle). Ratings of pain and anxiety were taken both pre- and post-condition. The attachment Questionnaire and Family Life Space Diagram (FLSD) also were administered, and information on medications taken was recorded. A significant post-condition difference was found between groups for anxiety, with the aaI group having lower anxiety scores. However, no significant within- or between-group pre-post changes in either pain or anxiety were detected. Nearly two-thirds of the children (64%) reporting pain at baseline were receiving some type of analgesic, which may have influenced outcomes. Findings demonstrate some support that attachment may be a moderating variable: children with a secure attachment style reported lower pain and anxiety at baseline, with large effect sizes for differences in both anxiety (g = 1.34) and pain (g = 1.23). Although the aaI did not significantly reduce anxiety and pain in these hospitalized children, further investigation of the influence of analgesic use and the moderating effect of attachment style is indicated.     

Case studies of adults receiving horse-riding therapy

Abstract

The purpose of this study was to examine the psychotherapeutic effect of riding therapy (RT) on a group of adult users of a social services mental health team in South Devon. The benefits of animal-assisted therapy (AAT) and pet ownership on human health and well-being are well documented. However, whilst research has been conducted on the benefits of hippotherapy (the employment of horse riding as a physiotherapeutic aid) little has been undertaken on the psychotherapeutic benefits of riding therapy. Through case studies, the current study sought to explore whether the participants benefited in terms of confidence, increased self-esteem and social/interaction skills. A further objective was to find out whether these benefits, if identified, were transferable to other areas of the riders' lives. The study was conducted utilizing a case study, participant observational methodology following the progress of six women with various mental health problems receiving RT on a weekly basis. The sessions comprised of learning to look after the horses and carrying out stable management tasks, in addition to the riding; the chief instructor was aware that an important factor of the RT was building up a relationship and trust with the horses on the ground. Methods employed to record the sessions, apart from participant observation, included interviews and questionnaires. The prime objective of the study was for the riders' experience of the therapy to be expressed in their own words. It was found that the participants benefited in areas ranging from increased confidence and self-concept, and that the therapy aided social stimulation and led to transferable skills being acquired.     

The Psychological and Physiological Effects of Using a Therapy Dog in Mindfulness Training

ABSTRACT

The present study was a randomized controlled trial examining the psychological and physiological effects of adding animal-assisted therapy (AAT) to a modified Mindfulness-Based Stress Reduction program (MBSR) for clients experiencing psychological distress. It was hypothesized that AAT would complement mindfulness-based interventions because the therapy dog will provide a focus for attention to the current experience and exemplify acceptance and “being,” enabling the understanding and practice of the main aspects of mindfulness. Participants (n=21) were randomly assigned to an MBSR or MBSR+AAT group and then completed an intervention consisting of six 50-minute individual therapy sessions. Each session included didactic and experiential components modified for delivery with or without a certified therapy dog. State and trait mindfulness, psychological distress measures, blood pressure, and heart rate were assessed at each session. Results indicate that all participants experienced fewer anxiety and depressive symptoms, decreased psychological distress, and increased mindfulness skills from preto post-treatment. Additionally, state anxiety, blood pressure, and heart rate decreased within sessions. No significant difference was found between the control and experimental groups, indicating that interaction with a therapy dog had no impact on symptom reduction, skill acquisition, or client satisfaction in the current study. However, moderate to large effect size estimates indicate clinically significant differences between groups, with higher ratings for the MBSR+AAT group on therapist efficacy, recommending the training, and participating in future treatment. Future studies need to increase methodological rigor by including multiple therapist/dog teams and increasing sample size. Moreover, researchers must more thoroughly examine the role the dog might have in altering the social environment, such as reducing stigma surrounding mental health services and enhancing the therapeutic alliance.     

Animal-Assisted Interventions in Children's Hospitals: A Critical Review of the Literature

There is a perception in the scientific and general communities that hospitalized children benefit from visits by animals. Animal-assisted interventions (AAI), including animal-assisted therapy and animal-assisted activities, usually involving dogs, are thus employed in pediatric hospitals. However, the actual prevalence of AAI in children's hospitals has been poorly documented in the literature. Furthermore, the evidence base for claims that children in hospital benefit from AAI is limited. There are nine existing research studies in the area, all with methodological challenges that make conclusive statements in either direction about the efficacy of AAI difficult. In this critical review we consider methodological considerations pertinent to evaluations of AAI interventions for hospitalized children. These include: definitions and terminology; cultural attitudes; children's receptivity to animals, including phobia, type of illness and health status of the child, familiar as opposed to unknown animals, and age of the child; animal welfare; zoonoses and allergies; and hospital staff attitudes toward AAI. We highlight the many difficulties involved in conducting research on AAI in pediatric settings. Given the limited information around AAI for hospitalized children, including the risks and benefits and the limitations of existing studies, future research is required. This should take into account the methodological considerations discussed in this review, so that our knowledge base can be enhanced and if and where appropriate, such interventions be implemented and rigorously evaluated.     

Animal-assisted Psychotherapy and Trauma: A Meta-analysis

The present meta-analysis examined the efficacy of animal-assisted psychotherapy for individuals who have experienced trauma. Eight studies quantitatively assessed the treatment effects of involvement in animal-assisted psychotherapy. A random effects model was used to aggregate each study into an overall effect size. Eight effect sizes were included in the pre-versus post-comparison analysis. The results indicate a large effect size (Hedge’s g = 0.86, p < 0.001, 95% CI [.53, 1.18]). Two effect sizes were included in the treatment versus control comparison analysis. The results indicated a small to moderate effect size (g = 0.46, p = 0.03, 95% CI [0.04, 0.06]). Limited moderator analyses were able to be conducted due to lack of consistent reporting across studies. Place of study and percentage of female participants in the treatment group were found to statistically moderate the effect of animal-assisted psychotherapy. The results indicate that animal-assisted therapy is an efficacious treatment for trauma.     

Estudio preliminar de la efectividad de la terapia asistida con perros en personas de la tercera edad

IntroductionAnimal-assisted therapy is increasingly present in several educational and health areas. The aim of this study is to assess the effectiveness of such interventions in the elderly population living in residential settings.Materials and methodsA 12-week dog-assisted intervention program was designed, with 16 participants from a nursing home divided into an experimental group and a control group.ResultsSeveral physical and psychological variables were assessed before and after the intervention. While there were no significant differences in the control group, the experimental group improved significantly after participating in the program.DiscussionThe results support the hypothesis that animal-assisted interventions may be beneficial for residents in elderly care homes.     

An Animal-Assisted Therapy Intervention with Female Inmates

ABSTRACT

For many years corrections facilities have used animals as rehabilitative or therapeutic tools. Using the Outcome Questionnaire 45.2 to measure change, this study employed an experimental design to measure the effects of an animal-assisted therapy group on symptom distress, interpersonal relationships, social role performance, and overall distress of incarcerated women living in the general prison population at the Utah State Prison. Data were gathered during pretest, posttest, and at 30-day follow-up. Participants were selected using randomized systematic sampling and randomly assigned to control or experimental groups. Both the experimental and control groups used the same curriculum. The experimental group had a dog present and the control group did not. Statistical analysis indicated significant improvement for all domains measured for participants in both groups. However, there was no difference in this improvement between groups, indicating that having a dog present during the group process did not influence the improvements. Recommendations for future research are discussed.     

Dogs in child psychotherapy: Effects on state of mind

Abstract

Using a pretest-posttest design, this study investigates possible influences of animal-assisted therapy (AAT), using a dog, on the state of mind of children and adolescents who have undergone inpatient psychiatric treatment. To measure this, the Basler Befindlichkeits-Skala (BBS) was used, which measures general “state of mind” and provides four sub-scale scores: vitality, intra-emotional balance, social extroversion, and alertness. For Group 1 patients (n = 61, with AAT), the results show highly significant increases in all dimensions of the BBS. These changes were not found in a second group (Group 2, n = 39), in which there was no AAT. There was a significant negative correlation between pretest BBS scores and the change in scores that occurred after therapy incorporating AAT. Among seven patients in Group 1, a deterioration in state of mind was recorded. Under our controlled clinical conditions, an effect size of 0.38 was calculated for the therapy using a dog. Incorporating a dog could catalyze psychotherapeutic work with children and adolescents.     

Behavior of dolphins towards adults and children during swim-with-dolphin programs and towards children with disabilities during therapy sessions

Abstract

In recent years, dolphin-assisted therapy has become very popular and an increasing number of facilities worldwide offer therapy programs with dolphins. In contrast to other animal-assisted therapy programs, dolphins are not domestic animals; they are mostly caught in the wild and there are still no studies on their behavior during these therapies. However, there is speculation that the behavior of dolphins toward people with mental and physical disabilities may play an important role in the success of the therapy. We observed 83 sessions with five untrained dolphins (Tursiops truncatus) at Dolphins Plus, a fenced area with ocean water in the Florida Keys, USA. Our detailed observations of contact and distance behavior between dolphins and different groups of swimmers (adults, children, and children with mental and physical disabilities) show that, in general, dolphins prefer small humans to adults. One dolphin showed a clear preference toward children with mental and physical disabilities, and we conclude that she showed assisting behavior.     

Index,Volume 15, 2002

Abstract

This study was designed to assess the impact of an ongoing pet visitation program on the behavior and emotional state of adjudicated female adolescents at a medium secure residential facility over an eight-week period. To our knowledge, this study is the first randomized trial with a pretest-posttest design aimed at determining whether unstructured animal-assisted activities (AAA) have a positive impact on this unique population of adolescents. Using a random number table, 23 residents were randomly assigned to participate either in the pet visitation program (n = 13) or the facility's usual activities (n = 10). The program entailed weekly one-hour sessions during which participants were involved in activities such as grooming the animals, giving commands, playing fetch, and talking to the animals' handlers. To assess the program's effects on participants' behavior and emotional state, two quantitative instruments, the Youth Self-Report for Ages 11–18 (YSR) and the Resident Behavior Assessment (RBA), and a qualitative survey (designed by the researchers) were administered to the participants both prior to the pet visitation program and following its completion.

Results from the two quantitative measures suggested that the pet visitation program did not have a significant effect on the behavior or emotional state of the pet visitation participants. Qualitative results indicated that most of the participants enjoyed some aspect of the pet visitation program. In light of the small sample size and the unanticipated difficulties encountered in the conduct of the study, this research should be considered a pilot study. The limitations inherent to studying the effects of AAA programs in adjudicated adolescents are discussed.     

Effects of Animal-Assisted Activities with Guinea Pigs in the Primary School Classroom

ABSTRACT

This study investigated the effects of a classroom-based animal-assisted activities (AAA) program with guinea pigs on the social functioning of primary school children. We hypothesized that participants in the experimental condition (n = 64), compared with a waitlist control group (n = 64), would demonstrate improvements in social functioning following the program. Parents and teachers used the Social Skills Rating System (SSRS) to evaluate the social skills and problem behaviors of 128 participating children (age range = 4.8 to 12.7 years) before and after an 8-week period. Teachers also rated academic competence at both time points. Children who participated in the AAA program demonstrated significantly greater improvements in social functioning than their control group peers, as defined by greater increases in social skills (teacher SSRS) and decreases in problem behaviors (parent and teacher SSRS). There were no significant differences between the groups in academic competence. AAA participants demonstrated significant increases in social skills and decreases in problem behaviors from pre- to post-program on the teacher version of the SSRS. Control group participants did not show significant changes on these measures. These findings suggest that an AAA program with guinea pigs may be a feasible addition to the primary school classroom in order to improve social functioning. Further component analysis will be necessary to determine whether the animal is the active ingredient in AAA programs of this nature.     

Animal-Assisted Therapy in the Treatment of Substance Dependence

ABSTRACT

The purpose of this study was to evaluate the effect of animal-assisted therapy (AAT) on the therapeutic alliance with an adult, residential, substance abuse population in group therapy. We used randomized samples and controlled conditions to establish the effects of chosen variables that influence outcome. A total of 231 people took part in the study (control group [without therapy dog]: n = 96; experimental group [with therapy dog]: n = 135) in which there were 26 group sessions. The results of the study indicate that, overall, the therapeutic alliance is enhanced with the addition of a therapy dog: the AAT group had a more positive opinion of the therapeutic alliance, as measured using the Helping Alliance Questionnaire (HAQ-II), than the control group (ANOVA: F_(1,229) = 25.44, p < 0.001). Clients seeking treatment for a dual diagnosis, clients with state social service involvement, and clients seeking treatment for alcohol addiction had similar opinions of the therapeutic alliance, whether in the experimental group or the control group. Males, females, pet owners, court ordered clients, and clients seeking treatment for polysubstance, cannabis, and methamphetamine dependence all were more positive about the therapeutic alliance if they were in the experimental group than if they were in the control. This study demonstrates that addiction professionals could increase treatment success by adding this complementary, evidence-based practice.     

Anxiety-Reducing Effect: Dog,Fish and Plant in Direct Comparison

Animals have an anxiety-reducing effect on humans. However, in the search for which interventions are the most effective, one notices that studies in this field are not comparable as they all use different designs. Hereby, we investigated the anxiety reducing abilities of different animals and a plant using a public speaking task with identical set-ups and measures in all conditions. After speech anxiety was induced in university students (n = 71), they were presented with either a dog, a fish, a plant, or were left alone (control condition) for an intervention phase of 5 minutes. Anxiety measures were taken at five different points throughout the testing procedure. When comparing the participants' levels of anxiety before and after the intervention, we found that all students showed reduced anxiety levels in the experimental conditions, with no differences among the types of intervention, while no such effect was found for participants in the control condition. Our results not only demonstrate a new perspective in research on animal-assisted activities by presenting a more systematic and analytic approach to research in this field, but more importantly, they confirm the necessity for research guidelines for animal-assisted activities across the different disciplines involved, and question the unique importance and necessity of the involvement of animals in interventional practice.     

Animal-assisted Social Skills Training for Children with Autism Spectrum Disorders

Recent research indicates that youth with autism spectrum disorder (ASD) show increases in prosocial behaviors in the presence of animals, yet few studies have examined the effects of incorporating animals into treatments. The current study evaluated the effectiveness of an animal-assisted social skills training group for youth with ASD. It was hypothesized that incorporating dogs into social skills training (SST) would produce a greater effect on improving social skills, theory of mind, and feelings of inclusion than would be obtained from SST without an animal present. We compared social skills groups with therapy dogs to traditional social skills groups without an animal present. Students with ASD attending school at a therapeutic treatment facility (n = 31; ages 8–14) were assigned to either experimental or control groups, which were both provided with 12 weeks of weekly treatment. Following participation in SST, participants in the groups with dogs were rated as significantly less symptomatic than participants in the traditional social skills group on the Social Responsiveness Scale (SRS-2), a teacher-rated measure of autism-related symptoms. Based on self-report ratings using the Children’s Depression Inventory (CDI-2), participants in the groups with dogs experienced significantly greater reductions in symptoms measured by the Interpersonal Problems and Functional Problems subscales, and not on the other subscales of the CDI-2. Both groups showed improvement in theory of mind and decreased feelings of isolation and overall depressive symptoms; however, the effect of group on change over time was not significant. On the Social Language Development Test (SLDT), no significant differences were observed. The current findings indicate animal-assisted social skills training may be more beneficial for improving social skills and reducing related affective symptoms than traditional training models.     

Relationship of Behavioral Interactions during an Animal-assisted Intervention in Assisted Living to Health-related Outcomes

ABSTRACT

In recent research involving assisted-living residents with mild to moderate cognitive impairment, a structured 12-week Pet Assisted Living (PAL) intervention led to improved physical activity (PA) and mood. Receipt of intervention is important to the efficacy of behavioral interventions. We assessed the behavioral interactions (BIs: looking at, talking to, touching, giving treats to, brushing, and walking the dog) of residents during PAL intervention sessions and evaluated their relationships to changes in PA and mood. Residents with mild to moderate cognitive impairment in seven small assisted-living facilities were randomized by facility to the 12-week PAL or reminiscing interventions. Outcomes included PA and mood. PA was assessed monthly with 24-hour actigraph and Barthel Index, and mood was assessed with the Cornell Scale for Depression in Dementia. Residents of four facilities (n = 22) received the PAL intervention which included bi-weekly activities designed to encourage maintenance or improvement of PA and mood. During each PAL session, participants’ engagement in each BI was noted. Engagement in BIs varied between residents and over sessions. BIs were not correlated with degree of cognitive impairment. In linear mixed models, the more participants walked the dog the more their PA changed, and the more participants looked at the dog the more their moods changed (ps < 0.05). Participants varied in their engagement in BIs. Two specific BIs were related to improvements in PA and mood. Finer assessment of BIs during animal-assisted interventions may enable understanding of their relationships to specific outcomes.     

Animal-Assisted Therapy in Psychiatric Rehabilitation

ABSTRACT

Reviews of animal-assisted therapy (AAT) research suggest the need for better controlled and designed research studies to supplement the many case studies and anecdotal reports. This study reports the results of such an investigation where sixty-nine male and female psychiatric inpatients were randomized to either an AAT psychiatric rehabilitation group or a similarly conducted control group without AAT, to test if AAT can improve prosocial behaviors. The Social Behavior Scale was scored daily by an independent rater and patients were monitored for four weeks. A two-group by weeks repeated measure analysis of variance was conducted for each outcome measure. There were no baseline differences between the two groups on demographics or any of the measures, but by week four, patients in the AAT group were significantly more interactive with other patients, scored higher on measures of smiles and pleasure, were more sociable and helpful with others, and were more active and responsive to surroundings. These data suggest that AAT plays an important role in enhancing the benefits of conventional therapy, and demonstrates the benefit of including a non-AAT group for comparison. The study also demonstrates the importance of using longitudinal, repeated measure designs. Previous studies may have failed to find significant effects because they were restricted to shorter intervals for measuring outcomes.     

The Effects of Group-Administered Canine Therapy on University Students’ Wellbeing: A Randomized Controlled Trial

University students with elevated stress levels are at risk for experiencing compromised mental health and for underperforming academically. In an effort to support student wellbeing, post-secondary campuses are increasingly offering canine therapy programs. These programs provide students opportunities to interact with dogs known for their calm public behavior, docile temperaments, and eagerness to interact with strangers. Despite the interest in canine therapy, there remains a paucity of research attesting to the benefits of this approach to support university student wellbeing. The aim of this study was to examine the effect of a group-administered, single-session canine therapy intervention on university students’ perceptions of stress, homesickness, and affinity to campus. Participants (n = 163) were randomly assigned to a treatment (n = 84, 20-minute exposure to therapy dog, handler, and fellow students) condition or a business-as-usual control (n = 79, 20 minutes of individual studying) condition. No baseline differences were identified between the two groups. Findings revealed a significant main effect for group, and when compared with the control group, participants in the treatment group showed significant decreases from pre-test to post-test in perceived stress, homesickness (dislike), and homesickness (attachment), and significant improvements in sense of school belonging. Interestingly, control group scores on homesickness (dislike) also differed significantly from pre-test to post-test, with the means increasing from pre-test to post-test. After controlling for pre- and post-test scores, there were no significant differences on any of the self-report measures between participants in the treatment and control groups at follow-up. Findings are discussed within the contexts of animal-assisted therapy and on-campus stress reduction initiatives.