The DOI matches its Crossref record, with a small difference in title or year; 17 of the 17 references it cites were found in a registry or an index.
Animal-Assisted Interventions Improve Mental, But Not Cognitive or Physiological Health Outcomes of Higher Education Students: a Systematic Review and Meta-analysis
Abstract
Due to the high burden of mental health issues among students at higher education institutions world-wide, animal-assisted interventions (AAIs) are being used to relieve student stress. The objective of this study was to systematically review of the effects of AAIs on the mental, physiological, and cognitive outcomes of higher education students. Randomized controlled trials using any unfamiliar animal as the sole intervention tool were included in this review. Study quality was assessed using the Cochrane Risk-of-Bias tool. Where possible, effect sizes (Hedges’ g ) were pooled for individual outcomes using random-effects meta-analyses. Albatross plots were used to supplement the data synthesis. Of 2.494 identified studies, 35 were included. Almost all studies used dogs as the intervention animal. The quality of most included studies was rated as moderate. Studies showed an overall reduction of acute anxiety and stress. For other mental outcomes, studies showed smaller, but nonetheless beneficial effects. Studies showed no clear effect on physiological or cognitive outcomes. Strong methodological heterogeneity between studies limited the ability to draw clear conclusions.
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In the citing paper
“Similar to the previous AAI meta-analysis by Huber et al. [31], a key limitation of the included studies is the predominance of female participants, with proportions ranging from 60 to 95%.”
From Canine-assisted therapy in reducing stress and anxiety levels of university students: systematic review and meta-analysis of randomized controlled trials (2025) · cites this paper as Huber et al. [31]
Experimental — accuracy not yet measuredIn the citing paper
“We conducted a random-effects meta-analysis using Stata/SE 18.0 as we anticipated both clinical and methodological heterogeneity among canine-assisted therapy studies [31].”
From Canine-assisted therapy in reducing stress and anxiety levels of university students: systematic review and meta-analysis of randomized controlled trials (2025) · cites this paper as [31]
In the citing paper
“Similar to previous meta-analyses conducted on animal-assisted interventions, such as Huber et al. [31], we found that most studies could not implement blinding procedures since the presence of therapy canines during the intervention made it obvious to both researchers and possibly the participants that they were in the treatment condition.”
From Canine-assisted therapy in reducing stress and anxiety levels of university students: systematic review and meta-analysis of randomized controlled trials (2025) · cites this paper as Huber et al. [31]
In the citing paper
“We identified nine relevant meta-analyses on animal-assisted therapy (Table 1), but only one focused on higher education [31].”
From Canine-assisted therapy in reducing stress and anxiety levels of university students: systematic review and meta-analysis of randomized controlled trials (2025) · cites this paper as [31]
In the citing paper
“While Huber et al. [31] explored a range of mental, cognitive, and physiological outcomes, with stress and anxiety as only part of the focus, their review also included general animal-assisted interventions (AAIs) involving various animals beyond dogs.”
From Canine-assisted therapy in reducing stress and anxiety levels of university students: systematic review and meta-analysis of randomized controlled trials (2025) · cites this paper as [31]
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RoB 2: a revised tool for assessing risk of bias in randomised trials
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“…a multitude of factors including navigating a new environment, a high academic workload and financial pressures, the prevalence of stress, and symptoms of depression and anxiety disorders are worryingly high among higher education students worldwide (Bayram & Bilgel, 2008; Eisenberg et al., 2007).”
Bayram, N., & Bilgel, N. (2008) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-008-0345-x · Cited by 1,391 · cited 3×
“Similar results have been replicated among higher education students around the world (Bayram & Bilgel, 2008; Grützmacher et al., 2018; Mortier et al., 2018).”
Beetz, A., Uvnäs-Moberg, K., Julius, H., & Kotrschal, K. (2012) · Frontiers in Psychology · doi:10.3389/fpsyg.2012.00234 · Cited by 904 · cited 10×
“Similarly, previous reviews have shown AAIs to promote a positive mood, increase happiness, and reduce depressive symptoms (Beetz et al., 2012; Kamioka et al., 2014; Morrison, 2007; Souter & Miller, 2007).”
InfluentialAnimal-Assisted Therapy: A Meta-Analysis
Nimer, J., & Lundahl, B. (2007) · Anthrozoös · doi:10.2752/089279307x224773 · Cited by 712
The prevalence of suicidal thoughts and behaviours among college students: a meta-analysis
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Do Animal-Assisted Activities Effectively Treat Depression? A Meta-Analysis
Souter, M. A., & Miller, M. D. (2007) · Anthrozoös · doi:10.2752/175303707x207954 · Cited by 324
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Sim, S. Q., Liu, Z., Wu, Z., Wang, S., & Nisa, C. (2025) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-025-04955-2 · Cited by 14
Metadata
- Authors
- Huber, A., Klug, S. J., Abraham, A., Westenberg, E., Schmidt, V., & Winkler, A. S.
- ORCID
- Huber, Annalena
- Venue
- International Journal of Mental Health and Addiction
- Published
- 2022-11-15
- Volume
- 22
- Issue
- 3
- Pages
- 1597-1628
- ISSN
- 1557-1874
- 1557-1882
- PMC
- PMC9666958
- Cited by
- 30
- References
- 17
- Language
- en
- Funders
- Technische Universität München
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