The effects of animal-assisted therapy on anxiety ratings of hospitalized psychiatric patients
Abstract
OBJECTIVE: Animal-assisted therapy involves interaction between patients and a trained animal, along with its human owner or handler, with the aim of facilitating patients' progress toward therapeutic goals. This study examined whether a session of animal-assisted therapy reduced the anxiety levels of hospitalized psychiatric patients and whether any differences in reductions in anxiety were associated with patients' diagnoses. METHODS: Study subjects were 230 patients referred for therapeutic recreation sessions. A pre- and posttreatment crossover study design was used to compare the effects of a single animal-assisted therapy session with those of a single regularly scheduled therapeutic recreation session. Before and after participating in the two types of sessions, subjects completed the state scale of the State-Trait Anxiety Inventory, a self-report measure of anxiety currently felt. A mixed-models repeated-measures analysis was used to test differences in scores from before and after the two types of sessions. RESULTS: Statistically significant reductions in anxiety scores were found after the animal-assisted therapy session for patients with psychotic disorders, mood disorders, and other disorders, and after the therapeutic recreation session for patients with mood disorders. No statistically significant differences in reduction of anxiety were found between the two types of sessions. CONCLUSIONS: Animal-assisted therapy was associated with reduced state anxiety levels for hospitalized patients with a variety of psychiatric diagnoses, while a routine therapeutic recreation session was associated with reduced levels only for patients with mood disorders.
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AAT sessions are significantly related to self-esteem improvements and reduced anxiety levels.
“Previous studies [15,17] showed a significant relationship between AAT sessions and self-esteem improvements and reduced anxiety levels [18,19,20].”
From Effects of dog-assisted therapy in adolescents with eating disorders: A study protocol for a pilot controlled trial (2021) · cites this paper as [18]
Cites
Animal companions and one-year survival of patients after discharge from a coronary care unit.
(1980) · PubMed Central · Cited by 694 · see citing works
Beneficial Effects of Pet Ownership on Some Aspects of Human Health and Behaviour
Serpell, J. A. (1991) · Journal of the Royal Society of Medicine · doi:10.1177/014107689108401208 · Cited by 494 · see citing works
Siegel, J. M. (1990) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.58.6.1081 · Cited by 483 · see citing works
Pet ownership and risk factors for cardiovascular disease
Anderson, W. P., Reid, C. M., & Jennings, G. (1992) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1992.tb137178.x · Cited by 449 · see citing works
Social Interaction and Blood Pressure
Friedmann, E., Katcher, A. H., Thomas, S. A., Lynch, J. J., & Messent, P. R. (1983) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198308000-00002 · Cited by 385 · see citing works
Cardiovascular effects of human-pet dog interactions
Vormbrock, J. K., & Grossberg, J. M. (1988) · Journal of Behavioral Medicine · doi:10.1007/bf00844843 · Cited by 222 · see citing works
Nagengast, S. L., Baun, M. M., Megel, M. E., & Leibowitz, J. M. (1997) · Journal of Pediatric Nursing · doi:10.1016/s0882-5963(97)80058-9 · Cited by 201 · see citing works
The Pet as an Anxiolytic Intervention
WILSON, C. C. (1991) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199108000-00006 · Cited by 177 · cited 1× · see citing works
“The size of these reductions was similar to differences reported by Wilson (13) for college students whose anxiety scores were measured under varying levels of stress.”
ResultA new look at pet-facilitated therapy
Beck, A. M., & Katcher, A. H. (1984) · Journal of the American Veterinary Medical Association · doi:10.2460/javma.1984.184.04.414 · Cited by 156 · see citing works
Utilization of animals as therapeutic adjuncts with children and youth: A review of the literature
Mallon, G. P. (1992) · Child & Youth Care Forum · doi:10.1007/bf00757348 · Cited by 95 · see citing works
Bm, L. (1962) · Medical Entomology and Zoology · Cited by 89 · see citing works
The effects of a ‘pets as therapy’ dog on persons with dementia in a psychiatric ward
Walsh, P. G., Mertin, P. G., Verlander, D. F., et al. (1995) · Australian Occupational Therapy Journal · doi:10.1111/j.1440-1630.1995.tb01331.x · Cited by 88 · see citing works
Use of Animals in the Rehabilitation of Psychiatric Inpatients
Beck, A. M., Seraydarian, L., & Hunter, G. F. (1986) · Psychological Reports · doi:10.2466/pr0.1986.58.1.63 · Cited by 86 · see citing works
Pet Ownership and Health Status during Bereavement
Akiyama, H., Holtzman, J. M., & Britz, W. E. (1987) · OMEGA - Journal of Death and Dying · doi:10.2190/8jwu-q6jt-ll3p-mww8 · Cited by 75 · see citing works
The Positive Influence of Animals
Barba, B. E. (1995) · Clinical Nurse Specialist · doi:10.1097/00002800-199507000-00005 · Cited by 71 · see citing works
Effectiveness of an Animal-Assisted Therapy Program in an Inpatient Psychiatric Unit
Holcomb, R., & Meacham, M. (1989) · Anthrozoös · doi:10.2752/089279389787057902 · Cited by 67 · see citing works
Domestic animal visitation as therapy with adult home residents
Francis, G. M., Turner, J. T., & Johnson, S. B. (1985) · International Journal of Nursing Studies · doi:10.1016/0020-7489(85)90003-3 · Cited by 66 · see citing works
Pet ownership protects against the risks and consequences of coronary heart disease
Patronek, G. J., & Glickman, L. T. (1993) · Medical Hypotheses · doi:10.1016/0306-9877(93)90049-v · Cited by 61 · see citing works
Puppy Love Can Be Therapeutic, Too
Voelker, R. (1995) · JAMA · doi:10.1001/jama.1995.03530240007002 · Cited by 46 · see citing works
Defining the role of pet animals in psychotherapy.
Draper, R. J., Gerber, G., & Layng, E. M. (1990) · PubMed · Cited by 31 · see citing works
Animal-facilitated therapy in stress mediation
Davis, J. M. (1988) · Holistic Nursing Practice · doi:10.1097/00004650-198802030-00013 · Cited by 25 · see citing works
The Therapeutic Use of Animais
Beck, A. M. (1985) · Veterinary Clinics of North America Small Animal Practice · doi:10.1016/s0195-5616(85)50308-3 · Cited by 25 · see citing works
Puppy love can be therapeutic, too
Voelker, R. (1995) · JAMA · doi:10.1001/jama.274.24.1897 · Cited by 7 · see citing works
Rowan, A. (1991) · Anthrozoös · doi:10.2752/089279391787057035 · Cited by 6 · see citing works
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Beetz, A., Uvnäs-Moberg, K., Julius, H., & Kotrschal, K. (2012) · Frontiers in Psychology · doi:10.3389/fpsyg.2012.00234 · Cited by 904 · see citing works
“Similarly, Barker et al. (2003a) investigated self-reported anxiety in psychiatric patients before electroconvulsive therapy. One group interacted with an animal for 15 min while the control group read magazines. Interacting with the animal significantly reduced anxiety and fear. In contrast, Straatman et al. (1997) d…”
InfluentialAnimal-Assisted Therapy: A Meta-Analysis
Nimer, J., & Lundahl, B. (2007) · Anthrozoös · doi:10.2752/089279307x224773 · Cited by 712 · see citing works
Effectiveness of animal-assisted therapy: A systematic review of randomized controlled trials
Kamioka, H., Okada, S., Tsutani, K., Park, H., Okuizumi, H., Handa, S., Oshio, T., Park, S.-J., Kitayuguchi, J., Abe, T., et al. (2014) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2013.12.016 · Cited by 323 · see citing works
Stressed individuals’ preferences for activities and environmental characteristics in green spaces
Stigsdotter, U. K., & Grahn, P. (2011) · Urban Forestry & Urban Greening · doi:10.1016/j.ufug.2011.07.001 · Cited by 122 · see citing works
Animal-Assisted Therapy in Psychiatric Rehabilitation
Marr, C. A., French, L., Thompson, D., Drum, L., Greening, G., Mormon, J., Henderson, I., & Hughes, C. W. (2000) · Anthrozoös · doi:10.2752/089279300786999950 · Cited by 123 · see citing works
Nurenberg, J. R., Schleifer, S. J., Shaffer, T. M., Yellin, M., Desai, P. J., Amin, R., Bouchard, A., & Montalvo, C. (2015) · Psychiatric Services · doi:10.1176/appi.ps.201300524 · Cited by 108 · see citing works
How Dogs Influence the Evaluation of Psychotherapists
Schneider, M. S., & Harley, L. P. (2006) · Anthrozoös · doi:10.2752/089279306785593784 · Cited by 80 · see citing works
Wilson, K., Buultjens, M., Monfries, M., & Karimi, L. (2017) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104515572379 · Cited by 79 · see citing works
Complementary and alternative medicine approaches in the treatment of PTSD
Wynn, G. H. (2015) · Current Psychiatry Reports · doi:10.1007/s11920-015-0600-2 · Cited by 71 · see citing works
Hunt, M. G., & Chizkov, R. R. (2014) · Anthrozoös · doi:10.2752/175303714x14023922797959 · Cited by 69 · see citing works
Calvo, P., Fortuny, J. R., Guzmán, S., Macías, C., Bowen, J., García, M. L., Orejas, O., Molins, F., Tvarijonaviciute, A., Cerón, J. J., et al. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00631 · Cited by 62 · see citing works
Clark, S. D., Smidt, J. M., & Bauer, B. A. (2019) · Journal of Veterinary Behavior · doi:10.1016/j.jveb.2018.12.002 · Cited by 49 · see citing works
The Psychological and Physiological Effects of Using a Therapy Dog in Mindfulness Training.
Henry, C. L., & Crowley, S. L. (2015) · Anthrozoös · doi:10.1080/08927936.2015.1052272 · Cited by 25 · see citing works
White, J. H., Quinn, M., Garland, S., Dirkse, D., Wiebe, P., Hermann, M., & Carlson, L. E. (2015) · Integrative Cancer Therapies · doi:10.1177/1534735415580678 · Cited by 22 · see citing works
Lavín-Pérez, A. M., Martín-Sánchez, C., Martínez-Núñez, B., Lobato-Rincón, L. L., Villafaina, S., González-García, I., Mata-Cantero, A., Graell, M., Merellano-Navarro, E., & Collado-Mateo, D. (2021) · Animals · doi:10.3390/ani11102784 · Cited by 9 · see citing works
- Authors
- Barker, S. B., & Dawson, K. S.
- Affiliations
- Virginia Commonwealth University (US)
- ORCID
- Barker, Sandra B.
- Venue
- Psychiatric Services
- Published
- 1998-06
- Volume
- 49
- Issue
- 6
- Pages
- 797-801
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2131464998
- Cited by
- 415
- References
- 24
- Citations by year
- 2026: 10 · 2025: 11 · 2024: 15 · 2023: 11 · 2022: 9 · 2021: 19 · 2020: 17 · 2019: 27 · 2018: 21 · 2017: 21 · 2016: 22 · 2015: 27 · 2014: 24 · 2013: 23 · 2012: 19
- FWCI
- 1.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Human-Animal Interaction Studies
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Arts and Humanities › Conservation › Art Therapy and Mental Health
- Keywords
- animal-assisted therapy, anxiety, psychiatric inpatients, therapeutic recreation, state anxiety, mood disorders, psychosis, human-animal interaction
- MeSH terms
- Adult, Animals, Anxiety Disorders, Human-Animal Bond, Dogs, Female, Hospitalization, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Patient Care Team, Personality Inventory, Psychiatric Department, Hospital, Psychotherapy, Psychotherapy, Group, Psychotic Disorders, Recreation, Cross-Over Studies, Mood Disorders, Substance-Related Disorders
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