Equine-Assisted Psychotherapy for adolescents experiencing depression and/or anxiety: A therapist’s perspective
Abstract
Animal-Assisted Interventions (AAIs) are thought to overcome some of the limitations of traditional therapies as they do not rely exclusively on language as a medium for change. One such Animal-Assisted Therapy (AAT) approach involves horses as a therapeutic medium. Equine-Assisted Psychotherapy (EAP) comprises a collaborative effort between a licensed therapist and a horse professional working with clients to address treatment goals. The purpose of the present Australian-based qualitative study was to examine EAP facilitators' perspectives on the biospychosocial benefits and therapeutic outcomes of EAP for adolescents experiencing depression and/or anxiety. The findings suggest a range of improvements within adolescent clients, including increases in confidence, self-esteem and assertiveness, as well as a decrease in undesirable behaviours. The effectiveness of the therapy was thought to be due to the experiential nature of involving horses in therapy. The lack of understanding in the wider community about EAP was seen as a barrier to recognition and acceptance of EAP as a valid therapeutic intervention.
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Animal-assisted therapies have shown benefits in anxiety, depression, low self-esteem, or quality of life in children and adult populations.
“Animal-assisted therapies (AAT) have shown benefits in these variables in children and adult populations.”
From Effects of dog-assisted therapy in adolescents with eating disorders: A study protocol for a pilot controlled trial (2021) · cites this paper as [14]
Cites
The qualitative content analysis process
Elo, S., & Kyngäs, H. (2008) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2007.04569.x · Cited by 22,617 · see citing works
Qualitative research practice: a guide for social science students and researchers
Ruhl, K. (2003) · Choice Reviews Online · doi:10.5860/choice.41-1319 · Cited by 10,514 · see citing works
Pierce, W. D., & Bandura, A. (1977) · The Canadian Journal of Sociology · doi:10.2307/3340496 · Cited by 9,733 · see citing works
Qualitative research in health care: Analysing qualitative data
Pope, C. (2000) · BMJ · doi:10.1136/bmj.320.7227.114 · Cited by 8,131 · see citing works
Merikangas, K. R., He, J.-P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2010.05.017 · Cited by 6,278 · see citing works
Qualitative research in practice : examples for discussion and analysis
Merriam, S. B. (2002) · Cited by 4,254 · see citing works
Mental health of young people: A global public-health challenge
Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007) · The Lancet · doi:10.1016/s0140-6736(07)60368-7 · Cited by 3,126 · see citing works
Introducing Qualitative Research in Psychology
Willig, C. (2001) · Cited by 3,012 · see citing works
Grand challenges in global mental health
Collins, P. Y., Patel, V., Joestl, S. S., March, D., Insel, T. R., Daar, A. S., Bordin, I. A., Costello, E. J., Durkin, M., Fairburn, C., et al. (2011) · Nature · doi:10.1038/475027a · Cited by 2,043 · see citing works
Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013) · JAMA Psychiatry · doi:10.1001/2013.jamapsychiatry.55 · Cited by 1,666 · see citing works
F.Marks, D., & Yardley, L. (2004) · SAGE Publications Ltd eBooks · doi:10.4135/9781849209793.n4 · Cited by 1,123 · see citing works
Bullying, Depression, and Suicidality in Adolescents
Klomek, A. B., Marrocco, F. A., KLEINMAN, M., Schonfeld, I. S., & Gould, M. S. (2006) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000242237.84925.18 · Cited by 990 · see citing works
Effects of psychotherapy for depression in children and adolescents: A meta-analysis
Weisz, J. R., McCarty, C. A., & Valeri, S. M. (2006) · Psychological Bulletin · doi:10.1037/0033-2909.132.1.132 · Cited by 942 · see citing works
Prevalence of mental disorders and psychosocial impairments in adolescents and young adults
WITTCHEN, H.-U., NELSON, C. B., & LACHNER, G. (1998) · Psychological Medicine · doi:10.1017/s0033291797005928 · Cited by 821 · see citing works
(1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.12.1779 · Cited by 626 · see citing works
Psychopathology Associated With Suicidal Ideation and Attempts Among Children and Adolescents
GOULD, M. S., KING, R., GREENWALD, S., FISHER, P., SCHWAB-STONE, M., KRAMER, R., FLISHER, A. J., GOODMAN, S., CANINO, G., & SHAFFER, D. (1998) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199809000-00011 · Cited by 600 · see citing works
Epidemiology of Depressive Symptoms in the National Longitudinal Study of Adolescent Health
Rushton, J. L., Forcier, M. M., & Schectman, R. (2002) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200202000-00014 · Cited by 552 · see citing works
Research Methods for Clinical and Health Psychology
(2003) · International Journal of Health Care Quality Assurance · doi:10.1108/ijhcqa.2003.06216dae.006 · Cited by 531 · see citing works
National Survey of Mental Health and Wellbeing: Summary of Results
(2008) · PsycEXTRA Dataset · doi:10.1037/e681292012-001 · Cited by 525 · see citing works
Perceived parental burden and service use for child and adolescent psychiatric disorders.
Angold, A. C., Messer, S. C., Stangl, D. K., Farmer, E. M. Z., Costello, E. J., & Burns, B. J. (1998) · American Journal of Public Health · doi:10.2105/ajph.88.1.75 · Cited by 520 · see citing works
Clarke, G., Rohde, P., Lewinsohn, P., Hops, H., & Seeley, J. (1999) · Journal of the American Academy of Child and Adolescent Psychiatry · doi:10.1097/00004583-199903000-00014 · Cited by 485 · see citing works
Cartwright‐Hatton, S., Roberts, C., Chitsabesan, P., Fothergill, C., & Harrington, R. (2004) · British Journal of Clinical Psychology · doi:10.1348/0144665042388928 · Cited by 449 · see citing works
Childhood and Adolescent Depression
Bhatia, S. K., & Bhatia, S. C. (2011) · PsycEXTRA Dataset · doi:10.1037/e552642011-001 · Cited by 447 · see citing works
Rohde, P., Lewinsohn, P. M., & Seeley, J. R. (1991) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.100.2.214 · Cited by 440 · see citing works
The effects of animal-assisted therapy on anxiety ratings of hospitalized psychiatric patients
Barker, S. B., & Dawson, K. S. (1998) · Psychiatric Services · doi:10.1176/ps.49.6.797 · Cited by 415 · see citing works
Animal-Assisted Intervention for Autism Spectrum Disorder: A Systematic Literature Review
O’Haire, M. E. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-012-1707-5 · Cited by 407 · see citing works
Adolescent depression: Description, causes, and interventions
Hankin, B. L. (2005) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2005.10.012 · Cited by 391 · see citing works
Schwarze, M. L. (2014) · Success in academic surgery · doi:10.1007/978-1-4471-4718-3_18 · Cited by 355 · see citing works
Pet-Oriented Child Psychotherapy
Levinson, B. M. (1996) · Medical Entomology and Zoology · Cited by 348 · see citing works
Barrett, P. M., Farrell, L. J., Ollendick, T. H., & Dadds, M. R. (2006) · Journal of Clinical Child & Adolescent Psychology · doi:10.1207/s15374424jccp3503_5 · Cited by 340 · see citing works
The prevention of child and adolescent anxiety: a meta-analytic review
Fisak, B. J., Richard, D., & Mann, A. (2011) · Prevention Science · doi:10.1007/s11121-011-0210-0 · Cited by 271 · see citing works
Symbolic Interactionism: An Introduction, An Interpretation, An Integration.
Maines, D. R., & Charon, J. M. (1981) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2067413 · Cited by 258 · see citing works
Schultz, P. N., Remick-Barlow, G. A., & Robbins, L. K. (2006) · Health & Social Care in the Community · doi:10.1111/j.1365-2524.2006.00684.x · Cited by 203 · 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
Brief report: Pet-facilitated therapy with autistic children
Redefer, L. A., & Goodman, J. F. (1989) · Journal of Autism and Developmental Disorders · doi:10.1007/bf02212943 · Cited by 194 · see citing works
Exploring Animal-Assisted Programs with Children in School and Therapeutic Contexts
Friesen, L. (2009) · Early Childhood Education Journal · doi:10.1007/s10643-009-0349-5 · Cited by 185 · see citing works
O'Kearney, R., Kang, K., Christensen, H., & Griffiths, K. (2009) · Depression and Anxiety · doi:10.1002/da.20507 · Cited by 179 · see citing works
Cognitive behavioural therapy for anxiety disorders in children and adolescents: a meta-analysis
Ishikawa, S., Okajima, I., Matsuoka, H., & Sakano, Y. (2007) · Child and Adolescent Mental Health · doi:10.1111/j.1475-3588.2006.00433.x · Cited by 176 · see citing works
Trotter, K. S., Chandler, C. K., Goodwin-Bond, D., & Casey, J. (2008) · Journal of Creativity in Mental Health · doi:10.1080/15401380802356880 · Cited by 175 · see citing works
The Effectiveness of Equine-Assisted Experiential Therapy: Results of an Open Clinical Trial
Bivens, A., Leinart, D., Klontz, B. T., & Klontz, T. (2007) · Society and Animals · doi:10.1163/156853007x217195 · Cited by 170 · see citing works
Evaluating Animal-Assisted Therapy in Group Treatment for Child Sexual Abuse
Dietz, T. J., Davis, D., & Pennings, J. (2012) · Journal of Child Sexual Abuse · doi:10.1080/10538712.2012.726700 · Cited by 165 · see citing works
The Effect of Two School-Based Intervention Programs on Depressive Symptoms in Preadolescents
Butler, L. F., Miezītis, S., Friedman, R. J., & Cole, E. (1980) · American Educational Research Journal · doi:10.3102/00028312017001111 · Cited by 164 · see citing works
Bachi, K., Terkel, J., & Teichman, M. (2011) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104511404177 · Cited by 161 · see citing works
Ewing, C. A., MacDonald, P. M., Taylor, M., & Bowers, M. J. (2007) · Child & Youth Care Forum · doi:10.1007/s10566-006-9031-x · Cited by 157 · see citing works
The influence of animals on the development of children
Endenburg, N., & van Lith, H. A. (2011) · The Veterinary Journal · doi:10.1016/j.tvjl.2010.11.020 · Cited by 153 · see citing works
Cognitive-Behavioral Therapy for Adolescent Depression and Suicidality
Spirito, A., Esposito-Smythers, C., Wolff, J., & Uhl, K. (2011) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2011.01.012 · Cited by 140 · see citing works
Creating a therapeutic and healing environment with a pet therapy program
Coakley, A. B., & Mahoney, E. K. (2009) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2009.05.004 · Cited by 138 · see citing works
Kanamori, M., Suzuki, M., Yamamoto, K., Kanda, M., Matsui, Y., Kojima, E., Fukawa, H., Sugita, T., & Oshiro, H. (2001) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/153331750101600409 · Cited by 134 · see citing works
Burgon, H. L. (2011) · Journal of Social Work Practice · doi:10.1080/02650533.2011.561304 · Cited by 133 · see citing works
Selby, A., & Smith‐Osborne, A. (2012) · Health Psychology · doi:10.1037/a0029188 · Cited by 117 · see citing works
THE EFFECTS OF A COMPANION ANIMAL ON DISTRESS IN CHILDREN UNDERGOING DENTAL PROCEDURES
Havener, L., Gentes, L., Thaler, B., Megel, M. E., Baun, M. M., Driscoll, F. A., Beiraghi, S., & Agrawal, N. (2001) · Issues in Comprehensive Pediatric Nursing · doi:10.1080/01460860118472 · Cited by 116 · see citing works
Karol, J. (2007) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104507071057 · Cited by 110 · see citing works
EQUINE-FACILITATED GROUP PSYCHOTHERAPY: APPLICATIONS FOR THERAPEUTIC VAULTING
Vidrine, M., Owen-Smith, P. L., & Faulkner, P. (2002) · Issues in Mental Health Nursing · doi:10.1080/01612840290052730 · Cited by 108 · see citing works
Velde, B. P., Cipriani, J. A., & Fisher, G. S. (2005) · Australian Occupational Therapy Journal · doi:10.1111/j.1440-1630.2004.00442.x · Cited by 107 · see citing works
Farrell, L. J., & Barrett, P. M. (2007) · Child and Adolescent Mental Health · doi:10.1111/j.1475-3588.2006.00430.x · Cited by 98 · see citing works
Lentini, J. A., & Knox, M. S. (2009) · The Open Complementary Medicine Journal · doi:10.2174/1876391x00901010051 · Cited by 97 · see citing works
Effectiveness of Short-Term Dolphin-Assisted Therapy for Children with Severe Disabilities
Nathanson, D. E., de Castro, D., Friend, H., & McMahon, M. (1997) · Anthrozoös · doi:10.2752/089279397787001166 · Cited by 89 · see citing works
Symbolic interaction : an introduction to social psychology
Herman, N. J., & Reynolds, L. T. (1994) · Medical Entomology and Zoology · Cited by 88 · see citing works
Application of Attachment Theory to Equine-Facilitated Psychotherapy
Bachi, K. (2013) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-013-9232-1 · Cited by 78 · see citing works
From kids and horses: Equine facilitated psychotherapy for children
QUIROZ‐ROTHE, E., Vega, B. J., Torres, R. M., Soler, S. M. C., & Molina, R. M. (2005) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 74 · see citing works
Smith‐Osborne, A., & Selby, A. (2010) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-010-0201-1 · Cited by 61 · see citing works
Matching Animal-Assisted Therapy Techniques and Intentions with Counseling Guiding Theories
Chandler, C. K., Portrie-Bethke, T. L., Minton, C. A. B., Fernando, D. M., & O'Callaghan, D. M. (2010) · Journal of Mental Health Counseling · doi:10.17744/mehc.32.4.u72lt21740103538 · Cited by 57 · see citing works
Pet-Facilitated Psychotherapy: A Theoretical Explanation VIA Attention Shifts
Brickel, C. M. (1982) · Psychological Reports · doi:10.2466/pr0.1982.50.1.71 · Cited by 55 · see citing works
Cognitive-behavioral group treatment for adolescent depression.
Clarke, G. N., DeBar, L., & Lewinsohn, P. M. (2003) · Cited by 46 · see citing works
Notgrass, C. G., & Pettinelli, J. D. (2014) · Journal of Experiential Education · doi:10.1177/1053825914528472 · Cited by 40 · see citing works
A Genetic Epidemiologic Perspective on Comorbidity of Depression and Anxiety
Williamson, D. E., Forbes, E. E., Dahl, R. E., & Ryan, N. D. (2005) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2005.05.007 · Cited by 38 · see citing works
Equine-Facilitated Psychotherapy Benefits Students and Children
Roberts, F. B., Bradberry, J., & Williams, C. (2004) · Holistic Nursing Practice · doi:10.1097/00004650-200401000-00006 · Cited by 37 · see citing works
Abnormal Child and Adolescent Psychology
Wicks-Nelson, R., & Israel, A. C. (2015) · Routledge eBooks · doi:10.4324/9781315665184 · Cited by 34 · see citing works
Cognitive Therapy Techniques for Children and Adolescents: Tools for Enhancing Practice
Friedberg, R. D., McClure, J. M., & Garcia, J. H. (2009) · Medical Entomology and Zoology · Cited by 32 · see citing works
Cognitive Therapy Techniques for Children and Adolescents: Tools for Enhancing Practice
McLeod, B. D. (2010) · Cognitive Behaviour Therapy · doi:10.1080/16506070903523262 · Cited by 25 · see citing works
Starčević, V. (2006) · Evidence-Based Mental Health · doi:10.1136/ebmh.9.4.115 · Cited by 16 · see citing works
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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
- Wilson, K., Buultjens, M., Monfries, M., & Karimi, L.
- Affiliations
- La Trobe University (AU)
- Corresponding author
- Buultjens, Melissa
- Venue
- Clinical Child Psychology and Psychiatry
- Publisher
- SAGE Publications
- Published
- 2016-07-27
- Volume
- 22
- Issue
- 1
- Pages
- 16-33
- ISSN
- 1359-1045 (ISSN-L)
- 1461-7021
- OpenAlex
- W2302593082
- Cited by
- 79
- References
- 71
- Citations by year
- 2026: 7 · 2025: 14 · 2024: 11 · 2023: 6 · 2022: 10 · 2021: 11 · 2020: 11 · 2019: 3 · 2018: 4 · 2017: 2
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- RMIT Research Repository (RMIT University Library) (submittedVersion)
- Figshare (submittedVersion)
- 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
- equine-assisted psychotherapy, animal-assisted interventions, adolescents, depression, anxiety, therapist perspectives, self-esteem, assertiveness, experiential therapy
- MeSH terms
- Adolescent, Animals, Anxiety Disorders, Depressive Disorder, Horses, Humans, Treatment Outcome, Qualitative Research, Equine-Assisted Therapy
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