Animal-Assisted Therapy and Counseling Support for Women With Breast Cancer: An Exploration of Patient’s Perceptions
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BACKGROUND: Animal-assisted therapy (AAT) interventions have been shown to assist in coping and improve patient responses to symptoms. Specifically, the presence of an animal has been found to lower anxiety and motivate participation in therapy. We aimed to explore the acceptability of and experience of AAT during individual breast cancer counseling sessions. METHODS: Patients undertaking counseling with a therapy dog present were invited to participate in the study. Patients were individually interviewed and asked to reflect on their experiences of AAT. Data generation and analysis were concurrent. Transcripts were analyzed thematically using a process of constant comparison. RESULTS: Our sample included 8 female participants, 39 to 61 years old, at an average of 3 years post-breast cancer diagnosis. The majority of patients reported a positive experience with AAT. Themes that emerged around their counseling experience included benefits in the process of initiating counseling and benefits for greater engagement and personal disclosure. CONCLUSIONS: Incorporating AAT into the delivery of counseling for breast cancer patients appears to be feasible and acceptable at a patient level. From a clinical perspective, AAT promoted increased communication with health professionals. This is of clinical importance as a means to improve participation and engagement in therapy-important elements in therapeutic outcomes. However, further evaluation of the impact of AAT on specific patient outcomes and psychological morbidity is required.
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Significant improvements have been seen with therapeutic alliance, engagement, interpersonal socialisation or trust, acute anxious arousal (distress), and functioning.
“Significant improvements have been seen with therapeutic alliance [37] engagement [39], interpersonal socialisation or trust [38], acute anxious arousal (distress) [34, 39], and functioning [31].”
From Incorporating animal-assisted therapy in mental health treatments for adolescents: A systematic review of canine assisted psychotherapy (2019) · cites this paper as [39]
Women with breast cancer attending counselling reported positive anticipation towards sessions, and therapeutic benefits such as reduced distress, and the promotion of feelings of peace and calm.
“Women with breast cancer attending counselling reported positive anticipation towards sessions, and therapeutic benefits such as reduced distress, and the promotion of feelings of peace and calm [39].”
From Incorporating animal-assisted therapy in mental health treatments for adolescents: A systematic review of canine assisted psychotherapy (2019) · cites this paper as [39]
Positive, pro-social engagements such as talking and showing affection were reported by a number of the authors [56, 71, 72, 75, 76] and are consistent with the existing literature [38, 39].
“Positive, pro-social engagements such as talking and showing affection were reported by a number of the authors [56, 71, 72, 75, 76] and are consistent with the existing literature [38, 39].”
From Incorporating animal-assisted therapy in mental health treatments for adolescents: A systematic review of canine assisted psychotherapy (2019) · cites this paper as [39]
The canine's ability to increase calm, self-soothing and feelings of attachment may explain the findings on engagement and socialisation [38, 39, 56, 75, 76, 87].
“These findings may be a product of the canine’s ability to increase calm, self-soothing and feelings of attachment [38, 39, 56, 75, 76, 87]”
From Incorporating animal-assisted therapy in mental health treatments for adolescents: A systematic review of canine assisted psychotherapy (2019) · cites this paper as [39]
Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414 · see citing works
Lincoln, Y. S., Guba, E. G., & Pilotta, J. J. (1985) · International Journal of Intercultural Relations · doi:10.1016/0147-1767(85)90062-8 · Cited by 45,787 · see citing works
(1998) · Sage eBooks · Cited by 38,631 · see citing works
(1990) · Cited by 24,217 · see citing works
Qualitative evaluation and research methods
Ellis, D. J. (1990) · International Journal of Information Management · doi:10.1016/0268-4012(90)90041-p · Cited by 17,942 · see citing works
(1990) · Cited by 8,425 · see citing works
Creswell, J. W., Hanson, W. E., Clark, V. L. P., & Morales, A. (2007) · The Counseling Psychologist · doi:10.1177/0011000006287390 · Cited by 3,296 · see citing works
Client-Centered Therapy: Its Current Practice, Implications and Theory
Rogers, C. R. (1951) · Cited by 2,416 · see citing works
Pope, C., & Mays, N. (1995) · BMJ · doi:10.1136/bmj.311.6996.42 · Cited by 2,336 · see citing works
Client-centered therapy; its current practice, implications, and theory.
Miles, D. W. (1952) · Psychological Bulletin · doi:10.1037/h0053095 · Cited by 2,122 · see citing works
Canadian Cancer Statistics 2012
Gaudette, L. A., Illing, E. M., & Hill, G. B. (2012) · PsycEXTRA Dataset · doi:10.1037/e611042012-001 · Cited by 1,485 · see citing works
Depression and anxiety in women with early breast cancer: five year observational cohort study
Burgess, C. C., Cornelius, V. R., Love, S., Graham, J., Richards, M. A., & Ramirez, A. J. (2005) · BMJ · doi:10.1136/bmj.38343.670868.d3 · Cited by 1,336 · see citing works
A review of therapist characteristics and techniques positively impacting the therapeutic alliance
Ackerman, S. J., & Hilsenroth, M. J. (2003) · Clinical Psychology Review · doi:10.1016/s0272-7358(02)00146-0 · Cited by 1,176 · see citing works
Faller, H., Schuler, M., Richard, M., Heckl, U., Weis, J., & Küffner, R. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2011.40.8922 · Cited by 912 · see citing works
The Creation of Theory: A Recent Application of the Grounded Theory Method
Pandit, N. R. (1996) · The Qualitative Report · doi:10.46743/2160-3715/1996.2054 · Cited by 806 · see citing works
Maxwell, J. A., & Chmiel, M. (2015) · doi:10.1093/obo/9780199756810-0126 · Cited by 768 · see citing works
Handbook on animal-assisted therapy. Theoretical foundations and guidelines for practice
Fine, A. H. (2010) · Zurich Open Repository and Archive (University of Zurich) · doi:10.5167/uzh-46614 · Cited by 762 · see citing works
Andersen, B. L., DeRubeis, R. J., Berman, B. S., Gruman, J., Champion, V. L., Massie, M. J., Holland, J. C., Partridge, A. H., Bak, K., Somerfield, M. R., et al. (2014) · Journal of Clinical Oncology · doi:10.1200/jco.2013.52.4611 · Cited by 735 · see citing works
Animal-Assisted Therapy: A Meta-Analysis
Nimer, J., & Lundahl, B. (2007) · Anthrozoös · doi:10.2752/089279307x224773 · Cited by 712 · see citing works
Gustavson, K., von Soest, T., Karevold, E., & Røysamb, E. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-918 · Cited by 679 · 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
Banks, M. R., & Banks, W. A. (2002) · The Journals of Gerontology Series A · doi:10.1093/gerona/57.7.m428 · Cited by 388 · see citing works
Animal-assisted interventions in mental health
Kruger, K. A., & Serpell, J. A. (2010) · Elsevier eBooks · doi:10.1016/b978-0-12-381453-1.10003-0 · Cited by 378 · see citing works
Paradigm Peace and the Implications for Quality
Bryman, A. E. (2006) · International Journal of Social Research Methodology · doi:10.1080/13645570600595280 · Cited by 288 · see citing works
Animal-assisted therapy as a pain relief intervention for children
Braun, C., Stangler, T., Narveson, J., & Pettingell, S. L. (2009) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2009.02.008 · Cited by 249 · see citing works
Animal Assisted Therapy in Counseling
Chandler, C. K. (2012) · doi:10.4324/9780203832103 · Cited by 204 · see citing works
Depression in cancer patients: a critical review.
Pasquini, M., & Biondi, M. (2007) · Clinical Practice and Epidemiology in Mental Health · doi:10.1186/1745-0179-3-2 · Cited by 188 · see citing works
Handbook of research methods for nursing and health science
Minichiello, V., Axford, R. L., Sullivan, G., & Greenwood, K. M. (2003) · Cited by 187 · see citing works
A Pragmatist Approach to the Problem of Knowledge in Health Psychology
Cornish, F., & Gillespie, A. (2009) · Journal of Health Psychology · doi:10.1177/1359105309338974 · Cited by 175 · see citing works
Canine Visitation (Pet) Therapy: Pilot Data on Decreases in Child Pain Perception
Sobo, E. J., Eng, B., & Kassity-Krich, N. (2006) · Journal of Holistic Nursing · doi:10.1177/0898010105280112 · Cited by 174 · see citing works
Churchill, M., Safaoui, J., McCabe, B. W., & Baun, M. M. (1999) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/0279-3695-19990401-12 · Cited by 155 · see citing works
An exploration of the potential benefits of pet‐facilitated therapy
BRODIE, S. J., & Biley, F. C. (1999) · Journal of Clinical Nursing · doi:10.1046/j.1365-2702.1999.00255.x · Cited by 153 · 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
Johnson, R. A., Meadows, R. L., Haubner, J. S., & Sevedge, K. (2008) · Oncology nursing forum · doi:10.1188/08.onf.225-232 · Cited by 125 · see citing works
Animal-Assisted Therapy at an Outpatient Pain Management Clinic
Marcus, D. A., Bernstein, C., Constantin, J. M., Kunkel, F. A., Breuer, P., & Hanlon, R. B. (2012) · Pain Medicine · doi:10.1111/j.1526-4637.2011.01294.x · Cited by 122 · see citing works
Implementing a hospital-based animal therapy program for children with cancer: A descriptive study
Gagnon, J., Bouchard, F., Landry, M., Belles‐Isles, M., Fortier, M., & Fillion, L. (2004) · Canadian Oncology Nursing Journal · doi:10.5737/1181912x144217222 · Cited by 104 · see citing works
Animal Assisted Therapy in Counseling
Chandler, C. K. (2005) · Routledge eBooks · doi:10.4324/9780203956755 · Cited by 102 · see citing works
Individual Counseling for Sexually Abused Children: A Role for Animals and Storytelling
Reichert, E. (1998) · Child and Adolescent Social Work Journal · doi:10.1023/a:1022284418096 · Cited by 93 · see citing works
Pet therapy effects on oncological day hospital patients undergoing chemotherapy treatment.
Orlandi, M., Trangeled, K., Mambrini, A., Tagliani, M., Ferrarini, A., Zanetti, L., Tartarini, R., Pacetti, P., & Cantore, M. (2007) · PubMed · Cited by 84 · see citing works
Johnson, R. A., Meadows, R. L., Haubner, J. S., & Sevedge, K. (2003) · American Behavioral Scientist · doi:10.1177/0002764203255213 · Cited by 78 · see citing works
Sachs, G., Rasoul‐Rockenschaub, S., Aschauer, H. N., Spiess, K., Göber, I., Staffen, A., & Zielinski, C. C. (1995) · Journal of Neuroimmunology · doi:10.1016/0165-5728(95)00029-2 · Cited by 44 · see citing works
Correlates of mood disturbance in women with breast cancer: patterns over time
Ah, D. M. V., & Kang, D.-H. (2008) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2007.04563.x · Cited by 39 · see citing works
Animal assisted therapy and the individual with spinal cord injury.
Counsell, C. M., Abram, J., & Gilbert, M. (1997) · PubMed · Cited by 20 · see citing works
Symptom Reduction Identified After Offering Animal-Assisted Activity at a Cancer Infusion Center
Marcus, D. A., Blazek-O’Neill, B., & Kopar, J. L. (2013) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909113492373 · Cited by 13 · see citing works
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Jones, M. G., Rice, S. M., & Cotton, S. M. (2019) · PLoS ONE · doi:10.1371/journal.pone.0210761 · Cited by 164 · see citing works
Silva, N. B., & Osório, F. L. (2018) · PLoS ONE · doi:10.1371/journal.pone.0194731 · Cited by 123 · see citing works
Brooks, H. L., Rushton, K., Walker, S., Lovell, K., & Rogers, A. E. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-1111-3 · Cited by 121 · see citing works
Holder, T., Gruen, M. E., Roberts, D. L., Somers, T. J., & Bozkurt, A. Y. (2020) · Integrative Cancer Therapies · doi:10.1177/1534735420943278 · Cited by 48 · see citing works
Holder, T., Gruen, M. E., Roberts, D. L., Somers, T. J., & Bozkurt, A. Y. (2020) · Integrative Cancer Therapies · doi:10.1177/1534735420943269 · Cited by 45 · see citing works
Claverol, M. D. R., Gonzalvo, C. C., Malla-Clua, B., Rodrigo-Claverol, E., Jové-Naval, J., & Ortega, M. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16162843 · Cited by 29 · see citing works
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Panzera, M., Alberghina, D., & Statelli, A. (2020) · Animals · doi:10.3390/ani10101867 · Cited by 17 · see citing works
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Harmon, J. T. (2018) · Leisure Studies · doi:10.1080/02614367.2018.1534135 · Cited by 16 · see citing works
DEMİRAĞ, H., & Hintistan, S. (2022) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2022.101647 · Cited by 12 · see citing works
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McMichael, M., & Singletary, M. (2021) · Veterinary Clinics of North America Small Animal Practice · doi:10.1016/j.cvsm.2021.04.012 · Cited by 12 · see citing works
Petranek, S., Pencek, J., & Dey, M. (2018) · Behavioral Sciences · doi:10.3390/bs8050043 · Cited by 10 · see citing works
Fiumana, G., Botta, D., Porta, M. F. D., Macchi, S., Soncini, E., Santaniello, A., Paciello, O., Amicucci, M., Cellini, M., & Cesaro, S. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12072481 · Cited by 8 · see citing works
Dravsnik, J., Signal, T. D., & Canoy, D. (2018) · Australian Journal of Psychology · doi:10.1111/ajpy.12199 · Cited by 7 · see citing works
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Siguín, M., Casas, R., Casas, Ó., & Blanco, T. (2025) · Results in Engineering · doi:10.1016/j.rineng.2025.106001 · Cited by 5 · see citing works
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Akyıl, R. Ç., & ŞENGÜL, B. N. (2022) · Hemşirelik Bilimi Dergisi · doi:10.54189/hbd.1065987 · Cited by 3 · see citing works
‘One-thousand miles and counting’: reflections on the trail to recovery
Harmon, J. T. (2022) · Leisure Studies · doi:10.1080/02614367.2022.2049628 · Cited by 1 · see citing works
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Dost, A., Gencer, S., Yaşar, S., Korkmaz, Z., & Doğru, R. N. (2023) · Halk Sağlığı Hemşireliği Dergisi · doi:10.54061/jphn.1222502 · Cited by 1 · see citing works
The impact of dogs on human health in healthcare contexts: a review
Warrilow, E., & Kinman, G. (2026) · British Medical Bulletin · doi:10.1093/bmb/ldag005 · Cited by 1 · see citing works
Sikstrom, L., Soroka, C., Kalocsai, C., Conforti, T., Katz, E., & Soklaridis, S. (2022) · Social Sciences & Humanities Open · doi:10.1016/j.ssaho.2025.101598
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Narvekar, H. N. (2026) · Springer eBooks · doi:10.1007/978-981-95-2121-0_29
Tsopa, P., Kostares, M., Kostares, E., Vestakis, G., Spyropoulou, V., Papageorgiou, K., Mpazina, A., Stampouloglou, P., Lekkakou, A., & Piagkou, M. (2026) · Cureus · doi:10.7759/cureus.112198
Kukec, I., & Pleština, S. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-30050-9.00024-2
- Authors
- White, J. H., Quinn, M., Garland, S., Dirkse, D., Wiebe, P., Hermann, M., & Carlson, L. E.
- Affiliations
- University of Calgary (CA)
- University of Pennsylvania (US)
- University of Regina (CA)
- Venue
- Integrative Cancer Therapies
- Publisher
- SAGE Publications
- Published
- 2015-04-20
- Volume
- 14
- Issue
- 5
- Pages
- 460-467
- ISSN
- 1534-7354 (ISSN-L)
- 1552-695X
- OpenAlex
- W2055361357
- Cited by
- 22
- References
- 44
- Citations by year
- 2026: 4 · 2025: 1 · 2023: 2 · 2022: 4 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 4 · 2016: 1
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Integrative Cancer Therapies (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Calgary
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Human-Animal Interaction Studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Arts and Humanities › Conservation › Art Therapy and Mental Health
- Keywords
- animal-assisted therapy, therapy dogs, breast cancer, cancer counseling, patient experience, acceptability, patient engagement, disclosure, anxiety, coping, patient-professional communication
- MeSH terms
- Adaptation, Psychological, Adult, Animals, Breast Neoplasms, Combined Modality Therapy, Counseling, Dogs, Feasibility Studies, Female, Humans, Middle Aged, Animal Assisted Therapy
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