Emotional arousal impacts physical health in dogs: a review of factors influencing arousal, with exemplary case and framework
Open accessAbstract
Excessive emotional arousal has been shown to impact physiological health in both veterinary species and human animals. The focus of work in many models of veterinary behavioural medicine has predominantly been associated with reducing activation of the protective emotional systems; in particular, fear-anxiety. The management of the engaging emotional systems of desire-seeking, social play, care and lust has not traditionally been considered in the treatment of physiological health of veterinary species. This article reviews the literature in both veterinary and human fields on the relationship between emotional arousal of both protective and engaging emotional systems and physical health conditions. The current literature describing the regulatory control of sleep on emotional arousal is also discussed. An exemplary case report of a seven month old male entire Cocker Spaniel showing fly-snapping behaviour which had been non-responsive to leviteracetam (Keppra) is presented. The emotional health assessment and treatment of this case is described along with the short and long term (fourteen month follow up) outcomes to demonstrate that some patients presenting in this way can be effectively managed with an appropriate behavioural medicine treatment plan. The authors put forward the argument that an emotional health assessment should be considered an essential component of the work up of all such cases.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
During the walk dogs exhibited a temporary reduction in in-kennel behaviors typically reported to be associated with stress, frustration, and in-kennel excessive arousal as they transition to enhanced activity outside of the kennel.
“These results suggest that during the walk dogs exhibited a temporary reduction in in-kennel behaviors typically reported to be associated with stress, frustration, and in-kennel excessive arousal (11–14) as they transition to enhanced activity outside of the kennel.”
From Combined enrichment and pharmaceutical intervention reduces excessive arousal in shelter dogs in a randomized controlled trial (2026) · cites this paper as [14]
Section 7, “Exemplary Case” (page unavailable), links compulsive behaviors, including pacing, with frustration and excessive emotional arousal. It does not establish that these are in-kennel behaviors or that they temporarily decrease during walks; the reported reduction is the citing authors’ own result. (LLM, conf=0.82)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Affective Neuroscience: The Foundations of Human and Animal Emotions
Panksepp, J. (1998) · doi:10.1093/oso/9780195096736.001.0001 · Cited by 4,428 · see citing works
Overnight therapy? The role of sleep in emotional brain processing
Walker, M. P., & van der Helm, E. (2009) · Psychological Bulletin · doi:10.1037/a0016570 · Cited by 1,087 · see citing works
The role of sleep in emotional brain function
Goldstein, A. N., & Walker, M. P. (2014) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032813-153716 · Cited by 1,052 · cited 1× · see citing works
“The relationship between sleep and emotional health is complex [37] and sleep research in veterinary species in is its infancy.”
Clues to the functions of mammalian sleep
Siegel, J. M. (2005) · Nature · doi:10.1038/nature04285 · Cited by 1,040 · see citing works
The Role of Sleep in Cognition and Emotion
Walker, M. P. (2009) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2009.04416.x · Cited by 1,024 · see citing works
Marrosu, F., Portas, C., Mascia, M. S., Casu, M. A., Fà, M., Giagheddu, M., Imperato, A., & Gessa, G. L. (1995) · Brain Research · doi:10.1016/0006-8993(94)01399-3 · Cited by 480 · see citing works
Zohar, D., Tzischinsky, O., Epstein, R., & Lavie, P. (2005) · Sleep · doi:10.1093/sleep/28.1.47 · Cited by 478 · see citing works
Temperament and personality in dogs (Canis familiaris): A review and evaluation of past research
Jones, A. C., & Gosling, S. D. (2005) · Applied Animal Behaviour Science · doi:10.1016/j.applanim.2005.04.008 · Cited by 434 · see citing works
Minkel, J. D., Banks, S., Htaik, O., Moreta, M. C., Jones, C. W., McGlinchey, E. L., Simpson, N. S., & Dinges, D. F. (2012) · Emotion · doi:10.1037/a0026871 · Cited by 379 · see citing works
Sleep facilitates consolidation of emotional declarative memory
Hu, P., Stylos-Allan, M., & Walker, M. P. (2006) · Psychological Science · doi:10.1111/j.1467-9280.2006.01799.x · Cited by 355 · see citing works
Sleeping under the risk of predation
Lima, S. L., Rattenborg, N. C., Lesku, J. A., & Amlaner, C. J. (2005) · Animal Behaviour · doi:10.1016/j.anbehav.2005.01.008 · Cited by 341 · see citing works
Coherent amygdalocortical theta promotes fear memory consolidation during paradoxical sleep
Popa, D., Duvarci, S., Popescu, A. T., Léna, C., & Paré, D. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0913016107 · Cited by 338 · see citing works
Sleep deprivation lowers inhibition and enhances impulsivity to negative stimuli
Anderson, C., & Platten, C. R. (2010) · Behavioural Brain Research · doi:10.1016/j.bbr.2010.09.020 · Cited by 334 · see citing works
Pain and Problem Behavior in Cats and Dogs
Mills, D. S., Demontigny-Bédard, I., Gruen, M. E., Klinck, M. P., McPeake, K. J., Barcelos, A. M., Hewison, L., Haevermaet, H. V., Denenberg, S., Hauser, H., et al. (2020) · Animals · doi:10.3390/ani10020318 · Cited by 238 · see citing works
Overall, K. L., & Dunham, A. E. (2002) · Journal of the American Veterinary Medical Association · doi:10.2460/javma.2002.221.1445 · Cited by 206 · see citing works
The gene for paroxysmal non-kinesigenic dyskinesia encodes an enzyme in a stress response pathway
Lee, H.-Y., Xu, Y., Huang, Y., Ahn, A. H., Auburger, G. W. J., Pandolfo, M., Kwieciński, H., Grimes, D. A., Lang, A. E., Nielsen, J. E., et al. (2004) · Human Molecular Genetics · doi:10.1093/hmg/ddh330 · Cited by 192 · see citing works
A comparison of social and environmental enrichment methods for laboratory housed dogs
Hubrecht, R. C. (1993) · Applied Animal Behaviour Science · doi:10.1016/0168-1591(93)90123-7 · Cited by 169 · see citing works
Waters, F., Chiu, V., Atkinson, A., & Blom, J. D. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00303 · Cited by 165 · see citing works
Turcsán, B., Enikö Kubinyi, B., & Miklósi, Á. (2011) · Applied Animal Behaviour Science · doi:10.1016/j.applanim.2011.03.006 · Cited by 157 · see citing works
Harvey, N. D. (2021) · Frontiers in Veterinary Science · doi:10.3389/fvets.2021.643085 · Cited by 151 · see citing works
Cameron, M. E., Casey, R. A., Bradshaw, J. W. S., Waran, N. K., & Gunn-Moore, D. A. (2004) · Journal of Small Animal Practice · doi:10.1111/j.1748-5827.2004.tb00216.x · Cited by 132 · see citing works
Wright, H. F., Mills, D. S., & Pollux, P. M. J. (2011) · International Journal of Comparative Psychology · doi:10.46867/ijcp.2011.24.02.03 · Cited by 129 · see citing works
Models of anxiety: Responses of rats to novelty in an open space and an enclosed space
Ennaceur, A., Michalikova, S., & Chazot, P. L. (2006) · Behavioural Brain Research · doi:10.1016/j.bbr.2006.03.016 · Cited by 117 · see citing works
Domestic Dog Cognition and Behavior
Horowitz, A. (2014) · Springer eBooks · doi:10.1007/978-3-642-53994-7 · Cited by 113 · see citing works
Ouyang, M., Hellman, K. M., Abel, T. G., & THOMAS, S. A. (2004) · Journal of Neurophysiology · doi:10.1152/jn.00226.2004 · Cited by 111 · see citing works
Minimizing fear and anxiety in working dogs: A review
Rooney, N. J., Clark, C. C. A., & Casey, R. A. (2016) · Journal of Veterinary Behavior · doi:10.1016/j.jveb.2016.11.001 · Cited by 111 · see citing works
Appleby, D., & Pluijmakers, J. (2003) · Veterinary Clinics of North America Small Animal Practice · doi:10.1016/s0195-5616(02)00101-8 · Cited by 107 · see citing works
Genetic Characterization of Dog Personality Traits
Ilska, J. J., Haskell, M. J., Blott, S. C., Sánchez-Molano, E., Polgár, Z., Lofgren, S. E., Clements, D. N., & Wiener, P. (2017) · Genetics · doi:10.1534/genetics.116.192674 · Cited by 100 · see citing works
Differences in Trait Impulsivity Indicate Diversification of Dog Breeds into Working and Show Lines
Fadel, F. R., Driscoll, P., Pilot, M., Wright, H., Zulch, H. E., & Mills, D. S. (2016) · Scientific Reports · doi:10.1038/srep22162 · Cited by 95 · see citing works
Hekman, J. P., Karas, A. Z., & Sharp, C. R. (2014) · Animals · doi:10.3390/ani4020331 · Cited by 94 · see citing works
Sheppard, G., & Mills, D. S. (2002) · International Journal of Comparative Psychology · doi:10.46867/c4g30w · Cited by 86 · see citing works
Stress—Its Effects on Health and Behavior
Mills, D. S., Karagiannis, C. I., & Zulch, H. E. (2014) · Veterinary Clinics of North America Small Animal Practice · doi:10.1016/j.cvsm.2014.01.005 · Cited by 84 · see citing works
de Assis, L. S., Matos, R., Pike, T. W., Burman, O. H. P., & Mills, D. S. (2020) · Frontiers in Veterinary Science · doi:10.3389/fvets.2019.00499 · Cited by 77 · see citing works
Owczarczak-Garstecka, S. C., & Burman, O. H. P. (2016) · PLOS ONE · doi:10.1371/journal.pone.0163620 · Cited by 75 · see citing works
Kis, A., Szakadát, S., Gácsi, M., Kovács, E., Simor, P., Török, C., Gombos, F., Bódizs, R., & Topál, J. (2017) · Scientific Reports · doi:10.1038/srep41873 · Cited by 73 · see citing works
Massar, S. A. A., Mol, N., Kenemans, J. L., & Baas, J. M. P. (2010) · Cognition & Emotion · doi:10.1080/02699931.2010.515065 · Cited by 62 · see citing works
“Boldness” in the domestic dog differs among breeds and breed groups
Starling, M. J., Branson, N., Thomson, P. C., & McGreevy, P. D. (2013) · Behavioural Processes · doi:10.1016/j.beproc.2013.04.008 · Cited by 62 · see citing works
Genes, emotions and gut microbiota: The next frontier for the gastroenterologist
Panduro, A., Rivera‐Íñiguez, I., Sepúlveda-Villegas, M., & Román, S. (2017) · World Journal of Gastroenterology · doi:10.3748/wjg.v23.i17.3030 · Cited by 53 · see citing works
Griss, S., Riemer, S., Warembourg, C., Sousa, F. M., Wera, E., Berger-González, M., Alvarez, D. A., Bulu, P. M., Hernández, A. L. L., Roquel, P., et al. (2021) · Applied Animal Behaviour Science · doi:10.1016/j.applanim.2021.105449 · Cited by 45 · see citing works
Audience effect on domestic dogs’ behavioural displays and facial expressions
Pedretti, G., Canori, C., Marshall‐Pescini, S., Palme, R., Pelosi, A., & Valsecchi, P. (2022) · Scientific Reports · doi:10.1038/s41598-022-13566-7 · Cited by 40 · see citing works
Age-related differences and sexual dimorphism in canine sleep spindles
Iotchev, I. B., Kis, A., Turcsán, B., de Lara, D. R. T. F., Reicher, V., & Enikö Kubinyi, B. (2019) · Scientific Reports · doi:10.1038/s41598-019-46434-y · Cited by 39 · see citing works
Park, S. P. (2002) · Journal of Korean Medical Science · doi:10.3346/jkms.2002.17.3.395 · Cited by 33 · see citing works
Savalli, C., Albuquerque, N. D. S., Vasconcellos, A. D. S., Ramos, D., de Mello, F. T., & Mills, D. S. (2019) · Scientific Reports · doi:10.1038/s41598-019-54645-6 · Cited by 33 · see citing works
Gergely, A. E., Kiss, O., Reicher, V., Iotchev, I. B., Kovács, E., Gombos, F., Benczúr, A. A., Galambos, Á., Topál, J., & Kis, A. (2020) · Animals · doi:10.3390/ani10060927 · Cited by 31 · see citing works
Phenotypic characterization of paroxysmal dyskinesia in Maltese dogs
Polidoro, D. N., Ham, L. V., Santens, P., Cornelis, I., Charalambous, M., Broeckx, B. J. G., & Bhatti, S. F. M. (2020) · Journal of Veterinary Internal Medicine · doi:10.1111/jvim.15804 · Cited by 27 · see citing works
Richter, A., Hamann, M., Wissel, J., & Volk, H. A. (2015) · Frontiers in Veterinary Science · doi:10.3389/fvets.2015.00065 · Cited by 26 · see citing works
Clinical Animal Behaviour: Paradigms, Problems and Practice
Mills, D. S. (2022) · Animals · doi:10.3390/ani12223103 · Cited by 25 · see citing works
Nessler, J. N., Hug, P., Mandigers, P. J. J., Leegwater, P. A. J., Jagannathan, V., Das, A. M., Rosati, M., Matiasek, K., Sewell, A., Kornberg, M., et al. (2020) · Genes · doi:10.3390/genes11070774 · Cited by 24 · see citing works
Sleep Disorders in dogs: A Pathophysiological and Clinical Review
Mondino, A., Delucchi, L., Moeser, A., Cerdá-González, S., & Vanini, G. (2021) · Topics in Companion Animal Medicine · doi:10.1016/j.tcam.2021.100516 · Cited by 24 · see citing works
Time-activity budget of urban-adapted free-ranging dogs
Banerjee, A., & Bhadra, A. (2021) · acta ethologica · doi:10.1007/s10211-021-00379-6 · Cited by 21 · see citing works
“Type” as Central to Perceptions of Breed Differences in Behavior of Domestic Dog
Clarke, T., Mills, D. S., & Cooper, J. J. (2016) · Society and Animals · doi:10.1163/15685306-12341422 · Cited by 20 · see citing works
Packer, R. M. A., Hobbs, S. L., & Blackwell, E. J. (2019) · Frontiers in Veterinary Science · doi:10.3389/fvets.2019.00003 · Cited by 19 · see citing works
The cyclic interaction between daytime behavior and the sleep behavior of laboratory dogs
Schork, I. G., Manzo, I. A., de Oliveira, M. R. B., da Costa, F. V., Young, R. J., & de Azevedo, C. S. (2022) · Scientific Reports · doi:10.1038/s41598-021-04502-2 · Cited by 19 · see citing works
Paroxysmal Dyskinesia in Norwich Terrier Dogs
Risio, L. D., Forman, O. P., Mellersh, C. S., & Freeman, J. (2016) · Movement Disorders Clinical Practice · doi:10.1002/mdc3.12334 · Cited by 18 · see citing works
Sleep Duration and Behaviours: A Descriptive Analysis of a Cohort of Dogs up to 12 Months of Age
Kinsman, R., Owczarczak‐Garstecka, S. C., Casey, R. A., Knowles, T. G., Tasker, S., Woodward, J., Costa, R. E. P. D., & Murray, J. (2020) · Animals · doi:10.3390/ani10071172 · Cited by 18 · see citing works
Virga, V. (2004) · Clinical Techniques in Small Animal Practice · doi:10.1053/j.ctsap.2004.10.006 · Cited by 14 · see citing works
Sleep Characteristics in Dogs; Effect on Caregiver-Reported Problem Behaviours
Tooley, C., & Heath, S. (2022) · Animals · doi:10.3390/ani12141753 · Cited by 12 · see citing works
Self-citationPhenotypic characterisation of paroxysmal dyskinesia in Sphynx cats
James, M., GAROSI, L. S., Bessant, C., & Lowrie, M. L. (2021) · Journal of Feline Medicine and Surgery · doi:10.1177/1098612x211032123 · Cited by 10 · see citing works
Sleeping position of shelter dogs
Houpt, K. A. (2019) · Journal of Veterinary Behavior · doi:10.1016/j.jveb.2019.03.004 · Cited by 8 · see citing works
Packer, R. A., Wachowiak, I. J., Thomovsky, S. A., Berg, J., Vasquez, L., & O’Brien, D. P. (2021) · The Veterinary Journal · doi:10.1016/j.tvjl.2021.105606 · Cited by 8 · see citing works
Sleep deprivation and hallucinations. A qualitative study of military personnel
Pallesen, S., Olsen, O. K., Eide, E. M., Nortvedt, B., Grønli, J., Larøi, F., Nordmo, M., & Glomlien, F. E. (2018) · Military Psychology · doi:10.1080/08995605.2018.1478561 · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 3
- [15]Heath S.E. Canine emotions, behavioural responses and body language Proceedings of the BSAVA Northern Ireland Meeting Enniskillen, Northern Ireland 14 June 2017
- [61]Waxenbaum J.A. Reddy V. Varacallo M. Anatomy, Autonomic Nervous System StasPearls StatsPearls Publishing Treasure Island, FL, USA 2022 30969667
- [65]Maddison J.E. Volk H.A. Church D.B. Clinical Reasoning in Small Animal Practice John Wiley & Sons Chichester, UK 2015
Cited by
Sorted by citations
Brand, C. L., O'Neill, D. G., Belshaw, Z., Dale, F. C., Merritt, B. L., Clover, K. N., Tay, M.-X. M., Pegram, C., & Packer, R. M. A. (2024) · Animals · doi:10.3390/ani14020336 · Cited by 20 · see citing works
Malkani, R., Paramasivam, S. J., & Wolfensohn, S. (2024) · Animals · doi:10.3390/ani14040528 · Cited by 10 · see citing works
Assessment of the relationship between sleep and welfare in dogs using AWAG data
Malkani, R., Tooley, C., Heath, S., Oxley, J., & Wolfensohn, S. (2026) · Discover Animals · doi:10.1007/s44338-026-00191-1 · Cited by 2 · see citing works
Self-citationRotaru, G., Hriţcu, T.-D., Malancus, R. N., Hrițcu, L. D., Soponaru, C., Nechifor, F., Boghian, V., CHERSUNARU, A.-A., Munteanu, A., & Spataru, M. C. (2026) · Animals · doi:10.3390/ani16142183 · Cited by 2 · see citing works
Puglisi, I., Masucci, M., & Siracusa, C. (2025) · Journal of Veterinary Behavior · doi:10.1016/j.jveb.2025.12.008 · Cited by 1 · see citing works
Modelo de Negócio com Foco no Bem-Estar Canino
Fortunato, R. F., Shibao, F. Y., & dos Santos, M. R. (2026) · Periódicos Brasil Pesquisa Científica · doi:10.36557/2674-9432.2026v5n1p4000-4031 · Cited by 1 · see citing works
Cisneros, A., O’Hanley, K., Moody, C. M., & Stellato, A. C. (2026) · Frontiers in Veterinary Science · doi:10.3389/fvets.2026.1931203
Christine D. Calder DVM, D., & DVM, S. C. W. (2024) · Wiley eBooks · doi:10.1002/9781119811893.ch9
Designing Emotional Bonds: AI Devices as Solutions for Pet Separation Anxiety
Ji, L., & Yang, S. (2025) · Communications in computer and information science · doi:10.1007/978-3-031-94162-7_11
Nicholas, J. (2025) · CABI eBooks · doi:10.1079/9781836990727.0008
Ludvigsson, U., Heath, S., Tooley, C., Ölmedal, G., Hellgren, J., Toni, M., & Toresson, L. (2026) · Journal of the American Veterinary Medical Association · doi:10.2460/javma.25.09.0623
Self-citationBeyond impulsivity: Exploring mechanisms that may influence inhibitory control measures
Montgomery, L. I., Collins-Pisano, C., Smith, J. G., Busby, K., Katz, J. S., & Krichbaum, S. (2026) · Applied Animal Behaviour Science · doi:10.1016/j.applanim.2026.107098
Resch, I., & Seksel, K. (2026) · Journal of Veterinary Behavior · doi:10.1016/j.jveb.2026.09.007
- Authors
- Tooley, C., & Heath, S. E.
- Affiliations
- Behavioural Referrals Veterinary Practice, Chester CH2 1RE, UK
- Corresponding author
- Tooley, Carrie
- Venue
- Animals
- Publisher
- MDPI AG
- Published
- 2023-01-28
- Volume
- 13
- Issue
- 3
- Pages
- 465
- ISSN
- 2076-2615 (ISSN-L)
- PMC
- PMC9913250
- OpenAlex
- W4318483648
- Cited by
- 11
- References
- 61
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 3
- FWCI
- 0.42
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Animals (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Human-Animal Interaction Studies
- Health Sciences › Veterinary › Small Animals › Animal Behavior and Welfare Studies
- Health Sciences › Veterinary › Small Animals › Veterinary Medicine and Surgery
- Keywords
- emotional arousal, dogs, physical health, sleep regulation, Cocker Spaniel
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review