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Animal-Assisted Therapy in Patients Hospitalized With Heart Failure
Abstract
Background Animal-assisted therapy improves physiological and psychosocial variables in healthy and hypertensive patients. Objectives To determine whether a 12-minute hospital visit with a therapy dog improves hemodynamic measures, lowers neurohormone levels, and decreases state anxiety in patients with advanced heart failure. Methods A 3-group randomized repeated-measures experimental design was used in 76 adults. Longitudinal analysis was used to model differences among the 3 groups at 3 times. One group received a 12-minute visit from a volunteer with a therapy dog; another group, a 12-minute visit from a volunteer; and the control group, usual care. Data were collected at baseline, at 8 minutes, and at 16 minutes. Results Compared with controls, the volunteer-dog group had significantly greater decreases in systolic pulmonary artery pressure during (−4.32 mm Hg, P = .03) and after (−5.78 mm Hg, P = .001) and in pulmonary capillary wedge pressure during (−2.74 mm Hg, P = .01) and after (−4.31 mm Hg, P = .001) the intervention. Compared with the volunteer-only group, the volunteer-dog group had significantly greater decreases in epinephrine levels during (−15.86 pg/mL, P = .04) and after (−17.54 pg/mL, P = .04) and in norepinephrine levels during (−232.36 pg/mL, P = .02) and after (−240.14 pg/mL, P = .02) the intervention. After the intervention, the volunteer-dog group had the greatest decrease from baseline in state anxiety sum score compared with the volunteer-only (−6.65 units, P =.002) and the control groups (−9.13 units, P < .001). Conclusions Animal-assisted therapy improves cardiopulmonary pressures, neurohormone levels, and anxiety in patients hospitalized with heart failure.
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In the same survey of 76 persons with congestive heart failure, those exposed to a dog for 12 minutes had reduced serum epinephrine concentrations.
“In another survey, seventy-six persons with congestive heart failure were divided into three groups, one of whom visited a dog for 12 minutes, one of whom visited a person for 12 minutes, and one of whom did not receive either [54]. Those who were exposed to the dog had a lower systolic pulmonary artery or capillary wedge pressures, and reduced serum epinephrine concentrations.”
From The Benefit of Pets and Animal-Assisted Therapy to the Health of Older Individuals (2014) · cites this paper as [54]
In a survey of 76 persons with congestive heart failure, those exposed to a dog for 12 minutes had lower systolic pulmonary artery or capillary wedge pressures.
“In another survey, seventy-six persons with congestive heart failure were divided into three groups, one of whom visited a dog for 12 minutes, one of whom visited a person for 12 minutes, and one of whom did not receive either [54]. Those who were exposed to the dog had a lower systolic pulmonary artery or capillary wedge pressures, and reduced serum epinephrine concentrations.”
From The Benefit of Pets and Animal-Assisted Therapy to the Health of Older Individuals (2014) · cites this paper as [54]
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Metadata
- Authors
- Cole, K. M., Gawlinski, A., Steers, N., & Kotlerman, J.
- Affiliations
- University of California, Los Angeles (US)
- Venue
- American Journal of Critical Care
- Publisher
- AACN Publishing
- Published
- 2007-11-01
- Volume
- 16
- Issue
- 6
- Pages
- 575-585
- ISSN
- 1062-3264 (ISSN-L)
- 1937-710X
- OpenAlex
- W2151945541
- Cited by
- 289
- References
- 3
- Citations by year
- 2026: 10 · 2025: 8 · 2024: 5 · 2023: 9 · 2022: 14 · 2021: 16 · 2020: 22 · 2019: 33 · 2018: 17 · 2017: 17 · 2016: 27 · 2015: 25 · 2014: 18 · 2013: 12 · 2012: 18
- FWCI
- 12.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Critical Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Human-Animal Interaction Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Keywords
- animal-assisted therapy, therapy dogs, heart failure, pulmonary artery pressure, pulmonary capillary wedge pressure, neurohormones, epinephrine, norepinephrine, state anxiety, hospitalized patients, psychosocial interventions
- MeSH terms
- Adult, Aged, Animals, Anxiety, Human-Animal Bond, Catecholamines, Coronary Care Units, Dogs, Heart Failure, Hemodynamics, Hospitalization, Humans, Male, Middle Aged, Case-Control Studies, Treatment Outcome, Neurotransmitter Agents
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