The effects of pet therapy on those with psychiatric disorders Laura Clarke Longwood University For my research I wanted to find out about the effects of pet therapy on those with psychiatric disorders. I wanted to find out about pet therapy and its effects with psychiatric disorders from my internship when I worked with children with behavioral disorders. Pet therapy is also called animal-assisted therapy and other animal-assisted activities. Animal-assisted therapy is a large field that uses all types of animals to help people recover from health problems, such as mental health disorders. Mental disorders are common all over the world and there is an estimated 26.2 percent of Americans aged 18 and older, or around one in four adults undergo mental disorders each year. “When applied to the 2004 U.S. Census residential population estimate for ages 18 and older, this figure translates to 57.7 million people. More than 90 percent of people who kill themselves have a diagnosable mental disorder, most commonly a depressive disorder or a substance abuse disorder. ” (Kim Foundation 2014). From research pet therapy or animal-assisted therapy has been shown to improve physical health, reduce stress, and help increase positive behaviors. This can be proven from many articles that researchers have done. Anxiety levels have been a large topic out of all the articles of study. In The Effects of AnimalAssisted Therapy on Anxiety Ratings of Hospitalized Psychiatric Patients, there are statistically significant reductions in anxiety scores with patients after an animal-assisted therapy sessions. Pet therapy has also showed to be better than normal therapeutic recreation sessions that only reduce levels of anxiety for patients with only mood disorders. Knowledge What it does for How can I practice How you can evaluate Translation Plan Population Older Adults Population this knowledge the effects -Improved social skills -Using pet therapy to help improve social skills. -Providing interventions that help with anxiety -Use of State-Trait Anxiety Inventory -UCLA Loneliness Scale -Geriatric Depression Scale -Lowered anxiety levels -Pet therapy is shown to reduce stress. -Can show that cruelty to animals can predict later harm to humans giving a link between child and animal abuse -Increased humananimal bond which provided effectiveness of the interventions -Providing animalassisted therapy -Providing positive reinforcement within intervention of pet therapy -Implement increased positive behavior during provided intervention -Generalized SelfEfficacy Scale -Social Functioning Evaluation -Social Behavior Scale -Active Measurement of Patient positive Interactions -Multidimensional Observation Scale -Quality of Life Scale -Shown that pet therapy reduces minor health problems -Increase coping abilities and quality of life - Increase positive health goals -Provide interventions that deliver increased abilities of coping and quality of life -General Health Questionnaire can be provided. -Coping Strategies Scale -Independent Living Skills Survey -Increase social support Children Adults In Hanselman’s article “Coping Skills Interventions with Adolescents in Anger Management Using Animals in Therapy” pet therapy is shown to reduce apprehension and has shown to be an important tool when working with children and adolescents. They provided treatment that was indicative to a healthy mental development. Hanselman also says that cruelty to animals although can predict later harm to humans giving a link between child and animal abuse. The paper describes a program with adolescents in pet therapy and the treatment of anger management Jan L. Hanselman. (2001). A 10-month study of behavior and health of 71 adults after receiving a new pet and the study of 26 adults who did not receive a pet to serve as a comparison between the two, in the article titled, Beneficial effects of pet ownership on some aspects of human health and behavior. It was shown that the pet owning group had high reduction in minor health problems during the first month following acquiring the pet. The group that acquired the pet also displayed improvements in their general health questionnaire they also showed improvement in physical health due to walking their pets then the other groups. The other group without the pets did not show any changes in health or behavior, separate from the small increase in recreational walking. The results were straight forward and those with pets had positive effects on their health and behavior Serpell J. As mentioned in Animal-assisted therapy with farm animals for persons with psychiatric disorders: effects on self-efficacy, coping ability and quality of life, a randomized controlled trial “The benefits of Animal-Assisted Therapy (AAT) for humans with mental disorders have been well-documented using cats and dogs, but there is a complete lack of controlled studies using farm animals as therapeutic agents for psychiatric patients.” The study was on the concept of involving the use of farm animals and plants in interventions for the health of the clients. The study was a 12 week intervention with the use of farm animals on coping ability and quality of life among those with psychiatric disorders, Bente Berget. The article Effect of animal-assisted therapy on the psychological and functional status of elderly populations and patients with psychiatric disorders stated that “Animal-assisted therapy (AAT) may affect health via an increase in perceived social support and social interaction.” The study involved older adults and determined the effects of AAT with poor social skills. The older adults were diagnosed with depression and schizophrenia. Interventions were selected and five participants were measured during a multiple day AAT intervention. Social functioning, depression, anxiety, behavior, and daily living skills were observed and calculated. The study showed AAT improved all observed skills. It was said that there were some inconsistences due to interpretation of findings, Virues-Ortega, Javier. (2012). The article, Animal-assisted interventions as innovative tools for mental health, talked about the scientific evidence is far from being consistent with animal therapy. Animals are used widely with a number of subjects ranging from adolescents to older adults, who benefit from emotional support. The paper studies animal therapy providing emotional and physical chances to improve the lives of those who receive the therapy. They focus on using dogs to advance the life of children with autism spectrum disorder. It is said that an increase in research in humananimal bond to provide effectiveness of the use of interventions, Cirulli, Francesca (2011). As mentioned in Use of animal-assisted therapy in the rehabilitation of an assault victim with a concurrent mood disorder, broader therapeutic interventions are now available and include animal assisted therapy. They described a patient who had depression following an assault which ended with a head injury and how he received animal assisted therapy as a rehabilitation tool. The study showed the effectiveness of animal assisted therapy of an assault victim, Sockalingam S, (2008). The article Use of animal-assisted therapy with psychiatric patients; helps proves that animal assisted therapy has received a lot of attention in literature. This article touches on the use of it with psychiatric patients. The authors found that animal assisted therapy has significant effects on the advancement of psychiatric patients. It showed that it provides a variety of physical and psychological benefits. They also talk about how nurses can benefit on learning about the benefits of animal assisted therapy, Rossetti, Jeanette, King. (2010). In the article Research and Reflection: Animal-assisted Therapy in Mental Health Settings, they mention that “animals have been historically associated with promoting physical and mental health benefits for humans”. But more recently there has shown support for animals promoting health in literature. This article is all about bringing together preliminary scientific studies and other reports that offer confirmation of the benefits of using animals in counseling conditions, Parshall(2003). In the article, Effectiveness of an Animal-Assisted Therapy Program in an Inpatient Psychiatric Unit, they show that “proper diagnostic assessment in an inpatient psychiatric setting requires observation of patients under various conditions”. Showing that group activities including animal-assisted therapy provide an outstanding chance for assessments, but that is only if the patient chooses to attend the group activity. Over the course of two years they measured and analyzed the attendance at an inpatient psychiatric unit, it indicated that the animal assisted therapy group attracted the highest proportion of inpatients choosing to go to an occupational therapy group. It was establish that animal assisted therapy was the most active of all groups offered in attracting isolated individuals. The authors explain in the end that animal assisted therapy is an extremely effective tool when conducting diagnostic observations and assessments, Holcomb (1989). In the article, The Effects of Animal-Assisted Therapy on Anxiety Ratings of Hospitalized Psychiatric Patients, they had a study that inspected whether a session of animal-assisted therapy lowered the anxiety levels of psychiatric patients and if any differences in decreases in anxiety were linked with patients' diagnoses. The study included 230 patients referred for therapeutic recreation sessions. A crossover study was used to “compare the effects of a single animalassisted 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.” Within the article there were statistically significant reductions in anxiety scores with patients after the animal-assisted therapy session, some of the patients that were significantly affected were patients with psychotic disorders, mood disorders, and other disorders. As proven through the article animal-assisted therapy was associated with reduction of anxiety levels for patients. It also proved that a normal therapeutic recreation session only reduced levels of anxiety for patients with only mood disorders, Barker (1998). Looking at all of the articles you can see how they all point to the benefits of animal assisted therapy and complement each other to prove so, the articles provide solid evidence of the benefit of animal assisted therapy with those that have psychological disorders. It was shown in Beneficial effects of pet ownership on some aspects of human health and behavior, that the pet owning group had high reduction in minor health problems along with in the article Use of animal-assisted therapy with psychiatric patients found that animal assisted therapy has significant effects on the advancement of psychiatric patients. In other articles I found through study’s the many benefits of animal assisted therapy with older adults and their behaviors. That evidence also goes along with the rest of the articles and their study on psychiatric patients. I also found in Effect of animal-assisted therapy on the psychological and functional status of elderly populations and patients with psychiatric disorders and in Animal-assisted interventions as innovative tools for mental health there is mention of inconsistences with animal therapy and that human- animal bonding is needed to provide effectiveness of the intervention. This also goes along with the article Animal-assisted therapy with farm animals for persons with psychiatric disorders: effects on self-efficacy, coping ability and quality of life, a randomized controlled trial, and how they speak on the lack of controlled studies and the need for more. Two other articles relate to each other through speaking about how nurses can benefit from learning about animal assisted therapy in mental health. I also found in The Effects of Animal-Assisted Therapy on Anxiety Ratings of Hospitalized Psychiatric that they compared normal therapeutic recreation sessions and animal assisted therapy, statistically in almost all of the articles the benefit of normal therapeutic recreation sessions did not compare to the extent of what animal assisted therapy does. It also relates to the article Effectiveness of an Animal-Assisted Therapy Program in an Inpatient Psychiatric Unit, and how animal assisted therapy is an extremely effective tool. In conclusion you can see how pet therapy has many benefits for those with psychiatric disorders. Many studies have showed the statistical significance of animal assisted therapy with psychiatric patients from improving health to improving behavior. Although there are some signs of inconsistences with animal therapy from further studies you can see the benefits of it. I got the majority of my information from the internet. I found information from google scholar, Longwood library online and from the references within my first found articles. From looking online it helped me change/narrow my topic because of the different articles I found online. I found that my information was credible as it came from the Longwood library and google scholar. I also saw when looking through one article’s references it had other articles that I had found and used from google scholar. There were also many studies from the psychiatric services and the journal of medicine. For references I found many articles that had the same references. I used articles to help find other research that was valid and reliable also. It was interesting to see how many articles that had references to other articles and then that article referenced the past article. References Jan L. Hanselman. (2001). ‘Coping Skills Interventions with Adolescents in Anger Management Using Animals in Therapy’. “Kluwer Academic Publishers-Plenum Publishers.”, 1573-3467. http://link.springer.com/article/10.1023/A:1014802324267 Serpell J: Beneficial effects of pet ownership on some aspects of human health and behaviour. Journal of the Royal Society of Medicine 1991, 84:717-720. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1295517/?tool=pubmed Bente Berget: Animal-assisted therapy with farm animals for persons with psychiatric disorders: effects on self-efficacy, coping ability and quality of life, a randomized controlled trial. Clinical Practice and Epidemiology in Mental Health (2008), 4:9 1186/1745-0179-4-9. http://www.cpementalhealth.com/content/4/1/9 Virues-Ortega, Javier. (2012). Effect of animal-assisted therapy on the psychological and functional status of elderly populations and patients with psychiatric disorders: a meta-analysis. Health psychology review, 1743-7199 http://eds.a.ebscohost.com/eds/detail/detail?vid=3&sid=0c7c45ff-0cda-4167-bf2c555fe0a79e38%40sessionmgr4003&hid=4208&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU 9c2l0ZQ%3d%3d#db=a9h&AN=78164609 CIRULLI, Francesca et al. Animal-assisted interventions as innovative tools for mental health. Ann. Ist. Super. Sanità [online]. 2011, vol.47, n.4, pp. 341-348. ISSN 0021- 2571. http://dx.doi.org/10.4415/ANN_11_04_04. http://www.scielosp.org/scielo.php?script=sci_abstract&pid=S002125712011000400004&lng=en&nrm=iso&tlng=en Sockalingam S. (2008) Use of animal-assisted therapy in the rehabilitation of an assault victim with a concurrent mood disorder. Issues in Mental Health Nursing. 01612840 http://eds.a.ebscohost.com/eds/detail/detail?vid=6&sid=0c7c45ff-0cda-4167-bf2c555fe0a79e38%40sessionmgr4003&hid=4208&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU 9c2l0ZQ%3d%3d#db=rzh&AN=2009771389 Rossetti, Jeanette, King. (2010) Use of animal-assisted therapy with psychiatric patients. Journal of Psychosocial Nursing & Mental Health . 0279-3695 http://eds.a.ebscohost.com/eds/detail/detail?vid=4&sid=0c7c45ff-0cda-4167-bf2c555fe0a79e38%40sessionmgr4003&hid=4208&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU 9c2l0ZQ%3d%3d#db=rzh&AN=2010860011 Parshall, D. P. (2003), Research and Reflection: Animal-Assisted Therapy in Mental Health Settings. Counseling and Values, 48: 47–56. doi: 10.1002/j.2161-007X.2003.tb00274.x http://onlinelibrary.wiley.com/doi/10.1002/j.2161-007X.2003.tb00274.x/abstract Barker,S. (1998), The Effects of Animal-Assisted Therapy on Anxiety Ratings of Hospitalized Psychiatric Patients. Psychiatric Services, VOL.49, No.6. http://ps.psychiatryonline.org/article.aspx?articleid=81469 Holcomb, (1989), Effectiveness of an Animal-Assisted Therapy Program in an Inpatient Psychiatric Unit. Anthrozoos: A Multidisciplinary Journal of The Interactions of People & Animals, Volume 2, Number 4, http://www.ingentaconnect.com/content/bloomsbury/azoos/1989/00000002/00000004/art00006 About Mental Illness, 2014 The Kim Foundation http://www.thekimfoundation.org/html/about_mental_ill/statistics.html