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Effects of Dog-Assisted Therapy on Social Behaviors and Emotional Expressions: A Single-Case Experimental Design in 3 People With Dementia.犬辅助疗法对社交行为和情感表达的影响:一项针对3名痴呆症患者的单病例实验设计
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犬辅助疗法对阿尔茨海默病患者认知记忆能力的影响。

Effects of Dog-Assisted Therapies on Cognitive Mnemonic Capabilities in People Affected by Alzheimer's Disease.

作者信息

Quintavalla Fausto, Cao Simona, Spinelli Diana, Caffarra Paolo, Rossi Fiammetta M, Basini Giuseppina, Sabbioni Alberto

机构信息

Dipartimento di Scienze Medico Veterinarie, Università di Parma, Via del Taglio 10, 43126 Parma, Italy.

Società Cooperativa Sociale r.l. Killia, Via Svetonio 23, 09042 Monserrato, Italy.

出版信息

Animals (Basel). 2021 May 11;11(5):1366. doi: 10.3390/ani11051366.

DOI:10.3390/ani11051366
PMID:34064930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8151255/
Abstract

Alzheimer's disease (AD) is the most common cause of dementia in humans and, currently, a valid treatment is lacking. Our goal is to demonstrate the importance and benefits of the relationship with companion animals (considered as co-therapists), intended as a means of facilitating social relations and promoting evident wellbeing in AD patients. The study involved 30 randomly chosen patients with Alzheimer's disease (group T) and three dogs. The group participated in a total of 24 animal-assisted interventions (AAIs) sessions over a span of 12 weeks, using the Mini-Mental State Examination (MMSE), Wellness and Cognitive Ability Questionnaire (Brief Assessment Cognition or BAC), and Alzheimer's Disease Assessment Scale (ADAS) as assessment tests. A second group (group C), consisting of 10 people with AD, was enrolled as control group and underwent the same assessment tests but did not benefit from the presence of the dogs. Tests were carried out at time T0 (before starting sessions), T1 (end of sessions), and T2 (two months after last session). People belonging to group T achieved an overall improvement in their perceived state of wellbeing, even on a cognitive and mnemonic plane. However, two months after the end of the sessions, the test results in people suffering from AD decreased towards the baseline (T0). The study shows how such progress can be achieved through activities based on the relationship with an animal, as long as the animal is a steady presence in the life of the patient receiving the intervention. Dogs involved in other dog-assisted therapies have been found suitable also for assisting patients with AD.

摘要

阿尔茨海默病(AD)是人类痴呆症最常见的病因,目前仍缺乏有效的治疗方法。我们的目标是证明与伴侣动物(视为共同治疗师)建立关系的重要性和益处,这种关系旨在促进社交并提升AD患者的明显幸福感。该研究纳入了30名随机选取的阿尔茨海默病患者(T组)和三只狗。该组在12周内共参与了24次动物辅助干预(AAI)疗程,使用简易精神状态检查表(MMSE)、健康与认知能力问卷(简易认知评估或BAC)以及阿尔茨海默病评估量表(ADAS)作为评估测试。第二组(C组)由10名AD患者组成,作为对照组,接受相同的评估测试,但未受益于狗的陪伴。测试在T0(疗程开始前)、T1(疗程结束时)和T2(最后一次疗程后两个月)进行。T组的人在整体幸福感方面,甚至在认知和记忆层面都有改善。然而,疗程结束两个月后,AD患者的测试结果向基线水平(T0)下降。该研究表明,只要动物在接受干预的患者生活中持续存在,通过基于与动物关系的活动就能实现这样的进展。已发现参与其他犬类辅助治疗的狗也适合协助AD患者。