Behavioral Neurobiology Lab, Department of Occupational Therapy, University of Haifa, Haifa, Israel.
Nursing Department, Jerusalem College of Technology, Jerusalem, Israel.
Eur J Psychotraumatol. 2021 Nov 19;12(1):1995264. doi: 10.1080/20008198.2021.1995264. eCollection 2021.
Post-Traumatic Stress Disorder (PTSD) symptoms include re-experiencing, avoidance, hyperarousal, and cognitive deficits, reflecting both emotional and cognitive dysregulation. In recent years, non-pharmacological approaches and specifically animal-assisted therapy have been shown to be beneficial for a variety of disorders such as Attention-Deficit/Hyperactivity Disorder, Autism Spectrum Disorder, and PTSD. However, little is mentioned in the literature about the reciprocal effects of the animal-human interaction.
To evaluate the effects of a one-year dog training programme on PTSD symptomatology in youngsters with PTSD and on dogs' behaviour.
Fifty-three adolescents, previously exposed to interpersonal trauma, were clinically diagnosed with PTSD and assigned to a dog-training programme group () and a control group () that engaged in other training programmes (e.g. cooking, hairstyling, etc.). Both groups were evaluated at baseline and following 12-months by The Clinician-Administered PTSD Scale for DSM-5 in Children and Adolescents (CAPS-CA-5) and Beck-Depression Inventory (BDI). Additionally, we physiologically measured both emotional and attention dysregulation.
Post-12-months training, a significant alleviation of PTSD symptomatology accompanied by lower depression severity was observed in the dog-training group, compared with a insignificant recovery in the control group. Furthermore, improved emotional and attentional regulation was observed in the dog-training group. Measuring the dogs' behaviour revealed increased anxiety and decreased selective attention performance, which was inversely correlated with the beneficial effects observed in the dog-training programme group.
Our findings emphasize the role of emotional and attentional regulations on the dog-handler interface, as evidence-based support for the beneficial effects of the dog-training programme, as either a non-pharmacological intervention or as complementary to anti-depressants treatment of PTSD. Though pharmacological treatments increase the patients' well-being by treating certain PTSD symptoms, our suggested dog-training programme seems to influence the PTSD diagnostic status, thus may be implemented in civilians and veterans with PTSD.
创伤后应激障碍(PTSD)的症状包括再体验、回避、过度警觉和认知缺陷,反映了情绪和认知的失调。近年来,非药物治疗方法,特别是动物辅助疗法,已被证明对各种疾病如注意力缺陷多动障碍、自闭症谱系障碍和 PTSD 有益。然而,文献中几乎没有提到动物-人类相互作用的相互影响。
评估为期一年的犬训练计划对 PTSD 青少年患者 PTSD 症状和犬行为的影响。
53 名青少年曾遭受人际创伤,经临床诊断患有 PTSD,并被分配到犬训练计划组()和对照组(),分别参加犬训练计划和其他培训计划(如烹饪、发型设计等)。两组均在基线和 12 个月后通过儿童和青少年创伤后应激障碍临床评定量表(CAPS-CA-5)和贝克抑郁量表(BDI)进行评估。此外,我们还从生理上测量了情绪和注意力失调。
经过 12 个月的训练,与对照组相比,犬训练组的 PTSD 症状明显减轻,抑郁严重程度降低。此外,犬训练组的情绪和注意力调节能力得到改善。测量犬的行为发现,犬的焦虑程度增加,选择性注意力表现降低,这与犬训练计划组观察到的有益效果呈负相关。
我们的发现强调了情绪和注意力调节在人与犬互动界面上的作用,为犬训练计划的有益效果提供了循证支持,无论是作为非药物干预还是作为 PTSD 抗抑郁药物治疗的补充。虽然药物治疗通过治疗某些 PTSD 症状来提高患者的幸福感,但我们建议的犬训练计划似乎会影响 PTSD 的诊断状况,因此可以在患有 PTSD 的平民和退伍军人中实施。