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狗的训练通过情绪和注意力的调节来缓解 PTSD 症状。

Dog training alleviates PTSD symptomatology by emotional and attentional regulation.

机构信息

Behavioral Neurobiology Lab, Department of Occupational Therapy, University of Haifa, Haifa, Israel.

Nursing Department, Jerusalem College of Technology, Jerusalem, Israel.

出版信息

Eur J Psychotraumatol. 2021 Nov 19;12(1):1995264. doi: 10.1080/20008198.2021.1995264. eCollection 2021.

Abstract

BACKGROUND

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.

OBJECTIVE

To evaluate the effects of a one-year dog training programme on PTSD symptomatology in youngsters with PTSD and on dogs' behaviour.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

背景

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。

目的

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。

方法

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。

结果

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1d2/8635621/f6bb2db3cb81/ZEPT_A_1995264_F0001_B.jpg

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