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服务犬对患有创伤后应激障碍的退伍军人和(前)急救人员的影响。

The Impact of Service Dogs on Military Veterans and (Ex) First Aid Responders With Post-traumatic Stress Disorder.

作者信息

van Houtert Emmy A E, Rodenburg T Bas, Vermetten Eric, Endenburg Nienke

机构信息

Animals in Science and Society, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.

Department of Psychiatry, Leiden University Medical Centre, Leiden, Netherlands.

出版信息

Front Psychiatry. 2022 May 4;13:834291. doi: 10.3389/fpsyt.2022.834291. eCollection 2022.

Abstract

Due to its novelty and lack of empirical study it remains unclear if a service dog truly mitigates the burden of post-traumatic stress disorder (PTSD) symptoms. To cross sectionally investigate the effect of service dogs on veterans and first aid responders with PTSD, we studied subjective and physiological parameters in 65 individuals divided over four groups. These groups were: veterans and first aid responders with PTSD and a service dog ( = 20), with PTSD and a companion dog ( = 10), with PTSD without a dog ( = 12) and a group without PTSD ( = 23). We found that veterans and first aid responders with PTSD who had a service dog showed significantly less PTSD related symptoms, better sleep quality, and better wellbeing experience, than those with a companion dog. Those with a service dog additionally experienced fewer PTSD related symptoms than those without a service dog and tended to walk more than individuals without PTSD. No differences were found in cortisol levels between groups though and changes in both salivary cortisol and activity were not linked to improved welfare experience. Though the use of physiological measurement methods thus warrants more research, our study indicates that the subjective experience of wellbeing, sleep quality and PTSD related symptoms is improved by the presence of a service dog.

摘要

由于其新颖性且缺乏实证研究,服务犬是否真的能减轻创伤后应激障碍(PTSD)症状的负担仍不清楚。为了横断面研究服务犬对患有PTSD的退伍军人和急救人员的影响,我们研究了65名个体的主观和生理参数,这些个体被分为四组。这些组分别是:患有PTSD且有服务犬的退伍军人和急救人员(n = 20)、患有PTSD且有陪伴犬的(n = 10)、患有PTSD但没有犬的(n = 12)以及没有PTSD的一组(n = 23)。我们发现,患有PTSD且有服务犬的退伍军人和急救人员比有陪伴犬的人表现出明显更少的PTSD相关症状、更好的睡眠质量和更好的幸福感体验。有服务犬的人比没有服务犬的人经历的PTSD相关症状也更少,并且比没有PTSD的人走得更多。不过,各组之间的皮质醇水平没有差异,唾液皮质醇和活动的变化与幸福感体验的改善也没有关联。因此,虽然使用生理测量方法值得进一步研究,但我们的研究表明,服务犬的存在改善了幸福感、睡眠质量和PTSD相关症状的主观体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3816/9114472/a7ad7c028e8a/fpsyt-13-834291-g001.jpg

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