Psychiatry Service, Complejo Asistencial Universitario de Soria, Soria, Spain.
Department of Applied Mathematics, University of Valladolid (Campus Duques de Soria), Soria, Spain.
J Equine Vet Sci. 2023 Sep;128:104871. doi: 10.1016/j.jevs.2023.104871. Epub 2023 Jun 22.
Alternative treatments for Post-traumatic-Stress Disorder (PTSD) have attracted attention, especially Equine-Assisted Services (EAS) including psychotherapy and occupational therapy involving horses. In this work, we measured the effectiveness of EAS in PTSD through a meta-analysis. An intensive bibliography search focusing in EAS and PTSD was conducted following the PRISMA recommendations. The search was not restricted by date. For the quantitative analyses, 5 works were selected. They were chosen based on the instrument utilized for the assessment of PTSD symptoms: the PTSD Checklist for DSM-5 (PCL-5). A random effects model was carried out, showing significant results in the reduction of PTSD symptoms. In the qualitative synthesis, 10 studies were included which showed interesting results in the improvement of PTSD symptoms and other variables. In conclusion, EAS are beneficial for post-traumatic symptoms in the short term follow-up period. However, EAS require further research and major standardization.
替代疗法治疗创伤后应激障碍（PTSD）引起了关注，特别是包括马术心理治疗和作业治疗的马术辅助服务（EAS）。在这项工作中，我们通过荟萃分析来衡量 EAS 在 PTSD 中的有效性。根据 PRISMA 建议，我们进行了一项专注于 EAS 和 PTSD 的密集文献检索。该搜索不受日期限制。对于定量分析，选择了 5 项工作。它们是根据用于评估 PTSD 症状的工具选择的：DSM-5 创伤后应激障碍检查表（PCL-5）。进行了随机效应模型分析，结果显示 PTSD 症状明显减轻。在定性综合分析中，纳入了 10 项研究，这些研究显示出在改善 PTSD 症状和其他变量方面的有趣结果。总之，EAS 在短期随访期间对创伤后症状有益。然而，EAS 需要进一步的研究和重大标准化。
