Barker S B, Dawson K S
Medical College of Virginia, Virginia Commonwealth University, Richmond 23298, USA.
Psychiatr Serv. 1998 Jun;49(6):797-801. doi: 10.1176/ps.49.6.797.
Animal-assisted therapy involves interaction between patients and a trained animal, along with its human owner or handler, with the aim of facilitating patients' progress toward therapeutic goals. This study examined whether a session of animal-assisted therapy reduced the anxiety levels of hospitalized psychiatric patients and whether any differences in reductions in anxiety were associated with patients' diagnoses.
Study subjects were 230 patients referred for therapeutic recreation sessions. A pre- and posttreatment crossover study design was used to compare the effects of a single animal-assisted therapy session with those of a single regularly scheduled therapeutic recreation session. Before and after participating in the two types of sessions, subjects completed the state scale of the State-Trait Anxiety Inventory, a self-report measure of anxiety currently felt. A mixed-models repeated-measures analysis was used to test differences in scores from before and after the two types of sessions.
Statistically significant reductions in anxiety scores were found after the animal-assisted therapy session for patients with psychotic disorders, mood disorders, and other disorders, and after the therapeutic recreation session for patients with mood disorders. No statistically significant differences in reduction of anxiety were found between the two types of sessions.
Animal-assisted therapy was associated with reduced state anxiety levels for hospitalized patients with a variety of psychiatric diagnoses, while a routine therapeutic recreation session was associated with reduced levels only for patients with mood disorders.
动物辅助治疗涉及患者与经过训练的动物及其人类主人或驯养员之间的互动,目的是促进患者朝着治疗目标取得进展。本研究调查了一次动物辅助治疗是否能降低住院精神科患者的焦虑水平,以及焦虑降低程度的任何差异是否与患者的诊断有关。
研究对象为230名被转介参加治疗性娱乐活动的患者。采用治疗前和治疗后的交叉研究设计,比较单次动物辅助治疗与单次定期安排的治疗性娱乐活动的效果。在参加这两种活动之前和之后,受试者完成了状态-特质焦虑量表的状态量表,这是一种对当前感受到的焦虑的自我报告测量方法。使用混合模型重复测量分析来测试两种活动前后得分的差异。
在动物辅助治疗活动后,精神病性障碍、心境障碍和其他障碍患者的焦虑得分有统计学意义的降低;在治疗性娱乐活动后,心境障碍患者的焦虑得分有统计学意义的降低。两种活动在焦虑降低方面没有发现统计学上的显著差异。
动物辅助治疗与各种精神科诊断的住院患者状态焦虑水平降低有关,而常规的治疗性娱乐活动仅与心境障碍患者的焦虑水平降低有关。