Animal-assisted psychotherapy in treatment of adults with depressive symptoms: A retrospective quasi-experimental study

Chris McFalls-Steger, Lisa K. Zottarelli, David Patterson
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Abstract

Animal-assisted psychotherapy (AAP), a subspeciality of animal-assisted therapy (AAT), is a relatively new and innovative treatment modality currently provided to all age groups with various mental and behavioral health issues in different clinical settings. As AAP has become more popular, there is a need to evaluate the use of this approach in therapeutic settings. This study assessed AAP in treating adults with depressive symptoms using a modified version of the Patient Questionnaire Depression Module (mPHQ-9). Secondary data were obtained from a therapy site specializing in AAP in the Denver Metro region of the United States from January 2015 to February 2021. Adult participants 18 years and older were assessed at intake and the approximately 6-month treatment mark. A paired-sample t-test found that AAP resulted in a statistically significant decrease in depressive symptomology, with modified PHQ-9 (mPHQ-9) scores from Intake to Time 2 (t (50) = 6.56, p < 0.001). The importance of animals in the participants’ decision to seek therapy also significantly influenced the change in depressive symptoms. The total variance explained by the importance of animals pre-treatment on depressive symptoms for adults with AAP was 8.1%, F (168.69, 1926.14) = 4.29, p = 0.044; moderate effect size (η2 = 0.46) was found. Clinical implications include the function of AAP, which requires a more accurate operational definition and a manualized AAP treatment protocol. AAP is a progressively growing intervention and a promising complementary modality to traditional therapeutic methods for adults with depressive symptoms.
动物辅助心理疗法治疗成人抑郁症状:回顾性准实验研究
动物辅助心理疗法(AAP)是动物辅助疗法(AAT)的一个分支,是一种相对较新的创新治疗方式,目前在不同的临床环境中为各年龄段的患者提供各种心理和行为健康问题的治疗。随着动物辅助疗法越来越流行,有必要对这种方法在治疗环境中的应用进行评估。本研究使用修订版患者问卷抑郁模块(mPHQ-9)评估了 AAP 在治疗成人抑郁症状中的应用。研究人员从美国丹佛都会区一家专门从事 AAP 治疗的机构获得了二手数据,时间为 2015 年 1 月至 2021 年 2 月。18 岁及以上的成人参与者在接受治疗和大约 6 个月的治疗时接受了评估。通过配对样本 t 检验发现,AAP 可使抑郁症状显著减少,从入院到第二疗程期间的修改后 PHQ-9 (mPHQ-9)得分(t (50) = 6.56,p < 0.001)。动物在参与者寻求治疗的决定中的重要性也显著影响了抑郁症状的变化。治疗前动物的重要性对患有AAP的成人抑郁症状的总解释方差为8.1%,F(168.69,1926.14)=4.29,p=0.044;发现中等效应大小(η2=0.46)。该研究的临床意义包括AAP的功能,它需要一个更准确的操作定义和一个手册化的AAP治疗方案。AAP是一种逐渐发展起来的干预方法,是对有抑郁症状的成年人进行传统治疗方法的一种很有前途的补充方式。
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