Dog-Assisted Therapy in the Treatment of Chronic Schizophrenia Inpatients
Dog-Assisted Therapy in the Treatment of Chronic Schizophrenia Inpatients
复制标题
狗辅助疗法治疗慢性精神分裂症住院患者
DOI：
10.2752/175303709x434176
复制
发表时间：
2009
期刊：
影响因子：
--
通讯作者：
J. Haro
中科院分区：
文献类型：
--
作者：
V. Villalta;M. Roca;N. González;Eva Domènec;Cuca;A. Escanilla;M. Asensio;M. Esteban;S. Ochoa;J. Haro
摘要长期护理病房中诊断为精神分裂症的患者表现出高水平的残疾。本研究的目的是评估包括一个训练有素的治疗犬的干预计划适用于慢性精神分裂症患者的制度化的有效性。进行了一项随机、对照研究，并进行了盲态评估。随机选择了24名慢性精神分裂症患者，他们来自西班牙圣约翰精神病医院的所有住院患者。同意参与的患者（n = 21）被随机分配到两个治疗组之一：一组接受治疗犬（IG+D）辅助的干预（12例患者），另一组接受相同的干预，但没有治疗犬（IG）（9例患者）。评估项目包括阳性和阴性症状量表（PANSS）、生活技能量表（LSP）、世界卫生组织生活质量简表（WHOQOL-BREF）和治疗满意度问卷（STQ）。进行Mann Whitney U检验和Wilcoxon符号秩检验。IG+D组患者的LSP社会接触评分（p = 0.041）、阳性（p = 0.005）和阴性症状维度（p = 0.005）和PANSS总分（p = 0.014）以及与社会关系相关的生活质量（p = 0.024）均显著改善。IG组患者的阳性症状（p = 0.027）和一般症状（p = 0.046）以及PANSS总分（p = 0.027）均显示出显著的正性变化。干预前后两组无差异。将狗引入精神分裂症患者的心理社会干预产生了一些积极的结果。然而，研究结果并不是结论性的，必须谨慎解释。
ABSTRACT Patients with a diagnosis of schizophrenia living in long-term care units show high levels of disability. The present study aimed to assess the effectiveness of including a trained therapy dog in an intervention program applied to institutionalized patients with chronic schizophrenia. A randomized, controlled study with blind assessment was conducted. Twenty-four persons with chronic schizophrenia were randomly selected from a register that included all inpatients at Saint John of God's psychiatric hospital in Spain. Patients who agreed to participate (n = 21) were randomly assigned to one of the two treatment groups: one group received an intervention assisted by a therapy dog (IG+D) (12 patients), while the other received the same intervention but without a therapy dog (IG) (9 patients). The assessment items included the Positive and Negative Symptoms Scale (PANSS), the Living Skills Profile (LSP), the Brief World Health Organization Quality of Life Assessment (WHOQOL-BREF), and the Satisfaction with Treatment Questionnaire (STQ). Mann Whitney U tests and Wilcoxon signed-rank tests were conducted. Patients in the IG+D group showed significant improvements in the LSP social contact score (p = 0.041), in the positive (p = 0.005) and negative symptom dimensions (p = 0.005) and total score of the PANSS (p = 0.014), and in quality of life related with social relationships (p = 0.024). Patients in the IG group showed significant positive changes in positive (p = 0.027) and general symptoms (p = 0.046) and total PANSS score (p = 0.027). No differences were found between the two groups before and after the application of the intervention. Introducing a dog into the psychosocial intervention for patients with schizophrenia produced some positive outcomes. However, the results of the study are not conclusive and must be interpreted cautiously.