Assistance dogs for military veterans with PTSD: A systematic review, meta-analysis, and meta-synthesis.
Assistance dogs for military veterans with PTSD: A systematic review, meta-analysis, and meta-synthesis.
复制标题
DOI：
10.1371/journal.pone.0274960
复制
发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
为患有创伤后应激障碍（PTSD）的退伍军人提供精神病援助的狗目前占全球援助狗伙伴关系的19%以上。我们对与这些伙伴关系相关的文献进行了系统回顾，具体目的是（1）总结其特征，（2）评估现有证据的质量，（3）总结结果。共432条记录进行了独立筛选（科恩kappa = 0.90）。其中，41篇文章（29篇同行评审出版物和12篇未发表的论文）符合纳入标准。进行数据提取以解决研究目标，包括荟萃分析（定量结果）和荟萃综合（定性结果）。所有关于创伤后应激障碍退伍军人精神病援助犬主题的同行评议出版物都是在过去五年内出版的。大多数纳入的文章是定量的（53%），41%是定性的，6%采用混合方法。平均方法的严谨性得分为80%的同行评审的文章和71%的论文，其中分数越高，代表更严格的方法。定量研究的文章报道了PTSD严重程度、心理健康和社会健康领域的显著改善。对身体健康和全球生活质量的影响似乎没有定论。荟萃分析（9篇文章）显示，与援助犬的伙伴关系对PTSD严重程度评分有临床意义，显著和巨大的影响（g =-1.129; p<0.0001）。定性综合集成确定了两个三阶结构：（1）对个人的影响：心理和身体健康和（2）超越个人的影响：建立关系和连接。这种对患有创伤后应激障碍的退伍军人的援助犬的日益普遍的研究的综合为这种补充和综合健康干预对创伤后应激障碍症状严重程度的影响提供了支持，以及在包括心理和社会健康在内的邻近领域有意义的改善迹象。定量和定性研究结果之间的差距，沿着需要报告更多的人口细节，突出了未来研究的关键机会。
Psychiatric assistance dogs for military veterans with posttraumatic stress disorder (PTSD) currently make up over 19% of assistance dog partnerships globally. We conducted a systematic review of the literature relating to these partnerships, with specific aims to (1) summarize their characteristics, (2) evaluate the quality of existing evidence, and (3) summarize outcomes. A total of 432 records were independently screened (Cohen’s kappa = 0.90). Of these, 41 articles (29 peer-reviewed publications and 12 unpublished dissertations) met inclusion criteria. Data extraction was conducted to address the research aims, including a meta-analysis (quantitative outcomes) and meta-synthesis (qualitative outcomes). All peer-reviewed publications on the topic of psychiatric assistance dogs for veterans with PTSD were published within the last five years. The majority of included articles were quantitative (53%), 41% were qualitative, and 6% employed mixed methods. Mean methodological rigor scores were 80% for peer reviewed articles and 71% for dissertations, where higher scores represent more rigorous methodology. Quantitative articles reported significant improvements in the domains of PTSD severity, mental health, and social health. Impacts on physical health and global quality of life appear inconclusive. Meta-analysis (9 articles) revealed that partnership with an assistance dog had a clinically meaningful, significant, and large effect on PTSD severity scores (g = −1.129; p<0.0001). Qualitative meta-synthesis identified two third order constructs: (1) Impact on the individual: mental & physical health and (2) Impact beyond the individual: building relationships & connection. This synthesis of increasingly prevalent research on assistance dogs for veterans with PTSD provides support for the impact of this complementary and integrative health intervention on PTSD symptom severity, and signs of meaningful improvements in adjacent domains including mental and social health. Gaps between quantitative and qualitative findings, along with the need to report greater demographic detail, highlight key opportunities for future research.
登录
查看更多内容
影响因子：
2.4
作者：
Elias A;Paradies Y
通讯作者：
Paradies Y
影响因子：
3.3
作者：
Dohrenwend, Bruce P.;Turner, J. Blake;Yager, Thomas J.
通讯作者：
Yager, Thomas J.
影响因子：
3.7
作者：
通讯作者：
--
影响因子：
3.3
作者：
BOWLBY, J
通讯作者：
BOWLBY, J
影响因子：
0.8
作者：
Husband, Alicia;Ahmed, Anan;Dell, Colleen Anne
通讯作者：
Dell, Colleen Anne