Effectiveness of animal-assisted therapy: A systematic review of randomized controlled trials

Effectiveness of animal-assisted therapy: A systematic review of randomized controlled trials
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DOI:
10.1016/j.ctim.2013.12.016
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发表时间:
2014-04-01
影响因子:
3.6
通讯作者:
Mutoh, Yoshiteru
Mutoh, Yoshiteru
中科院分区:
医学3区
文献类型:
--
作者:
Kamioka, Hiroharu;Okada, Shinpei;Mutoh, Yoshiteru

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本综述的目的是总结有关动物辅助治疗(AAT)效果的随机对照试验(RCTs)的证据。如果是RCT,则研究合格。研究包括一个应用AAT的治疗组。我们检索了1990年至2012年10月31日的以下数据库:MEDLINE via PubMed、CINAHL、Web of Science、Ichushi Web、GHL、WPRIM和PsycINFO。我们还检索了截至2012年10月31日的所有科克伦数据库。确定了11项RCT,7项研究是关于“精神和行为障碍”的。动物干预的类型有狗、猫、海豚、鸟、牛、兔、雪貂和豚鼠。所进行的随机对照试验质量相对较低。由于异质性,我们无法进行荟萃分析。在仅限于喜欢动物的人的研究环境中,AAT可能是治疗精神和行为障碍(如抑郁症、精神分裂症和酒精/药物成瘾)的有效方法,并且基于与自然界动物互动的整体方法。为了最有效地评估AAT的潜在益处,对进一步研究来说,重要的是利用和描述(1)适当的RCT方法,(2)不参与的原因,(3)干预剂量,(4)不良反应和退出,和(5)费用。(C)2014爱思唯尔有限公司版权所有。
The objectives of this review were to summarize the evidence from randomized controlled trials (RCTs) on the effects of animal-assisted therapy (AAT). Studies were eligible if they were RCTs. Studies included one treatment group in which AAT was applied. We searched the following databases from 1990 up to October 31, 2012: MEDLINE via PubMed, CINAHL, Web of Science, Ichushi Web, GHL, WPRIM, and PsycINFO. We also searched all Cochrane Database up to October 31, 2012. Eleven RCTs were identified, and seven studies were about "Mental and behavioral disorders". Types of animal intervention were dog, cat, dolphin, bird, cow, rabbit, ferret, and guinea pig. The RCTs conducted have been of relatively low quality. We could not perform meta-analysis because of heterogeneity.In a study environment limited to the people who like animals, AAT may be an effective treatment for mental and behavioral disorders such as depression, schizophrenia, and alcohol/drug addictions, and is based on a holistic approach through interaction with animals in nature.To most effectively assess the potential benefits for AAT, it will be important for further research to utilize and describe (1) RCT methodology when appropriate, (2) reasons for non-participation, (3) intervention dose, (4) adverse effects and withdrawals, and (5) cost. (C) 2014 Elsevier Ltd. All rights reserved.