Abstract
Rigor in animal-assisted therapy (AAT) research is growing, but AAT as an “evidence-based practice” is not yet clearly established. One methodological weakness in the current literature is the lack of a structured, manualized approach to AAT. The Mutt-i-grees Curriculum, founded on the principles of human-canine interaction, aims to enhance children’s resilience, social skills, and self-awareness. This study examined the utility of this manualized curriculum as a supplemental component of a pediatric intensive behavioral health treatment program for children with a range of psychiatric conditions. Patients, psychiatrists, and caregivers completed assessments of children’s (N = 22) symptoms before and after treatment, with analyses investigating the difference in symptoms for patients who received animal-assisted therapy (AAT) as a part of their treatment and patients who did not. Patients also completed mood scores before and after group sessions with and without a therapy dog present. Results indicate that AAT may be an effective adjunct to standard care in a pediatric setting. The success of AAT alongside behavioral treatment led to reduction in symptoms and improvement in mood for patients. These findings support previous research indicating the efficacy of using a manualized curriculum and the advantages of using dogs as part of treatment to supplement behavioral health services.
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References
Alvila-Alvarez, A., Alonso-Bidegain, M., Vizcaino-Cela, M., Larraneta-Alcalde, L., & Torres-Tobio, G. (2020). Improving social participation of children with autism spectrum disorder: Pilot testing of an early animal-assisted intervention in Spain. Health & Social Care in the Community, 00, 1–10.
Angold, A., Costello, E. J., Messer, S. C., Pickles, A., Winder, F., & Silver, D. (1995). Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. International Journal of Methods in Psychiatry Research, 5, 237–249.
Arden, R., & Adams, M. J. (2016). A general intelligence factor in dogs. Intelligence, 55, 79–85.
Bachi, K., & Parish-Plass, N. (2017). Animal-assisted psychotherapy: A unique relational therapy for children and adolescents. Clinical Child Psychology and Psychiatry, 22(1), 3–8.
Baumgartner, N., Haberling, I., Emery, S., Strumberger, M., Nalani, K., Erb, S., et al. (2020). When parents and children disagree: Informant discrepancies in reports of depressive symptoms in clinical interviews. Journal of Affective Disorders, 272, 223–230.
Becker-Haimes, E. M., Jensen-Doss, A., Birmaher, B., Kendall, P. C., & Ginsburg, G. S. (2018). Parent-youth informant disagreement: Implications for youth anxiety treatment. Clinical Child Psychology and Psychiatry, 23(1), 42–56.
Beetz, A., & Bales, K. (2016). Affiliation in human-animal interaction. In L. S. Frend, S. McCune, L. Esposito, N. R. Gee, & P. McCardle (Eds.), The social neuroscience of human-animal interaction (pp. 107–125). Washington, DC: American Psychological Association.
DiBartolo, P. M., & Grills, A. E. (2006). Who is best at predicting children’s anxiety in response to a social evaluative task? A comparison of child, parent and teacher reports. Journal of Anxiety Disorders, 20(5), 630–645.
Duranton, C., & Gaunet, F. (2018). Behavioral synchronization and affiliation: Dogs exhibit human-like skills. Learning & Behavior, 46, 364–373.
Friesen, L. (2010). Exploring animal-assisted programs with children in school and therapeutic contexts. Early Childhood Education Journal, 37, 261–267.
Guo, K. (2016). Visual attention and facial identification in human and nonhuman animals. In L. S. Frend, S. McCune, L. Esposito, N. R. Gee, & P. McCardle (Eds.), The social neuroscience of human-animal interaction (pp. 33–49). Washington, DC: American Psychological Association.
Hoagwood, K. E., Acri, M., Morrissey, M., & Peth-Pierce, R. (2017). Animal-assisted therapies for youth with or at risk for mental health problems: A systematic review. Applied Developmental Science, 21(1), 1–13.
Hofmann, S. G., Asaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavior therapy: A review of meta-analyses. Cognitive Therapy and Research, 36, 427–440.
Hughes, C. W., Rintelmann, J., Emslie, G. J., Lopez, M., & MacCabe, N. (2001). A revised anchored version of the BPRS-C for childhood psychiatric disorders. Journal of Child and Adolescent Psychopharmacology, 11(1), 77–93.
Jellinek, M. S., & Murphy, J. M. (1990). The recognition of psychosocial disorders in pediatric office practice: The current status of the Pediatric Symptom Checklist. Developmental and Behavioral Pediatrics, 11(5), 273–278.
Kiyimba, N., & O’Reilly, M. (2017). The clinical use of Subjective Units of Distress Scales (SUDS) in child mental health assessments: a thematic evaluation. Journal of Mental Health. https://doi.org/10.1080/09638237.2017.1340616.
Ling, D. S., Kelly, M., & Diamond, A. (2016). Human-animal interaction and the development of executive functions. In L. S. Frend, S. McCune, L. Esposito, N. R. Gee, & P. McCardle (Eds.), The social neuroscience of human-animal interaction (pp. 51–72). Washington, DC: American Psychological Association.
Lundqvist, M., Carlsson, P., Sjodahl, R., Theodorsson, E., & Levin, L. (2017). Patient benefit of dog-assisted interventions in health care: A systematic review. Complementary and Alternative Medicine, 17, 358.
Marshall-Pescini, S., Schaebs, F. S., Gaugg, A., Meinert, A., Deschner, T., & Range., (2019). The role of oxytocin in the dog-owner relationship. Animals, 9(10), 1–19.
Miklosi, A., & Kubinyi, E. (2016). Current trends in canine problem-solving and cognition. Current Directions in Psychological Science, 25(5), 300–306.
Mims, D., & Waddell, R. (2016). Animal assisted therapy and trauma survivors. Journal of Evidence-Informed Social Work, 13(5), 452–457.
Prothmann, A., Bienert, M., & Ettrich, C. (2006). Dogs in child psychotherapy: Effects on state of mind. Anthrozoos, 19(3), 265–277.
Schuck, S. E., Emmerson, N. A., Fine, A. H., & Lakes, K. D. (2015). Canine-assisted therapy for children with ADHD: Preliminary findings from the positive assertive cooperative kids study. Journal of Attention Disorders, 19(2), 125–137.
Stefanini, M. C., Martino, A., Allori, P., Galeotti, F., & Tani, F. (2015). The use of animal-assisted therapy in adolescents with acute mental disorders: A randomized controlled study. Complementary Therapies in Clinical Practice, 21(1), 42–46.
Zilcha-Mano, S., Mikulincer, M., & Shaver, P. (2011). Pet in the therapy room: An attachment perspective on animal-assisted therapy. Attachment & Human Development, 13(6), 541–561.
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All procedures performed in this study involving human participants were in accordance with the ethical standards of the Penn Medicine Princeton Health Institutional Review Board, and have been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its latera amendments or comparable ethical standards. All applicable international, national and institutional guidelines for the care and use of animals were followed.
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Kashden, J., Lincoln, C.R. & Finn-Stevenson, M. Curriculum-Based Animal-Assisted Therapy in an Acute Outpatient Mental Health Setting. J Contemp Psychother 51, 77–83 (2021). https://doi.org/10.1007/s10879-020-09470-8
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DOI: https://doi.org/10.1007/s10879-020-09470-8