Abstract
Post-traumatic stress disorder (PTSD) is diagnosed in 3% of German and 14–16% of US military following deployment abroad. The treatment of PTSD in soldiers is often challenging and thus new, additional interventions supporting traditional trauma therapy are employed, like animal-assisted interventions (AAI). In this pilot study, 29 soldiers with PTSD received four sessions of 3 h once a week of dog-assisted intervention in addition to inpatient standard treatment at the military hospital, while the control group of 31 soldiers with PTSD received standard treatment only. The dog-assisted intervention sessions included a walk, different play and grooming activities and just relaxing together toward the end. What was new in our approach was that the AAI sessions were delivered by military personnel, military dog-handlers with their own dogs (either military or privately owned). Data on psychiatric symptoms, perceived stress, work and social life, and the therapeutic relationship were answered before the first AAI session, during the days following the last AAI session, 1 month later, and 3 months later. Only the intervention group also answered a questionnaire on trauma confrontation, consumption of alcohol/drugs, mental wellness, and perceived stress each week during intervention. Analyses showed a trend for worse values in work and social adjustment in the control group and a significant trend toward better values in the intervention group. On the other parameters differences between control and intervention group were not significant. The mental wellness of the intervention group improved over the 4 weeks of therapy, particularly regarding the ability to experience joy. There was no clear trend for perceived stress, but the relationship to the dog handler improved significantly over the course of the intervention. This is noteworthy in patients with PTSD who usually have difficulties trusting others, especially new people. Keeping in mind that the AAI took place only four times, our findings point toward the value of dog-assisted interventions. With a longer treatment period the positive effects and trends might become more distinct.
Highlights
While many people will experience traumatic events during their lifetime, only some will develop a post-traumatic stress disorder (PTSD) or related problems, while others show resilience and can cope successfully
The comparison of intervention and control group over the four times of measurement did not indicate a significant advantage of the dog assisted intervention regarding PTSD symptom severity (HSCL-25), perceived stress (PSS-14), functional problems with emotions and actions due to the PTSD (SEASL), and the therapeutic alliance
Both groups did not show any significant improvement over time with regard to the investigated parameters
Summary
While many people will experience traumatic events during their lifetime, only some will develop a post-traumatic stress disorder (PTSD) or related problems, while others show resilience and can cope successfully. Persons accompanied by a friendly looking animal receive more positive attention from others people in the company of animals (dogs) are trusted more by others All these social effects of HAI could be important for therapy for soldiers with PTSD, because an animal involvement could facilitate establishing the necessary therapeutic alliance between therapist and client. In AAI, most patients want to pet the animals and therapy animals usually allow this kind of physical closeness and might even enjoy it Even though this has not yet been investigated for patients with PTSD, it can be assumed from existing research documenting positive effects of AAI [11] that the activation of the oxytocin system might occur in persons with this clinical disorder. Based on the knowledge about PTSD and its challenges in treatment and the potential positive effects of AAI supporting conventional trauma therapy/psychotherapy, the following research question was investigated: Does an AAI, delivered by military dog-handlers with their dogs supporting conventional standard treatment have additional positive effects for soldiers with PTSD in comparison to conventional treatment of PTSD without AAI?
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