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The power of support from companion animals for people living with mental health problems: a systematic review and narrative synthesis of the evidence

机译:陪伴动物对患有精神健康问题的人的支持力量:证据的系统评价和叙述性综合

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There is increasing recognition of the therapeutic function pets can play in relation to mental health. However, there has been no systematic review of the evidence related to the comprehensive role of companion animals and how pets might contribute to the work associated with managing a long-term mental health condition. The aim of this study was to explore the extent, nature and quality of the evidence implicating the role and utility of pet ownership for people living with a mental health condition. A systematic search for studies exploring the role of companion animals in the management of mental health conditions was undertaken by searching 9 databases and undertaking a scoping review of grey literature from the earliest record until March 2017. To be eligible for inclusion, studies had to be published in English and report on primary data related to the relationship between domestic animal ownership and the management of diagnosable mental health conditions. Synthesis of qualitative and quantitative data was undertaken in parallel using a narrative synthesis informed by an illness work theoretical framework. A total of 17 studies were included in the review. Quantitative evidence relating to the benefits of pet ownership was mixed with included studies demonstrating positive, negative and neutral impacts of pet ownership. Qualitative studies illuminated the intensiveness of connectivity people with companion animals reported, and the multi-faceted ways in which pets contributed to the work associated with managing a mental health condition, particularly in times of crisis. The negative aspects of pet ownership were also highlighted, including the practical and emotional burden of pet ownership and the psychological impact that losing a pet has. This review suggests that pets provide benefits to those with mental health conditions. Further research is required to test the nature and extent of this relationship, incorporating outcomes that cover the range of roles and types of support pets confer in relation to mental health and the means by which these can be incorporated into the mainstay of support for people experiencing a mental health problem.
机译:人们越来越认识到宠物可以发挥与心理健康有关的治疗功能。但是,关于伴侣动物的全面作用以及宠物如何为与管理长期精神健康状况有关的工作做出贡献的证据尚未得到系统的审查。这项研究的目的是探讨证据表明,宠物所有权对患有精神疾病的人的作用和效用的证据的程度,性质和质量。通过搜索9个数据库并从最早的记录到2017年3月对灰色文献进行了范围界定的研究,系统地搜索了探索伴侣动物在管理心理健康状况中的作用的研究。以英文发表,并报告与家畜所有权和可诊断的精神健康状况管理之间的关系有关的主要数据。定性和定量数据的综合使用疾病工作理论框架提供的叙述性综合进行。该评价共纳入17项研究。与宠物所有权的好处有关的定量证据与包括研究在内的研究相结合,这些研究证明了宠物所有权的正面,负面和中性影响。定性研究阐明了人们与同伴动物之间的联系的密集程度,以及宠物为管理精神健康状况(尤其是在危机时期)相关工作所做的多方面贡献。还强调了宠物所有权的负面影响,包括宠物所有权的实际和情感负担以及丢失宠物带来的心理影响。这项审查表明,宠物可以为患有精神疾病的人带来好处。需要进行进一步的研究以检验这种关系的性质和程度,并纳入涵盖宠物在心理健康方面的作用和类型范围的结果,以及将其纳入对经历者的支持中的手段精神健康问题。

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