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首页> 外文期刊>Frontiers in Psychology >Animal Assisted Therapy (AAT) Program As a Useful Adjunct to Conventional Psychosocial Rehabilitation for Patients with Schizophrenia: Results of a Small-scale Randomized Controlled Trial
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Animal Assisted Therapy (AAT) Program As a Useful Adjunct to Conventional Psychosocial Rehabilitation for Patients with Schizophrenia: Results of a Small-scale Randomized Controlled Trial

机译：动物辅助治疗（AAT）计划作为精神分裂症患者常规心理社会康复的有用辅助手段：小规模随机对照试验的结果

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Currently, one of the main objectives of human–animal interaction research is to demonstrate the benefits of animal assisted therapy (AAT) for specific profiles of patients or participants. The aim of this study is to assess the effect of an AAT program as an adjunct to a conventional 6–month psychosocial rehabilitation program for people with schizophrenia. Our hypothesis is that the inclusion of AAT into psychosocial rehabilitation would contribute positively to the impact of the overall program on symptomology and quality of life, and that AAT would be a positive experience for patients. To test these hypotheses, we compared pre–program with post–program scores for the Positive and Negative Syndrome Scale (PANSS) and the EuroQoL-5 dimensions questionnaire (EuroQol-5D), pre–session with post–session salivary cortisol and alpha–amylase for the last four AAT sessions, and adherence rates between different elements of the program. We conducted a randomized, controlled study in a psychiatric care center in Spain. Twenty–two institutionalized patients with chronic schizophrenia completed the 6–month rehabilitation program, which included individual psychotherapy, group therapy, a functional program (intended to improve daily functioning), a community program (intended to facilitate community reintegration) and a family program. Each member of the control group (n = 8) participated in one activity from a range of therapeutic activities that were part of the functional program. In place of this functional program activity, the AAT–treatment group (n = 14) participated in twice–weekly 1–h sessions of AAT. All participants received the same weekly total number of hours of rehabilitation. At the end of the program, both groups (control and AAT–treatment) showed significant improvements in positive and overall symptomatology, as measured with PANSS, but only the AAT–treatment group showed a significant improvement in negative symptomatology. Adherence to the AAT-treatment was significantly higher than overall adherence to the control group’s functional rehabilitation activities. Cortisol level was significantly reduced after participating in an AAT session, which could indicate that interaction with the therapy dogs reduced stress. In conclusion, the results of this small-scale RCT suggest that AAT could be considered a useful adjunct to conventional psychosocial rehabilitation for people with schizophrenia.
机译：当前，人与动物相互作用研究的主要目标之一是证明动物辅助治疗（AAT）对于特定患者或参与者特征的益处。这项研究的目的是评估AAT计划作为精神分裂症患者常规6个月心理社会康复计划的辅助手段的效果。我们的假设是，将AAT纳入社会心理康复将对整个计划对症状和生活质量的影响产生积极影响，并且AAT对患者将是积极的经历。为了检验这些假设，我们比较了正，负综合症量表（PANSS）和EuroQoL-5维度问卷（EuroQol-5D）的术前与术后分数，术前唾液皮质醇和α-最近四次AAT会话的淀粉酶，以及该计划不同元素之间的遵守率。我们在西班牙的精神病治疗中心进行了一项随机对照研究。 22位住院的慢性精神分裂症患者完成了为期6个月的康复计划，其中包括个人心理治疗，团体治疗，一项功能性计划（旨在改善日常功能），一项社区计划（旨在促进社区重新融入社会）和一项家庭计划。对照组的每个成员（n = 8）都参与了功能性程序中一部分治疗活动中的一项活动。代替这项功能性计划活动，AAT治疗组（n = 14）参加了每周两次的AAT每周一次的1h疗程。所有参与者每周都有相同的康复总小时数。在该计划结束时，两组（对照组和AAT治疗组）在阳性和总体症状方面均表现出显着改善（如用PANSS衡量），但只有AAT治疗组在阴性症状方面表现出显着改善。对AAT治疗的依从性明显高​​于对对照组功能康复活动的整体依从性。参加AAT会议后，皮质醇水平显着降低，这表明与治疗犬的相互作用降低了压力。总之，该小型RCT的结果表明，对于精神分裂症患者，AAT可被视为常规心理社会康复的有用辅助手段。

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