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Topic:Anxiety

Anxiety in horses refers to a behavioral and physiological response to stressors, both environmental and social, which can affect their well-being and performance. This response involves a range of manifestations, including increased heart rate, restlessness, and changes in behavior. Anxiety can be triggered by various factors such as changes in routine, transportation, or separation from familiar surroundings or companions. Understanding anxiety in horses is important for managing their welfare and optimizing their performance. This page compiles peer-reviewed research studies and scholarly articles that explore the causes, symptoms, and management strategies for anxiety in horses, as well as its impact on equine behavior and health.
Cannabinoid Receptors in the Horse Lateral Nucleus of the Amygdala: A Potential Target for Ameliorating Pain Perception, Stress and Anxiety in Horses.
International journal of molecular sciences    August 6, 2025   Volume 26, Issue 15 7613 doi: 10.3390/ijms26157613
Bombardi C, Salamanca G, Tagliavia C, Grandis A, Zamith Cunha R, Gramenzi A, De Silva M, Zannoni A, Chiocchetti R.The amygdala is composed of several nuclei, including the lateral nucleus which is the main receiving area for the input from cortical and subcortical brain regions. It mediates fear, anxiety, stress, and pain across species. Evidence suggests that the endocannabinoid system may be a promising target for modulating these processes. Cannabinoid and cannabinoid-related receptors have been identified in the amygdala of rodents, carnivores, and humans, but not in horses. This study aimed to investigate the gene expression of cannabinoid receptors 1 (CB1R) and 2 (CB2R), transient receptor potential...
Lady and the champ: The shared career experiences and retirement transition of a champion jockey and his partner.
Psychology of sport and exercise    July 17, 2025   Volume 81 102943 doi: 10.1016/j.psychsport.2025.102943
Reddington E, Winter S.Elite sporting careers are made up of a succession of transitions and adjustments across multiple layers. Part of the microenvironment is an athlete's romantic partner who moves through the transitions alongside them, being impacted along the way. Though researchers are yet to explore jockeys and their partners experiences within the horse racing context. Framed through the transition environment working model (Henriksen et al., 2024) and supported by the family systems theory (Broderick, 1993), this study aimed to explore the career experiences and retirement transition of a retired Champion ...
“There’s no blueprint for this kind of loss”: Resilience following the death of an equine in an equine-assisted services program.
Death studies    May 28, 2025   1-11 doi: 10.1080/07481187.2025.2510477
Kaufman SVA, Nieforth LO.For practitioners involved in equine-assisted services (EAS), the death of a horse can be a significant life disruption. This study aims to understand the communicative resilience processes that equine-assisted service practitioners express following the death of an equine in their program. This study analyzed secondary qualitative data from a cross-sectional online survey completed by 84 participants. Analysis revealed practitioners engaged in all five communicative resilience processes following the death of an equine in their program. This research extends current resilience research by exa...
Testing for trazodone, an antidepressant, in hair collected from horses.
Journal of analytical toxicology    March 15, 2025   bkaf025 doi: 10.1093/jat/bkaf025
Kintz P, Baudry M, Gheddar L.Trazodone, a medicine registered for human, is a serotonin agonist-antagonist. At low dose, the drug is sedative due to its antagonist properties. At high dose, it is an agonist with anxiolytic and antidepressant actions. Trazodone can be administered to the horse to reduce anxiety. However, according to the anti-doping rules for horses, the presence of trazodone in blood or urine is considered as a violation which will produce a suspension of both the athlete and the horse as the drug is listed banned on the International Federation of Horseracing Authorities prohibited substances list. As a ...
Heart rate variability responses of horses and veterans with post-traumatic stress disorder to ground-based adaptive horsemanship lessons: a pilot study.
Translational animal science    February 12, 2025   Volume 9 txaf019 doi: 10.1093/tas/txaf019
Rankins EM, Faremi BE, Hartmann K, Quinn A, Posada-Quintero HF, McKeever KH, Malinowski K.Heart rate variability (HRV) can be measured as an indicator of autonomic nervous system (ANS) balance and thus, stress and affective arousal. Mixed results have been reported in the limited literature addressing the effects of equine-assisted services (EAS) on HRV in the human and horse participants. The aims of the present study were to determine the effects of ground-based adaptive horsemanship (AH) lessons on veterans' and horses' HRV during weekly lessons as well as veterans' resting HRV outside of lessons. Veterans with post-traumatic stress disorder (PTSD) were randomly assigned to 8 w...
Trends in the management of horses referred for colic evaluation preceding and during the COVID-19 pandemic (2013-2023).
Equine veterinary education    August 19, 2024   Volume 37, Issue 6 308-315 doi: 10.1111/eve.14038
Elane GL, Blikslager AT, Mair TS.The COVID-19 pandemic represented a significant source of anxiety and stress for equine veterinarians and clients, with the potential for measurable effects on caseload and owner economics. Unassigned: To compare the number of horses presenting for emergency colic evaluation and treatment, as well as costs at two equine referral hospitals. Unassigned: Retrospective cohort. Unassigned: Medical records of horses admitted to North Carolina State University (NCSU) and Bell Equine Veterinary Clinic (BEVC) were compared. Total equine accessions, number of horses referred for colic, and patient age w...
Study Protocol: Pegasus: psychotherapy incorporating horses for ‘therapy-resistant’ adolescents with autism spectrum disorders, a study with series of randomised, baseline controlled n-of-1 trials.
BMC psychiatry    July 10, 2024   Volume 24, Issue 1 499 doi: 10.1186/s12888-024-05879-w
den Boer JC, Klip H, Blonk A, Lenselink M, Kaijdoe SPT, Tielkes M, van Zandbeek A, Bres G, Herinx M, Staal WG, Rommelse N.For people with autism spectrum disorder (ASD), daily life can be highly stressful with many unpredictable events that can evoke emotion dysregulation (ED): a strong difficulty with appropriately negative affect regulation. For some of the patients with ASD, treatment as usual does not prove to be effective for ED. They may be at risk of life-long impairment, development of other disorders and loss of motivation for most regular forms of therapy. A highly promising method that may prove effective for therapy-resistant individuals with ASD is Psychotherapy incorporating horses (PIH). PIH uses t...
Behavioral observations, heart rate and cortisol monitoring in horses following multiple oral administrations of a cannabidiol containing paste (part 2/2).
Frontiers in veterinary science    January 3, 2024   Volume 10 1305873 doi: 10.3389/fvets.2023.1305873
Eichler F, Ehrle A, Machnik M, Jensen KC, Wagner S, Baudisch N, Bolk J, Pötzsch M, Thevis M, Bäumer W, Lischer C, Wiegard M.As a remedy against stress and anxiety, cannabidiol (CBD) products are of increasing interest in veterinary medicine. Limited data is available describing the actual effectiveness of CBD in horses. The aim of this study (part 2 of 2) was to analyze stress parameters via behavioral observation, heart rate monitoring and assessment of blood and saliva cortisol levels in healthy horses treated repeatedly with a CBD containing paste. Twelve horses were randomly assigned to a treatment or a control group. Two pastes were orally administered in a double-blinded study design, one paste containing CBD...
Behavioral observations, heart rate and heart rate variability in horses following oral administration of a cannabidiol containing paste in three escalating doses (part 1/2).
Frontiers in veterinary science    December 11, 2023   Volume 10 1305868 doi: 10.3389/fvets.2023.1305868
Eichler F, Ehrle A, Jensen KC, Baudisch N, Petersen H, Bäumer W, Lischer C, Wiegard M.Cannabidiol (CBD) products have been proposed to exert stress- and anxiety-relieving effects in animals. Despite the increasing popularity of CBD for veterinary use, the available research detailing the effects of CBD in horses is limited. The aim of this study (part 1 of 2) was to analyze stress parameters via behavioral observations and heart rate monitoring in healthy horses following single oral administration of a CBD containing paste in different doses. Study products were two pastes for oral administration, one containing CBD and one containing no active ingredient. Pastes were applied ...
Upper airway endoscopy in exercising horses: Findings in 164 barrel racing horses with respiratory clinical signs and/or poor performance.
Veterinary journal (London, England : 1997)    October 21, 2023   Volume 300-302 106038 doi: 10.1016/j.tvjl.2023.106038
Massie SL, Léguillette R.Barrel racing involves sprinting through a cloverleaf pattern in under 20 s. The prevalence of upper airway obstructions (UAO) in barrel racers is unknown, thus a retrospective analysis of 164 client-owned horses referred for overground endoscopy (OGE) between 2014 and 2022 was performed. Referring complaints included respiratory noise, cough, epistaxis, behaviour (owner reported stress/anxiety, refusal to enter arena, excessive head shaking), and/or poor performance. Horses performed a standardized exercise test with low and high-speed components. Videoendoscopic recordings were systematical...
Gabapentin: Clinical Use and Pharmacokinetics in Dogs, Cats, and Horses.
Animals : an open access journal from MDPI    June 20, 2023   Volume 13, Issue 12 doi: 10.3390/ani13122045
Di Cesare F, Negro V, Ravasio G, Villa R, Draghi S, Cagnardi P.Gabapentin is an anticonvulsant drug, which presents an established clinical efficacy in human patients for the management of refractory partial seizures, secondarily generalized tonic-clonic seizures, and for the control of chronic neuropathic pain. Gabapentin was synthesized as a structural analogue of the inhibitory neurotransmitter GABA, with GABA-mimetic effects, able to cross the blood-brain barrier. In veterinary medicine, is extra-label used in combination with other treatments to control seizures when other drugs are no longer effective or become toxic or for neuropathic pain treatmen...
The impact on physical performance, pain and psychological wellbeing of chronic low back pain patients during 12-weeks of equine- facilitated therapy intervention.
Frontiers in veterinary science    March 14, 2023   Volume 10 1085768 doi: 10.3389/fvets.2023.1085768
Mattila-Rautiainen S, Venojärvi M, Rautiainen H, Keski-Valkama A.Equine - Facilitated Therapy (EFT), an equine environment, and horses themselves can meet many physical and mental health needs beyond diagnostic categories. The horse's ability to produce a walk-like movement and the participant's ability to connect to non-judgemental living creatures, both of which can benefit participation and construct a positive self-image for chronic pain patients. The objective of this study is to evaluate the impact of EFT on perceived physical performance, level of pain, pain acceptance, depression and anxiety, and quality of life within a 12-week intervention for chr...
Identification of Personality-Related Candidate Genes in Thoroughbred Racehorses Using a Bioinformatics-Based Approach Involving Functionally Annotated Human Genes.
Animals : an open access journal from MDPI    February 20, 2023   Volume 13, Issue 4 769 doi: 10.3390/ani13040769
Yokomori T, Ohnuma A, Tozaki T, Segawa T, Itou T.Considering the personality traits of racehorses (e.g., flightiness, anxiety, and affability) is considered essential to improve training efficiency and decrease accident frequency, especially when retraining for a second career that may involve contact with inexperienced personnel after retiring from racing. Studies on human personality-related genes are frequently conducted; however, such studies are rare in horses because a consistent methodology for personality evaluation is lacking. Using the recently published whole genome variant database of 101 Thoroughbred horses, we compared horse ge...
Breast Cancer: How Hippotherapy Bridges the Gap between Healing and Recovery-A Randomized Controlled Clinical Trial.
Cancers    February 19, 2023   Volume 15, Issue 4 1317 doi: 10.3390/cancers15041317
Viruega H, Galy C, Loriette C, Jacquot S, Houpeau JL, Gaviria M.Breast cancer is the most diagnosed women's cancer, and has a high survival rate. Despite great progress in detection and treatment, life reconstruction requires comprehensive cross-sectoral approaches between different disciplines and deeper consideration of the patient's challenges. Hippotherapy is an emerging specialized rehabilitation approach, performed by accredited health professionals and equine specialists, on specially trained horses via their movement, activating major paths for physical, mental, psychic and social reinforcement, and is synergistic to rehabilitative and supportive c...
The use of cannabidiol as a novel treatment for oral stereotypic behaviour (crib-biting) in a horse.
Veterinary and animal science    February 7, 2023   Volume 19 100289 doi: 10.1016/j.vas.2023.100289
Cunha RZ, Felisardo LL, Salamanca G, Marchioni GG, Neto OI, Chiocchetti R.Behaviour is the response of living things to their environment and external stimulation, and is one of the parameters to be observed when assessing animal welfare. Any alteration from the conditions found in nature can lead to the occurrence of some specific behaviours, called stereotypies which are characterised as repetitive, consistent patterns of behaviour usually defined as having no apparent ultimate or proximal functions. It has been reported that once stabled or subjected to stressful activities, horses have more susceptibility of developing behavioural disturbances; therefore, behavi...
Equine-Assisted Therapy for Posttraumatic Stress Disorder Among First Responders.
Psychological reports    December 21, 2022   332941221146707 doi: 10.1177/00332941221146707
Nelson C, Dossett K, Walker DL.Equine-assisted therapy has emerged as an adjunctive integrative health modality in treating individuals experiencing physiological and psychological distress. However, limited research exists to assess the efficacy of such treatments as a possible adjunct to psychological treatment for Posttraumatic Stress Disorder (PTSD) in first responders. The current pilot study examines the additive benefits of equine-assisted exposure for first responders suffering occupational incapacitation from operational-related trauma. Seven first responders participated in an 8-week, 90-minute, equine-assisted th...
Application of QBA to Assess the Emotional State of Horses during the Loading Phase of Transport.
Animals : an open access journal from MDPI    December 19, 2022   Volume 12, Issue 24 3588 doi: 10.3390/ani12243588
Dai F, Riva MG, Dalla Costa E, Pascuzzo R, Chapman A, Minero M.To identify feasible indicators to evaluate animals' emotional states as a parameter to assess animal welfare, the present study aimed at investigating the accuracy of free choice profiling (FCP) and fixed list (FL) approach of Qualitative Behaviour Assessment (QBA) in horses during the loading phase of transport. A total of 13 stakeholders were trained to score 2 different sets of videos of mixed breed horses loaded for road transport, using both FCP and FL, in 2 sessions. Generalized Procustes Analysis (GPA) consensus profile explained a higher percentage of variation (80.8%) than the mean o...
What Is Your Diagnosis?
Journal of the American Veterinary Medical Association    October 31, 2022   Volume 261, Issue 2 193-195 doi: 10.2460/javma.22.09.0392
Carrillo AJ, Ham KM, Gonçalves R, Paradise H, Vilaplana Grosso FR.No abstract available
Perceptions of Fear and Anxiety in Horses as Reported in Interviews with Equine Behaviourists.
Animals : an open access journal from MDPI    October 23, 2022   Volume 12, Issue 21 2904 doi: 10.3390/ani12212904
Rogers S, Bell C.One of the key welfare concerns for horses in the United Kingdom is lack of recognition of fear in horses. This study aimed to gain an understanding of how well horse care givers recognise fear and/or anxiety in horses by interviewing equine behaviourists (who interact with large numbers of horse care givers and talk to them about this topic routinely). The experiences of Animal Behaviour and Training Council (ABTC)-registered equine behaviourists working with horse caregivers were examined, including the ability of clients to recognise fear and/or anxiety in horses, how clients respond when d...
Animal-assisted therapy in eating disorder treatment: A systematic review.
Eating behaviors    September 30, 2022   Volume 47 101673 doi: 10.1016/j.eatbeh.2022.101673
Fennig MW, Weber E, Santos B, Fitzsimmons-Craft EE, Wilfley DE.Eating disorders (EDs) are deadly illnesses with high relapse rates, highlighting need for better interventions. Animal-assisted therapy (AAT) has been implemented supplementally for EDs, with horses utilized at many residential facilities. AAT shows promise with meta-analyses of randomized control trials (RCTs) showing significant decreases in depression, anxiety, and negative affect; however, no review to date has evaluated efficacy for EDs. Therefore, this study conducted a systematic review of primary literature to investigate the efficacy of AAT for EDs. A systematic review was conducted ...
Reducing Anxiety and Stress among Youth in a CBT-Based Equine-Assisted Adaptive Riding Program.
Animals : an open access journal from MDPI    September 20, 2022   Volume 12, Issue 19 2491 doi: 10.3390/ani12192491
Hoagwood K, Vincent A, Acri M, Morrissey M, Seibel L, Guo F, Flores C, Seag D, Peth Pierce R, Horwitz S.Reining in Anxiety (RiA) is a therapeutic program for youth with mild to moderate anxiety delivered in a therapeutic riding setting by Certified Therapeutic Riding Instructors. RiA was developed after a review of the evidence base for youth anxiety, is manualized, and includes five core CBT components: in vivo exposure, cognitive restructuring, youth psychoeducation, relaxation, and caregiver psychoeducation about anxiety. This study extended findings from a prior RCT that examined (1) the feasibility of collecting saliva samples from horses and children to measure stress (cortisol) and relaxa...
Cannabidiol and the possibilities of its use in veterinary medicine of dogs and horses: A brief review.
Veterinarni medicina    June 17, 2022   Volume 67, Issue 9 455-462 doi: 10.17221/127/2021-VETMED
Landa L, Trojan V, Demlova R, Jurica J, Hrib R.In connection with the use of cannabinoids for therapeutic purposes in human medicine, there is increased attention for their use in veterinary medicine, particularly by the owners of companion animals and horses. Therefore, veterinarians are expected to face this interest and have the corresponding knowledge on these substances. Presently, it is not possible to use medical marijuana (in terms of the dried cannabis flowers) for veterinary purposes in many countries, but there is increasing evidence that isolated cannabinoids also have beneficial effects (namely cannabidiol - CBD)...
Behavioural responses of Konik Polski horses to natural, familiar sound of thunderstorm, and unfamiliar similar-sounding sounds of volcanic eruption and sea storms.
BMC veterinary research    May 30, 2022   Volume 18, Issue 1 207 doi: 10.1186/s12917-022-03314-4
WiÅ›niewska A, Janczarek I, Ryżak M, Tkaczyk E, KÄ™dzierski W.It is not clear, if modern Konik Polski horses have retained the ability to identify sounds in terms of danger. The aim of the study was to identify differences in their behaviour in response to the reproduction of volcanic eruption and sea storm sounds, assumed to be unfamiliar to these horses, as compared to their response to a thunderclap sound, considered by the horses as potentially dangerous. The study included 13 adult mares of the Konik Polski breed, kept under a free-range system. Their behavioural responses to the reproduction of the three natural sounds with an intensity of over 50â...
The Impact of Noise Anxiety on Behavior and Welfare of Horses from UK and US Owner’s Perspective.
Animals : an open access journal from MDPI    May 21, 2022   Volume 12, Issue 10 1319 doi: 10.3390/ani12101319
Riva MG, Dai F, Huhtinen M, Minero M, Barbieri S, Dalla Costa E.Noise anxiety is an over-reaction to loud noises commonly detected among pets and can greatly impact on their welfare and on their management. When exposed to noisy events, horses can show intense escape attempts, which may cause severe accidents for the horse and the rider/handler. The aim of the present study was to investigate, through a web survey, UK and US owners' perception of noise anxiety severity in their horses, their management strategies and perceived efficacy. The questionnaire was shared via social networking and advertised as "What is your horse afraid of?". Over a total of 183...
A Pilot Observational Study of Implementing an Equine-A ssisted Services Program Within a VA Medical Center Residential Substance Use Disorder Treatment Program.
Military medicine    March 1, 2022   usac028 doi: 10.1093/milmed/usac028
Marchand WR, Joubert K, Smith J, Nazarenko E, Klinger W, Sheppard S, Hoopes KH.The aim of this observational pilot study was to assess the safety, feasibility, preliminary outcomes, and predictors of participant response as a result of implementing an equine-assisted intervention within a residential substance abuse treatment program at a large Veterans Administration medical center. A secondary aim was to evaluate psychological instruments for use in future, more rigorous studies. The overarching goal was to complete the necessary work to prepare for a large randomized controlled trial of this intervention for Veterans with addictive disorders. Methods: Participants wer...
Nociceptive pain and anxiety in equines: Physiological and behavioral alterations.
Veterinary world    November 26, 2021   Volume 14, Issue 11 2984-2995 doi: 10.14202/vetworld.2021.2984-2995
Hernández-Avalos I, Mota-Rojas D, Mendoza-Flores JE, Casas-Alvarado A, Flores-Padilla K, Miranda-Cortes AE, Torres-Bernal F, Gómez-Prado J....Pain and anxiety are two of the most important concerns in clinical veterinary medicine because they arise as consequences of multiple factors that can severely affect animal welfare. The aim of the present review was to provide a description and interpretation of the physiological and behavioral alterations associated with pain and anxiety in equines. To this end, we conducted an extensive review of diverse sources on the topic. The article begins by describing the neurophysiological pathway of pain, followed by a discussion of the importance of the limbic system in responses to pain and anxi...
Outcomes of an Equine Assisted Learning Curriculum to Support Well-Being of Medical Students and Residents.
Journal of medical education and curricular development    July 26, 2021   Volume 8 23821205211016492 doi: 10.1177/23821205211016492
Artz NL, Robbins J, Millman ST.Objectives of this study were to evaluate an equine assisted learning (EAL) curriculum designed for medical students and resident physicians, and to determine impacts of the curriculum on participant perceptions of burnout and well-being. The EAL curriculum incorporated evidence-based skills and concepts to increase happiness and/or resilience. A pre/post intervention design was used, with 18 EAL participants receiving the curriculum within their month-long community based primary care clerkship elective, and 10 control (CTL) participants who did not receive the curriculum within their clerksh...
Racehorse Trainer Mental Health: Prevalence and Risk Factors.
Journal of equine veterinary science    February 21, 2021   Volume 101 103423 doi: 10.1016/j.jevs.2021.103423
King L, Cullen SJ, O'Connor S, McGoldrick A, Pugh J, Warrington G, Losty C.Racehorse trainers play an important role within the horseracing industry. Despite this, scarce empirical information exists regarding the mental health of this population. Thus, the purpose of the present study was to explore the prevalence of symptoms related to common mental disorders (CMDs) and their associations with specific risk factors for CMD. Participants completed an anonymous online questionnaire. CMDs were assessed including distress, depression, generalized anxiety and adverse alcohol use. The risk factors examined included career dissatisfaction, social support and financial dif...
Hippotherapy in neurodevelopmental disorders: a narrative review focusing on cognitive and behavioral outcomes.
Applied neuropsychology. Child    December 1, 2020   Volume 11, Issue 3 553-560 doi: 10.1080/21622965.2020.1852084
Hippotherapy (HT) is a rehabilitative tool inducing psychological and motor improvements using human-horse interaction. HT provides sensory stimulation to the rider through the rhythmic and repetitive movements of the horse, facilitating communication between patients and healthcare professionals, favoring the establishment of a therapeutic alliance. The purpose of this review is to evaluate the effects of HT treatment on cognitive-behavioral processes in neurodevelopmental disorders. We screened studies published between 2002 and 2020 on PubMed, Scopus, Cochrane, and Web of Sciences databases...
Horse-Riding Competitions Pre and Post COVID-19: Effect of Anxiety, sRPE and HR on Performance in Eventing.
International journal of environmental research and public health    November 21, 2020   Volume 17, Issue 22 doi: 10.3390/ijerph17228648
Demarie S, Galvani C, Billat VL.The aim of the present study was to quantify the impact of training restrictions, due to COVID-19 sanitary emergency, on physical and emotional strain of horse-riding Eventing competitions before and after eight weeks of lockdown. Performance was assessed by the penalty points attained, anxiety by the Competitive State Anxiety Inventory-2, strain by the Rating of Perceived Exertion (RPE) method. Moreover, Heart Rate was continuously monitored for fifty-four female national level Eventing horse-riders. Lockdown decreased performance outcome of horse-riders in Eventing competitions up to six wee...
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