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Topic:Mental Health

The topic of mental health and horses encompasses the therapeutic interactions between horses and humans. This area of research investigates the behavioral and physiological indicators of stress, anxiety, and other mental health conditions affected by horses. It explores equine-assisted interventions, where horses are involved in therapeutic activities aimed at improving human mental health. Studies in this field often examine the effects of environment, management practices, and human-animal interactions on equine mental health. This page compiles peer-reviewed research studies and scholarly articles that explore the assessment, management, and implications of mental health related to horses, as well as the role of horses in therapeutic settings for humans.
UK horse owners and veterinary practitioners’ experiences of decision-making for critical cases of colic.
Equine veterinary journal    June 25, 2024   Volume 56, Issue 6 1216-1228 doi: 10.1111/evj.14124
Burrell KL, Burford JH, England GCW, Freeman SL.The survival of horses diagnosed with critical colic (requiring referral or euthanasia) relies on rapid and effective decision-making by the owner and veterinary practitioner. Objective: To explore UK horse owners' and veterinary practitioners' experiences of decision-making for critical cases of equine colic. Methods: Qualitative study using a phenomenological approach. Methods: Individual, semi-structured telephone interviews were conducted with 14 horse owners and 13 veterinary practitioners (vets) who had experienced a critical decision (referral or euthanasia) for a horse with colic. A pu...
Bibliometric Analysis on Equine-Assisted Interventions.
Animals : an open access journal from MDPI    June 13, 2024   Volume 14, Issue 12 1776 doi: 10.3390/ani14121776
Amado-Fuentes M, Denche-Zamorano A, Barrios-Fernandez S, Gozalo M.Equine Assisted Interventions (EAIs) integrate the active participation of horses in therapeutic or educational interventions. A bibliometric analysis was carried out on this topic, using traditional bibliometric laws and recommendations. For this purpose, a search on the Web of Science (WoS) Core Collection database was carried out, obtaining 333 documents. Annual publications followed an exponentially increasing trend (R = 86%), pointing out that this topic is a growing interest among researchers, publishers, and journals. The USA was the most productive country worldwide and Jeong-yi Kwon a...
Ground-based adaptive horsemanship lessons for veterans with post-traumatic stress disorder: a randomized controlled pilot study.
Frontiers in psychiatry    May 28, 2024   Volume 15 1390212 doi: 10.3389/fpsyt.2024.1390212
Rankins EM, Quinn A, McKeever KH, Malinowski K.Equine-assisted services (EAS) has received attention as a potential treatment strategy for post-traumatic stress disorder (PTSD), as existing literature indicates that symptoms may decrease following EAS. Relatively little is known about the mechanisms at play during lessons and if physiological measures are impacted. The objectives of this pilot study were to 1) explore the effects of adaptive horsemanship (AH) lessons on symptoms of PTSD, hormone concentrations, and social motor synchrony; 2) determine if physiological changes occur as veterans interact with horses; and 3) explore if the in...
Building up bit by bit, parent’s experiences of equine-assisted intervention among children and adolescents with mental illness: a grounded theory study.
International journal of qualitative studies on health and well-being    May 17, 2024   Volume 19, Issue 1 2354945 doi: 10.1080/17482631.2024.2354945
Carlsson IM, Bräutigam Ewe M, Nymberg P, Jormfeldt H.Mental ill health among children and adolescents has increased worldwide. Mental health difficulties from a young age are associated with school absence and educational underachievement. A holistic perspective of treatments besides medical treatment is essential Thus, there is a need for research regarding equine-assisted intervention (EAI). Unassigned: The present study aimed to understand the outcomes of an equine-assisted intervention for children and adolescents with mental ill health from the perspectives of parents and close relatives. Unassigned: This study used a qualitative research d...
A network meta-analysis of the effect of physical exercise on core symptoms in patients with autism spectrum disorders.
Frontiers in neurology    May 9, 2024   Volume 15 1360434 doi: 10.3389/fneur.2024.1360434
Li L, Jia S, Wang P, Li S, Wang X, Zhu X.To compare the effects of various sports exercise programs on the core symptoms of patients with autism spectrum disorder (ASD). Unassigned: We searched the China National Knowledge Infrastructure, VIP databases, Wanfang databases, Cochrane Library, PubMed, EMBASE, and Web of Science databases from their inception to February 2023 for randomized controlled trial that investigated the effect of sports exercise on the core symptoms of ASD. The overall risk of bias in the included literature was summarized using the revised Cochrane Randomized Trial Risk of Bias Tool (ROB2), and network meta-anal...
Being in a meaningful context. Nature and animal-assisted activities as perceived by adults with autism.
Australian occupational therapy journal    February 27, 2024   Volume 71, Issue 4 513-526 doi: 10.1111/1440-1630.12940
Gunnarsson AB, Aurin IE, Holmberg S.Animal-assisted and nature-based interventions in psychosocial treatment for various groups of clients have been studied internationally. However, there is little knowledge about how young adults with autism experience participation in such types of interventions. This clinical study aimed to describe the feasibility of animal-assisted and nature-based activities on a farm as a complementary intervention for young adults with autism and social withdrawal. Methods: The participants were aged 18-30 years, diagnosed with autism and social withdrawal, with no organised occupation during the prev...
Experiences of a Therapeutic Equine-Assisted Group Intervention for People with Common Mental Disorders on Sick-Leave.
Issues in mental health nursing    February 1, 2024   Volume 45, Issue 3 344-351 doi: 10.1080/01612840.2023.2301611
Fridén L, Hultsjö S, Lydell M, Jormfeldt H.Common mental disorders such as anxiety, depression and stress-related disorders are increasing worldwide, resulting in long-term sick leave and lower quality of life. Traditional treatment is often insufficient to facilitate the recovery process, and the need for holistic interventions that enable successful recovery is evident. Equine-assisted interventions have shown promising results in health promotion among people with mental disorders, and further research is needed to implement them within the range of available care. The aim of the study is therefore to describe experiences of a thera...
The state of coursework on horses in human services at universities and colleges in the United States: a scoping review.
Frontiers in veterinary science    November 28, 2023   Volume 10 1305353 doi: 10.3389/fvets.2023.1305353
Connolly K, Ekholm Fry N.An increasing number of universities and colleges in the United States are offering coursework on adaptive/therapeutic riding and the incorporation of horses in human service areas such as psychotherapy, education, occupational therapy, physical therapy, and speech-language pathology. The first study to identify coursework in these areas was published in 2018. In order to track development over time, we conducted a replication study to determine the prevalence of coursework on horses in human services at higher education institutions. Information gathered for the 2021-2022 academic year includ...
Equine-assisted therapy effectiveness in improving emotion regulation, self-efficacy, and perceived self-esteem of patients suffering from substance use disorders.
BMC complementary medicine and therapies    October 13, 2023   Volume 23, Issue 1 363 doi: 10.1186/s12906-023-04191-6
Souilm N.Substance Use Disorders (SUD) is a universal overwhelming public health problem and is associated with other psychological and mental health ailments such as emotion regulation, perceived self-esteem, and self-efficacy problems. Complementary and alternative medicine may be beneficial. The aim of this study was to assess the effectiveness of equine-assisted therapy in improving emotion regulation, self-efficacy, and perceived self-esteem among patients suffering from substance use disorders. It was carried out using a randomized controlled trial design at Behman hospital, Cairo, Egypt. It incl...
Evaluating the efficacy of hippotherapy: a promising intervention in rheumatology, pain medicine, and geriatrics.
Rheumatology international    September 12, 2023   Volume 43, Issue 12 2185-2191 doi: 10.1007/s00296-023-05451-x
Using animals for medical care has a long history. Animals have long been recognized for their ability to improve human health and well-being throughout nations and civilizations. Animal-assisted therapy is a concept that incorporates intentional and regulated interactions between individuals and animals to achieve therapeutic aims. Hippotherapy is an animal-assisted therapy consisting of medical procedures and practices that use horses to restore and enhance physical and mental health. The effectiveness of hippotherapy is evidenced by its ability to have a favorable influence on various dom...
A Pilot Replication Study of Implementing an Equine-Assisted Services Program Within a VA Residential Substance Use Disorder Treatment Program.
Military medicine    July 24, 2023   doi: 10.1093/milmed/usad274
Marchand WR, Smith J, Nazarenko E, Joubert K, Black H, Osborne M, Andersen S, Bell K, Baldwin S, Klinger W, Connelly H, Sheppard S, Hoopes K.Veterans have high rates of substance use disorders and other mental health conditions including post-traumatic stress disorder. Effective treatments for these conditions exist; however, high attrition rates and residual symptoms after completing treatment are common. Complementary treatment approaches could enhance treatment engagement and/or response among this population. We previously reported a study of one such intervention, an equine-assisted learning, and psychotherapy incorporating horses intervention provided to veterans admitted to a Veterans Health Care Administration residential s...
Potential Mechanisms of Action and Outcomes of Equine-Assisted Services for Veterans with a History of Trauma: A Narrative Review of the Literature.
International journal of environmental research and public health    July 16, 2023   Volume 20, Issue 14 doi: 10.3390/ijerph20146377
Marchand WR.Equine-assisted services (EASs) are being increasingly used as complementary interventions for military veterans who have experienced trauma. However, there is limited evidence of benefit for this population and almost no literature describing the desired potential outcomes and possible mechanisms of action. The aim of this article is to address these gaps by reviewing the extant literature of animal-assisted interventions in general, and equine-assisted services in particular, with the goal of providing guidance for future investigations in the field. Currently, the field is in the early stag...
An evaluation of the effect of equine-facilitated psychotherapy on patients with substance use disorders.
PloS one    June 28, 2023   Volume 18, Issue 6 e0286867 doi: 10.1371/journal.pone.0286867
Machová K, Juríčková V, Kasparová A, Petrová K, Sládková B, Svobodová I.Equine Facilitated Psychiatry and Psychology (EFPP) is a supportive non-pharmacological treatment program used in the treatment of patients with substance use disorder. The aim of this study was to evaluate a possible change in patient's health and health-related quality of life between the first and fourth session of the EFPP program using the Assessment of Quality of Life (AQoL) and the Health of the Nation Outcome Scales (HoNOS). The Human-Animal Interaction Scale (HAIS) and a 5-point Likert-type scale was used for an assessment of patient's mood in the experimental group. The study sample ...
Equine-Assisted Therapy in Post-Traumatic-Stress Disorder: A Systematic Review and Meta-Analysis.
Journal of equine veterinary science    June 22, 2023   Volume 128 104871 doi: 10.1016/j.jevs.2023.104871
Palomar-Ciria N, Bello HJ.Alternative treatments for Post-traumatic-Stress Disorder (PTSD) have attracted attention, especially Equine-Assisted Services (EAS) including psychotherapy and occupational therapy involving horses. In this work, we measured the effectiveness of EAS in PTSD through a meta-analysis. An intensive bibliography search focusing in EAS and PTSD was conducted following the PRISMA recommendations. The search was not restricted by date. For the quantitative analyses, 5 works were selected. They were chosen based on the instrument utilized for the assessment of PTSD symptoms: the PTSD Checklist for DSM...
Mental Experiences in Wild Animals: Scientifically Validating Measurable Welfare Indicators in Free-Roaming Horses.
Animals : an open access journal from MDPI    April 28, 2023   Volume 13, Issue 9 1507 doi: 10.3390/ani13091507
Harvey AM, Beausoleil NJ, Ramp D, Mellor DJ.The mental experiences of animals are what characterises their welfare status. The Five Domains Model for assessing welfare aligns with the understanding that physical and mental states are linked. Following measurement of indicators within each of the four physical/functional Domains (1. Nutrition; 2. Physical environment; 3. Health; and 4. Behavioural interactions), the anticipated negative or positive affective consequences (mental experiences) are cautiously inferred and assigned to Domain 5. Those inferences derive credibility from validated knowledge of the underlying systems of physiolo...
[Contribution of equine therapy in the management of post-traumatic stress disorder].
Soins. Psychiatrie    April 20, 2023   Volume 44, Issue 345 39-43 doi: 10.1016/j.spsy.2023.03.011
Chalvignac L, Galia P, Faure P, Prieto N.For several years, animal-mediated therapies have been used in the treatment of psychiatric patients. Post-traumatic stress disorder has the particularity of being generated by an external event in a person a priori free of mental pathology. In this disorder, various so-called targeted psychotherapies have proven to be effective, including equine therapy.
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...
Equine-Assisted Therapeutic Intervention in Institutionalized Children: Case Studies.
International journal of environmental research and public health    February 6, 2023   Volume 20, Issue 4 2846 doi: 10.3390/ijerph20042846
Matias AR, Santos GD, Almeida N.A significant number of institutionalized children have behavior problems. Socio-emotional skills are fundamental for their adaptation and success throughout life and are usually weakened in this population. Equine-assisted services (EAS) are a form of therapeutic mediation that facilitates and requires the practitioner's participation, contributing to the promotion of various psychomotor and socio-emotional dimensions. This study was developed during 17 sessions of EAS with a psychomotor intervention, which took place individually and weekly and lasted approximately 45 min, with three institu...
Evaluation of a mindfulness and self-compassion-based psychotherapy incorporating horses for Veterans who have experienced trauma.
Complementary therapies in medicine    January 4, 2023   Volume 72 102914 doi: 10.1016/j.ctim.2023.102914
Marchand WR, Lackner R, Hartquist A, Finnell L, Nazarenko E.The primary aim of this pilot study was to assess the safety, feasibility, acceptability, as well as preliminary outcomes of a mindfulness and self-compassion-based psychotherapy incorporating horses (PIH) intervention, Whispers with Horses, for Veterans who had experienced trauma. Whispers with Horses was developed as a structured intervention that could be easily replicated for additional studies. If shown to be effective by future rigorous research, the aim is to disseminate a manualized version of the intervention to the field. Methods: Prospective open trial. Methods: A large Veterans Adm...
A pilot observational study of horsemanship skills training for veterans with posttraumatic stress disorder.
Complementary therapies in medicine    December 16, 2022   Volume 72 102910 doi: 10.1016/j.ctim.2022.102910
Marchand WR, Smith J, Hoopes KH, Osborne M, Andersen SJ, Bell K, Nazarenko E, Macneill R, Joubert K.Pilot assessment of an equine-assisted services intervention for Veterans with posttraumatic stress disorder. Methods: Prospective cohort. Methods: A large Veterans Administration healthcare system. Methods: Two sessions of instruction in horsemanship skills and two sessions of trail rides. Methods: Safety and feasibility of recruitment, retention, providing the intervention, and measuring outcomes, as well as acceptability of the intervention to the population studied were the main outcome measures. Results: There were no injuries among the 18 participants, 6 staff, or 11 equines over the 3 m...
Equine-assisted services for individuals with substance use disorders: a scoping review.
Substance abuse treatment, prevention, and policy    December 14, 2022   Volume 17, Issue 1 81 doi: 10.1186/s13011-022-00506-x
Diaz L, Gormley MA, Coleman A, Sepanski A, Corley H, Perez A, Litwin AH.The implementation of equine-assisted services (EAS) during treatment for psychological disorders has been frequently documented; however, little is known about the effect of EAS on outcomes for populations with substance use disorder (SUD). The purpose of this scoping review was to synthesize existing literature reporting the effects of EAS when incorporated into SUD treatment. This review followed guidelines in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist for scoping reviews. A search of four databases (MEDLINE/PubMed, PsycINFO, the Cumulative Ind...
Integrative Philosophy: Case Management.
The Veterinary clinics of North America. Equine practice    October 13, 2022   Volume 38, Issue 3 455-461 doi: 10.1016/j.cveq.2022.06.004
Adair S.This article serves as an introduction into integrative case management as it applies to the horse's mental health, pain management, and tissue healing. The integrative philosophy pertains to the combination of conventional Western medicine and complementary and alternative therapies to provide the best patient care possible using currently available evidence. The goal is to improve the health of the patient in a more holistic manner.
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 ...
Pet ownership, feelings of loneliness, and mood in people affected by the first COVID-19 lockdown. Martos Martinez-Caja A, De Herdt V, Enders-Slegers MJ, Moons CPH.The outbreak of the COVID-19 pandemic has caused dramatic changes to our lifestyle, particularly affecting our ability to interact "in person" with our social network. These changes have had a detrimental effect on the mental welfare of the global population. The international questionnaire "Pets in Lockdown" was designed to investigate whether feelings of loneliness were affecting the mood of people during the COVID-19 lockdown and whether pet ownership may have had a positive influence on both loneliness and general mood. As expected, higher loneliness scores were associated with higher nega...
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...
The Relevance of Internal Working Models of Self and Others for Equine-Assisted Psychodynamic Psychotherapy.
International journal of environmental research and public health    August 30, 2022   Volume 19, Issue 17 10803 doi: 10.3390/ijerph191710803
Kovács G, van Dijke A, Leontjevas R, Enders-Slegers MJ.Attachment characteristics play a key role in mental health and in understanding mental disorders. The aim of this study was to gain insight into the role the attachment characteristics can play in treatment effects in adult patients with intrapsychic and interpersonal problems who underwent Equine-assisted Short-term Psychodynamic Psychotherapy (ESTPP). In the first part of the study, we compared the effects of ESTPP to treatment-as-usual from a previous dataset regarding psychological dysfunction. For this, an explorative experimental non-randomized pre-treatment and 1-year post-treatment de...
A qualitative study of equine-assisted therapy for Israeli military and police veterans with PTSD-impact on self-regulation, bonding and hope.
Health & social care in the community    July 19, 2022   Volume 30, Issue 6 e5074-e5082 doi: 10.1111/hsc.13922
Rosing T, Malka M, Brafman D, Fisher PW.Equine-assisted therapy (EAT) is an increasingly popular form of treatment for people suffering from post-traumatic stress disorder (PTSD) who, for one reason or another, find psychotherapy and other traditional treatment approaches unsuitable or unhelpful. However, the concomitant growth of research in the field is yet to engage with key factors relating to EAT; specifically, there are few studies considering the phenomenological perspective of patients, and the embodied knowledge deriving from the lived experience of PTSD patients who participated in EAT-based intervention programmes. Based ...
Mental health benefits of mounted equine-assisted therapies: A scoping review.
Health & social care in the community    July 10, 2022   Volume 30, Issue 6 e4920-e4935 doi: 10.1111/hsc.13904
Ward J, Hovey A, Brownlee K.Across mental health professionals, there is growing interest in the field of Equine-Assisted Therapy (EAT). Preliminary evidence suggests EAT is beneficial for a wide spectrum of client populations. EAT programs may be based on groundwork alone, where participants interact with the horses from the ground only, or they may incorporate mounted activities. It remains unclear whether mounted activities add therapeutic benefits to the EAT experience for participants. This scoping review explored whether mounted activities, specifically where the client rides the horse, contribute to distinct thera...
Self-Regulation Mediates Therapeutic Horseback Riding Social Functioning Outcomes in Youth With Autism Spectrum Disorder.
Frontiers in pediatrics    June 28, 2022   Volume 10 884054 doi: 10.3389/fped.2022.884054
Peters BC, Pan Z, Christensen H, Gabriels RL.Emerging evidence suggests therapeutic horseback riding improves self-regulation behaviors, social functioning, and language in youth with autism spectrum disorder (ASD). It has been theorized that interacting with horses is calming for youth with ASD, which may influence social and language outcomes. The current study is an exploratory secondary mediation analysis of a previously published randomized controlled trial of therapeutic horseback riding for youth with ASD. We hypothesized that self-regulation would mediate therapeutic horseback riding's effect on social and language outcomes in yo...
Relatives’ experiences of an equine-assisted intervention for people with psychotic disorders.
International journal of qualitative studies on health and well-being    June 15, 2022   Volume 17, Issue 1 2087276 doi: 10.1080/17482631.2022.2087276
Fridén L, Hultsjö S, Lydell M, Jormfeldt H.The aim of this study was to describe relatives' experiences of an equine-assisted intervention for people with psychotic disorders. Unassigned: The study has a qualitative and descriptive design. Ten semi-structured interviews were performed with relatives of people with a psychotic disorder who had participated in an equine-assisted intervention. A conventional content analysis was used to analyse the data. Unassigned: The overall category "Being with the horses strengthens health capabilities" summarizes the four identified subcategories "The horses contribute to a context with a common foc...