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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.
Community-Based Interventions for Childhood Trauma: A Scoping Review.
OTJR : occupation, participation and health    April 29, 2022   Volume 43, Issue 1 14-23 doi: 10.1177/15394492221091718
Mazzeo G, Bendixen R.Experiencing trauma has long-lasting effects on a child's well-being, which may affect their occupational performance. This scoping review synthesized research on community-based interventions for children who have experienced trauma to highlight occupational therapists' role in trauma-informed care. We searched PubMed and PTSDPubs, including community-based interventional trials that addressed childhood trauma and excluding studies specific to refugees, sex-trafficking, significant comorbid diagnoses, and reviews. Eleven articles met criteria. Psychotherapy-based interventions (e.g., trauma-i...
Reducing the incidence of domestic violence: An observational study of an equine-assisted intervention.
Family process    March 30, 2022   Volume 61, Issue 2 549-570 doi: 10.1111/famp.12768
Hemingway A, Sullivan K.This paper is presenting results from an observational study which has measured the impact of an equine-assisted education (EAE) intervention on the future occurrence of domestic violence within the family over 1 year following completion of the intervention as part of the troubled families program. The data analyzed were collected by the local authority troubled family's team from the different agencies involved including crime, health, and social care data. The data were analyzed and compared across four groups, those families on the troubled families program who had a key worker with a mem...
Use of Equine-Assisted Services to Improve Outcomes Among At-Risk and Indigenous Youth: A Scoping Review.
Frontiers in public health    March 28, 2022   Volume 10 730644 doi: 10.3389/fpubh.2022.730644
Haig L, Skinner K.Equine-assisted services (EAS) are gaining popularity as ways to promote psychological health and social well-being. EAS may show particular promise as culturally appropriate initiatives for at-risk Indigenous youth, as they are thought to align well with Indigenous ways of knowing which place emphasis on relationships between the land and all living beings. We seek to better understand previous uses of EAS as initiatives for at-risk youth populations, including Indigenous populations, and learn about which outcomes have been addressed in the literature with an EAS initiative by conducting a s...
The Role of the Horse in an Equine-Assisted Group Intervention-as Conceptualized by Persons with Psychotic Conditions.
Issues in mental health nursing    September 20, 2021   Volume 43, Issue 3 201-208 doi: 10.1080/01612840.2021.1975332
Hultsjö S, Jormfeldt H.Adopting positive health interventions is necessary to promote self-image, improve well-being, support meaningful social interaction and reduce loneliness, with benefits for psychological and physical health for persons with psychotic conditions. Raised awareness of the potential benefits of involving horses in these kinds of interventions is warranted. Thus, the aim of this study was to explore the role of the horse in equine-assisted interventions (EAI) as conceptualized among persons with psychotic conditions. Interviews were conducted with eight persons with psychotic conditions who had pa...
Equine-Assisted Therapy for Posttraumatic Stress Disorder Among Military Veterans: An Open Trial.
The Journal of clinical psychiatry    August 31, 2021   Volume 82, Issue 5 21m14005 doi: 10.4088/JCP.21m14005
Fisher PW, Lazarov A, Lowell A, Arnon S, Turner JB, Bergman M, Ryba M, Such S, Marohasy C, Zhu X, Suarez-Jimenez B, Markowitz JC, Neria Y. As veterans have high rates of posttraumatic stress disorder (PTSD) and historically poor treatment outcomes and high attrition, alternative treatments have gained much popularity despite lack of rigorous research. In this study, a recently developed and manualized 8-session group Equine-Assisted Therapy for PTSD (EAT-PTSD) was tested in an open trial to assess its preliminary feasibility, acceptability, and outcomes for military veterans. The study was conducted from July 2016 to July 2019. Sixty-three treatment-seeking veterans with PTSD enrolled. PTSD diagnosis was ascertained using the S...
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...
The Human Aspect of Horse Care: How the COVID-19 Pandemic Impacted the Wellbeing of Equestrian Industry Stakeholders.
Animals : an open access journal from MDPI    July 22, 2021   Volume 11, Issue 8 2163 doi: 10.3390/ani11082163
Ward A, Stephen K, Argo C, Watson C, Harris P, Neacsu M, Russell W, Grove-White D, Morrison P.During the lockdown phase of the COVID-19 pandemic, equestrian stakeholders faced a dilemma whereby they were required to balance caring for the welfare of horses with adapting to the restrictions imposed to protect public health. The present study investigated the impact of the pandemic on the wellbeing of a sample of industry stakeholders, including horse owners, equine veterinarians, farriers and welfare centre managers ( = 26) using a qualitative methodology. Findings from the interviews indicated that the mental health and wellbeing of veterinarians and horse owners was negatively affecte...
Experiences of Military Veterans in a Therapeutic Horseback Riding Program.
Clinical nursing research    April 15, 2021   Volume 30, Issue 7 923-933 doi: 10.1177/10547738211003580
Johnson RA, Albright DL, Marzolf JR, Bibbo JL, Yaglom HD, Crowder SM, Carlisle GM, Grindler K, Harms N, Willard A, Wassman M, Russell CL.Posttraumatic stress disorder commonly occurs among U.S. military veterans. Therapeutic horseback riding (THR) has emerged as an adjunct therapy. We explored 20 veterans' perceived benefits, drawbacks and views of a 6-week THR program. Participants had confirmed diagnoses of posttraumatic stress disorder, traumatic brain injury, or both. Veterans rode the same horse weekly, the same day, at the same time. Data were collected as part of a randomized clinical trial testing the effects of THR on Post-Traumatic Stress Disorder. Veterans responded to an open-ended questionnaire. Content analysis wa...
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...
Neural changes following equine-assisted therapy for posttraumatic stress disorder: A longitudinal multimodal imaging study.
Human brain mapping    February 5, 2021   Volume 42, Issue 6 1930-1939 doi: 10.1002/hbm.25360
Zhu X, Suarez-Jimenez B, Zilcha-Mano S, Lazarov A, Arnon S, Lowell AL, Bergman M, Ryba M, Hamilton AJ, Hamilton JF, Turner JB, Markowitz JC....While effective treatments for posttraumatic stress disorder (PTSD) exist, many individuals, including military personnel and veterans fail to respond to them. Equine-assisted therapy (EAT), a novel PTSD treatment, may complement existing PTSD interventions. This study employs longitudinal neuro-imaging, including structural magnetic resonance imaging (sMRI), resting state-fMRI (rs-fMRI), and diffusion tensor imaging (DTI), to determine mechanisms and predictors of EAT outcomes for PTSD. Nineteen veterans with PTSD completed eight weekly group sessions of EAT undergoing multimodal MRI assessme...
Equine-assisted psychotherapy with traumatized couples-Improvement of relationship quality and psychological symptoms.
Journal of marital and family therapy    January 29, 2021   Volume 47, Issue 4 925-944 doi: 10.1111/jmft.12485
Willmund G, Zimmermann P, Alliger-Horn C, Varn A, Fischer C, Parent I, Sobottka A, Bering R, Rose C, Ströhle A, Köhler K.Many traumatised individuals suffering from deployment related PTSD report severe problems in their relationships. Up until now, the therapeutic interventions used by the German Armed Forces have rarely targeted these problems through the integration of partners. For this reason, a Program designed specifically for couples was developed. In this prospective study equine-assisted psychotherapy was applied to soldiers and their spouses. The study population consisted of n = 36 couples, divided in n = 20 therapy group with a inpatient equine-assisted intervention and a 16-couples control grou...
Equine-assisted activities and therapies in children with attention-deficit/hyperactivity disorder: A systematic review.
Journal of psychiatric and mental health nursing    January 10, 2021   Volume 28, Issue 6 1079-1091 doi: 10.1111/jpm.12710
Pérez-Gómez J, Amigo-Gamero H, Collado-Mateo D, Barrios-Fernandez S, Muñoz-Bermejo L, Garcia-Gordillo MÁ, Carlos-Vivas J, Adsuar JC.WHAT IS KNOWN ON THE SUBJECT?: Attention-deficit/hyperactivity disorder (ADHD) is characterized by problems of inattention and impulsive hyperactivity in children. Equine-assisted activities and therapies (EAATs) have been used as alternative non-pharmacological intervention option in patients with ADHD. WHAT DOES THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Nowadays, more studies of high methodological quality are needed to determine whether EAAT is an effective intervention for the treatment in children with ADHD. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Between 15 and 40 min of rising horses, 8...
Equine-assisted biographical work (EABW) with individuals in the second half of life: study protocol of a multicentre randomised controlled trial.
Trials    October 15, 2020   Volume 21, Issue 1 857 doi: 10.1186/s13063-020-04784-3
Schmidt J, Wartenberg-Demand A, Forstmeier S.Equine-assisted therapy is more often practiced with children and adolescents than with the elderly, although individuals in the second half of life could also profit from it. This group, from the age of 50, is characterised by increasing emotional, social, health-related and cognitive changes; a critical life event, such as a neurological illness or loss of a family member, can increase the likelihood of subclinical depression. Individuals who exhibit depressive symptoms not necessarily diagnosed with a major depression may suffer from relevant losses of quality of life (e.g. sleep disorders,...
COVID-19: Impact on United Kingdom Horse Owners.
Animals : an open access journal from MDPI    October 13, 2020   Volume 10, Issue 10 doi: 10.3390/ani10101862
Williams JM, Randle H, Marlin D.COVID-19 was declared a global pandemic on 11 March 2020; the United Kingdom (UK) implemented quarantine measures shortly afterward, resulting in rapid changes in how owners managed and interacted with their horses. This study provides a rapid analysis of the initial impact of the COVID-19 outbreak on the management of UK leisure and competition horses. A 17 question online survey was distributed via equestrian social media sites to ascertain the impact of COVID-19 on horse and yard management and on human-horse interactions. Frequency analysis combined with Chi-squared and thematic analyses i...
The Potential of Human-Horse Attachment in Creating Favorable Settings for Professional Care: A Study of Adolescents’ Visit to a Farm.
Animals : an open access journal from MDPI    September 21, 2020   Volume 10, Issue 9 1707 doi: 10.3390/ani10091707
Törmälehto E, Korkiamäki R.Previous research has shown features of an attachment bond to be fulfilled in, for instance, human-dog dyads; however, there is a considerable lack of research on the potential attachment in human-horse relationships. Employing Bowlby's criteria of an attachment bond and Pierce's model of therapeutically powerful activity, this article studies whether short-term exposure to horses brings about elements of emerging attachment for adolescents and if this interaction holds potential in creating a favorable early-stage setting for professional care. It draws from group discussions carried out with...
Psychodynamic Based Equine-Assisted Psychotherapy in Adults with Intertwined Personality Problems and Traumatization: A Systematic Review.
International journal of environmental research and public health    August 5, 2020   Volume 17, Issue 16 5661 doi: 10.3390/ijerph17165661
Kovács G, van Dijke A, Enders-Slegers MJ.The growing field of equine-assisted psychotherapy (EAP), a subfield of animal-assisted psychotherapy (AAP), needs theoretically-based clinical studies. This systematic review examines the existing clinical studies in adult populations on psychodynamic psychotherapy combined with equine-assisted psychotherapy. An electronic database search was divided in two studies to identify publications on 1) EAP combined with psychodynamic psychotherapy and 2) EAP combined to personality problems and traumatization in order to compile studies by population, intervention, outcome and therapeutic assets. St...
Effect of Human Attachment Style on Horse Behaviour and Physiology during Equine-Assisted Activities-A Pilot Study.
Animals : an open access journal from MDPI    July 8, 2020   Volume 10, Issue 7 1156 doi: 10.3390/ani10071156
Arrazola A, Merkies K.Equine-assisted activities (EAA) for human well-being and health rely on human-horse interactions for therapeutic effect. At-risk participants with mental and emotional difficulties can show poor social skills and functioning relationships, potentially leading to unsuccessful human-horse interaction in EAA. This study addresses the effect of the attachment style (AS) of at-risk adolescents on horse physiology and behaviour during an equine-facilitated learning (EFL) program. Thirty-three adolescents participated in a 10-week EFL program with nine therapy horses (the same therapy horse per adol...
How Equine-Assisted Activities Affect the Prosocial Behavior of Adolescents.
International journal of environmental research and public health    April 24, 2020   Volume 17, Issue 8 2967 doi: 10.3390/ijerph17082967
Pelyva IZ, Kresák R, Szovák E, Tóth ÁL.Multiple studies have investigated the positive effects of human-animal interactions and showed that animal-assisted activities can be successfully used to better human physical and mental health. Equine-assisted activities have also raised considerable attention within the field. Our research focuses on healthy students (aged 14-18) without deviations or special educational needs. We analyze the occurrence of behavior problems and prosocial behavior among adolescents who regularly have interactions with horses, and those who have no connection to horses at all. The subjects of our investigati...
Equine-Assisted Therapy for Veterans with PTSD: Manual Development and Preliminary Findings.
Military medicine    February 9, 2020   Volume 185, Issue 5-6 e557-e564 doi: 10.1093/milmed/usz444
Arnon S, Fisher PW, Pickover A, Lowell A, Turner JB, Hilburn A, Jacob-McVey J, Malajian BE, Farber DG, Hamilton JF, Hamilton A, Markowitz JC, Neria Y.Equine-assisted therapy (EAT) for post-traumatic stress disorder (PTSD) has attracted great interest despite lacking empirical support, a manual, and a standardized protocol. Our team of experts in EAT and PTSD developed an eight-session group EAT treatment protocol for PTSD (EAT-PTSD) and administered it to two pilot groups of military veterans to assess initial effects. We describe the development of the treatment manual, which was used with two pilot groups of veterans. Protocol safety, feasibility, and acceptability were assessed by reported adverse events, treatment completion rates, and ...
Medicine and Horsemanship: The Effects of Equine-assisted Activities and Therapies on Stress and Depression in Medical Students.
Cureus    February 5, 2020   Volume 12, Issue 2 e6896 doi: 10.7759/cureus.6896
Chakales PA, Locklear J, Wharton T.This study examined the use of an equine-assisted brief course module on stress and depression among medical students (n = 28), a demographic known to experience high pressure. Evidence supports that animal-assisted therapies can lead to the improvement of health and quality of life, particularly in terms of cognitive, psychological, and physical benefits. This study used the seven-session Kane Medicine and Horsemanship program; students completed pre- and post-measures one week before and after the course. Participation in the course significantly reduced perceived stress (p: 0.001), depressi...
The Nguudu Barndimanmanha Project-Improving Social and Emotional Wellbeing in Aboriginal Youth Through Equine Assisted Learning.
Frontiers in public health    October 10, 2019   Volume 7 278 doi: 10.3389/fpubh.2019.00278
Coffin J.Background: Recent statistics have painted a grim picture for Australia's Aboriginal youth, with reports of higher levels of almost every health indicator, including depression, sexual and emotional abuse, unemployment, and incarceration. Traditional western based therapies have proven to have limited effectiveness in engaging this group as they can often be culturally inappropriate. International studies have provided promising results using equine assisted learning, with a sound methodological basis underpinned by Indigenous ways of being and doing. In Australia Aboriginal people have strong...
Equine-assisted interventions for veterans with service-related health conditions: a systematic mapping review.
Military Medical Research    August 29, 2019   Volume 6, Issue 1 28 doi: 10.1186/s40779-019-0217-6
Kinney AR, Eakman AM, Lassell R, Wood W.Evidence-based treatments for service-related health conditions such as posttraumatic stress disorder (PTSD), depression, and traumatic brain injury (TBI) are not effective for all veterans. Equine-assisted interventions are emerging as an additional treatment modality, but little is known regarding the safe and effective delivery of these interventions. This study aimed to describe the following features of the body of literature concerning equine-assisted interventions among veterans: 1) veterans who have participated in equine-assisted interventions; 2) specific characteristics of equine-as...
An Exploration of the Mechanism of Action of an Equine-Assisted Intervention.
Animals : an open access journal from MDPI    May 31, 2019   Volume 9, Issue 6 303 doi: 10.3390/ani9060303
Hemingway A, Carter S, Callaway A, Kavanagh E, Ellis S.Though long alluded to, there is now an accumulation of evidence of the vital contribution that emotion makes to learning. Within this broad advance in understanding is a growing body of research emphasising the embodied nature of this emotion-based learning. The study presented here is a pilot study using a mixed-method approach (combining both physiological and experiential methodologies) to give a picture of the "emotional landscape" of people's learning through the intervention under study. This has allowed researchers to examine mediating pathways that may underlie any effects of an equin...
Pilot testing a manualized equine-facilitated cognitive processing therapy (EF-CPT) intervention for PTSD in veterans.
Psychiatric rehabilitation journal    March 25, 2019   Volume 42, Issue 3 268-276 doi: 10.1037/prj0000359
Wharton T, Whitworth J, Macauley E, Malone M.The objective of this study was to test effectiveness and feasibility of equine-facilitated cognitive processing therapy (EF-CPT), a manualized adaptation of the cognitive processing therapy model for veterans with posttraumatic stress disorder (PTSD) championed by the Department of Veterans Affairs, in which equine-facilitated activities are integrated into face-to-face sessions. Methods: Twenty-seven veterans with a diagnosis of PTSD participated (M = 51; 78% male) in a pretest-posttest design. Veterans were seen by a single psychologist for 12 sessions of individual EF-CPT. Instruments incl...
Equine Assisted Therapy for Patients with Post Traumatic Stress Disorder: A Case Series Study.
Military medicine    March 7, 2019   Volume 184, Issue 9-10 394-399 doi: 10.1093/milmed/usz036
Shelef A, Brafman D, Rosing T, Weizman A, Stryjer R, Barak Y.Equine assisted therapy (EAT) which includes therapeutic horseback riding (THR), grooming, horsemanship and ground level work with horses, has been studied as treatment for children with special needs and/or autistic spectrum disorder. Preliminary evidence indicates that EAT is also effective for improving self-efficacy and self-esteem in adults with psychiatric disorders. Empowerment, bonding and building trust with the horses, may promote functioning of patients struggling with post traumatic stress disorder (PTSD).The authors performed a prospective, pilot open case series study to assess t...
Perfect Riders: Personality, Perfectionism, and Mental Health in Norwegian Competition Riders.
Journal of equine veterinary science    February 6, 2019   Volume 75 82-89 doi: 10.1016/j.jevs.2019.01.016
Træen B, Finstad KS, Røysamb E.The purpose of the study was to elucidate the relationship between personality traits, perfectionism, and mental health (self-efficacy, positive emotions) among competition riders. Data were collected by online questionnaires among 662 licensed competition riders in Norway. The results showed that riders who were high on conscientiousness and low on neuroticism had better mental health than other riders. Self-oriented perfectionism predicted mental health and mediated partly the associations between personality traits and mental health. Socially prescribed perfectionism had no association with...
Efficacy of equine-assisted psychotherapy in veterans with posttraumatic stress disorder.
Journal of integrative medicine    November 16, 2018   Volume 17, Issue 1 14-19 doi: 10.1016/j.joim.2018.11.001
Burton LE, Qeadan F, Burge MR.Posttraumatic stress disorder (PTSD) is a common and debilitating disorder among war veterans. Although complementary and alternative therapies are gaining acceptance in the treatment of PTSD, the efficacy of animal-based therapies in this disorder is unknown. The goal of equine-assisted psychotherapy (EAP) is to improve the social, emotional, and/or cognitive functions of individuals with PTSD. Objective: This study aims to explore the effects of EAP on PTSD symptoms. We hypothesized that veterans with PTSD who participate in a standardized EAP program for 1 h per week for 6 weeks would exp...
Evaluation of an equine-assisted therapy program for veterans who identify as ‘wounded, injured or ill’ and their partners.
PloS one    September 27, 2018   Volume 13, Issue 9 e0203943 doi: 10.1371/journal.pone.0203943
Romaniuk M, Evans J, Kidd C.The aim of this study was to evaluate outcomes of an equine-assisted therapy program for Defence Force veterans and their partners across the psychological domains of depression, anxiety, stress, posttraumatic stress, happiness, and quality of life, as well as compare the outcomes of an Individual and Couples program. A non-controlled, within-subjects longitudinal design was utilized with assessment at three time points (pre-intervention, post-intervention, and three months follow-up). Between-subjects analysis with two groups was also conducted to compare the outcomes of the Individual and Co...
Effects of Equine-Assisted Activities and Therapies on the Affective Network of Adolescents with Internet Gaming Disorder.
Journal of alternative and complementary medicine (New York, N.Y.)    April 26, 2018   Volume 24, Issue 8 841-849 doi: 10.1089/acm.2017.0416
Kang KD, Jung TW, Park IH, Han DH.Internet gaming disorder (IGD) has been suggested to be a mental health disorder. Attachment and emotional status in IGD patients are important for understanding the etiology and progression of IGD because both parameters are considered to be associated with the affective network. Equine-assisted activities and therapies (EAAT) have been reported to improve emotional status and attachment in subjects. We hypothesized that EAAT would improve attachment in IGD adolescents with insecure attachment issues and increase functional connectivity (FC) within the affective network. Methods: Subjects com...
Effects of Equine Therapy on Individuals with Autism Spectrum Disorder: A Systematic Review.
Review journal of autism and developmental disorders    February 20, 2018   Volume 5, Issue 2 156-175 doi: 10.1007/s40489-018-0130-z
Srinivasan SM, Cavagnino DT, Bhat AN.Literature on effects of equine therapy in individuals with autism spectrum disorder (ASD) has grown in recent times. Equine therapy is an alternative multimodal intervention that involves utilizing a horse to enhance core impairments in ASD. Recent systematic reviews in this area have several limitations including inclusion of populations other than ASD, assessment of a variety of animal-assisted interventions other than equine therapy, and a failure to conduct quantitative analyses to provide accurate effect size estimates. We conducted a focused systematic review to address these limitation...