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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.
The Effects of Equine Assisted Therapy on Plasma Cortisol and Oxytocin Concentrations and Heart Rate Variability in Horses and Measures of Symptoms of Post-Traumatic Stress Disorder in Veterans.
Journal of equine veterinary science    February 12, 2018   Volume 64 17-26 doi: 10.1016/j.jevs.2018.01.011
Malinowski K, Yee C, Tevlin JM, Birks EK, Durando MM, Pournajafi-Nazarloo H, Cavaiola AA, McKeever KH.With the increase in the number of horses being used in Equine-Assisted Activities and Therapies (EAAT) programs and with the increasing concern for animal welfare, it is important to understand the impact of such interventions on the stress level and quality of life for the horses involved. The purpose of the present pilot study was to test the hypothesis that participation in EAAT would acutely alter physiological markers of stress and well-being, including plasma cortisol, plasma oxytocin, and heart rate variability (HRV), in horses and that symptoms of posttraumatic stress disorder (PTSD) ...
Effects of therapeutic horseback riding on post-traumatic stress disorder in military veterans.
Military Medical Research    January 19, 2018   Volume 5, Issue 1 3 doi: 10.1186/s40779-018-0149-6
Johnson RA, Albright DL, Marzolf JR, Bibbo JL, Yaglom HD, Crowder SM, Carlisle GK, Willard A, Russell CL, Grindler K, Osterlind S, Wassman M, Harms N.Large numbers of post-deployment U.S. veterans are diagnosed with post-traumatic stress disorder (PTSD) and/or traumatic brain injury (TBI), leading to an urgent need for effective interventions to reduce symptoms and increase veterans' coping. PTSD includes anxiety, flashbacks, and emotional numbing. The symptoms increase health care costs for stress-related illnesses and can make veterans' civilian life difficult. We used a randomized wait-list controlled design with repeated measures of U.S. military veterans to address our specific aim to test the efficacy of a 6-week therapeutic horseback...
The Impact of a Horse Riding Intervention on the Social Functioning of Children with Autism Spectrum Disorder.
International journal of environmental research and public health    July 14, 2017   Volume 14, Issue 7 776 doi: 10.3390/ijerph14070776
Harris A, Williams JM.This paper reports a case-control study of a horse riding intervention for children with autism spectrum disorder (ASD). A sample of 26 children, aged 6 to 9 years, were assigned to either the intervention ( = 12) or control group conditions ( = 14). Pre- and post-tests were carried out using the Childhood Autism Rating Scale, Second Edition (CARS2) and the Aberrant Behaviour Checklist-Community Edition (ABC-C). An observational measure of compliance and behaviour during the horse riding sessions was completed for the intervention group. There was a significant reduction in the severity of ASD...
Green Care: A Review of the Benefits and Potential of Animal-Assisted Care Farming Globally and in Rural America.
Animals : an open access journal from MDPI    April 13, 2017   Volume 7, Issue 4 31 doi: 10.3390/ani7040031
Artz B, Bitler Davis D.The term Green Care includes therapeutic, social or educational interventions involving farming; farm animals; gardening or general contact with nature. Although Green Care can occur in any setting in which there is interaction with plants or animals, this review focuses on therapeutic practices occurring on farms. The efficacy of care farming is discussed and the broad utilization of care farming and farm care communities in Europe is reviewed. Though evidence from care farms in the United States is included in this review, the empirical evidence which could determine its efficacy is lacking....
Effects of horseback riding exercise on the relative alpha power spectrum in the elderly.
Archives of gerontology and geriatrics    January 21, 2017   Volume 70 141-147 doi: 10.1016/j.archger.2017.01.011
Cho SH.The present study aimed to identify the effects of horseback riding and mechanical horseback riding exercise on the relative α-power spectrum in the elderly. A total of 31 healthy elderly were randomly divided into horseback riding (n=15) and mechanical horseback riding exercise groups (n=16). The horseback riding exercise program was conducted for 25min twice a week for 12 weeks. Two-way repeated analysis of variance was used to identify the changes in measured variables before the exercise program, and after 6 and 12 weeks of the program. The horseback riding exercise group showed an increa...
Triads in Equine-Assisted Social Work Enhance Therapeutic Relationships with Self-Harming Adolescents.
Clinical social work journal    November 16, 2016   Volume 45, Issue 4 320-331 doi: 10.1007/s10615-016-0613-2
Carlsson C.Despite an increasing number of studies, there is still a lack of knowledge about the unique features that underlie the process in equine assisted social work (EASW). This study aimed to reveal, through qualitative methods, the dyads within the triad that become stronger during the process of EASW, as well as the effect of the participation of the horse on the relationship between the counselor and client. Data were collected through in-depth interviews with nine female self-harming clients aged 15-21 years and eight staff members. The interviews, together with video-recorded human-horse inte...
More Than Just a Break from Treatment: How Substance Use Disorder Patients Experience the Stable Environment in Horse-Assisted Therapy.
Substance abuse : research and treatment    October 6, 2016   Volume 10 99-108 doi: 10.4137/SART.S40475
Kern-Godal A, Brenna IH, Arnevik EA, Ravndal E.Inclusion of horse-assisted therapy (HAT) in substance use disorder (SUD) treatment is rarely reported. Our previous studies show improved treatment retention and the importance of the patient-horse relationship. This qualitative study used thematic analysis, within a social constructionist framework, to explore how eight patients experienced contextual aspects of HAT's contribution to their SUD treatment. Participants described HAT as a "break from usual treatment". However, four interrelated aspects of this experience, namely "change of focus", "activity", "identity", and "motivation," sugge...
Equine-Assisted Psychotherapy for adolescents experiencing depression and/or anxiety: A therapist’s perspective.
Clinical child psychology and psychiatry    July 27, 2016   Volume 22, Issue 1 16-33 doi: 10.1177/1359104515572379
Wilson K, Buultjens M, Monfries M, Karimi L.Animal-Assisted Interventions (AAIs) are thought to overcome some of the limitations of traditional therapies as they do not rely exclusively on language as a medium for change. One such Animal-Assisted Therapy (AAT) approach involves horses as a therapeutic medium. Equine-Assisted Psychotherapy (EAP) comprises a collaborative effort between a licensed therapist and a horse professional working with clients to address treatment goals. The purpose of the present Australian-based qualitative study was to examine EAP facilitators' perspectives on the biospychosocial benefits and therapeutic outco...
Contribution of the patient-horse relationship to substance use disorder treatment: Patients’ experiences.
International journal of qualitative studies on health and well-being    June 9, 2016   Volume 11 31636 doi: 10.3402/qhw.v11.31636
Kern-Godal A, Brenna IH, Kogstad N, Arnevik EA, Ravndal E.A good therapeutic relationship is a strong predictor of successful treatment in addiction and other psychological illness. Recent studies of horse-assisted therapy (HAT) have drawn attention to the importance of the client's relationship to the horse in psychotherapy. Few have reported on the patient's own perspective and none have reported specifically on the human-horse relationship in substance use disorder (SUD) treatment and its implications for health and well-being. Objective: This article explores SUD patients' own experience of their relationship with the horse and their perceptions ...
Changes in Gait Balance and Brain Connectivity in Response to Equine-Assisted Activity and Training in Children with Attention Deficit Hyperactivity Disorder.
Journal of alternative and complementary medicine (New York, N.Y.)    March 16, 2016   Volume 22, Issue 4 286-293 doi: 10.1089/acm.2015.0299
Hyun GJ, Jung TW, Park JH, Kang KD, Kim SM, Son YD, Cheong JH, Kim BN, Han DH.Equine-assisted activity and training (EAAT) is thought to improve body balance and clinical symptoms in children with attention deficit hyperactivity disorder (ADHD). The study hypostheses were that EAAT would improve the clinical symptoms and gait balance in children with ADHD and that these improvements would be associated with increased brain connectivity within the balance circuit. Methods: A total of 12 children with ADHD and 12 age- and sex-matched healthy control children were recruited. EAAT consisted of three training sessions, each 70 minutes long, once a week for 4 weeks. Brain fun...
Hippotherapy acute impact on heart rate variability non-linear dynamics in neurological disorders.
Physiology & behavior    March 15, 2016   Volume 159 88-94 doi: 10.1016/j.physbeh.2016.03.012
Cabiddu R, Borghi-Silva A, Trimer R, Trimer V, Ricci PA, Italiano Monteiro C, Camargo Magalhães Maniglia M, Silva Pereira AM, Rodrigues das Chagas G....Neurological disorders are associated with autonomic dysfunction. Hippotherapy (HT) is a therapy treatment strategy that utilizes a horse in an interdisciplinary approach for the physical and mental rehabilitation of people with physical, mental and/or psychological disabilities. However, no studies have been carried out which evaluated the effects of HT on the autonomic control in these patients. Therefore, the objective of the present study was to investigate the effects of a single HT session on cardiovascular autonomic control by time domain and non-linear analysis of heart rate variabilit...
Students make the most of the 2016 AVS congress.
The Veterinary record    February 27, 2016   Volume 178, Issue 9 206-207 doi: 10.1136/vr.i1033
This year's Association of Veterinary Students' congress was held at the University of Liverpool, and included a varied programme, with subjects ranging from the role of large-scale production systems in dairy farming and fertility practices in horses to the importance of recognising and talking about mental health problems within the veterinary profession. Jordan Sinclair, editor of the Journal of the Association of Veterinary Students, reports.
Animal-Assisted Therapies for Youth with or at risk for Mental Health Problems: A Systematic Review.
Applied developmental science    January 25, 2016   Volume 21, Issue 1 1-13 doi: 10.1080/10888691.2015.1134267
Hoagwood KE, Acri M, Morrissey M, Peth-Pierce R.To systematically review experimental evidence about animal-assisted therapies (AAT) for children or adolescents with or at risk for mental health conditions, we reviewed all experimental AAT studies published between 2000-2015, and compared studies by animal type, intervention, and outcomes. Methods: Studies were included if used therapeutically for children and adolescents (≤21 years) with or at risk for a mental health problem; used random assignment or a waitlist comparison/control group; and included child-specific outcome data. Of 1,535 studies, 24 met inclusion criteria. Results: Of 2...
The Helping Horse: How Equine Assisted Learning Contributes to the Wellbeing of First Nations Youth in Treatment for Volatile Substance Misuse.
Human-animal interaction bulletin    January 23, 2016   Volume 1, Issue 1 52-75 doi: 10.1080/10509674.2012.734371
Adams C, Arratoon C, Boucher J, Cartier G, Chalmers D, Dell CA, Dell D, Dryka D, Duncan R, Dunn K, Hopkins C, Longclaws L, MacKinnon T, Sauve E....There has been recent interest in Canada exploring the benefits of equine assisted interventions in the treatment of First Nations youth who misuse volatile substances. Using the richness of an exploratory case study involving the White Buffalo Youth Inhalant Treatment Centre and the Cartier Equine Learning Center, our community-based study examined the question of how an Equine Assisted Learning (EAL) program contributes to the wellbeing of First Nations female youth who misuse volatile substances. Both programs are grounded in a holistic bio-psycho-social-spiritual framework of healing. Our ...
Investigating attentional processes in depressive-like domestic horses (Equus caballus).
Behavioural processes    December 29, 2015   Volume 124 93-96 doi: 10.1016/j.beproc.2015.12.010
Rochais C, Henry S, Fureix C, Hausberger M.Some captive/domestic animals respond to confinement by becoming inactive and unresponsive to external stimuli. Human inactivity is one of the behavioural markers of clinical depression, a mental disorder diagnosed by the co-occurrence of symptoms including deficit in selective attention. Some riding horses display 'withdrawn' states of inactivity and low responsiveness to stimuli that resemble the reduced engagement with their environment of some depressed patients. We hypothesized that 'withdrawn' horses experience a depressive-like state and evaluated their level of attention by confronting...
Project Stride: An Equine-Assisted Intervention to Reduce Symptoms of Social Anxiety in Young Women.
Explore (New York, N.Y.)    August 20, 2015   Volume 11, Issue 6 461-467 doi: 10.1016/j.explore.2015.08.003
Alfonso SV, Alfonso LA, Llabre MM, Fernandez MI.Although there is evidence supporting the use of equine-assisted activities to treat mental disorders, its efficacy in reducing signs and symptoms of social anxiety in young women has not been examined. Methods: We developed and pilot tested Project Stride, a brief, six-session intervention combining equine-assisted activities and cognitive-behavioral strategies to reduce symptoms of social anxiety. A total of 12 women, 18-29 years of age, were randomly assigned to Project Stride or a no-treatment control. Participants completed the Liebowitz Social Anxiety Scale at baseline, immediate-post, a...
Fasted Exercise and Increased Dietary Protein Reduces Body Fat and Improves Strength in Jockeys.
International journal of sports medicine    July 24, 2015   Volume 36, Issue 12 1008-1014 doi: 10.1055/s-0035-1549920
Wilson G, Pritchard PP, Papageorgiou C, Phillips S, Kumar P, Langan-Evans C, Routledge H, Owens DJ, Morton JP, Close GL.The present study assessed the effects of a diet and exercise intervention in jockeys on body composition, metabolism, bone and mental health. 10 jockeys followed an individually prescribed 6-wk diet (Carbohydrate=2.5-3.5 g/kg, Protein=2.5 g/kg, Fat=1.0 g/kg). Body mass (59.2±4.6 vs. 57.6±4.5 kg), fat mass (7.5±3.5 vs. 6.2±2.6) and body fat (13.1±5.9 vs. 11.5±4.9%) all decreased (P<0.05) from pre to post-intervention whilst lean mass (47.1±5.3 vs. 47.0±5.5 kg) was maintained (P=0.80). RMR (1703±329 vs. 1975±313 kcal.d(-1)), VO2max (3.8±0.8 vs. 4.1±0.7 L/min(- 1))...
Equine-Assisted Activities and Therapy for Treating Children with Attention-Deficit/Hyperactivity Disorder.
Journal of alternative and complementary medicine (New York, N.Y.)    July 13, 2015   Volume 21, Issue 9 546-553 doi: 10.1089/acm.2015.0067
Jang B, Song J, Kim J, Kim S, Lee J, Shin HY, Kwon JY, Kim YH, Joung YS.To investigate clinical effects of equine-assisted activities and therapy (EAA/T) for treating attention-deficit/hyperactivity disorder (ADHD) in children age 6-13 years. Methods: This 12-week, prospective, open-label trial included 24 sessions of EAA/T. Twenty participants (19 boys and 1 girl) completed 12 weeks of EAA/T. Various clinical tests were administered at baseline and after EAA/T. Assessments included the investigator-administered ADHD-Rating Scale (ARS-I), Clinical Global Impressions (CGI)-Severity Scale, Clinical Global Impressions-Improvement Scale (CGI-I), Gordon Diagnostic Syst...
Autism spectrum disorder and pet therapy.
Advances in mind-body medicine    April 2, 2015   Volume 29, Issue 2 22-25 
Siewertsen CM, French ED, Teramoto M.Autism Spectrum Disorder (ASD) encompasses a wide range of social and mental afflictions that are difficult to treat. Due to a lack of established treatments for ASD, alternative therapies have been the primary form of intervention. One of these alternatives is pet therapy, a field that has experienced growing interest and has recently accumulated studies that investigate its efficacy. This article reviews and summarizes that effectiveness as well as the findings and limitations associated with pet therapy for ASD. The majority of research on ASD and pet therapy has examined children and has p...
Equine-assisted therapy for anxiety and posttraumatic stress symptoms.
Journal of traumatic stress    March 17, 2015   Volume 28, Issue 2 149-152 doi: 10.1002/jts.21990
Earles JL, Vernon LL, Yetz JP.We tested the efficacy of the Equine Partnering Naturally(©) approach to equine-assisted therapy for treating anxiety and posttraumatic stress disorder (PTSD) symptoms. Participants were 16 volunteers who had experienced a Criterion A traumatic event, such as a rape or serious accident, and had current PTSD symptoms above 31 on the PTSD Checklist (PCL-S; Weathers, Litz, Herman, Huska, & Keane, ). Participants engaged in tasks with horses for 6 weekly 2-hour sessions. Immediately following the final session, participants reported significantly reduced posttraumatic stress symptoms, d = 1.2...
Narrative synthesis of equine-assisted psychotherapy literature: Current knowledge and future research directions.
Health & social care in the community    March 2, 2015   Volume 24, Issue 3 225-246 doi: 10.1111/hsc.12201
Lee PT, Dakin E, McLure M.Equine-assisted psychotherapy (EAP) is an innovative emerging approach to mental health treatment. This narrative synthesis explores the current state of knowledge and areas for future research in EAP. Specifically reviewed are qualitative and quantitative empirical studies, including both articles published in peer-reviewed journals and research presented in theses and dissertations. We selected 24 studies for final inclusion in this study, dating between 2005 and 2013, and including the first EAP empirical research completed in 2005. Four of these studies are peer-reviewed journal articles, ...
My Horse Is My Therapist: The Medicalization of Pleasure among Women Equestrians.
Medical anthropology quarterly    December 14, 2014   Volume 29, Issue 3 298-315 doi: 10.1111/maq.12162
Lee Davis D, Maurstad A, Dean S.Pink t-shirts that proclaim "My horse is my therapist" are for sale in a wide variety of horse-sport catalogues. Literature on the healing power of human-nonhuman animal encounters and the practice of a variety of animal-assisted therapy programs, such as hippotherapy and equine-facilitated therapy, show dramatic growth over the last 30 years. Less attention is paid to the role that horse-human interactions may play in more popular accountings of well-being and impairment among a sample of everyday riders. Analysis of 50 lifecycle narratives, collected from accomplished but nonprofessional equ...
Animal-assisted therapy with chronic psychiatric inpatients: equine-assisted psychotherapy and aggressive behavior.
Psychiatric services (Washington, D.C.)    October 31, 2014   Volume 66, Issue 1 80-86 doi: 10.1176/appi.ps.201300524
Nurenberg JR, Schleifer SJ, Shaffer TM, Yellin M, Desai PJ, Amin R, Bouchard A, Montalvo C.Animal-assisted therapy (AAT), most frequently used with dogs, is being used increasingly as an adjunctive alternative treatment for psychiatric patients. AAT with larger animals, such as horses, may have unique benefits. In this randomized controlled study, equine and canine forms of AAT were compared with standard treatments for hospitalized psychiatric patients to determine AAT effects on violent behavior and related measures. Methods: The study included 90 patients with recent in-hospital violent behavior or highly regressed behavior. Hospitalization at the 500-bed state psychiatric hospit...
Equine-related treatments for mental disorders lack empirical support: a systematic review of empirical investigations.
Journal of clinical psychology    June 20, 2014   Volume 70, Issue 12 1115-1132 doi: 10.1002/jclp.22113
Anestis MD, Anestis JC, Zawilinski LL, Hopkins TA, Lilienfeld SO.Equine-related treatments (ERT) for mental disorders are becoming increasingly popular for a variety of diagnoses; however, they have been subjected only to limited systematic investigation. Objective: To examine the quality of and results from peer-reviewed research on ERT for mental disorders and related outcomes. Methods: Peer-reviewed studies (k = 14) examining treatments for mental disorders or closely related outcomes were identified from databases and article reference sections. Results: All studies were compromised by a substantial number of threats to validity, calling into question t...
Improving adolescent social competence and behavior: a randomized trial of an 11-week equine facilitated learning prevention program.
The journal of primary prevention    June 6, 2014   Volume 35, Issue 4 281-293 doi: 10.1007/s10935-014-0350-7
Pendry P, Carr AM, Smith AN, Roeter SM.There is growing evidence that promoting social competence in youth is an effective strategy to prevent mental, emotional, and behavioral disorders in adulthood. Research suggests that programs delivered in collaboration with schools are particularly effective when they target social and emotional skill building, utilize an interactive instructional style, provide opportunities for youth participation and self-direction, and include explicit attempts to enhance youth social competence. A relatively new but popular approach that incorporates these characteristics is human animal interaction, wh...
Weight-making strategies in professional jockeys: implications for physical and mental health and well-being.
Sports medicine (Auckland, N.Z.)    April 1, 2014   Volume 44, Issue 6 785-796 doi: 10.1007/s40279-014-0169-7
Wilson G, Drust B, Morton JP, Close GL.Professional jockeys are unique amongst weight-making athletes given that they face the requirement to make weight daily. Furthermore, unlike other weight-limited sports, jockeys who have engaged in rapid weight loss cannot fully rehydrate prior to competition because post-race weight must not be more than 1 kg different to their pre-race weight. As such, jockeys have reported a variety of acute and chronic methods to make weight that include sporadic eating, caloric restriction, diuretics, laxatives, vomiting and fluid restriction as well as regular use of sweat suits and saunas. Typical dai...
Guest Editorial: Examining effects of equine-assisted activities to help combat veterans improve quality of life.
Journal of rehabilitation research and development    January 25, 2014   Volume 50, Issue 8 vii-xiii doi: 10.1682/JRRD.2013.07.0159
Lanning BA, Krenek N.No abstract available
Hypotheses about the psychological benefits of horses.
Explore (New York, N.Y.)    December 17, 2013   Volume 10, Issue 2 81-87 doi: 10.1016/j.explore.2013.12.001
Kendall E, Maujean A, Pepping CA, Wright JJ.In the last few decades, therapeutic horse-riding has become recognized as a progressive form of therapy, particularly for people with disabilities. Although there is a substantial amount of literature that supports the physical benefit of therapeutic riding, only anecdotal evidence exists in relation to its psychological benefits. Objective: The purpose of this article is to develop hypotheses about the mechanisms by which therapeutic riding might have a beneficial psychological effect. These hypotheses can then be tested, leading to a more detailed knowledge base. Methods: PsychINFO, MEDLINE...
Therapeutic horse riding improves cognition, mood arousal, and ambulation in children with dyspraxia.
Journal of alternative and complementary medicine (New York, N.Y.)    October 2, 2013   Volume 20, Issue 1 19-23 doi: 10.1089/acm.2013.0207
Hession CE, Eastwood B, Watterson D, Lehane CM, Oxley N, Murphy BA.The objectives of this study were to evaluate the effects of the physical motion of a horse (riding therapy) combined with the audiovisual perception of this motion on a group of children with dyspraxia in terms of cognition, mood arousal, and gait variability. Methods: The study design was a pretest/post-test. Methods: The study was conducted at the Fettercairn Youth Horse Project, Fettercairn, Tallaght, Dublin. Methods: Forty (40) children ranging from 6 to 15 years of age with a primary diagnosis of dyspraxia were the study subjects. Methods: Children meeting inclusion criteria participated...
Horse therapy.
The American journal of nursing    September 27, 2013   Volume 113, Issue 10 12 doi: 10.1097/01.NAJ.0000435329.87600.db
Diamond-Jones K.No abstract available