Equine-assisted psychotherapy with traumatized couples-Improvement of relationship quality and psychological symptoms.
Abstract: 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 group. After the intervention, numerous significant improvements occurred in the therapy group in the areas of current, somatic and communication problems, depressive symptoms and partnership quality but not in the control group. PTSD was reduced significantly on the sub-scale associated with negative thoughts. These results show that the intervention is an effective way to improve partnership quality and reduce the stressors that the partners of afflicted service members face.
© 2021 American Association for Marriage and Family Therapy.
Publication Date: 2021-01-29 PubMed ID: 33512042DOI: 10.1111/jmft.12485Google Scholar: Lookup
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Summary
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The research delves into the effects of equine-assisted psychotherapy on soldiers and their spouses who are experiencing relationship problems due to deployment related Post-Traumatic Stress Disorder (PTSD). The study revealed significant improvements in various areas, such as current and communication issues, depressive symptoms, and overall partnership quality in those who received therapy in comparison to the control group.
Introduction and Rationale
- This research is rooted in the observed challenges among members of the German Armed Forces who, after deployments, report severe relationship problems which are often linked to PTSD.
- Existing therapeutic interventions have rarely targeted these issues in a way that involves the soldiers’ partners. This prompted the researchers to develop a program that’s specifically designed for couples.
Methodology
- In this study, equine-assisted psychotherapy was administered to 36 couples who were chosen for the study population.
- The couples were split into two groups; 20 couples participated in therapy that involved an in-patient equine-assisted intervention, while the remaining 16 couples served as a control group, receiving no such intervention.
Results
- Post intervention, significant improvements were witnessed in the therapy group as compared to the control group. These improvements covered a range of areas like current, somatic, and communication problems, depressive symptoms, and the quality of the partnership they share.
- The therapy group also exhibited significant reduction in PTSD, specifically in the sub-scale related to negative thoughts. However, the control group showed no such improvement.
Implications of the Study
- The results indicate that equine-assisted psychotherapy holds the potential to improve the quality of relationships and reduce the stress levels that the partners of service members who are suffering from PTSD face.
- This could potentially make it a beneficial therapeutic intervention for armed forces globally, expanding its application and impact to a broader scale.
Cite This Article
APA
Willmund G, Zimmermann P, Alliger-Horn C, Varn A, Fischer C, Parent I, Sobottka A, Bering R, Rose C, Ströhle A, Köhler K.
(2021).
Equine-assisted psychotherapy with traumatized couples-Improvement of relationship quality and psychological symptoms.
J Marital Fam Ther, 47(4), 925-944.
https://doi.org/10.1111/jmft.12485 Publication
Researcher Affiliations
- German Armed Forces Center for Military Mental Health, Berlin, Germany.
- German Armed Forces Center for Military Mental Health, Berlin, Germany.
- German Armed Forces Center for Military Mental Health, Berlin, Germany.
- German Armed Forces Center for Military Mental Health, Berlin, Germany.
- Military Chaplaincy Central Office, Berlin, Germany.
- Minds-n-Motion, Steinwenden, Germany.
- Alexianer Institute for Psychotraumatology, Krefeld, Germany.
- Alexianer Institute for Psychotraumatology, Krefeld, Germany.
- German Armed Forces Center for Military Mental Health, Berlin, Germany.
- Clinic for Psychiatry and Psychotherapy, Charité University Medicine, Berlin, Germany.
- German Armed Forces Center for Military Mental Health, Berlin, Germany.
MeSH Terms
- Animals
- Anxiety
- Equine-Assisted Therapy
- Horses
- Humans
- Military Personnel
- Prospective Studies
- Psychotherapy
- Spouses
Grant Funding
- German Armed Forces Center for Military Mental Health
References
This article includes 60 references
- Alliger-Horn C, Zimmermann P, Mitte K. Predictors of the course of cognitive behavioral group treatment of German Bundeswehr soldiers after military interventions. Verhaltenstherapie 24(4), 2.
- Brewin CR, Andrews B, Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology 68(5), 748-766.
- Carlson KD, Schmidt FL. Impact of experimental design on effect size: Findings from the research literature on training. Journal of Applied Psychology 84(6), 851-862.
- Chalmers D, Dell C, Dixon J, Dowling T, Hanrahan C. Recognizing animals as an important part of helping. Critical Social Work 21(1), 2-29.
- Cole KM, Gawlinski A, Steers N, Kotlerman J. Animal-assisted therapy in patients hospitalized with heart failure. American Journal of Critical Care: an Official Publication, American Association of Critical-Care Nurses 16(6), 575-585; quiz 586; discussion 587-588.
- Duncan C, Critchley S, Marland J. Can praxis: A model of equine assisted learning (EAL) for PTSD. Canadian Military Journal 14(2), 64-69.
- Duncan C, Critchley S, Marland J. Equine assisted therapy to help couples with PTSD: The evidence for improved personal relationships. Canadian Military Journal 17(2), 45-52.
- EAGALA. EAGALA. Equine Assisted Growth and Learning, Fundamentals of the EAGALA-Model: Training Manual (8th edn). .
- Erbes CR, Polusny MA, MacDermid S, Compton JS. Couple therapy with combat veterans and their partners. Journal of Clinical Psychology 64(8), 972-983.
- Field AP. Discovering statistics using IBM SPSS statistics: And sex and drugs and rock “n” roll (4th edn). .
- Fine AH. Handbook on animal-assisted therapy: Foundations and guidelines for animal-assisted interventions (5th edn). .
- Flatten G, Gast U, Hofmann A, Knaevelsrud C, Lampe A, Liebermann P, Maercker A, Reddemann L, Wöllern W. S3-Leitlinie, Posttraumatische Belastungsstörung ICD-10: F43.1. Trauma & Gewalt 3, 202-210.
- Germain SM, Wilkie KD, Milbourne VMK, Theule J. Animal-assisted psychotherapy and trauma: a meta-analysis. Anthrozoös 31(2), 141-164.
- Geue K, Strauß B, Brähler E. Diagnostische Verfahren in der Psychotherapie (3., überarbeitete und erweiterte Auflage). .
- Gräfe K, Zipfel S, Herzog W, Löwe B. Screening psychischer Störungen mit dem “Gesundheitsfragebogen für Patienten (PHQ-D)”. Diagnostica 50(4), 171-181.
- Hahlweg K. Fragebogen zur Partnerschaftsdiagnostik: (FPD); Handanweisung. .
- Hinz A, Stöbel-Richter Y, Brähler E. Der Partnerschaftsfragebogen (PFB). Diagnostica 47(3), 132-141.
- Holcomb R, Meacham M. Effectiveness of an animal-assisted therapy program in an inpatient psychiatric unit. Anthrozoös 2(4), 259-264.
- IBM Corp. IBM SPSS statistics for windows. .
- 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. Effects of therapeutic horseback riding on post-traumatic stress disorder in military veterans. Military Medical Research 5(1), 3.
- Kern-Godal A, Arnevik EA, Walderhaug E, Ravndal E. Substance use disorder treatment retention and completion: A prospective study of horse-assisted therapy (HAT) for young adults. Addiction Science & Clinical Practice 10(1).
- Klauer T, Schwarzer R. Soziale Unterstützung und Depression. Verhaltenstherapie Und Verhaltensmedizin 22(4), 333-351.
- Kloep ML, Hunter RH, Kertz SJ. Examining the effects of a novel training program and use of psychiatric service dogs for military-related PTSD and associated symptoms. American Journal of Orthopsychiatry 87(4), 425-433.
- Kocalevent R-D, Hinz A, Brähler E. Standardization of the depression screener Patient Health Questionnaire (PHQ-9) in the general population. General Hospital Psychiatry 35(5), 551-555.
- Kocalevent R-D, Hinz A, Brähler E. Standardization of a screening instrument (PHQ-15) for somatization syndromes in the general population. BMC Psychiatry 13(1).
- Köhler K, Eggert P, Lorenz S, Herr K, Willmund G, Zimmermann P, Alliger-Horn C. Effectiveness of eye movement desensitization and reprocessing in german armed forces soldiers with post-traumatic stress disorder under routine inpatient care conditions. Military Medicine 182(5), e1672-e1680.
- Köhler K, Rose C, Willmund G. Der Einfluss Von Pferdeunterstütztem Lernen Auf Partnerschaftsqualität, Symptomschwere Einer PTBS Und Depressivität Von Soldaten. Beschreibung Und Theorie Einer Studie. Mensch & Pferd International 8(3), 88.
- Kroenke K, Spitzer RL, Williams JB. The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine 16(9), 606-613.
- Kroenke K, Spitzer RL, Williams JBW. The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine 64(2), 258-266.
- Krüger-Gottschalk A, Knaevelsrud C, Rau H, Dyer A, Schäfer I, Schellong J, Ehring T. The German version of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Psychometric properties and diagnostic utility. BMC Psychiatry 17(1).
- Kuester A, Köhler K, Ehring T, Knaevelsrud C, Kober L, Krüger-Gottschalk A, Schäfer I, Schellong J, Wesemann U, Rau H. Comparison of DSM-5 and proposed ICD-11 criteria for PTSD with DSM-IV and ICD-10: Changes in PTSD prevalence in military personnel. European Journal of Psychotraumatology 8(1), 1386988.
- Lange AM, Cox JA, Bernert DJ, Jenkins CD. Is counseling going to the dogs? An exploratory study related to the inclusion of an animal in group counseling with adolescents. Journal of Creativity in Mental Health 2(2), 17-31.
- Lanning BA, Krenek N. Examining effects of equine-assisted activities to help combat veterans improve quality of life. Journal of Rehabilitation Research and Development 50(8).
- Lenhard W, Lenhard A. Computation of effect sizes. Psychometrica .
- MacLean B. Guest editorial: Equine-assisted therapy. Journal of Rehabilitation Research and Development 48(7), ix-xii.
- Malinowski K, Yee C, Tevlin JM, Birks EK, Durando MM, Pournajafi-Nazarloo H, Cavaiola AA, McKeever KH. 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 64, 17-26.
- Morris SB. Estimating effect sizes from pretest-posttest-control group designs. Organizational Research Methods 11(2), 364-386.
- Nimer J, Lundahl B. Animal-assisted therapy: A meta-analysis. Anthrozoös 20(3), 225-238.
- O’Haire ME, Guérin NA, Kirkham AC. Animal-assisted intervention for trauma: A systematic literature review. Frontiers in Psychology 6.
- Pallant J. SPSS survival manual: A step by step guide to data analysis using IBM SPSS. .
- Perlick DA, Sautter FJ, Becker-Cretu JJ, Schultz D, Grier SC, Libin AV, Schladen MM, Glynn SM. The incorporation of emotion-regulation skills into couple- and family-based treatments for post-traumatic stress disorder. Military Medical Research 4(1), 21.
- Romaniuk M, Evans J, Kidd C. Evaluation of an equine-assisted therapy program for veterans who identify as ‘wounded, injured or ill’ and their partners. PLoS One 13(9), e0203943.
- Russell-Martin L. Equine facilitated couples therapy and solution focused couples therapy: A comparison study. .
- Sautter FJ, Glynn SM, Cretu JB, Senturk D, Vaught AS. Efficacy of structured approach therapy in reducing PTSD in returning veterans: A randomized clinical trial. Psychological Services 12(3), 199-212.
- Sayer NA, Noorbaloochi S, Frazier P, Carlson K, Gravely A, Murdoch M. Reintegration problems and treatment interests among Iraq and Afghanistan combat veterans receiving VA Medical Care. Psychiatric Services 61(6), 589-597.
- Schulz U, Schwarzer R. Partnerschaftliche Bewältigung einer Krebserkrankung. In P. Buchwald, C. Schwarzer & S. E. Hobfoll (Hrsg.) (Eds.), Stress gemeinsam bewältigen (pp. 121-138).
- Schumm JA, Fredman SJ, Monson CM, Chard KM. Cognitive-behavioral conjoint therapy for PTSD: initial findings for operations enduring and Iraqi freedom male combat veterans and their partners. The American Journal of Family Therapy 41(4), 277-287.
- Sherman MD, Fischer EP, Sorocco K, McFarlane WR. Adapting the multifamily group model to the Veterans Affairs system: The REACH Program. Professional Psychology: Research and Practice 40(6), 593-600.
- Steele E, Wood DS, J Usadi E, Applegarth DM. TRR’s Warrior Camp: An intensive treatment program for combat trauma in active military and veterans of all eras. Military Medicine 183(Suppl_1), 403-407.
- Steenkamp MM, Litz BT, Hoge CW, Marmar CR. Psychotherapy for military-related PTSD: A review of randomized clinical trials. JAMA 314(5), 489.
- Taft CT, Watkins LE, Stafford J, Street AE, Monson CM. Posttraumatic stress disorder and intimate relationship problems: A meta-analysis. Journal of Consulting and Clinical Psychology 79(1), 22-33.
- Trautmann S, Schönfeld S, Heinrich A, Schäfer J, Zimmermann P, Wittchen HU. Risk factors for common mental disorders in the context of military deployment: A longitudinal study. European Psychiatry 30, 303.
- van der Kolk BA, McFarlane AC, Weisaeth L. Traumatic stress: The effects of overwhelming experience on mind, body, and society. .
- Viau R, Arsenault-Lapierre G, Fecteau S, Champagne N, Walker C-D, Lupien S. Effect of service dogs on salivary cortisol secretion in autistic children. Psychoneuroendocrinology 35(8), 1187-1193.
- Weathers FW, Blake DD, Schnurr PP, Kaloupek DG, Marx BP, Keane TM. The life events checklist for DSM-5 (LEC-5). .
- Weathers FW, Litz BT, Keane TM, Palmieri PA, Marx BP, Schnurr PP. The PTSD checklist for DSM-5 (PCL-5). .
- Wesemann U, Jensen S, Kowalski JT, Gewandt A, Kröger C, Fischer C, Rose C, Zimmermann P. Einsatzbedingte posttraumatische Belastungsstörung im sozialen Umfeld von SoldatInnen. Eine explorative Studie zur Entwicklung und Evaluierung eines Angehörigenseminars. Trauma & Gewalt 9(3), 216-225.
- Wittchen H-U, Schönfeld S, Kirschbaum C, Thurau C, Trautmann S, Steudte S, Klotsche J, Höfler M, Hauffa R, Zimmermann P. Traumatic experiences and posttraumatic stress disorder in soldiers following deployment abroad: How big is the hidden problem?. Deutsches Arzteblatt International 109(35-36), 559-568.
- World Health Organization. International classification of functioning, disability and health: ICF. Classification Internationale Du Fonctionnement, Du Handicap et de La Santé: CIF. WHO IRIS .
- Zimmermann P, Wesemann U, Willmund G, Alliger-Horn C. Traumafolgestörungen in der Bundeswehr: Konzepte der Prävention und Behandlung. Nervenheilkunde 35(06), 391-395.
Citations
This article has been cited 1 times.- Wijnen B, Martens P. Animals in Animal-Assisted Services: Are They Volunteers or Professionals?. Animals (Basel) 2022 Sep 26;12(19).
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