Impact of equine interactions on human acute pain perception: Two cross sectional studies.
Abstract: Research has demonstrated the effectiveness of Animal-Assisted Therapy, usually involving dogs, as a way to reduce pain in inpatient and outpatient populations. Here two studies investigate the effectiveness of interacting with horses for reducing human acute pain perception. Unassigned: In Study 1, a blood-pressure cuff was used to administer acute ischaemic pain to 70 adult participants, who were allocated to one of three groups: Equine Assisted Psychotherapy (EAP), Horse Interaction without EAP (HI), and a Control (no horses present). All participants engaged in an activity (finding a horse treat) in a large, enclosed arena. The dependent variable was the subjective pain rating (scale 0-10) of the participant in response to moderate pain induced pre- and post-activity. In Study 2, 53 adult participants were recruited and allocated to either an Equine Assisted Learning (EAL) Group or a Control Group. The same paradigm was used. Following the activity sessions, qualitative data was elicited from the participants regarding their insights and feelings. It was hypothesized that any interaction with horses would significantly reduce an individual's perception of pain. Unassigned: In both studies, planned paired-samples t-tests showed significant reductions in pain ratings from pre-activity to post-activity in the EAL, EAP and HI groups (large and medium effect sizes) but not the Control groups. Thematic analysis of the qualitative responses showed an overwhelmingly positive array of responses from those who interacted with the horses, for example, feeling relaxed and happy during the activity. Unassigned: Interactions with horses can reduce acute pain perception. Distraction, physiological changes, and positive emotions are discussed as possible underlying mechanisms. It remains to be seen how this could be more widely applied, for example, in relation to chronic pain.
© The Author(s) 2024.
Publication Date: 2024-11-29 PubMed ID: 39619499PubMed Central: PMC11607707DOI: 10.1177/20494637241302391Google Scholar: Lookup
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Summary
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The research investigates the impact that interaction with horses can have on human acute pain perception. It presents two studies which demonstrate significant reductions in perceived pain among participants who engaged with the animals during Equine Assisted Psychotherapy and Horse Interaction sessions, compared to control groups.
Study Design and Variables
- The research comprises two separate but related experimental studies. Both studies aimed to measure the effects of equine interactions on human acute pain perception.
- In Study 1, 70 adult participants were randomly assigned into one of three groups: Equine Assisted Psychotherapy (EAP), Horse Interaction without EAP (HI), and a Control (no horses present). The participants had to find a horse treat during a task in an enclosed arena.
- This study utilized a blood-pressure cuff to administer acute ischaemic pain to the participants. The dependent variable was each participant’s subjective pain rating recorded pre- and post-activity.
- In the second study, 53 adult participants were recruited and put into either an Equine Assisted Learning (EAL) group or a Control group. The same design was followed.
- The focus of Study 2 is to evaluate the effectiveness of EAL against a Control group in reducing the perception of pain. The qualitative data collected post-activity gave insights into the participant’s experiences and feelings.
Key Findings
- In both studies, participants who interacted with horses displayed significant reductions in their self-reported pain ratings from pre-activity to post-activity.
- These results were obtained in the EAL, EAP, and HI groups with large and medium effect sizes, indicating the potency of the intervention.
- The Control groups in both studies did not show any significant change in their pain ratings.
- Qualitative responses from participants interacting with the horses were overwhelmingly positive, expressing feelings of relaxation and happiness during the activity.
Conclusions and Implications
- The results from the two studies suggest that interactions with horses may be a viable method for reducing acute pain perception.
- The researchers discuss possible mechanisms that could explain these results, such as distraction from the pain, physiological changes induced by the interaction with horses, and the generation of positive emotions.
- However, it is unclear from this study how these findings could be applied more broadly, for instance in reducing chronic pain. Further research is needed to explore these possibilities.
Cite This Article
APA
Doherty-Sneddon G, Caiazza R, Pawlowska E, Vuong Q.
(2024).
Impact of equine interactions on human acute pain perception: Two cross sectional studies.
Br J Pain, 20494637241302391.
https://doi.org/10.1177/20494637241302391 Publication
Researcher Affiliations
- School of Psychology, Dame Margaret Barbour Building, Newcastle University, Newcastle upon Tyne, UK.
- Cavallo Therapy, Psychological Consultancy RC LTD, Seaton Sluice, Whitley Bay, UK.
- School of Psychology, Dame Margaret Barbour Building, Newcastle University, Newcastle upon Tyne, UK.
- Biosciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Conflict of Interest Statement
The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Dr Caiazza is Director of Cavallo Therapies where Study 1 was carried out. Cavallo Therapies were paid for providing the EAP sessions used in Study 1.
References
This article includes 47 references
- Bushnell MC, Ceko M, Low LA. Cognitive and emotional control of pain and its disruption in chronic pain. Nat Rev Neurosci 2013; 14(7): 502–511.
- Chu LF, Angst MS, Clark D. Opioid-induced hyperalgesia in humans: molecular mechanisms and clinical considerations. Clin J Pain 2008; 24(6): 479–496.
- Eccleston C, Crombez G. Advancing psychological therapies of chronic pain. F1000Research 2017; 6: 46.
- Liu Y, May BH, Zhang AL. Acupuncture and related therapies for treatment of postoperative ileus in colorectal cancer: a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med 2018; 2018: 3178472.
- Turk DC, Flor H. Chronic pain: a biobehavioral perspective. 1999, Vol. 1, pp. 18–34.
- Mims D, Waddell R. Animal assisted therapy and trauma survivors. J Evid Inf Soc Work 2016; 13(5): 452–457.
- Martin F, Farnum J. Animal-assisted therapy for children with pervasive developmental disorders. West J Nurs Res 2002; 24(6): 657–670.
- Marcus DA, Bernstein CD, Constantin JM. Animal-assisted therapy at an outpatient pain management clinic. Pain Med 2012; 13(1): 45–57.
- Marcus DA. The science behind animal-assisted therapy. Curr Pain Headache Rep 2013; 17(4): 322.
- Sprouse-Blum AS, Smith G, Sugai D. Understanding endorphins and their importance in pain management. Hawaii Med J 2010; 69(3):70–71.
- Davis MC, Zautra AJ, Smith BW. Chronic pain, stress, and the dynamics of affective differentiation. J Pers 2004; 72(6): 1133–1159.
- Coakley AB, Mahoney EK. Creating a therapeutic and healing environment with a pet therapy program. Complement Ther Clin Pract 2009; 15(3): 141–146.
- Collado-Mateo D, Lavín-Pérez AM, Fuentes García JP. Effects of equine-assisted therapies or horse-riding simulators on chronic pain: a systematic review and meta-analysis. Medicina 2020; 56(9): 444.
- Rahbar M, Salekzamani Y, Jahanjou F. Effect of hippotherapy simulator on pain, disability and range of motion of the spinal column in subjects with mechanical low back pain: a randomized single-blind clinical trial. J Back Musculoskelet Rehabil 2018; 31(6): 1183–1192.
- White-Lewis S, Russell C, Johnson R. Equine-assisted therapy intervention studies targeting physical symptoms in adults: a systematic review. Appl Nurs Res 2017; 38: 9–21.
- Kersten G, Thomas L. Straight from the horse’s mouth: the truth about equine-assisted therapy. The Counselor 1997; 38: 25.
- Caiazza R, King T, Davis M. Incorporating the principles of acceptance and commitment therapy into equine-assisted psychotherapy phenomena. Journal 2022; 4: 69–76.
- Rosas JM. Clever Hans. In: Encyclopedia of Animal Cognition and Behavior. Cham: Springer International Publishing, 2022, pp. 1446–1450.
- Meinersmann KM, Bradberry J, Roberts FB. Equine-facilitated psychotherapy with adult female survivors of abuse. J Psychosoc Nurs Ment Health Serv 2008; 46(12): 36–42.
- Kirby M. Gestalt equine psychotherapy. Gestalt Journal of Australia and New Zealand 2010; 6(2): 60–68.
- Perkins BL. A pilot study assessing the effectiveness of equine assisted learning with adolescents. J Creativ Ment Health 2018; 13(3): 298–305.
- McCaul KD, Malott JM. Distraction and coping with pain. Psychol Bull 1984; 95(3): 516–533.
- Legrain V, Damme SV, Eccleston C. A neurocognitive model of attention to pain: behavioral and neuroimaging evidence. Pain 2009; 144: 230–232.
- Bantick SJ, Wise RG, Ploghaus A. Imaging how attention modulates pain in humans using functional MRI. Brain 2002; 125(2): 310–319.
- Eccleston C, Crombez G. Pain demands attention: a cognitive-affective model of the interruptive function of pain. Psychol Bull 1999; 125: 356–366.
- Van Damme S, Legrain V, Vogt J. Keeping pain in mind: a motivational account of attention to pain. Neurosci Biobehav Rev 2010; 34: 204–213.
- Crombez G, Eccleston C, Van Damme S. Fear-avoidance model of chronic pain: the next generation. Clin J Pain 2012; 28: 475–483.
- Vuong QC, Owen A, Akin-Akinyosoye K. An incremental dual-task paradigm to investigate pain attenuation by task difficulty, affective content and threat value. PLoS One 2018; 13(11): e0207023.
- Lad D, Wilkins A, Johnstone E. Feeling the music: the feel and sound of songs attenuate pain. Br J Pain 2022; 16(5): 518–527.
- Cohen EE, Ejsmond-Frey R, Knight N. Rowers’ high: behavioural synchrony is correlated with elevated pain thresholds. Biol Lett 2009; 6(1): 106–108.
- Vincent S, O’Mahoney J. Critical realism and qualitative research: an introductory overview. The SAGE Handbook of Qualitative Business and Management Research Methods: History and Traditions 2018; 1: 201–216.
- Ryan GW, Bernard HR. Techniques to Identify Themes. Field Methods 2003; 15(1): 85–109.
- Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3(2): 77–101.
- Cohen J. 1988: statistical power analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum, 1988.
- Rischer KM, González-Roldán AM, Montoya P. Distraction from pain: the role of selective attention and pain catastrophizing. Eur J Pain 2020; 24(10): 1880–1891.
- Abreu T, Figueiredo AR. Paws for help – animal-assisted therapy. Eur Psychiatr 2015; 30: 1651.
- Dfarhud D, Malmir M, Khanahmadi M. Happiness & health: the biological factors- systematic review article. Iran J Public Health 2014; 43(11): 1468–1477.
- Manninen S, Tuominen L, Dunbar RI. Social laughter triggers endogenous opioid release in humans. J Neurosci 2017; 37(25): 6125–6131.
- Braun C, Stangler T, Narveson J. Animal-assisted therapy as a pain relief intervention for children. Complement Ther Clin Pract 2009; 15(2): 105–109.
- Rhudy JL, Meagher MW. The role of emotion in pain modulation. Curr Opin Psychiatr 2001; 14(3): 241–245.
- Ruegg E. Comparing equine assisted psychotherapy and canine assisted psychotherapy. Psychol Today 2023.
- Frewin K, Gardiner B. New age or old Sage? A review of equine assisted psychotherapy. The Australian Journal of Counselling Psychology 2005; 6(2): 13–17.
- Bachi K. Equine-facilitated psychotherapy: the gap between practice and knowledge. Soc Anim 2012; 20(4): 364–380.
- Rothe EQ, Vega BJ, Torres RM. From kids and horses: equine facilitated psychotherapy for children. Int J Clin Health Psychol 2005; 5(2): 373–383.
- Wilson K, Buultjens M, Monfries M. Equine-Assisted Psychotherapy for adolescents experiencing depression and/or anxiety: a therapists perspective. Clin Child Psychol Psychiatr 2015; 22: 16–33.
- Frame DL. Practices of therapists using equine facilitate/assisted psychotherapy in the treatment of adolescents diagnosed with depression: a qualitative study (Doctoral dissertation). New York: New York University, 2006.
- Thompson T, Correll CU, Gallop K. Is pain perception altered in people with depression? A systematic review and meta-analysis of experimental pain research. J Pain 2016; 17(12):1257–1272.
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