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Journal of psychosocial nursing and mental health services2025; 63(11); 22-30; doi: 10.3928/02793695-20250415-05

Investigating the Effects of Equine-Assisted Therapy in Individuals With Schizophrenia: A Randomized Controlled Trial.

Abstract: To examine the effectiveness of equine-assisted therapy on symptoms, quality of life, anxiety, and loneliness in individuals with schizophrenia. Unassigned: A randomized controlled trial was conducted with individuals with schizophrenia registered at a community mental health center. The study involved 61 participants (30 in the intervention group, 31 in the control group). An 8-week equine-assisted therapeutic intervention was implemented for the intervention group. Data were collected using a Personal Information Form, the Positive and Negative Syndrome Scale (PANSS), Trait Anxiety Inventory (TAI), Quality of Life Scale for Schizophrenia Patients (QLS), and UCLA Loneliness Scale (UCLA-LS). Data were analyzed using means, frequencies, percentage distributions, chi-square test, and dependent and independent samples tests. Unassigned: Statistically significant differences were found between pre- and post-test mean scores of the PANSS, TAI, UCLA-LS, and QLS in the intervention group ( < 0.05), and none were found in the control group ( > 0.05). Unassigned: Equine-assisted therapy effectively reduced symptoms, anxiety, and loneliness in individuals with schizophrenia, while improving their quality of life.
Publication Date: 2025-04-23 PubMed ID: 40258216DOI: 10.3928/02793695-20250415-05Google Scholar: Lookup
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  • Journal Article
  • Randomized Controlled Trial

Summary

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Investigating the Effects of Equine-Assisted Therapy in Individuals With Schizophrenia: A Randomized Controlled Trial explored whether equine-assisted therapy could improve symptoms, reduce anxiety and loneliness, and enhance the quality of life in individuals with schizophrenia.

Study Objective

  • To assess the effectiveness of equine-assisted therapy on reducing schizophrenia symptoms, anxiety, and loneliness, and on improving quality of life in affected individuals.

Study Design and Participants

  • A randomized controlled trial was conducted involving 61 individuals diagnosed with schizophrenia.
  • Participants were registered at a community mental health center.
  • They were randomly divided into two groups: 30 in the intervention group (received equine-assisted therapy) and 31 in the control group (no such intervention).
  • The intervention lasted for 8 weeks, during which the intervention group participated in equine-assisted therapeutic activities.

Data Collection Methods

  • Personal Information Form to collect demographic and baseline data.
  • Positive and Negative Syndrome Scale (PANSS) to assess the severity of schizophrenia symptoms.
  • Trait Anxiety Inventory (TAI) to measure participants’ anxiety levels.
  • Quality of Life Scale for Schizophrenia Patients (QLS) to evaluate their overall quality of life.
  • UCLA Loneliness Scale (UCLA-LS) to measure levels of loneliness.

Data Analysis

  • Descriptive statistics such as means, frequencies, and percentage distributions were calculated.
  • Inferential statistics including chi-square tests, dependent samples t-tests, and independent samples t-tests were used to compare data within and between groups pre- and post-intervention.

Key Findings

  • In the intervention group, statistically significant improvements were observed after therapy in:
    • Reduction of positive and negative symptoms as measured by PANSS.
    • Decreased anxiety levels according to TAI scores.
    • Lower loneliness scores on the UCLA Loneliness Scale.
    • Enhanced quality of life as measured by QLS.
  • No significant changes were found in the control group across these measures, indicating the improvements were likely due to the equine-assisted therapy.

Conclusions

  • Equine-assisted therapy appears to be an effective complementary treatment for individuals with schizophrenia.
  • This therapy can alleviate core symptoms of schizophrenia, reduce anxiety and feelings of loneliness, and improve overall quality of life.
  • The findings suggest that incorporating equine-assisted therapy in mental health treatment plans could provide valuable benefits to this population.

Cite This Article

APA
Öztürk Z, Tozoğlu EÖ, Eymır M, Karakurt N, Ulusoy S. (2025). Investigating the Effects of Equine-Assisted Therapy in Individuals With Schizophrenia: A Randomized Controlled Trial. J Psychosoc Nurs Ment Health Serv, 63(11), 22-30. https://doi.org/10.3928/02793695-20250415-05

Publication

ISSN: 0279-3695
NlmUniqueID: 8200911
Country: United States
Language: English
Volume: 63
Issue: 11
Pages: 22-30

Researcher Affiliations

Öztürk, Zeynep
  • Department of Psychiatric Nursing, Erzurum, Türkiye.
Tozoğlu, Elif Özcan
  • Erzurum Technical University; University of Health Sciences, Community Mental Health Center, Erzurum, Türkiye.
Eymır, Musa
  • Department of Physiotherapy and Rehabilitation, Erzurum, Türkiye.
Karakurt, Nurgül
  • Department of Psychiatric Nursing, Erzurum, Türkiye.
Ulusoy, Serdar
  • Atatürk University, Equine and Training Unit, Erzurum, Türkiye.

MeSH Terms

  • Humans
  • Schizophrenia / therapy
  • Equine-Assisted Therapy / methods
  • Male
  • Female
  • Quality of Life / psychology
  • Adult
  • Animals
  • Loneliness / psychology
  • Anxiety / therapy
  • Anxiety / psychology
  • Middle Aged
  • Horses
  • Schizophrenic Psychology
  • Psychiatric Status Rating Scales

Conflict of Interest Statement

Disclosure: The authors have disclosed no potential conflicts of interest, financial or otherwise.

Citations

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