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Yotanyamaneewong S, Junla D, Brown JL, Siriapaipant N, Yodkamol N, Prachasilchai W, Saengthong A, Sanguansak P, Kankonsue T, Punyapornwithaya V, Sansamur C, Nganvongpanit K, Khonmee J. The impact of canine-assisted intervention on stress reduction among university students in Thailand. PLoS One 2025; 20:e0318777. [PMID: 40072925 PMCID: PMC11902293 DOI: 10.1371/journal.pone.0318777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2024] [Accepted: 01/21/2025] [Indexed: 03/14/2025] Open
Abstract
Stress negatively impacts university students, leading to adverse outcomes. While canine-assisted intervention (CAI) has been shown to reduce self-reported stress, no studies have investigated stress levels and associated biomarkers in dogs and students simultaneously. This study examined salivary cortisol, blood pressure, and pulse rate in 122 university students experiencing self-reported moderate to high stress before an encounter with a dog (T1), immediately before meeting a dog (T2), and after spending 15 minutes interacting with a dog (T3). Participants assessed their stress level using a visual analog scale, and blood pressure and pulse rate were measured at three time points. Salivary cortisol was also measured at T1 and T3. Six privately owned dogs, all in good health and comfortable with strangers, participated in the intervention sessions. Salivary and fecal cortisol samples from the dogs were collected in the morning before commencing activities, at noon, and in the evening after human interactions ended. The results showed that the expectation of interacting with dogs reduces self-reported stress, pulse rate, and salivary cortisol, which remained significantly lower after the interaction. Salivary cortisol concentrations in dogs did not differ throughout the day. By contrast, fecal glucocorticoid metabolite concentrations during the week dogs interacted with students were higher (P = 0.0012) than those during the week post-experiment, which, based on behavior, appeared to indicate positive stimulation. These findings highlight the potential of integrating CAI into university stress management programs. Future research could explore extending these benefits to community dogs, long-term effects, and enhancing accessibility to this form of stress relief.
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Affiliation(s)
| | - Daranee Junla
- Department of Psychology, Faculty of Humanities, Chiang Mai University, Chiang Mai, Thailand
| | - Janine L. Brown
- Smithsonian National Zoo & Conservation Biology Institute, Front Royal, Virginia, USA
| | - Nathida Siriapaipant
- Department of Psychology, Faculty of Humanities, Chiang Mai University, Chiang Mai, Thailand
| | - Naruedee Yodkamol
- Department of Psychology, Faculty of Humanities, Chiang Mai University, Chiang Mai, Thailand
| | | | - Adul Saengthong
- Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Pratch Sanguansak
- Chiang Mai University Library, Chiang Mai University, Chiang Mai, Thailand
| | - Thanapun Kankonsue
- Chiang Mai University Library, Chiang Mai University, Chiang Mai, Thailand
| | - Veerasak Punyapornwithaya
- Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai, Thailand
- Research Center for Veterinary Biosciences and Veterinary Public Health, Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Chalutwan Sansamur
- Akkhraratchakumari Veterinary College, Walailak University, Nakhon Si Thammarat, Thailand
| | - Korakot Nganvongpanit
- Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai, Thailand
- Research Center for Veterinary Biosciences and Veterinary Public Health, Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Jaruwan Khonmee
- Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai, Thailand
- Research Center for Veterinary Biosciences and Veterinary Public Health, Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai, Thailand
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Goldstein E, Burns-Nader S, Casper D, Parker J. Exploring the implementation of child life services with facility dogs. J Child Health Care 2024; 28:501-513. [PMID: 36524607 DOI: 10.1177/13674935221146382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Many children's hospitals around the United States have programs in which a trained facility dog goes to work daily with a psychosocial healthcare worker, typically a Certified Child Life Specialist (CCLS). CCLSs help children and their families cope with the stress of a healthcare experience by utilizing evidence-based, developmentally appropriate interventions. The purpose of this study was to explore how CCLSs incorporate facility dogs into their treatments and gain their perspectives on handling a facility dog. Participants, four CCLSs, completed a checklist, which assessed patients seen by facility dogs for 10 workdays, and a semi-structured interview. Participants primarily saw patients of ages three to five years and aided with general anxiety and coping support. Findings indicated the dog's specific training, therapeutic value, and ability to bond with patients allowed these interactions to be successful and impactful. This study provides information about the benefits of facility dogs for child life programs and presents data for programs that are considering incorporating this therapeutic modality into their services offered.
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Affiliation(s)
- Emily Goldstein
- Department of Human Development and Family Sciences, Graduate Student, University of Georgia, Athens, GA, USA
| | - Sherwood Burns-Nader
- Department of Human Development and Family Studies, The University of Alabama, Tuscaloosa, AL, USA
| | - Deborah Casper
- Department of Human Development and Family Studies, The University of Alabama, Tuscaloosa, AL, USA
| | - Julie Parker
- School of Human Sciences, Mississippi State University, Mississippi State, MS, USA
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Bellflowers LA, Ruttencutter GS. Therapy Dog Presence in an Undergraduate Nursing Program. J Christ Nurs 2023; 40:230-235. [PMID: 37653653 DOI: 10.1097/cnj.0000000000001099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/02/2023] Open
Abstract
ABSTRACT Research supports the use of animal-assisted interactions and pet therapy in various settings. Undergraduate nursing students experience high levels of stress and anxiety which often continue as they become professional nurses. Entering the workforce equipped with positive coping strategies may help newly licensed nurses to combat stressors. This qualitative descriptive study examined the experiences of undergraduate nursing students with the presence of a therapy dog. Four major themes regarding the role of therapy dogs were identified: as a coping strategy, as a mood moderator, as a positive distraction, and for community building.
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Cerolini S, Zagaria A, Franchini C, Maniaci VG, Fortunato A, Petrocchi C, Speranza AM, Lombardo C. Psychological Counseling among University Students Worldwide: A Systematic Review. Eur J Investig Health Psychol Educ 2023; 13:1831-1849. [PMID: 37754472 PMCID: PMC10528000 DOI: 10.3390/ejihpe13090133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Revised: 09/09/2023] [Accepted: 09/11/2023] [Indexed: 09/28/2023] Open
Abstract
University counseling services (UCSs) are actively involved in mental health assessment and in supplying interventions aimed at preventing, facing and possibly overcoming psychological problems. However, we do not have a global overview of psychological counseling among universities. This systematic review aims at reviewing the literature on university psychological counseling, including articles documenting: (1) mental health and attitudes regarding help-seeking behaviors and UCSs among university students or counselors, (2) the description of protocols/services among UCSs, (3) the efficacy of psychological counseling/interventions among university students (both face-to-face and internet-delivered interventions). The study followed PRISMA guidelines and was registered on PROSPERO. After defining inclusion and exclusion criteria, a literature search was conducted, identifying 7085 records. Finally, 152 articles met the review eligibility criteria and were included in the qualitative synthesis. Results are divided into seven thematic topics that emerged during the analysis of the literature. The results mainly showed that face-to-face and web-based counseling/psychological interventions improve university students' mental health. Cross-sectional studies showed that many biases exist toward help-seeking behaviors, especially among international students. Both students and counselors must strive to overcome cultural barriers. Available resources for UCSs are scarce and need to be strengthened, as well as efficacy studies through randomized clinical trials.
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Affiliation(s)
- Silvia Cerolini
- Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy; (A.Z.); (C.L.)
| | - Andrea Zagaria
- Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy; (A.Z.); (C.L.)
| | - Costanza Franchini
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, 00185 Rome, Italy; (C.F.); (V.G.M.); (A.F.); (A.M.S.)
| | - Vito Giuseppe Maniaci
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, 00185 Rome, Italy; (C.F.); (V.G.M.); (A.F.); (A.M.S.)
| | - Alexandro Fortunato
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, 00185 Rome, Italy; (C.F.); (V.G.M.); (A.F.); (A.M.S.)
| | - Chiara Petrocchi
- Department of Developmental and Social Psychology, Sapienza University of Rome, 00185 Rome, Italy;
| | - Anna Maria Speranza
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, 00185 Rome, Italy; (C.F.); (V.G.M.); (A.F.); (A.M.S.)
| | - Caterina Lombardo
- Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy; (A.Z.); (C.L.)
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Peel N, Nguyen K, Tannous C. The Impact of Campus-Based Therapy Dogs on the Mood and Affect of University Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4759. [PMID: 36981667 PMCID: PMC10048764 DOI: 10.3390/ijerph20064759] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 03/01/2023] [Accepted: 03/06/2023] [Indexed: 06/18/2023]
Abstract
University students experience a high level of stress, which could potentially affect how they manage stressful situations beyond university, such as when entering the workforce. Although universities offer counseling services and various health promotion programs, there is reluctance and negative perceptions about utilizing these from students. Further research is needed to explore the effectiveness of therapy dog interventions in human interactions that is quantifiable and embraces the elements of health promotion. This study aimed to investigate the impact of therapy dog interventions on students' moods across a multi-campus university during a 2-week final examination period. Two hundred and sixty-five students participated in the study involving a multi-campus university. The intervention group and control group completed a questionnaire involving the positive affect negative affect schedule (PANAS), a 20-item scale that measures a person's affect at the time. The intervention group (n = 170) had a higher average of total PANAS scores (mean = 77.63, standard deviation = 10.975) compared to the control group (n = 95) (mean = 69.41, standard deviation = 13.442). The results were statistically significant (mean difference = 8.219, 95% CI = 5.213-11.224, p < 0.05) with a t-score of 5.385. Students who engaged with therapy dogs on campus during the examination period were more likely to have a more positive affect. The results suggest that universities should include therapy dog programs within their health promotion programs for students, as these may help improve their mood and reduce the stress associated with university examinations.
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Informing Implementation: Perspectives from the Australian University Community Regarding an Animal Assisted Intervention. Animals (Basel) 2022; 12:ani12243569. [PMID: 36552489 PMCID: PMC9774916 DOI: 10.3390/ani12243569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 12/14/2022] [Accepted: 12/15/2022] [Indexed: 12/23/2022] Open
Abstract
Animal Assisted Interventions (AAIs) have become increasingly popular in the university setting; however, there is limited research exploring their potential on an Australian university campus and participants' views prior to implementation. Therefore, this study aimed to explore university staff members' and students' interest in participating in an AAI and their perspectives on intervention characteristics. This was a mixed methods study, using an online survey and semi-structured interviews. The survey had 344 responses, and 45 interviews were conducted. A large majority of participants (86%) were interested in participating in an AAI. In the survey, participants indicated their preferred intervention characteristics for the location of the intervention, frequency of participating, and ways of hearing about the intervention. Participants also expressed concerns regarding therapy animal welfare. In interviews, participants discussed various considerations which may impact the intervention (such as the accessibility of the location, the impact of workload on participating, the effectiveness of promotion strategies, and factors that may assist therapy animal welfare, such as the therapy animals' handlers). Gaining an insight into the university community's views prior to implementation may ensure the intervention is feasible to implement and can be beneficial to both humans and therapy animals.
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Parbery-Clark C, Lubamba M, Tanner L, McColl E. Animal-Assisted Interventions for the Improvement of Mental Health Outcomes in Higher Education Students: A Systematic Review of Randomised Controlled Trials. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:10768. [PMID: 34682513 PMCID: PMC8535789 DOI: 10.3390/ijerph182010768] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Revised: 09/05/2021] [Accepted: 09/08/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND The aim of this systematic review was to evaluate the effectiveness of Animal-Assisted Interventions (AAIs), particularly Animal-Assisted Therapy (AAT) and Animal-Assisted Activity (AAA), in improving mental health outcomes for students in higher education. The number of students in higher education reporting mental health problems and seeking support from universities' student support services has risen over recent years. Therefore, providing engaging interventions, such as AAIs, that are accessible to large groups of students are attractive. METHODS MEDLINE, PsycINFO, Embase and Cochrane Library were searched from relative inception to end of April 2020. Additionally, a grey literature search was undertaken. Independent screening, data extraction and risk of bias assessment were completed, with varying percentages, by two reviewers. RESULTS After de-duplication, 6248 articles were identified of which 11 studies were included in the narrative synthesis. The evidence from randomised controlled trials suggests that AAIs could provide short-term beneficial results for anxiety in students attending higher education but with limited evidence for stress, and inconclusive evidence for depression, well-being and mood. For the non-statistically significant results, the studies either did not include a power calculation or were under-powered. CONCLUSIONS Potential emerging evidence for the short-term benefits of AAI for anxiety, and possibly stress, for students in higher education was found.
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Affiliation(s)
- Charlotte Parbery-Clark
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE1 7RU, UK; (M.L.); (L.T.); (E.M.)
- Newcastle City Council, Civic Centre, Newcastle upon Tyne NE1 8QH, UK
| | - Marvellas Lubamba
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE1 7RU, UK; (M.L.); (L.T.); (E.M.)
| | - Louise Tanner
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE1 7RU, UK; (M.L.); (L.T.); (E.M.)
| | - Elaine McColl
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE1 7RU, UK; (M.L.); (L.T.); (E.M.)
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Moores L, Button P, Fawcett E, Whelan B. Puppies, Plants, Painting, and Popcorn: Evaluation of an Integrated Outreach Program. JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY 2021. [DOI: 10.1080/87568225.2021.1881860] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Lisa Moores
- Student Wellness and Counselling Centre, Memorial University of Newfoundland and Labrador, St. John’s, Canada
| | - Pam Button
- Student Wellness and Counselling Centre, Memorial University of Newfoundland and Labrador, St. John’s, Canada
| | - Emily Fawcett
- Student Wellness and Counselling Centre, Memorial University of Newfoundland and Labrador, St. John’s, Canada
| | - Beth Whelan
- Student Wellness and Counselling Centre, Memorial University of Newfoundland and Labrador, St. John’s, Canada
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Cooke E, Henderson-Wilson C, Warner E. The feasibility of a Pet Support Program in an Australian university setting. Health Promot J Austr 2020; 32 Suppl 2:256-266. [PMID: 32869435 DOI: 10.1002/hpja.411] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 08/21/2020] [Indexed: 11/06/2022] Open
Abstract
ISSUE ADDRESSED Internationally, universities have recognised the benefits of Pet Support Programs (PSPs). However, existing literature has predominately focused on quantitatively measuring health outcomes associated with a PSP amongst student populations. This research aimed to explore the feasibility of a PSP within an Australian university, as there is a need to explore practical considerations involved in implementation. METHODS This research used a qualitative descriptive approach. Participants were recruited via purposive snowball sampling. The sample included 17 participants across eight administrative divisions within an Australian university. Semi-structured individual interviews were used to collect data. Data were analysed using thematic analysis. RESULTS Three main themes emerged from the data: Organisational Change, Program Management and Perceived Outcomes. Findings suggest several considerations from both an organisational and program level that need to be addressed prior to implementation, including the university's policies, the location and animal welfare. The main perceived outcomes were stress relief and social support. Ways to minimise risks to those who may have an aversion towards animals were also discussed. CONCLUSIONS Participants believed implementing a PSP would be feasible in the university setting, provided all aforementioned considerations were adequately addressed. Considerations identified have the potential to act as a barrier or a facilitator depending on how they are managed. SO WHAT?: Where feasible and later implemented, a PSP could provide Australian university students and staff with an alternative means of improving mental health, providing stress relief and contributing towards the Health Promoting University framework.
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Barker SB, Schubert CM, Barker RT, Kuo SIC, Kendler KS, Dick DM. The Relationship between Pet Ownership, Social Support, and Internalizing Symptoms in Students from the First to Fourth Year of College. APPLIED DEVELOPMENTAL SCIENCE 2018; 24:279-293. [PMID: 32742161 PMCID: PMC7394412 DOI: 10.1080/10888691.2018.1476148] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Internalizing symptoms are prevalent in students as they enter and complete college. Considering research suggesting mental health benefits of pet ownership, this study explores the relationship between pet ownership, social support (SS), and internalizing symptoms (IS) in a cohort of students across their 4-year college experience. With no differences at college entry, students growing up with pets had greater IS through the fourth year, and greater SS through the third year, than those without pets. Currently living with a pet, gender, SS and personality predicted IS in the fourth year. Females experiencing higher IS in their first year are more likely to live with pets in their fourth year, and fourth year females living with pets or greatly missing absent pets have higher IS than females without pets or missing pets less. Findings suggest a unique relationship between IS in female students and their pet relationships not seen in males.
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Affiliation(s)
- Sandra B. Barker
- Department of Psychiatry, Center for Human-Animal Interaction, Virginia Commonwealth University, Richmond, Virginia,
USA
| | - Christine M. Schubert
- Department of Mathematics and Statistics, Air Force Institute of Technology, Wright-Patterson Air Force Base, Ohio,
USA
| | - Randolph T. Barker
- School of Business, Virginia Commonwealth University, Richmond, Virginia, USA
| | | | - Kenneth S. Kendler
- Virginia Institute for Psychiatric and Behavioral Genetics, Department of Psychiatry, Virginia Commonwealth
University
| | - Danielle M. Dick
- Departments of Psychology, African American Studies, and Human and Molecular Genetics, Virginia Commonwealth
University
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