Equine-Assisted Therapy for Anxiety and Posttraumatic Stress Symptoms

被引:69
作者
Earles, Julie L. [1 ]
Vernon, Laura L. [1 ]
Yetz, Jeanne P. [2 ]
机构
[1] Florida Atlantic Univ, Wilkes Honors Coll, Dept Psychol, Jupiter, FL 33458 USA
[2] Florida Atlantic Univ, Coll Med, Div Psychiat & Neurol, Jupiter, FL 33458 USA
关键词
PRIMARY-CARE; DISORDER; MINDFULNESS; SEVERITY; VETERANS; VALIDITY; SCALE; WORLD;
D O I
10.1002/jts.21990
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
We tested the efficacy of the Equine Partnering Naturally((c)) 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 = 1.21, less severe emotional responses to trauma, d = 0.60, less generalized anxiety, d = 1.01, and fewer symptoms of depression, d = 0.54. As well, participants significantly increased mindfulness strategies, d = 1.28, and decreased alcohol use, d = 0.58. There was no significant effect of the treatment on physical health, proactive coping, self-efficacy, social support, or life satisfaction. Thus, we found evidence that the Equine Partnering Naturally((c)) approach to equine-assisted therapy may be an effective treatment for anxiety and posttraumatic stress symptoms. Future research should include larger groups, random assignment, and longer term follow-up. Resumen Examinamos la eficacia del Programa de Asociacion Natural Equina (c) (Equine Partnering Narutrally (c)), una aproximacion a la terapia con apoyo Equino para tratar sintomas de ansiedad y de Trastorno por Estres Postraumatico (TEPT). Los participantes fueron 16 voluntarios que experimentaron el criterio A de Evento Traumatico tales como violacion o accidente grave y que presentaban sintomas de TEPT, sobre 31 puntos en la lista de chequeo para TEPT (PCL-S, Weathers at al, 1993). Los participantes se involucraron en tareas con caballos en sesiones de 2 horas semanales por 6 semanas. Inmediatamente despues de la ultima sesion del Programa de Asociacion Natural Equina (c), los participantes reportaron una reduccion significativa de sintomas de TEPT, d = 1.21, respuesta emocional menos severa al trauma, d = 0,60, menos ansiedad generalizada, d = 1.01, y menos sintomas depresivos, d = 0,54. Inmediatamente despues a la terapia con apoyo equino, los participantes incrementaron significativamente sus estrategias de Conciencia Plena (Mindfulness), d = 1.28, y redujeron el uso de alcohol, d = 1.58. No hubo efectos significativos del tratamiento sobre la salud fisica, afrontamiento proactivos, autoeficacia, soporte social, o en la satisfaccion de vida. Asi, encontramos evidencia que la aproximacion del Programa de Asociacion Natural Equina (c) a la terapia con apoyo equino puede ser un tratamiento efectivo para tratar sintomas ansiosos y de estres post-traumatico. Investigaciones futuras deberian incluir grupos mas grandes y mediciones de seguimiento de largo plazo. Traditional and Simplified Chinese Abstracts by AsianSTSS ??: ???????????????????? ??: ????Equine Partnering Naturally (c)???????????????????(PTSD)???????????16??????,???????????????????,???PTSD???(PCL-S; Weathers et al., 1993)????31?PTSD??????????,???????????????????Equine Partnering Naturally (c)???????,??????????????????(d = 1.21)?????????????(d = 0.60)?????????(d = 1.01)?????????(d = 0.54)???????????,??????????????(d = 1.28),?????????(d = 0.58)????????????????????????????????,?????????,????????Equine Partnering Naturally (c)????????????????????????????????????????????????? ??: ???????????????????? ??: ????Equine Partnering Naturally (c)???????????????????(PTSD)????????????16??????,??????????????????,???PTSD???(PCL-S; Weathers et al., 1993)????31?PTSD??????????,???????????????????Equine Partnering Naturally (c)???????,??????????????????(d = 1.21)?????????????(d = 0.60)?????????(d = 1.01)?????????(d = 0.54)???????????,??????????????(d = 1.28),?????????(d = 0.58)????????????????????????????????,?????????,????????Equine Partnering Naturally (c)?????????????????????????????????????????????????
引用
收藏
页码:149 / 152
页数:4
相关论文
共 28 条
[1]  
[Anonymous], MEASURES HLTH PSYCHO
[2]   Using self-report assessment methods to explore facets of mindfulness [J].
Baer, RA ;
Smith, GT ;
Hopkins, J ;
Krietemeyer, J ;
Toney, L .
ASSESSMENT, 2006, 13 (01) :27-45
[3]   The Effects of Mindfulness Training on Post-Traumatic Stress Disorder Symptoms and Heart Rate Variability in Combat Veterans [J].
Bhatnagar, Ritu ;
Phelps, Lori ;
Rietz, Kristi ;
Juergens, Timothy ;
Russell, Douglas ;
Miller, Nathan ;
Ahearn, Eileen .
JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE, 2013, 19 (11) :860-861
[4]   It's like being in another world: Demonstrating the benefits of therapeutic horseback riding for individuals with psychiatric disability [J].
Bizub, AL ;
Joy, A ;
Davidson, L .
PSYCHIATRIC REHABILITATION JOURNAL, 2003, 26 (04) :377-384
[5]   THE DEVELOPMENT OF A CLINICIAN-ADMINISTERED PTSD SCALE [J].
BLAKE, DD ;
WEATHERS, FW ;
NAGY, LM ;
KALOUPEK, DG ;
GUSMAN, FD ;
CHARNEY, DS ;
KEANE, TM .
JOURNAL OF TRAUMATIC STRESS, 1995, 8 (01) :75-90
[6]   'Queen of the world': experiences of 'at-risk' young people participating in equine-assisted learning/therapy [J].
Burgon, Hannah Louise .
JOURNAL OF SOCIAL WORK PRACTICE, 2011, 25 (02) :165-183
[7]   The Use of Animals as Co-Therapists on a Farm: The Child-Horse Bond in Person-Centered Equine-Assisted Psychotherapy [J].
Chardonnens, Evelyne .
PERSON-CENTERED AND EXPERIENTIAL PSYCHOTHERAPIES, 2009, 8 (04) :319-332
[8]  
Cohen S, 1985, SOCIAL SUPPORT THEOR, V24, P73, DOI 10.1007/978-94-009-5115-0_5
[9]  
Derogatis LR., 1975, Brief Symptom Inventory
[10]   THE SATISFACTION WITH LIFE SCALE [J].
DIENER, E ;
EMMONS, RA ;
LARSEN, RJ ;
GRIFFIN, S .
JOURNAL OF PERSONALITY ASSESSMENT, 1985, 49 (01) :71-75