Animal-assisted activity and emotional status of patients with Alzheimer's disease in day care

被引:63
作者
Mossello, Enrico [1 ]
Ridolfi, Alessandro [2 ]
Mello, Anna Maria [1 ]
Lorenzini, Giulia [3 ]
Mugnai, Francesca [4 ]
Piccini, Carolina [5 ]
Barone, Domenico [1 ]
Peruzzi, Anna [1 ]
Masotti, Giulio [1 ]
Marchionni, Niccolo [1 ]
机构
[1] Univ Florence, Dept Crit Care Med & Surg, Unit Gerontol & Geriatr Med, I-50139 Florence, Italy
[2] Univ Florence, Sch Psychol, I-50139 Florence, Italy
[3] Fdn Ist Andrea Devoto, Florence, Italy
[4] Associat Antropozoa Onlus, Florence, Italy
[5] Alzheimer Day Care Ctr Luigi Amaducci, Florence, Italy
关键词
dementia; emotions; animal-assisted therapy; behavioral symptoms; behavioral disciplines and activities; physical therapy modalities; depression; pet therapy; PSYCHOSOCIAL TREATMENTS; PSYCHOLOGICAL SYMPTOMS; DEMENTIA; THERAPY; DOG;
D O I
10.1017/S1041610211000226
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background: Preliminary studies suggest beneficial effects of animal-assisted activities (AAA) on behavioral and psychological symptoms of dementia (BPSD), but data are inconsistent. This study aimed to assess the effect of AAA with dogs on cognition, BPSD, emotional status and motor activity in severe Alzheimer's disease (AD). Methods: Ten patients attending an Alzheimer Day Care Center (ADCC) participated in a repeated measures study, which included: two weeks' pre-intervention, three weeks' control activity with plush dogs (CA), and three weeks' AAA. Cognitive function (Severe Impairment Battery), mood (Cornell Scale for Depression in Dementia; CSDD), BPSD (Neuropsychiatric Inventory; NPI) and agitation (Cohen-Mansfield Agitation Inventory; CMAI) were assessed at baseline and after each period. Observed Emotion Rating Scale (OERS) for emotional status, Agitated Behavior Mapping Instrument (ABMI) and a checklist for motor activity were completed across the study periods, both during intervention sessions and after three hours. Results: Cognition and NPI were unchanged across the study. Declines in the CMAI and CSDD scores after AAA were not significant, while the NPI anxiety item score decreased in comparison with CA (CA 3.1 +/- 2.3, AAA 1.5 +/- 2.7, p = 0.04). OERS "sadness" decreased (p = 0.002), while "pleasure" (p = 0.016) and "general alertness" (p = 0.003) increased during AAA compared with CA sessions, and observed sadness remained lower after three hours (p = 0.002). Motor activity increased significantly during AAA. Conclusion: In this sample of severe AD patients in ADCC, AAA was associated with a decrease in anxiety and sadness and an increase in positive emotions and motor activity in comparison with a control activity.
引用
收藏
页码:899 / 905
页数:7
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