Animal assisted therapy: systematic review of literature
Terapia assistida por animais: revisão sistemática da literatura
Patrícia Pupin Mandrá; Thaís Cristina da Freiria Moretti; Leticia Alves Avezum; Rita Cristina Sadako Kuroishi
Abstract
Purpose: to verify the applications of AAT in health by performing a systematic review of the literature. Research strategy: a survey was carried out in four databases with the descriptors: animal assisted therapy, horse assisted therapy, speech therapy. Selection criteria: article published between 2010 and 2018, in Portuguese or English, free electronic access and that mentioned the characteristics of the intervention program. Data analysis: criteria: casuistry, area of knowledge, program characteristic, type of research, year and language of publication, nationality, periodical and impact factor. Results: 43 articles published in 30 journals, 16 with impact factor, were reviewed. Clinical studies prevailed (93.02%), 37.20% were from Medicine, the population studied had different diagnoses and ages, 55.81% with adults / elderly. AAT was used preferentially for physical rehabilitation (67.44%) and the main mediator was the dog, mentioned in 72.09% of the articles. Eight (n = 8) programs with a focus on communication intervention were described. Conclusion: There is scientific evidence on the use of AAT published in the period studied, in Brazil and in the world. The programs were used by different health and education professionals. The AAT goals were specific to the profile of the participants, and consistent with the characteristics of the mediator animal and the site.
Keywords
Resumo
Objetivo: Verificar evidências sobre aplicação da TAA na saúde realizando revisão sistemática da literatura. Estratégia de pesquisa: Foi realizado levantamento em quatro bases de dados com os descritores: terapia assistida por animais (Animal Assisted Therapy), terapia assistida por cavalos (Equine-Assisted Therapy), fonoaudiologia (speech therapy). Critérios de seleção: Artigo publicado entre 2010 e 2018, em português ou inglês, com acesso eletrônico livre e que mencionava as características do programa de intervenção. Análise dos dados: Critérios: casuística, área do conhecimento, característica do programa, tipo de pesquisa, ano e língua de publicação, nacionalidade, periódico e fator de impacto. Resultados: 43 artigos publicados em 30 periódicos, 16 com fator de impacto, foram revisados. Os estudos clínicos prevaleceram (93,02%), 37,20% eram da Medicina, a população estudada tinha diferentes diagnósticos e idades, sendo 55,81% com adultos/idosos. A TAA foi usada preferencialmente para reabilitação física (67,44%) e o principal mediador foi o cão citado em 72,09% dos artigos. Foram descritos oito (n=8) programas com foco na intervenção em comunicação. Conclusão: Há evidências científicas sobre o uso da TAA publicadas no período estudado, no Brasil e no mundo. Os programas eram utilizados por diferentes profissionais da saúde e educação. As metas da TAA eram específicas para o perfil dos participantes e condizentes com as características do animal mediador e do local.
Palavras-chave
Referências
1 IAHAIO: International Association of Human-Animal Interaction Organizations [Internet]. Triennial International Conference: Humans and Animals: the inevitable bond. Chicago: IAHAIO; 2013 [cited 2018 fev 5] Available from: iahaio.org/wp/wp-content/uploads/2017/06/past-events-chicago-2013-abstracts.pdf. [ Links ]
2 Kruger KA, Serpell JA. Animal-Assisted Interventions in Mental Health: Definitions and Theoretical Foundations. In: Fine AH. Handbook on Animal-Assisted Therapy: theoretical foundations and guidelines for practice. London: Elsevier; 2006. p. 21-38. [ Links ]
3 Nogueira MTD, Nobre MO. Terapia assistida por animais e seus benefícios. Pubvet. 2015;9(9):414-7. http://dx.doi.org/10.22256/pubvet.v9n9.414-417. [ Links ]
4 Porto JR, Quatrin LB. Efeito da Terapia Assistida por Animais nos aspectos motores e interação socioafetiva de um adolescente com paralisia cerebral: um estudo de caso. Cons. Saúde. 2014;13(4):625-32. [ Links ]
5 Cechetti F, Pagnussat AS, Marin KE, Bertuol P, Todero FZ, Ballardim SAO. Terapia assistida por animais como recurso fisioterapêutico para idosos institucionalizados. Sci Med. 2016;26(3):1-6. http://dx.doi.org/10.15448/1980-6108.2016.3.23686. [ Links ]
6 Ichitani T, Cunha MC. Animal-assisted activity and pain sensation in hospitalized children and adolescents. Rev Dor. 2016;17(4):270-3. http://dx.doi.org/10.5935/1806-0013.20160087. [ Links ]
7 Ichitani T, Cunha MC. Effects of animal-assisted activity on self reported feelings of pain in hospitalized children and adolescents. Psicol Reflex Crit. 2016;29(1):43. http://dx.doi.org/10.1186/s41155-016-0049-1. [ Links ]
8 Moreira RL, Gubert FA, Sabino LMM, Benevides JL, Tomé MABG, Martins MC, et al. Terapia assistida com cães em pediatria oncológica: percepção de pais e enfermeiros. Rev Bras Enferm. 2016;69(6):1188-94. http://dx.doi.org/10.1590/0034-7167-2016-0243. PMid:27925097. [ Links ]
9 Silva NB, Osório FL. Impact of an animal-assisted therapy programme on physiological and psychosocial variables of pediatric oncology patients. PLoS One. 2018;13(4):1-15. http://dx.doi.org/10.1371/journal.pone.0194731. [ Links ]
10 Pereira MJF, Pereira L, Ferreira ML. Os benefícios da Terapia Assistida por Animais: uma revisão bibliográfica. Saúde Coletiva. 2007;4(14):62-6. [ Links ]
11 Nordgren L, Engström G. Effects of animal-assisted therapy on behavioral and/or psychological symptoms in dementia. Am J Alzheimers Dis Other Demen. 2012;27(8):625-32. http://dx.doi.org/10.1177/1533317512464117. PMid:23100630. [ Links ]
12 Ward SC, Whalon K, Rusnak K, Wendell K, Paschall N. The association between therapeutic horseback riding and the social communication and sensory reactions of children with autism. J Autism Dev Disord. 2013;43(9):2190-8. http://dx.doi.org/10.1007/s10803-013-1773-3. PMid:23371511. [ Links ]
13 Elmaci DT, Cevizci S. Dog-Assisted therapies and activities in rehabilitation of children with cerebral palsy and physical and mental disabilities. Int J Environ Res Public Health. 2015;12(5):5046-60. http://dx.doi.org/10.3390/ijerph120505046. PMid:25985307. [ Links ]
14 Friedmann E, Galik E, Thomas SA, Hall S, Chung SY, McCune S. Evaluation of a pet-assisted living intervention for improving functional status in assisted living residents with mild to moderate cognitive impairment. Am J Alzheimers Dis Other Demen. 2015;30(3):276-89. http://dx.doi.org/10.1177/1533317514545477. PMid:25118333. [ Links ]
15 Ko HJ, Youn CH, Kim SH, Kim SY. Effect of pet insects on the psychological health of community-dwelling elderly people. Gerontology. 2016;62(2):200-9. http://dx.doi.org/10.1159/000439129. PMid:26383099. [ Links ]
16 Menna LF, Santaniello A, Gerardi F, Di Maggio A, Milan G. Evaluation of the efficacy of animal-assisted therapy based on the reality orientation therapy protocol in Alzheimer’s disease patients: a pilot study. Psychogeriatrics. 2016;16(4):240-6. http://dx.doi.org/10.1111/psyg.12145. PMid:26370064. [ Links ]
17 Oliveira GR, Ichitani T, Cunha MC. Animal Assisted Activity: effects in communication and interpersonal relations inside the school environment. Distúrb Comun. 2016;28(4):759-63. [ Links ]
18 Ambrosi C, Zaiontz C, Peragine G, Sarchi S, Bona F. Randomized controlled study on the effectiveness of animal-assisted therapy on depression, anxiety, and illness perception in institutionalized elderly. Psychogeriatrics. 2018;18(6). http://dx.doi.org/10.1111/psyg.12300. PMid:30221438. [ Links ]
19 De-La-Torre-Ugarte-Guanilo MC, Takahashi RF, Bertolozzi MR. Revisão sistemática: noções gerais. Rev Esc Enferm USP. 2011;45(5):1260-6. http://dx.doi.org/10.1590/S0080-62342011000500033. PMid:22031392. [ Links ]
20 Galvão TF, Pereira BMG. Revisões sistemáticas da literatura: passos para sua elaboração. Epidemiol Serv Saude. 2014;23(1):183-4. http://dx.doi.org/10.5123/S1679-49742014000100018. [ Links ]
21 O’Haire ME, McKenzie SJ, McCune S, Slaughter V. Effects of classroom animal-assisted activities on social functioning in children with autism spectrum disorder. J Altern Complement Med. 2014;20(3):162-8. http://dx.doi.org/10.1089/acm.2013.0165. PMid:24156772. [ Links ]
22 Lanning BA, Baier MEM, Ivey-Hatz J, Krenek N, Tubbs JD. Effects of equine assisted activities on autism spectrum disorder. J Autism Dev Disord. 2014;44(8):1897-907. http://dx.doi.org/10.1007/s10803-014-2062-5. PMid:24526337. [ Links ]
23 Holm MB, Baird JM, Kim YJ, Rajora KB, D’Silva D, Podolinsky L, et al. Therapeutic horseback riding outcomes of parent-identified goals for children with autism spectrum disorder: An ABA multiple case design examining dosing and generalization to the home and community. J Autism Dev Disord. 2014;44(4):937-47. http://dx.doi.org/10.1007/s10803-013-1949-x. PMid:24091469. [ Links ]
24 Gabriels RL, Pan Z, Dechant B, Agnew J, Brim N, Mesibov G. Randomized controlled trial of therapeutic horseback riding in children and adolescents with autism spectrum disorder. J Am Acad Child Adolesc Psychiatry. 2015;54(7):541-9. http://dx.doi.org/10.1016/j.jaac.2015.04.007. PMid:26088658. [ Links ]
25 Borgi M, Loliva D, Cerino S, Chiarotti F, Venerosi A, Bramini M, et al. Effectiveness of a standardized equine-assisted therapy program for children with autism spectrum disorder. J Autism Dev Disord. 2016;46(1):1-9. http://dx.doi.org/10.1007/s10803-015-2530-6. PMid:26210515. [ Links ]
26 Tan VXL, Simmonds JG. Parent Perceptions of Psychosocial Outcomes of Equine-Assisted Interventions for Children with Autism Spectrum Disorder. J Autism Dev Disord. 2018;48(3):759-69. http://dx.doi.org/10.1007/s10803-017-3399-3. PMid:29196865. [ Links ]
27 Edwards NE, Beck AM, Lim E. Influence of Aquariums on Resident Behavior and Staff Satisfaction in Dementia Units. West J Nurs Res. 2014;36(10):1309-22. http://dx.doi.org/10.1177/0193945914526647. PMid:24643090. [ Links ]
28 Nordgren L, Engström G. Animal-Assisted intervention in dementia: Effects on quality of life. Clin Nurs Res. 2014;23(1):7-19. http://dx.doi.org/10.1177/1054773813492546. PMid:23800890. [ Links ]
29 Swall A, Ebbeskog B, Lundh Hagelin C, Fagerberg I. Can therapy dogs evoke awareness of one’s past and present life in persons with Alzheimers disease? Int J Older People Nurs. 2014;10(2):84-93. http://dx.doi.org/10.1111/opn.12053. PMid:24814254. [ Links ]
30 Fleishman SB, Homel P, Chen MR, Rosenwald V, Abolencia V, Gerber J, et al. Beneficial effects of animal-assisted visits on quality of life during multimodal radiation-chemotherapy regimens. J Community Support Oncol. 2015;13(1):22-6. http://dx.doi.org/10.12788/jcso.0102. PMid:25839062. [ Links ]
31 White JH, Quinn M, Garland S, Dirkse D, Wiebe P, Hermann M, et al. Animal-Assisted therapy and counseling support for women with breast cancer: An exploration of patient’s perceptions. ICT. 2015;14(5):460-7. http://dx.doi.org/10.1177/1534735415580678. PMid:25897045. [ Links ]
32 McCullough A, Ruehrdanz A, Jenkins MA, Gilmer MJ, Olson J, Pawar A, et al. Measuring the effects of an animal- assisted intervention for pediatric oncology patients and their parents: A multisite randomized controlled trial. J Pediatr Oncol Nurs. 2018;35(3):159-77. http://dx.doi.org/10.1177/1043454217748586. PMid:29268667. [ Links ]
33 Hsieh YL, Yang CC, Sun SH, Chan SY, Wang TH, Luo HJ. Effects of hippotherapy on body functions, activities and participation in children with cerebral palsy based on ICF-CY assessments. Disabil Rehabil. 2017;39(17):1703-13. http://dx.doi.org/10.1080/09638288.2016.1207108. PMid:27440177. [ Links ]
34 Lucena-Antón D, Rosety-Rodríguez I, Moral-Munoz JA. Effects of a hippotherapy intervention on muscle spasticity in children with cerebral palsy: A randomized controlled trial. Complement Ther Clin Pract. 2018;31:188-92. http://dx.doi.org/10.1016/j.ctcp.2018.02.013. PMid:29705454. [ Links ]
35 Moretti F, De Ronchi D, Bernabei V, Marchetti L, Ferrari B, Forlani C, et al. Pet therapy in elderly patients with mental illness. Psychogeriatrics. 2011;11(2):125-9. http://dx.doi.org/10.1111/j.1479-8301.2010.00329.x. PMid:21707862. [ Links ]
36 Stefanini MC, Martino A, Allori P, Galeotti F, Tani F. The use of Animal-Assisted Therapy in adolescents with acute mental disorders: A randomized controlled study. Complement Ther Clin Pract. 2015;21(1):42-6. http://dx.doi.org/10.1016/j.ctcp.2015.01.001. PMid:25701449. [ Links ]
37 Calvo P, Fortuny JR, Guzmán S, Macías C, Bowen J, Garcia ML, et al. Animal Assisted Therapy (AAT) program as a useful adjunct to conventional psychosocial rehabilitation for patients with schizophrenia: results of a small-scale randomized controlled trial. Front Psychol. 2016;7:1-13. http://dx.doi.org/10.3389/fpsyg.2016.00631. PMid:27199859. [ Links ]
38 Hall D. Nursing campus therapy dog: A pilot study. Teach Learn Nurs. 2018;13(4):202-6. http://dx.doi.org/10.1016/j.teln.2018.05.004. [ Links ]
39 Marcus DA, Bernstein CD, Constantin JM, Kunkel FA, Breuer P, Hanlon RB. Animal-Assisted Therapy at an Outpatient Pain Management Clinic. Pain Med. 2012;13(1):45-57. http://dx.doi.org/10.1111/j.1526-4637.2011.01294.x. PMid:22233395. [ Links ]
40 Marcus DA, Bernstein CD, Constantin JM, Kunkel FA, Breuer P, Hanlon RB. Impact of Animal-Assisted Therapy for Outpatients with Fibromyalgia. Pain Med. 2013;14(1):43-51. http://dx.doi.org/10.1111/j.1526-4637.2012.01522.x. PMid:23170993. [ Links ]
41 Berry A, Borgi M, Terranova L, Chiarotti F, Alleva E, Cirulli F. Developing effective animal-assisted intervention programs involving visiting dogs for institutionalized geriatric patients: A pilot study. Psychogeriatrics. 2012;12(3):143-50. http://dx.doi.org/10.1111/j.1479-8301.2011.00393.x. PMid:22994611. [ Links ]
42 Wohlfarth R, Mutschler B, Beetz A, Kreuser F, Korsten-Reck U. Dogs motivate obese children for physical activity: key elements of a motivational theory of animal-assisted interventions. Front Psychol. 2013;4:1-7. http://dx.doi.org/10.3389/fpsyg.2013.00796. PMid:24194726. [ Links ]
43 Burres S, Edwards NE, Beck AM, Richards E. Incorporating Pets into Acute Inpatient Rehabilitation: A Case Study. Rehabil Nurs. 2016;41(6):336-41. http://dx.doi.org/10.1002/rnj.260. PMid:26956570. [ Links ]
44 Satiansukpong N, Pongsaksri M, Sasat D. Thai Elephant-Assisted therapy programme in children with down syndrome. Occup Ther Int. 2016;23(2):121-31. http://dx.doi.org/10.1002/oti.1417. PMid:26728446. [ Links ]
45 Giuliani F, Jacquemettaz M. Animal-assisted therapy used for anxiety disorders in patients with learning disabilities: An observational study. Eur J Integr Med. 2017;14:13-9. http://dx.doi.org/10.1016/j.eujim.2017.08.004. [ Links ]
46 Machová K, Kejdanová P, Bajtlerová I, Bajtlerová R, Svobodová I, Mezian K. Canine-assisted Speech Therapy for Children with Communication Impairments: A Randomized Controlled Trial. Anthrozoos. 2018;31(5):587-98. http://dx.doi.org/10.1080/08927936.2018.1505339. [ Links ]
47 Calcaterra V, Veggiotti P, Palestrini C, De Giorgis V, Raschetti R, Tumminelli M, et al. Post-operative benefits of animal-assisted therapy in pediatric surgery: A randomised study. PLoS One. 2015;10(6):1-13. http://dx.doi.org/10.1371/journal.pone.0125813. PMid:26039494. [ Links ]
48 Binfet JT, Passmore HA, Cebry A, Struik K, McKay C. Reducing university students’ stress through a drop-in canine-therapy program. J Ment Health. 2018;27(3):197-204. http://dx.doi.org/10.1080/09638237.2017.1417551. PMid:29265945. [ Links ]
49 Wood E, Ohlsen S, Thompson J, Hulin J, Knowles L. The feasibility of brief dog-assisted therapy on university students stress levels: the PAwS Study. J Ment Health. 2018;27(3):263-8. http://dx.doi.org/10.1080/09638237.2017.1385737. PMid:28984144. [ Links ]
50 Ribeiro, AFA. Cães domesticados e os benefícios da interação. Rev Bras Direito Animal. 2011;8:249-262. [ Links ]
51 Jofré LM. Visita terapéutica de mascotas en hospitales. Rev Chilena Infectol. 2005;22(3):257-63. http://dx.doi.org/10.4067/S0716-10182005000300007. PMid:16077894. [ Links ]
52 Hare B, Tomasello M. Human-like social skills in dogs? Trends Cogn Sci. 2005;9(9):439-44. http://dx.doi.org/10.1016/j.tics.2005.07.003. PMid:16061417. [ Links ]
53 Anderlini GPOS. Cão-guia, muito mais do que uma companhia: Uma profissão. Revista CFMV. 2009;15(47):8-12. [ Links ]
54 Marziale MHP, Mendes IAC. O fator de impactos das publicações científicas. Rev Latino-am Enfermagem. 2002;10(4):466-7. http://dx.doi.org/10.1590/S0104-11692002000400001. [ Links ]
55 Fischer ML, Amorim Zanatta A, Rezende Adami E. Um olhar da bioética para a zooterapia. Rev. Latinoam. Bioet. 2016;16(1):174-97. [ Links ]
56 Cunha JSF, Zanoni E. Ensaios de uma cosmovisão teleológica para elaboração de uma legislação específica da TAA (Terapia Assistida por Animais). RJLB. 2017;3(6):1287-319. [ Links ]
Submetido em:
18/09/2018
Aceito em:
29/11/2018
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email