关键词: PANSS animal-assisted interventions psychosis psychosocial outcomes severe mental illness therapy dog

来  源:   DOI:10.3389/fpsyt.2023.1192075   PDF(Pubmed)

Abstract:
UNASSIGNED: Many individuals diagnosed with schizophrenia and related disorders experience insufficient symptom relief from currently available treatment options. Researching additional venues should be prioritized. This systematic review, designed in accordance with PRISMA, examined the effect of targeted and structured dog-assisted interventions as a supplementary treatment.
UNASSIGNED: Randomized as well as non-randomized studies were included. Systematic searches were conducted in APA PsycInfo, AMED, CENTRAL, Cinahl, Embase, Medline, Web of Science, and in several sources covering \"gray\" (unpublished) literature. In addition, forward and backward citation searches were performed. A narrative synthesis was conducted. Quality of evidence and risk of bias were assessed in accordance with GRADE and RoB2/ROBINS-I criteria.
UNASSIGNED: 12 publications from 11 different studies met eligibility criteria. Overall, studies showed diverging results. General psychopathology, positive and negative symptoms of psychosis, anxiety, stress, self-esteem, self-determination, lower body strength, social function, and quality of life were among the outcome measures with significant improvement. Most documentation for significant improvement was found for positive symptoms. One study indicated significant deterioration of non-personal social behavior. The risk of bias was high or serious for most of the outcome measures. Three outcome measures were associated with some concerns regarding risk of bias, and three with low risk of bias. Quality of evidence was graded low or very low for all outcome measures.
UNASSIGNED: The included studies indicate potential effects of dog-assisted interventions for adults diagnosed with schizophrenia and related disorders, mostly beneficial. Nevertheless, low number of participants, heterogeneity, and risk of bias complicate the interpretation of results. Carefully designed randomized controlled trials are needed to determine causality between interventions and treatment effects.
摘要:
许多被诊断患有精神分裂症和相关疾病的个体从目前可用的治疗选择中经历症状缓解不足。应优先研究其他场所。本系统综述,根据PRISMA设计,检查了有针对性和结构化的狗辅助干预作为补充治疗的效果。
包括随机和非随机研究。在APAPsycInfo中进行了系统搜索,AMED,中部,Cinahl,Embase,Medline,WebofScience,以及涵盖“灰色”(未发表)文献的几个来源。此外,进行了正向和反向引用搜索。进行了叙事综合。根据GRADE和RoB2/ROBINS-I标准评估证据质量和偏倚风险。
来自11项不同研究的12份出版物符合资格标准。总的来说,研究显示不同的结果。一般精神病理学,精神病的阳性和阴性症状,焦虑,压力,自尊,自决,下体强度,社会功能,和生活质量是显著改善的结局指标之一.对于阳性症状,发现了大多数显着改善的文件。一项研究表明,非个人社会行为显着恶化。大多数结果指标的偏倚风险很高或很严重。三个结果指标与一些关于偏见风险的担忧相关,和三个低风险的偏见。所有结果指标的证据质量均为低或非常低。
纳入的研究表明,狗辅助干预对诊断为精神分裂症和相关疾病的成年人的潜在影响。大多是有益的。然而,参与人数少,异质性,偏见的风险使结果的解释变得复杂。需要精心设计的随机对照试验来确定干预措施和治疗效果之间的因果关系。
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