Dog-Assisted Therapy in Mental Health Care: A Qualitative Study on the Experiences of Patients with Intellectual Disabilities.

Anke van Schooten, Nienke Peters-Scheffer, Marie-José Enders-Slegers, Inge Verhagen, Robert Didden
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Abstract

(1) Background: Dog-assisted therapy (DAT) is an experiential intervention to promote psychological, physical, and social functioning in children and adults. Only few studies have been conducted on DAT in adults with a mild intellectual disability or borderline intellectual functioning (MID-BIF). The purpose of this study was to explore the experiences of patients with MID-BIF undergoing DAT in a mental health care facility. (2) Method: Seven patients completed 13 to 15 sessions of DAT. Within two weeks of completing the program, they were interviewed using a semi-structured interview. The transcripts of the interviews were analysed using interpretational phenomenological analysis. In addition, the patients' relatives and the DAT therapist were interviewed, and a focus group discussion took place with each patient's treatment team. (3) Results: The patients' experiences were predominantly positive. Physical contact with the dog calmed them down. The dog offered them emotional support and helped them to make contact inside and outside the therapy and the setting where they lived. The patients also liked the fact that DAT focused on the dog rather than their problems, that the therapy was experiential and using a positive approach, and that, during the therapy, they did not feel like a patient but a human being. DAT is a promising therapy for patients with MID-BIF in mental health care facilities, but more research into its effectiveness and cost-effectiveness and ways to implement DAT in clinical practice is needed to make more definitive statements.

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心理健康护理中的犬辅助治疗:关于智障患者经历的定性研究》。
(1) 背景:狗辅助治疗(DAT)是一种体验式干预措施,可促进儿童和成人的心理、生理和社会功能。关于轻度智障或边缘智力功能(MID-BIF)成人的狗辅助治疗研究很少。本研究旨在探讨轻度智力障碍或边缘智力功能(MID-BIF)患者在精神医疗机构接受 DAT 的经历。(2)方法:七名患者完成了 13 到 15 个疗程的 DAT 治疗。在完成疗程的两周内,他们接受了半结构化访谈。访谈记录采用解释现象学分析法进行分析。此外,还对患者亲属和 DAT 治疗师进行了访谈,并与每位患者的治疗团队进行了焦点小组讨论。(3) 结果:患者的经历主要是积极的。与狗的身体接触让他们平静下来。狗为他们提供了情感支持,帮助他们在治疗和生活环境内外建立联系。患者还喜欢这样的事实,即 DAT 的重点是狗而不是他们的问题,治疗是体验式的,使用的是积极的方法,而且在治疗过程中,他们感觉自己不是病人,而是一个人。对于精神卫生机构中的 MID-BIF 患者来说,DAT 是一种很有前景的疗法,但还需要对其有效性、成本效益以及在临床实践中实施 DAT 的方法进行更多研究,才能做出更明确的结论。
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来源期刊
CiteScore
4.40
自引率
12.50%
发文量
111
审稿时长
8 weeks
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