Animal-assisted therapy for patients in a minimally conscious state: A randomized two treatment multi-period crossover trial
Autoři:
Karin Hediger aff001; Milena Petignat aff001; Rahel Marti aff001; Margret Hund-Georgiadis aff002
Působiště autorů:
Department of Psychology, Division of Clinical Psychology and Psychotherapy, University of Basel, Basel, Switzerland
aff001; REHAB Basel, Clinic for neurorehabilitation and paraplegiology, Basel, Switzerland
aff002; Department of Epidemiology and Public Health, Human and Animal Health Unit, Swiss Tropical and Public Health Institute, Basel, Switzerland
aff003; Institute for Interdisciplinary Research on the Human-Animal Relationship Switzerland, Basel, Switzerland
aff004
Vyšlo v časopise:
PLoS ONE 14(10)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0222846
Souhrn
Objective
To investigate if animal-assisted therapy (AAT) leads to higher consciousness in patients in a minimally conscious state during a therapy session, measured via behavioral reactions, heart rate and heart rate variability.
Methods
In a randomized two treatment multi-period crossover trial, 10 patients in a minimally conscious state participated in eight AAT sessions and eight paralleled conventional therapy sessions, leading to 78 AAT and 73 analyzed control sessions. Patients’ responses during sessions were assessed via behavioral video coding and the Basler Vegetative State Assessment (BAVESTA), heart rate and heart rate variability (SDNN, RMSSD, HF and LF). Data were analyzed with generalized linear mixed models.
Results
Patients showed more eye movements (IRR = 1.31, 95% CI: 1.23 to 1.40, p < 0.001) and active movements per tactile input during AAT compared to control sessions (IRR = 1.13, 95% CI: 1.02 to 1.25, p = 0.018). No difference was found for positive emotions. With BAVESTA, patients’ overall behavioral reactions were rated higher during AAT (b = 0.11, 95% CI: 0.01 to 0.22, p = 0.038). AAT led to significantly higher LF (b = 5.82, 95% CI: 0.55 to 11.08, p = 0.031) and lower HF (b = -5.80, 95% CI: -11.06 to -0.57, p = 0.030), while heart rate, SDNN, RMSSD did not differ.
Conclusions
Patients in a minimally conscious state showed more behavioral reactions and increased physiological arousal during AAT compared to control sessions. This might indicate increased consciousness during therapeutic sessions in the presence of an animal.
Trial registration
ClinicalTrials.gov NCT02629302.
Klíčová slova:
Dogs – Behavior – Animal behavior – Emotions – Consciousness – Heart rate – Traumatic brain injury – Eye movements
Zdroje
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