Psychophysiological effects of human-animal interaction: theoretical issues and long-term interaction effects

Virtual food exposure with positive mood induction or social support to reduce food anxiety in anorexia nervosa: A feasibility study

OBJECTIVE

Aversive emotions toward food and the consequences of eating are at the core of anorexia nervosa. Exposure therapy is effective to reduce anxiety and avoidance toward feared stimuli. Based on the inhibitory learning framework, this study examined the feasibility to induce social support or positive mood to enhance the impact of a single session virtual food exposure on food-related anxiety in anorexia nervosa.

METHOD

One hundred and forty-five patients were randomized to: (1) virtual food exposure (i.e., baseline condition), (2) virtual food exposure plus positive mood induction (i.e., positive mood condition), or (3) virtual food exposure plus social support (i.e., social support condition). They completed self-report assessments of anxiety toward virtual foods, general anxiety, positive mood, social support, and hunger, before and after virtual food exposure. Number of eye gazes and touches toward foods were recorded during the virtual reality exposure.

RESULTS

Patients had lower levels of anxiety toward virtual foods in the positive mood condition, compared to the baseline condition [F(2,141)  = 4.36, p = .015; medium effect size]. They also touched food items more often in the baseline condition. No other significant changes were found.

DISCUSSION

Virtual food exposure enhanced by positive mood induction seems a feasible approach to strengthen the impact of food exposure in anorexia nervosa.

PUBLIC SIGNIFICANCE

This research contributes to the understanding of how patients with anorexia nervosa can be supported to overcome fear and anxiety around food. Virtual reality enables patients to expose themselves to difficult situations (e.g., kitchen with foods of various calorie contents) while experiencing positive stimuli, such as a loving and kind pet or a supportive avatar.

Assessment of university policies for service animals and emotional support animals

OBJECTIVE

Assess administrative responsibilities and experiential effects of emotional support animal (ESA) and service animal (SA) policies on college campuses.

PARTICIPANTS

Students at two four-year universities participated in an emotional support animals and service animals survey. Selected students and professional personnel participated in interviews and focus groups.

METHODS

This mixed-methods study included quantitative survey data from 1,363 students, qualitative individual interviews (3) and a focus group (1) regarding emotional support animal (ESA) and service animal (SA).

RESULTS

Seventy-one students reported having ESAs, 18 had SAs. Barriers for ESAs on campus included no ESAs outside of dorms, while SA-owners reported fewer barriers. University administrators followed federal guidelines for SAs but lacked clear guidelines for ESAs. Qualitative themes included lack of awareness, education, support for SA, and ESA accommodations.

CONCLUSIONS

ESA and SA accommodations continue to rise, on university campuses. Clear guidelines and implementation processes are imperative for future improvements.

Examining human-animal interactions and their effect on multidimensional frailty in later life: a scoping review

This scoping review sought to compile outcomes associated with any human-animal interaction study regarding adults aged 50 and older in any living context and concerning a multidimensional (i.e., physical, psychological, cognitive, and social) perspective of frailty. Despite our best attempts at incorporating the broadest inclusion criteria possible, only four articles were relevant to this review. Participants across the included studies were rural, community-dwelling Japanese or Chinese individuals aged 60 years and older. Thematic analysis of reported results includes dog ownership as a protective factor regarding frailty, the interconnected health effects of pet ownership, and increased meaning and purpose through pet ownership implications. More research is needed globally to determine how human-animal interactions may moderate frailty comprehensively, as well as the efficacy and appropriateness of these interactions or interventions in older adult populations and across cultural boundaries.

The Role of Human-Animal Bonds for People Experiencing Crisis Situations

Human-animal bonds, by providing social support, have been shown to improve the health and wellbeing of pet owners, especially those experiencing a crisis situation. The human-animal bond for people in crisis situations is complex and multifaceted, as it has shown to improve health, whilst it can also discourage people from seeking help, due to fears of leaving their pet behind. The purpose of the study is to capture and to assess the role of the human-animal bond for people in crisis situations. Semi-structured interviews were conducted with pet owners involved in the RSPCA NSW Community Programs (n = 13) in 2021 and 2022. The findings of the study indicate that the human-animal bond is highly valued by people experiencing crisis situations, that the human-animal bonds can affect people's ability to seek help or refuge, and that the human-animal bond helps people to recover after a crisis. The findings suggest that community crisis support services, prison systems, hospital systems, emergency housing, and government legislation should recognize and aim to preserve this bond to provide the best help for people experiencing crisis situations.

Zookeeper–Animal Bonds and Their Relationship with Conservation Action

Human–animal relationships have been demonstrated to have impacts on animal and keeper welfare, although their impacts on zookeepers have been less studied outside of evaluating job satisfaction. Many zoological facilities are active in supporting conservation initiatives among staff, but current levels of zookeeper engagement in pro-conservation behavior and the motivations behind it are less studied. Some research indicates motivations for pro-environmental action, in general, may include empathetic connections with animals. To investigate connections between zookeeper–animal relationships and conservation participation, 144 zookeepers from various locations participated in an online survey responding to questions about their perception of their relationships with the animals in their care and current conservation participation levels. This study found zookeepers who report bonds with the animals in their care are more likely to participate in select conservation behaviors, such as reducing personal waste, than those who do not claim a bond with animals. Bonds did not predict involvement in larger conservation actions such as habitat restoration or citizen science participation. These findings have implications for how zoos might encourage engagement in pro-conservation behaviors and participation among their staff.

The Law and the Pussycat: Public Perceptions of the Use of Municipal Bylaws to Control Free-Roaming Domestic Cats in Canada

Domestic cats (Felis catus) face contradictory public perceptions. In 2019, we examined public perceptions toward cats within the City of Prince George, British Columbia, Canada, using an online survey (1,464 responses) to assess perceptions toward free-roaming cats and the use of bylaws to address concerns. Perceptions were dependent on cat-ownership status; a majority of non-cat and former owners were concerned about free-roaming cats, current cat owners less so. There was considerable support for mandatory identification. Cat owners were not supportive of bylaws restricting free-roaming of cats, although this was supported by non-owners. Concerns include the negative impact on caring for a pet cat, and the fear that such bylaws would increase abandonment. Cat owners were not enthusiastic about fines for roaming cats, while non-cat owners were. There was considerable concern around including neutering cats as part of planned cat management. Our research also found nuanced concern for the impacts of management on impoverished owners, the welfare of cats and a recognition that it was the humans, rather than the cats, who should be the focus of active and thoughtful intervention.

Psychophysiological mechanisms underlying the potential health benefits of human-dog interactions: A systematic literature review

While the symbiotic nature of human-dog relationships and perceived benefits to human health have attracted much scientific interest, the mechanisms through which human-dog interactions may confer health benefits to humans are still poorly understood. The aim of this systematic literature review was to synthesize evidence of physiological changes associated with human-dog interactions with relevance to human health. Electronic databases were systematically searched (PubMed, MEDLINE with full text, Scopus, PsycINFO, CINAHL Plus with Full Text, and Web of Science Core Collection) for relevant studies. Of the 13,072 studies identified, 129 met the inclusion criteria, with approximately half being randomized trials (Level 2) based on the Oxford Centre for Evidence Based Medicine level system. Measures employed to study human physiological changes associated with human-dog interactions most commonly involved cardiac parameters and hormones, with negligible research of brain activity. The main positive findings were increases in heart rate variability and oxytocin, and decreases in cortisol with human-dog interactions. These physiological indicators are consistent with activation of the parasympathetic nervous system (PNS) and oxytocinergic system (OTS), and down-regulation of hypothalamic-pituitary-adrenal (HPA) axis activity. These results provide evidence of specific pathways through which human-dog contact may confer health benefits, likely through relaxation, bonding, and stress reduction. However, these findings should be interpreted contextually due to limitations and methodological differences. Previous research using other biological variables was limited in quantity and quality, thus impeding firm conclusions on other possible mechanisms. Further research is needed in some psychophysiological domains, particularly electroencephalography, to better understand central nervous system (CNS) effects. The findings of this review have implications for human-dog interactions to positively affect several stress-sensitive physiological pathways and thus confer health benefits. This supports their incorporation in various clinical, non-clinical, and research settings to develop evidence-based interventions and practices for cost-effective and efficacious ways to improve human health.

Advancing Methods in Animal-Assisted Intervention: Demonstration of Starting Points in Clinical Practice for Children with Autism Spectrum Disorder

Therapy animals have been frequently included in interventions for children with autism spectrum disorder (ASD); however, direct and systematic procedures such as assessing preference for and reinforcing efficacy of the animals are rarely conducted. Assessing preference for stimuli is valuable when determining how to make interventions for children with ASD most effective. We conducted paired-stimulus preference assessments and follow-up reinforcer assessments to determine if a therapy dog might be an effective reinforcer. We found one third of participants preferred the dog the least, one third of participants moderately preferred the dog, and one third of participants highly preferred the dog relative to other stimuli. Furthermore, we found preference predicted reinforcing efficacy for five of six participants. We suggest clinicians systematically conduct assessments to clearly identify the role of the therapy animal, to improve quality of, and demonstrate efficacy of interventions including animals for clinical populations.

Understanding the impact of dog ownership on autistic adults: implications for mental health and suicide prevention

Mental health problems and suicide are more frequent in autistic adults than general population. Dog ownership can improve human well-being. This study aimed to generate a framework of well-being outcomes for dog-related activities in autistic adults and compare it to the framework generated for a general adult population. Thirty-six autistic dog owners (18–74 years old, 18 males) from diverse UK regions were interviewed and transcripts thematically analysed. 16.7% reported that their dogs prevented them from taking their own lives, mainly due to the dog's affection and the need to care for the animal. Close dog-owner interactions (e.g., cuddling, walking, dog's presence) were the most frequent activities improving emotions/moods and life functioning, whereas routine-like activities (e.g., feeding the animal) particularly enhanced life functioning. Well-being worsening was mainly linked to dog behaviour problems, dog poor health/death and obligations to the dog. Despite some negatives associated with ownership, having a dog could improve the well-being of many autistic adults and assist suicide prevention strategies in this high-risk group. The framework was consistent with that generated previously, indicating its robustness and the potential opportunity to focus on dog-related activities rather than the vague concept of “ownership” when considering the impact of ownership on well-being.

Furred and feathered friends: How attached are zookeepers to the animals in their care?

Keeper-animal relationships (KARs) appear to be important in zoos, since they can enhance the well-being of both the animals and the keepers, can make animal husbandry easier, but conversely might risk inappropriate habituation of animals and possible risks to the safety of keepers. It is, therefore, important to know more about the variables involved in relationship formation. Here we use a modified version of the Lexington Attachment to Pets Scale (LAPS) to measure the strength of KARs between keepers and animals in their care, both in the zoo and in the home. LAPS questionnaires were completed by 187 keepers in 19 different collections across three countries. LAPS scores for attachment to zoo animals (ZA) were significantly lower than for pet animals (PA). There was no significant difference in ZA scores between different taxa, but there were significant taxon differences between PA scores. There were significant differences in both ZA and PA scores between different collections. Female respondents scored more highly than males for both ZA and PA. Multiple regression revealed that location, gender, and time spent with animals were significant predictors for ZA, while only gender and taxon were significant predictors for PA. It was concluded that PA scores were comparable with those for the general public, and reflected strong attachment of keepers to their pets, while ZA scores, although also reflecting attachment, were influenced by differences in institutional culture.

Companion Animals as Buffer against the Impact of Stress on Affect: An Experience Sampling Study

Simple Summary

Companion animals have been identified as a unique source of social support and as contributors to mental wellbeing. In order to identify whether a companion animal buffers against the aversive effects of stress on affect or whether it has a general effect on its owner’s affective state, this study uses a mobile app to question participant’s stress levels for five consecutive days (ten times a day in the moment), the presence and interactions with their companion animal, and on their affective states. The results show that the presence of a companion animal buffers against the detrimental effects of stress on positive affect. The association between the presence of a companion animal and positive affect is only present when experiencing stress. When not under stress, positive affect does not benefit from the presence of a companion animal. Positive affect, however, does benefit from the interaction with a companion animal: In the presence of a companion animal, individuals experience less negative affect. These effects are present in all levels of stress. In conclusion, having a companion animal around alleviates negativity, interacting with it increases positivity, and, when an individual is under stress, simply having your cat or dog around helps you to retain your positive feelings.

Abstract

Companion animals have been identified as a unique source of social support and as contributors to mental wellbeing. This study uses the Experience Sampling Method to test whether this effect is due to stress-buffering. A total of 159 dog and cat owners responded to a series of randomly scheduled questionnaires on their smartphones. At each measurement moment, they reported in whether a pet is present at that moment and to what extent they have interacted with the pet. They also reported on stressful activities and events and on their current positive (PA) and negative (NA) affect. Multilevel regression analyses showed that when a companion animal was present (vs. absent) the negative association between stress and PA is less pronounced (event stress: B = 0.13, p = 0.002, 95% CI = 0.05; 0.21 activity stress: B = 0.08, p < 0.001, 95% CI = 0.04; 0.12). No additional main effect was revealed when tested in a subsample of records that reported low or no stress. Main effects were found for the presence of a companion animal on negative affect (B = 0.08, p < 0.001; 95% CI = 0.12; 0.05) and for interacting with a companion animal on positive affect (B = 0.06, p < 0.001; 95% CI = 0.04; 0.08). This shows that the presence of a companion animal buffers against the negative consequences of stress on positive affect, indicating stress-buffering as a mechanism behind the pet-effect. It is, however, not the only mechanism and more research is required to further elucidate how companion animals contribute to human wellbeing.

Association between pet ownership and physical activity levels, atopic conditions, and mental health in Singapore: a propensity score-matched analysis

Although existing literature increasingly suggests a positive influence of pet ownership on human physical activity levels, results from many European, American, and Japanese studies have been inconsistent. How pet ownership impacts mental health and atopy is likewise controversial and whether distinct demographic subgroups experience differential effects is unclear. This cross-sectional study surveyed participants (n = 823) via a self-administered online questionnaire. Comparisons of outcomes between pet owners and non-pet owners with subgroup analyses were performed within a propensity score-matched subset (n = 566) of respondents. There were no differences in physical activity levels or mental health scores between pet owners and non-pet owners. In subgroup analyses, compared to non-pet owners, main pet caregivers reported 14.1 (95% CI 2.79–25.3) and 19.0 (95% CI 4.70–33.3) more minutes per week of moderate- and vigorous-intensity physical activity respectively and higher SF-36 emotional well-being (β = 2.7, 95% CI 0.100–5.32) and energy scores (β = 3.8, 95% CI 0.410–7.27). Age was a significant effect modifier of the association between pet ownership and emotional well-being, energy and social functioning scores, with greater scores above the ages of 39, 35 and 39 years old respectively (interaction p = 0.043, 0.044, 0.042). Finally, pet acquisition was associated with worsening of allergic rhinitis, while pet ownership cessation was associated with improvement of allergic rhinitis and eczema symptoms. To our knowledge, this is the first study addressing the public health impact of pet ownership in Southeast Asia and its findings add contextual nuance to suggest potential benefits derived from pet ownership.

Current Status of Animal-Assisted Interventions in Scientific Literature: A Critical Comment on Their Internal Validity

Simple Summary

Animal-assisted interventions (AAIs) have been receiving ever-increasing attention from both practitioners (including psychologists, educators, social workers, and physicians) and clients alike. However, despite this interest, the literature does not provide an unanimous support for including dogs, horses, cats, or other animals in interventions. The present work analyzes whether or not this lack of support could be understood as the result of inconsistencies and/or biases present in the literature, analyzing the definition of AAIs, the role of animals in interventions, the relationship among AAIs and the way humans relate to non-human animals, and the way in which researchers study these phenomena. The present comment provides some clues on how to improve the development of the field, including the following: giving more prominence to cultural, anthrozoological aspects of AAIs; considering AAIs as modalities of well-known interventions, avoiding their representation as “alternative”, “new”, or “groundbreaking”; and making changes to the study and intervention of designs, thus making it easier to demonstrate the impact of human–animal interactions on improving outcomes.

Abstract

Many meta-analyses and systematic reviews have tried to assess the efficacy of animal-assisted interventions (AAIs), reaching inconsistent conclusions. The present work posits a critical exploration of the current literature, using some recent meta-analyses to exemplify the presence of unattended threats. The present comment illustrates that the field (1) comprehends inconsistencies regarding the terms and definitions of AAIs; (2) pays more attention to the characteristics of the animals than to the action mechanisms of AAIs; (3) does not provide a clear connection between anthrozoology (how humans and non-human animals interact in communities), benefits of the human–animal interaction (HAI), and the design of AAIs; and (4) implicitly reinforces these phenomena through research designs. Thus, some conclusions extracted from these meta-analyses need further discussion. Increasing the internal validity of AAIs in empirical studies is an urgent task, which can be addressed by (1) developing a better understanding of how anthrozoology, the HAI, and AAIs relate to each other; (2) highlighting the mechanisms that explain the results in an empirical and specific way; and (3) changing the design of interventions, adopting a component-centered approach, and focusing on the incremental efficacy and efficiency of AAI programs.

And in the Middle of My Chaos There Was You?-Dog Companionship and Its Impact on the Assessment of Stressful Situations

Recent studies show evidence that human-dog companionship has healthy effects on humans. For example, findings demonstrate that owning a dog leads to a reduction in stress levels. Aspects that have not been taken into consideration so far are underlying theoretical principles of stress like the sense of coherence (SOC) by Aaron Antonovsky. The SOC consists of psycho-social, biochemical and physical conditions which indicate whether or not inner and outer stimuli are comprehensive, manageable and meaningful to an individual. In addition, it is still unclear if owning a dog affects the subjective assessment of critical life events (CLE), which is associated with the strength of the SOC (the stronger the SOC, the better the handling and assessment of stressful situations). Based on these aspects, the goal of the study was to examine if dog ownership, as well as values of the SOC, have an impact on the subjective evaluation of CLE (including daily hassles as well as unexpected critical life events). For this purpose, dog owners and non-dog owners were surveyed online and were compared based on their personal estimations regarding these constructs. Statistical analysis including t-tests, correlations and interaction-analyses were performed and a significant difference between dog owners and non-dog owners regarding the assessment of daily hassles was found. Contrary to expectations, results show that dog owners assessed daily stressors to be more stressful than non-dog owners did. Moreover, data show that the higher the number of stated relationships (inner- and cross-species), the more stressful life events were assessed to be. Calculations showed no evidence for the influence of dogs regarding the SOC. Based on the actual findings, it might be assumed, that an overestimation of the dog’s protective role regarding stress has taken place in public media and in research as well.

I thought I saw a pussy cat: Portrayal of wild cats in friendly interactions with humans distorts perceptions and encourages interactions with wild cat species

Most people lack the opportunity to see non-domesticated animals in the wild. Consequently, people’s perception of wild animals is based on what they see on (social) media. The way in which (social) media portrays non-domesticated animals determines our perception of and behaviour to these animals. People like to interact with animals, which is why venues which offer the opportunity to interact with non-domesticated animals are popular wildlife tourist attractions (WTAs). However, these WTAs more often than not profit at the expense of animal welfare, conservation and human safety. Participation in such WTAs should therefore be discouraged. Through (social) media we are regularly exposed to images of non-domesticated animals in close interactions with humans. Exposure to such images seems to blur the line between what is a friendly domesticated animal and what is a potentially dangerous wild animal. Such images may also increase our desire to engage in interactions with non-domesticated animals ourselves and reduce moral concerns about the use of non-domesticated animals for such interactions, thereby promoting WTAs in which tourists can interact with non-domesticated animals. Wild cat species are commonly used in the wildlife tourism industry to interact with tourists. In this study, we determine whether portrayal of wild cat species in interactions with humans promotes WTAs with wild cats. We presented respondents with an image of a wild cat species (lion, cheetah, caracal) in a control setting, walked by a human (WTA), petted by a human (WTA) or in the wild and asked them to answer a fixed set of questions. We found that portraying wild cat species in interactions with humans reduced the fear of wild cats, encouraged people to regard WTAs with wild cats as acceptable and stimulated them to participate in such activities themselves.

Different Dynamics of Sensory-Motor Development and Behavior During the Transitional Period in Puppies: Preliminary Results

Many studies have analyzed the behavior of puppies during their socialization period, while little attention has been paid to the transitional period, when vision and hearing develop. Here, we compared the average age of sensory and motor development, and the behavior among a total of 25 puppies. Each litter was videotaped during 1-hour daily sessions on postnatal days 10-21 and coded for the following mutually exclusive behavioral categories: sleeping, suckling and moving. The moving category included side-to-side head swinging, exploring, rolling and allogrooming. The opening of the eyelids, appearance of the startle response and ability to stand up with either the front or hind legs were identified. The duration and frequency of puppy behaviors varied significantly with breed and season of birth. Breed and gender differences in gross motor and sensory development were also observed. These findings may turn out to be crucial to enhance the welfare, standards of rearing, and behavioral interventions aimed at improving adaptability to novel stimuli in pet dogs.

The companion dog as a model for human aging and mortality

Around the world, human populations have experienced large increases in average lifespan over the last 150 years, and while individuals are living longer, they are spending more years of life with multiple chronic morbidities. Researchers have used numerous laboratory animal models to understand the biological and environmental factors that influence aging, morbidity, and longevity. However, the most commonly studied animal species, laboratory mice and rats, do not experience environmental conditions similar to those to which humans are exposed, nor do we often diagnose them with many of the naturally occurring pathologies seen in humans. Recently, the companion dog has been proposed as a powerful model to better understand the genetic and environmental determinants of morbidity and mortality in humans. However, it is not known to what extent the age‐related dynamics of morbidity, comorbidity, and mortality are shared between humans and dogs. Here, we present the first large‐scale comparison of human and canine patterns of age‐specific morbidity and mortality. We find that many chronic conditions that commonly occur in human populations (obesity, arthritis, hypothyroidism, and diabetes), and which are associated with comorbidities, are also associated with similarly high levels of comorbidity in companion dogs. We also find significant similarities in the effect of age on disease risk in humans and dogs, with neoplastic, congenital, and metabolic causes of death showing similar age trajectories between the two species. Overall, our study suggests that the companion dog may be an ideal translational model to study the many complex facets of human morbidity and mortality.

Pet Dogs: Does their presence influence preadolescents' emotional responses to a social stressor?

Despite interest in human-animal interaction, few studies have tested whether the presence of a dog facilitates children's emotional responding. Preadolescents (n = 99) were randomly assigned to complete the Trier Social Stress Test either with or without their pet dog. Children rated their positive and negative affect, and high frequency heart rate variability (HF-HRV) was assessed throughout the session. Children reported higher positive affect when they completed the task with their pet dog, although there were no differences for negative affect or HF-HRV. Children who had more physical contact with their dog at baseline reported higher positive affect. The findings suggest contact with pets is associated with enhanced positive affect.

Effects of Interactions With Animals On Human Psychological Distress

CONTEXT

Human-animal interaction (HAI) is widely used as a method of reducing psychological distress. However, research findings in support of HAI have not kept pace with the widespread prevalence in practice.

OBJECTIVE

I review and synthesize the quantitative evidence for the influence of HAI on psychological distress and outline future directions for research.

RESULTS

The evidence suggests that HAI has a small-to-medium effect on distress but does not clarify whether animals account for the treatment effects. Research also has not determined whether positive effects observed in circumscribed HAI programs extend to companion animal ownership.

CONCLUSION

HAI research needs to address methodological limitations and expand the focus beyond treatment outcome studies. By increasing our understanding of the processes through which HAI reduces distress, the circumstances under which it is most effective at doing so, and the influence HAI has on the animals, we can enhance the impact of HAI.

Neural correlates for perception of companion animal photographs

Anthrozoological neuroscience, which we propose as the use of neuroscience techniques to study human-animal interaction, may help to elucidate mechanisms underlying the associated psychological, physiological, and other purported health effects. This preliminary study investigates the neural response to animal photographs in pet owners and non-pet owners, and both attraction and attachment to companion animals as modulators of human perception of companion animal photographs. Thirty male participants, 15 "Pet Owners" (PO) and 15 "Non-Pet Owners" (NPO), viewed photographs of companion animals during functional MRI (fMRI) scans at 3 T and provided ratings of attraction to the animal species represented in the photographs. Fourteen subjects additionally submitted and viewed personal pet photographs during fMRI scans, and completed the Lexington Attachment to Pets Scale (LAPS). PO exhibited greater activation than NPO during the viewing of animal photographs in areas of the insula, and frontal and occipital cortices. Moreover, ratings of attraction to animals correlated positively with neural activation in the cingulate gyrus, precentral gyrus, inferior parietal lobule, and superior temporal gyrus during the viewing of representative photographs. For subjects with household pets, scores on the LAPS correlated positively with neural activation during the viewing of owned pet photographs in the precuneus, cuneus, and superior parietal lobule. Our preliminary findings suggest that human perception of companion animals involve the visual attention network, which may be modulated at the neural level by subjective experiences of attraction or attachment to animals. Our understanding of human-animal interactions through anthrozoological neuroscience may better direct therapeutic applications, such as animal-assisted therapy.

The meaning of seasonal changes, nature, and animals for adolescent girls' wellbeing in northern Finland: A qualitative descriptive study

Wellbeing is complex, holistic, and subjectively perceived. Issues such as gender, age, and environment seem to affect it. Therefore, the aim of this qualitative study was to describe the meaning of seasonal changes, nature, and animals towards 13-16-year-old girls' wellbeing in Northern Finland. In the spring of 2014, through purposive sampling, a total of 19 girls participated in semi-structured interviews from various parts of Northern Finland. The data were analysed using content analysis. Afterwards, the analysis combining the category participatory involvement with environment was found, and this consisted of three main categories: adaptation to seasonal changes, restorative nature, and empowering interactivity with animals. Seasonal changes had an effect on girls' wellbeing; in the summertime, they felt happy and vivacious, active, and outgoing. Instead, during the winter months, girls' mood and activity seemed to be lower and they felt lazier and depressed. Nature brought mainly positive feelings to girls; being in nature was experienced as liberating and relaxing, and it offered opportunities to relax and have sensory perceptions. Interaction with animals was perceived as empowering. They were experienced as altruistic and comforting companions. Animals were important to girls, and they contributed to girls' lives through positive effects towards their mental and physical wellbeing. Based on the results of this study, we can recommend that being in nature and interacting with animals should be supported because they seem to have benefits towards adolescent girls' health and wellbeing. In order to facilitate the negative effects of winter, the school days should be arranged in such a way that it would be possible for girls to have outdoor activities during the daytime. The challenge for the future is perhaps the purposeful utilisation of nature's and the animals' positive effects towards their wellbeing.

Pilot Programme on Animal-Assisted Therapy in Singapore

Animal-Assisted Therapy (AAT) is a popular complementary therapy available overseas and is widely supported by empirical literature. We report the results of a pilot programme conducted locally. Two middle-aged candidates with intellectual and physical disabilities were recruited to receive weekly AAT for eight weeks. Designed activities involving therapy dogs were carried out to improve their physical conditions. Upon completion of the programme, their physical abilities have shown marked improvement which demonstrated that AAT is likely an effective form of therapy. With a stringent candidate selection and sound safety measures, the future for AAT in Singapore is promising.

Prevalence of disorders recorded in dogs attending primary-care veterinary practices in England

Purebred dog health is thought to be compromised by an increasing occurence of inherited diseases but inadequate prevalence data on common disorders have hampered efforts to prioritise health reforms. Analysis of primary veterinary practice clinical data has been proposed for reliable estimation of disorder prevalence in dogs. Electronic patient record (EPR) data were collected on 148,741 dogs attending 93 clinics across central and south-eastern England. Analysis in detail of a random sample of EPRs relating to 3,884 dogs from 89 clinics identified the most frequently recorded disorders as otitis externa (prevalence 10.2%, 95% CI: 9.1-11.3), periodontal disease (9.3%, 95% CI: 8.3-10.3) and anal sac impaction (7.1%, 95% CI: 6.1-8.1). Using syndromic classification, the most prevalent body location affected was the head-and-neck (32.8%, 95% CI: 30.7-34.9), the most prevalent organ system affected was the integument (36.3%, 95% CI: 33.9-38.6) and the most prevalent pathophysiologic process diagnosed was inflammation (32.1%, 95% CI: 29.8-34.3). Among the twenty most-frequently recorded disorders, purebred dogs had a significantly higher prevalence compared with crossbreds for three: otitis externa (P = 0.001), obesity (P = 0.006) and skin mass lesion (P = 0.033), and popular breeds differed significantly from each other in their prevalence for five: periodontal disease (P = 0.002), overgrown nails (P = 0.004), degenerative joint disease (P = 0.005), obesity (P = 0.001) and lipoma (P = 0.003). These results fill a crucial data gap in disorder prevalence information and assist with disorder prioritisation. The results suggest that, for maximal impact, breeding reforms should target commonly-diagnosed complex disorders that are amenable to genetic improvement and should place special focus on at-risk breeds. Future studies evaluating disorder severity and duration will augment the usefulness of the disorder prevalence information reported herein.

Homelessness and Companion Animals: More than Just a Pet?

Purpose:

Research identifies the value of animal companionship for people of various ages and with physical and mental health diagnoses. However, there is limited research into the value of animal companionship for the homeless population.

Method:

This exploratory study aimed to investigate the value that homeless people find in animal companionship; the extent to which homelessness impacts on the ability to have animal companions; and interventions that health professionals can implement to reduce barriers to animal companionship. Twenty-six people were interviewed during Homeless Health Outreach Team outreach. Descriptive analysis of the responses to the semi-structured interviews was carried out.

Findings:

Results indicated that the majority of participants had given up a pet, and wanted a pet but could not due to their homelessness. The impact of giving up a companion animal was significant. Difficulties associated with pet ownership focused mostly on the living environment and the cost. There were several benefits to having companion animals. Participants viewed that having a pet made a difference to their lives in that it provided friendship and responsibility and contributed to emotional wellbeing.

Conclusion:

It is suggested that occupational therapists need to be aware of the impact that pet ownership has on the lives of homeless people and to explore ways in which they can assist with this.

Elderly people in many respects benefit from interaction with dogs

Over the course of evolution, humans and animals have entered into a close relationship. By domesticating animals, humans were able to use them to their own advantage. However, animals should not only be seen as mere providers of material value; in fact, they actually enrich humans' lives on an emotional level. The classic examples for this evolution are dogs: they are considered loyal companions, particularly for children and elderly people. This relationship between humans and animals is the subject of this research study and is examined from a gerontological perspective by employing qualitative social research methods. Conclusion: The results of the study reveal the manifold meanings that pets - in particular dogs - can and do have to the elderly. At this point, it should also be noted that there is still a strong need for further research into this topic from a gerontological perspective.

Survival following an acute coronary syndrome: a pet theory put to the test

OBJECTIVE

The aim of this study was to revisit findings from previous studies reporting that pet ownership improves outcome following an admission for acute coronary syndrome (ACS).

METHOD

Four hundred and twenty-four patients admitted to a cardiac unit with an ACS completed questions regarding pet ownership in hospital. Rates of cardiac death and readmission were assessed 1 year following hospitalization.

RESULTS

Pet owners were more likely to experience a death or readmission following their hospitalization, after controlling for key psychosocial and medical covariates. When dog and cat owners were considered separately, cat ownership was significantly associated with increased risk of death or readmission.

CONCLUSION

In this independent study, pet ownership at baseline, and cat ownership in particular, was associated with increased cardiac morbidity and mortality in the year following an admission for an acute coronary syndrome, a finding contrary to previous reports.

Human-animal bonds I: the relational significance of companion animals

The importance of human-animal bonds has been documented throughout history, across cultures, and in recent research. However, attachments with companion animals have been undervalued and even pathologized in the field of mental health. This article briefly surveys the evolution of human-animal bonds, reviews research on their health and mental health benefits, and examines their profound relational significance across the life course. Finally, the emerging field of animal-assisted interventions is described, noting applications in hospital and eldercare settings, and in innovative school, prison, farm, and community programs. The aim of this overview paper is to stimulate more attention to these vital bonds in systems-oriented theory, practice, and research. A companion paper in this issue focuses on the role of pets and relational dynamics in family systems and family therapy.