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Effects of animal-assisted psychotherapy incorporating mindfulness and self-compassion in neurorehabilitation: a randomized controlled feasibility trial


  • Brazinova, A. et al. Epidemiology of traumatic brain injury in europe: A living systematic review. J. Neurotrauma 38, 1411–1440. https://doi.org/10.1089/neu.2015.4126 (2021).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • James, S. L. et al. Global, regional, and national burden of traumatic brain injury and spinal cord injury, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 18, 56–87. https://doi.org/10.1016/S1474-4422(18)30415-0 (2019).

    Article 

    Google Scholar
     

  • Yeh, T. C. et al. Psychiatric disorders after traumatic brain injury: A nationwide population-based cohort study and the effects of rehabilitation therapies. Arch. Phys. Med. Rehabil. 101, 822–831. https://doi.org/10.1016/j.apmr.2019.12.005 (2020).

    Article 
    PubMed 

    Google Scholar
     

  • Conroy, S. K., Brownlowe, K. B. & McAllister, T. W. Depression comorbid with stroke, traumatic brain injury, Parkinson’s disease, and multiple sclerosis: diagnosis and treatment. Focus 18, 150–161. https://doi.org/10.1176/appi.focus.20200004 (2020).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Iljazi, A. et al. Post-Traumatic stress disorder after traumatic brain injury—A systematic review and meta-analysis. Neurol. Sci. 41, 2737–2746. https://doi.org/10.1007/s10072-020-04458-7 (2020).

    Article 
    PubMed 

    Google Scholar
     

  • Singh, R., Mason, S., Lecky, F. & Dawson, J. Prevalence of depression after TBI in a prospective cohort: The SHEFBIT study. Brain Inj. 32, 84–90. https://doi.org/10.1080/02699052.2017.1376756 (2018).

    Article 
    PubMed 

    Google Scholar
     

  • Scholten, A. C. et al. Prevalence of and risk factors for anxiety and depressive disorders after traumatic brain injury: A systematic review. J. Neurotrauma 33, 1969–1994. https://doi.org/10.1089/neu.2015.4252 (2016).

    Article 
    PubMed 

    Google Scholar
     

  • Ahn, D. H., Lee, Y. J., Jeong, J. H., Kim, Y. R. & Park, J. B. The effect of post-stroke depression on rehabilitation outcome and the impact of caregiver type as a factor of post-stroke depression. Ann. Rehabil. Med. 39, 74–80. https://doi.org/10.5535/arm.2015.39.1.74 (2015).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Bombardier, C. H. et al. Rates of major depressive disorder and clinical outcomes following traumatic brain injury. JAMA J. Am. Med. Assoc. 303, 1938–1945. https://doi.org/10.1001/jama.2010.599 (2010).

    CAS 
    Article 

    Google Scholar
     

  • Alway, Y., Gould, K. R., Johnston, L., McKenzie, D. & Ponsford, J. A prospective examination of Axis I psychiatric disorders in the first 5 years following moderate to severe traumatic brain injury. Psychol. Med. 46, 1331–1341. https://doi.org/10.1017/S0033291715002986 (2016).

    CAS 
    Article 
    PubMed 

    Google Scholar
     

  • Anson, K. & Ponsford, J. Coping and emotional adjustment following traumatic brain injury. J. Head Trauma Rehabil. 21, 248–259. https://doi.org/10.1097/00001199-200605000-00005 (2006).

    Article 
    PubMed 

    Google Scholar
     

  • Urech, A. et al. An integrative neuro-psychotherapy treatment to foster the adjustment in acquired brain injury patients—A randomized controlled study. J. Clin. Med. 9, 1684. https://doi.org/10.3390/jcm9061684 (2020).

    Article 
    PubMed Central 

    Google Scholar
     

  • Tulip, C. et al. Building wellbeing in people with chronic conditions: A qualitative evaluation of an 8-week positive psychotherapy intervention for people living with an acquired brain injury. Front. Psychol. 11, 66. https://doi.org/10.3389/fpsyg.2020.00066 (2020).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Sander, A. M. et al. A randomized controlled trial of acceptance and commitment therapy for psychological distress among persons with traumatic brain injury. Neuropsychol. Rehabil. 31, 1105–1129. https://doi.org/10.1080/09602011.2020.1762670 (2021).

    Article 
    PubMed 

    Google Scholar
     

  • Ashworth, F., Clarke, A., Jones, L., Jennings, C. & Longworth, C. An exploration of compassion focused therapy following acquired brain injury. Psychol. Psychother. Theory Res. Pract. 88, 143–162. https://doi.org/10.1111/papt.12037 (2014).

    Article 

    Google Scholar
     

  • Hofer, H., Holtforth, M. G., Frischknecht, E. & Znoj, H. J. Fostering adjustment to acquired brain injury by psychotherapeutic interventions: A preliminary study. Appl. Neuropsychol. 17, 18–26. https://doi.org/10.1080/09084280903297842 (2010).

    Article 
    PubMed 

    Google Scholar
     

  • Stalder-Lüthy, F. et al. Effect of psychological interventions on depressive symptoms in long-term rehabilitation after an acquired brain injury: A systematic review and meta-analysis. Arch. Phys. Med. Rehabil. 94, 1386–1397. https://doi.org/10.1016/j.apmr.2013.02.013 (2013).

    Article 
    PubMed 

    Google Scholar
     

  • Krieger, T., Berger, T. & Holtforth, M. G. The relationship of self-compassion and depression: Cross-lagged panel analyses in depressed patients after outpatient therapy. J. Affect. Disord. 202, 39–45. https://doi.org/10.1016/j.jad.2016.05.032 (2016).

    Article 
    PubMed 

    Google Scholar
     

  • Neff, K. D. & Dahm, K. A. Self-compassion: What it is, what it does, and how it relates to mindfulness. In Handbook of Mindfulness and Self-Regulation (eds Ostafin, B. D. et al.) 301 (Springer, 2015). https://doi.org/10.1007/978-1-4939-2263-5.

    Chapter 

    Google Scholar
     

  • Krieger, T. et al. An internet-based compassion-focused intervention for increased self-criticism: A randomized controlled trial. Behav. Ther. 50, 430–445. https://doi.org/10.1016/j.beth.2018.08.003 (2019).

    Article 
    PubMed 

    Google Scholar
     

  • MacBeth, A. & Gumley, A. Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clin. Psychol. Rev. 32, 545–552. https://doi.org/10.1016/j.cpr.2012.06.003 (2012).

    Article 
    PubMed 

    Google Scholar
     

  • Brion, J. M., Leary, M. R. & Drabkin, A. S. Self-compassion and reactions to serious illness: The case of HIV. J. Health Psychol. 19, 218–229. https://doi.org/10.1177/1359105312467391 (2014).

    Article 
    PubMed 

    Google Scholar
     

  • Acabchuk, R. L. et al. Therapeutic effects of meditation, yoga, and mindfulness-based interventions for chronic symptoms of mild traumatic brain injury: A systematic review and meta-analysis. Appl. Psychol. Heal. Well-Being 13, 34–62. https://doi.org/10.1111/aphw.12244 (2021).

    Article 

    Google Scholar
     

  • Azulay, J., Smart, C. M., Mott, T. & Cicerone, K. D. A pilot study examining the effect of mindfulness-based stress reduction on symptoms of chronic mild traumatic brain injury/postconcussive syndrome. J. Head Trauma Rehabil. 28, 323–331. https://doi.org/10.1097/HTR.0b013e318250ebda (2013).

    Article 
    PubMed 

    Google Scholar
     

  • Cole, M. A. et al. Simultaneous treatment of neurocognitive and psychiatric symptoms in veterans with post-traumatic stress disorder and history of mild traumatic brain injury: A pilot study of mindfulness-based stress reduction. Mil. Med. 180, 956–963. https://doi.org/10.7205/milmed-d-14-00581 (2015).

    Article 
    PubMed 

    Google Scholar
     

  • Joo, H. M., Lee, S. J., Chung, Y. G. & Shin, I. Y. Effects of mindfulness based stress reduction program on depression, anxiety and stress in patients with aneurysmal subarachnoid hemorrhage. J. Korean Neurosurg. Soc. 47, 345–351. https://doi.org/10.3340/jkns.2010.47.5.345 (2010).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Hofer, H. et al. The potential of a mindfulness-enhanced, integrative neuro-psychotherapy program for treating fatigue following stroke: A preliminary study. Mindfulness 5, 192–199. https://doi.org/10.1007/s12671-012-0167-5 (2014).

    Article 

    Google Scholar
     

  • Johansson, B., Bjuhr, H. & Rönnbäck, L. Mindfulness-based stress reduction (MBSR) improves long-term mental fatigue after stroke or traumatic brain injury. Brain Inj. 26, 1621–1628. https://doi.org/10.3109/02699052.2012.700082 (2012).

    CAS 
    Article 
    PubMed 

    Google Scholar
     

  • Johansson, B., Bjuhr, H., Karlsson, M., Karlsson, J. O. & Rönnbäck, L. Mindfulness-based stress reduction (MBSR) delivered live on the internet to individuals suffering from mental fatigue after an acquired brain injury. Mindfulness 6, 1356–1365. https://doi.org/10.1007/s12671-015-0406-7 (2015).

    Article 

    Google Scholar
     

  • Robinson, P. L., Russell, A. & Dysch, L. Third-wave therapies for long-term neurological conditions: A systematic review to evaluate the status and quality of evidence. Brain Impair. 20, 58–80. https://doi.org/10.1017/BrImp.2019.2 (2019).

    Article 

    Google Scholar
     

  • Bédard, M. et al. Mindfulness-based cognitive therapy: benefits in reducing depression following a traumatic brain injury. Adv. Mind Body Med. 26, 14–20 (2012).

    PubMed 

    Google Scholar
     

  • Bédard, M. et al. Pilot evaluation of a mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries. Disabil. Rehabil. 25, 722–731. https://doi.org/10.1080/0963828031000090489 (2003).

    Article 
    PubMed 

    Google Scholar
     

  • Bédard, M. et al. Mindfulness-based cognitive therapy reduces symptoms of depression in people with a traumatic brain injury: results from a randomized controlled trial. J. Head Trauma Rehabil. 29, 13–22. https://doi.org/10.1097/HTR.0b013e3182a615a0 (2014).

    Article 

    Google Scholar
     

  • Flynn, E., Zoller, A. G., Gandenberger, J. & Morris, K. N. Improving engagement in behavioral and mental health services through animal-assisted interventions: A scoping review. Psychiatr. Serv. https://doi.org/10.1176/appi.ps.202000585 (2021).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Schramm, E., Hediger, K. & Lang, U. E. From animal behavior to human health an animal-assisted mindfulness intervention for recurrent depression. Z. für Psychol. J. Psychol. 223, 192–200. https://doi.org/10.1027/2151-2604/a000220 (2015).

    Article 

    Google Scholar
     

  • Hediger, K., Thommen, S., Wagner, C., Gaab, J. & Hund-Georgiadis, M. Effects of animal-assisted therapy on social behaviour in patients with acquired brain injury: A randomised controlled trial. Sci. Rep. 9, 1–8. https://doi.org/10.1038/s41598-019-42280-0 (2019).

    CAS 
    Article 

    Google Scholar
     

  • Marr, C. A. et al. Animal-assisted therapy in psychiatric rehabilitation. Anthrozoös 13, 43–47. https://doi.org/10.2752/089279300786999950 (2000).

    Article 

    Google Scholar
     

  • Brown, S. et al. Effects of animal-assisted activity on mood states and feelings in a psychiatric setting. J. Am. Psychiatr. Nurses Assoc. 26, 555–567. https://doi.org/10.1177/1078390319853617 (2020).

    Article 
    PubMed 

    Google Scholar
     

  • Hediger, K. et al. Dog-assisted therapy in neurorehabilitation of children with severe neurological impairment: An explorative study. Neuropediatrics 51, 267–274. https://doi.org/10.1055/s-0040-1708545 (2020).

    Article 
    PubMed 

    Google Scholar
     

  • Clark, S. et al. The impact of a 20-minute animal-assisted activity session on the physiological and emotional states in patients with fibromyalgia. Mayo Clin. Proc. 95, 2442–2461. https://doi.org/10.1016/j.mayocp.2020.04.037 (2020).

    CAS 
    Article 
    PubMed 

    Google Scholar
     

  • Spruin, E., Dempster, T., Islam, S. & Raybould, I. The effects of a therapy dog vs mindfulness vs a student advisor on student anxiety and well-being. J. Furth. High. Educ. 45, 588–600. https://doi.org/10.1080/0309877X.2020.1804535 (2021).

    Article 

    Google Scholar
     

  • Beetz, A., Uvnäs-Moberg, K., Julius, H. & Kotrschal, K. Psychosocial and psychophysiological effects of human-animal interactions: The possible role of oxytocin. Front. Psychol. 3, 1–15. https://doi.org/10.3389/fpsyg.2012.00234 (2012).

    Article 

    Google Scholar
     

  • Theis, F., Luck, F., Hund-Georgiadis, M. & Hediger, K. Influences of animal-assisted therapy on episodic memory in patients with acquired brain injuries. Int. J. Environ. Res. Public Health 17, 8466. https://doi.org/10.3390/ijerph17228466 (2020).

    Article 
    PubMed Central 

    Google Scholar
     

  • Hediger, K. & Turner, D. C. Can Dogs increase children’ s attention and concentration performance? A randomised performance trial. Hum.-Anim. Interact. Bull. 2, 21–39 (2014).


    Google Scholar
     

  • Gocheva, V., Hund-Georgiadis, M. & Hediger, K. Effects of animal-assisted therapy on concentration and attention span in patients with acquired brain injury: A randomized controlled trial. Neuropsychology 32, 54–64. https://doi.org/10.1037/neu0000398 (2018).

    Article 
    PubMed 

    Google Scholar
     

  • Fine, A. H. Incorporating animal-assisted interventions into psychotherapy guidelines and suggestions for therapists. In Handbook on Animal-Assisted Therapy: Foundations and Guidelines for Animal-Assisted Interventions (ed. Fine, A. H.) 207–224 (Academic Press, 2019). https://doi.org/10.1016/B978-0-12-815395-6.00014-6.

    Chapter 

    Google Scholar
     

  • Parish-Plass, N. Animal-Assisted Psychotherapy: Theory, Issues, and Practice (Purdue University Press, 2013).

    Book 

    Google Scholar
     

  • Parish-Plass, N. Animal-assisted psychotherapy for developmental trauma through the lens of interpersonal neurobiology of trauma: Creating connection with self and others. J. Psychother. Integr. 31, 302–325. https://doi.org/10.1037/int0000253 (2020).

    Article 

    Google Scholar
     

  • Zilcha-Mano, S. Resolution of alliance ruptures: The special case of animal-assisted psychotherapy. Clin. Child Psychol. Psychiatry 22, 34–45. https://doi.org/10.1177/1359104516671385 (2017).

    Article 
    PubMed 

    Google Scholar
     

  • Zilcha-Mano, S., Mikulincer, M. & Shaver, P. R. Pet in the therapy room: An attachment perspective on Animal-Assisted Therapy. Attach. Hum. Dev. 13, 541–561. https://doi.org/10.1080/14616734.2011.608987 (2011).

    Article 
    PubMed 

    Google Scholar
     

  • Fine, A. H. & Ferrell, J. Conceptualizing the human-animal bond and animal-assisted interventions. In The Welfare of Animals in Animal-Assisted Interventions (eds Peralta, J. M. & Fine, A. H.) 21–41 (Springer, 2021). https://doi.org/10.1007/978-3-030-69587-3_2.

    Chapter 

    Google Scholar
     

  • Schneider, M. S. & Harley, L. P. How dogs influence the evaluation of psychotherapists. Anthrozoös 19, 128–142. https://doi.org/10.2752/089279306785593784 (2006).

    Article 

    Google Scholar
     

  • González-Ramírez, M. T., Ortiz-Jiménez, X. A. & Landero-Hernández, R. Cognitive-behavioral therapy and animal-assisted therapy: Stress management for adults. Altern. Complement. Ther. 19, 270–275. https://doi.org/10.1089/act.2013.19505 (2013).

    Article 

    Google Scholar
     

  • Henry, C. L. & Crowley, S. L. The psychological and physiological effects of using a therapy dog in mindfulness training. Anthrozoös 28, 385–401. https://doi.org/10.1080/08927936.2015.1052272 (2015).

    Article 

    Google Scholar
     

  • Carmody, J. & Baer, R. How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. J. Clin. Psychol. 65, 627–638. https://doi.org/10.1002/jclp (2009).

    Article 
    PubMed 

    Google Scholar
     

  • Arnskötter, W., Marcar, V. L., Wolf, M., Hund-Georgiadis, M. & Hediger, K. Animal presence modulates frontal brain activity of patients in a minimally conscious state: A pilot study. Neuropsychol. Rehabil. https://doi.org/10.1080/09602011.2021.1886119 (2021).

    Article 
    PubMed 

    Google Scholar
     

  • Hediger, K., Petignat, M., Marti, R. & Hund-Georgiadis, M. Animal-assisted therapy for patients in a minimally conscious state: A randomized two treatment multi-period crossover trial. PLoS ONE 14, 1–12. https://doi.org/10.1371/journal.pone.0222846 (2019).

    CAS 
    Article 

    Google Scholar
     

  • Eaton-Stull, Y., Wright, C., DeAngelis, C. & Zambroski, A. Comparison of DBT skills groups with and without animal-assistance for incarcerated women with self-harm histories. Corrections 6, 217–228. https://doi.org/10.1080/23774657.2019.1629849 (2021).

    Article 

    Google Scholar
     

  • Hediger, K. et al. Effectiveness of animal-assisted interventions for children and adults with post-traumatic stress disorder symptoms: A systematic review and meta-analysis. Eur. J. Psychotraumatol. https://doi.org/10.1080/20008198.2021.1879713 (2021).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Nam, S. & Toneatto, T. The influence of attrition in evaluating the efficacy and effectiveness of mindfulness-based interventions. Int. J. Ment. Health Addict. 14, 969–981. https://doi.org/10.1007/s11469-016-9667-1 (2016).

    Article 

    Google Scholar
     

  • Baldwin, S. A., Wampold, B. E. & Imel, Z. E. Untangling the alliance-outcome correlation: exploring the relative importance of therapist and patient variability in the alliance. J. Consult. Clin. Psychol. 75, 842–852. https://doi.org/10.1037/0022-006X.75.6.842 (2007).

    Article 
    PubMed 

    Google Scholar
     

  • Alldredge, C. T., Burlingame, G. M., Yang, C. & Rosendahl, J. Alliance in group therapy: A meta-analysis. Gr. Dyn. 25, 13–28. https://doi.org/10.1037/gdn0000135 (2021).

    Article 

    Google Scholar
     

  • Swift, J. K. & Greenberg, R. P. A treatment by disorder meta-analysis of dropout from psychotherapy. J. Psychother. Integr. 24, 193–207. https://doi.org/10.1037/a0037512 (2014).

    Article 

    Google Scholar
     

  • Hayden-Evans, M., Milbourn, B. & Netto, J. ‘Pets provide meaning and purpose’: A qualitative study of pet ownership from the perspectives of people diagnosed with borderline personality disorder. Adv. Ment. Heal. 16, 152–162. https://doi.org/10.1080/18387357.2018.1485508 (2018).

    Article 

    Google Scholar
     

  • Barr, K. R., Jewell, M., Townsend, M. L. & Grenyer, B. F. S. Living with personality disorder and seeking mental health treatment: Patients and family members reflect on their experiences. Borderline Personal. Disord. Emot. Dysregulation 7, 1–11. https://doi.org/10.1186/s40479-020-00136-4 (2020).

    Article 

    Google Scholar
     

  • Jegatheesan, B. et al. IAHAIO White Paper. The IAHAIO definitions for animal assisted intervention and guidelines for wellness of animals involved in AAI. https://iahaio.org/best-practice/white-paper-on-animal-assisted-interventions/ (2018).

  • Nasreddine, Z. R. et al. The montreal cognitive assessment, MoCA: A brief screeningtool for mild cognitive impairment. Water Resour. Res. 53, 695–699. https://doi.org/10.1029/WR017i002p00410 (2005).

    Article 

    Google Scholar
     

  • McLennan, S. N., Mathias, J. L., Brennan, L. C. & Stewart, S. Validity of the montreal cognitive assessment (MoCA) as a screening test for mild cognitive impairment (MCI) in a cardiovascular population. J. Geriatr. Psychiatry Neurol. 24, 33–38. https://doi.org/10.1177/0891988710390813 (2010).

    Article 
    PubMed 

    Google Scholar
     

  • van den Brink, E. & Koster, F. Mindfulness-Based Compassionate Living. Mindfulness-Based Compassionate Living (Routlege, 2015). https://doi.org/10.4324/9781315764184.

    Book 

    Google Scholar
     

  • Kabat-Zinn, J. Full Catastrophe Living, Revised Edition: How to Cope with Stress, Pain and Illness Using Mindfulness Meditation (Hachette UK, 2013).


    Google Scholar
     

  • Segal, Z. V., Williams, M. & Teasdale, J. Mindfulness-Based Cognitive Therapy for Depression (Guilford Publications, 2018).


    Google Scholar
     

  • Hughes, D. A., Golding, K. S. & Hudson, J. Healing Relational Trauma with Attachment-Focused Interventions: Dyadic Developmental Psychotherapy with Children and Families (WW Norton & Company, 2019).


    Google Scholar
     

  • Spielmans, G. I. & Flückiger, C. Moderators in psychotherapy meta-analysis. Psychother. Res. 28, 333–346. https://doi.org/10.1080/10503307.2017.1422214 (2018).

    Article 
    PubMed 

    Google Scholar
     

  • Derogatis, L. R. & Melisaratos, N. The Brief Symptom Inventory : An introductory report. Psychol. Med. 13(3), 595–605. https://doi.org/10.1017/S0033291700048017 (1983).

    CAS 
    Article 
    PubMed 

    Google Scholar
     

  • Bennett, H. E., Thomas, S. A., Austen, R., Morris, A. M. S. & Lincoln, N. B. Validation of screening measures for assessing mood in stroke patients. Br. J. Clin. Psychol. 45, 367–376. https://doi.org/10.1348/014466505X58277 (2006).

    CAS 
    Article 
    PubMed 

    Google Scholar
     

  • Schulz, K. F., Altman, D. G. & Moher, D. CONSORT 2010 statement: Updated guidelines for reporting parallel group randomized trials. Ann. Intern. Med. 152, 726–732. https://doi.org/10.7326/0003-4819-152-11-201006010-00232 (2010).

    Article 
    PubMed 

    Google Scholar
     



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