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2.
Psychiatr Serv ; 74(8): 790-800, 2023 08 01.
Article in English | MEDLINE | ID: mdl-36718602

ABSTRACT

OBJECTIVE: This work aimed to assess the therapeutic and economic benefits of service dogs versus emotional support dogs for veterans with posttraumatic stress disorder (PTSD). METHODS: Veterans with PTSD (N=227) participating in a multicenter trial were randomly assigned to receive a service or emotional support dog; 181 veterans received a dog and were followed up for 18 months. Primary outcomes included overall functioning (assessed with World Health Organization Disability Assessment Scale II [WHODAS 2.0]) and quality of life (Veterans RAND 12-Item Health Survey [VR-12]). Secondary outcomes included PTSD symptoms (PTSD Checklist for DSM-5), suicidal ideation, depression, sleep quality, health care costs and utilization, medication adherence, employment, and productivity. RESULTS: Participants paired with a dog had a mean±SD age of 50.6±13.6 years (range 22-79), and most were male (80%), White (66%), and non-Hispanic (91%). Adjusted linear mixed repeated-measures models indicated no difference between the two groups on WHODAS 2.0 or VR-12 scores. Participants with service dogs had a 3.7-point greater reduction in PTSD symptoms versus participants with emotional support dogs (p=0.036). No reduced health care utilization or cost was associated with receiving a service dog. Veterans with service dogs had an increase of 10 percentage points in antidepressant adherence compared with those with emotional support dogs (p<0.01). CONCLUSIONS: Both groups appeared to benefit from having a service or emotional support dog. No significant differences in improved functioning or quality of life were observed between the groups. Those in the service dog group had a greater reduction in PTSD symptoms and better antidepressant adherence, improvements that should be explored further.


Subject(s)
Animal Assisted Therapy , Stress Disorders, Post-Traumatic , Veterans , Adult , Aged , Animals , Dogs , Female , Humans , Male , Middle Aged , Young Adult , Antidepressive Agents , Health Surveys , Quality of Life , Service Animals , Stress Disorders, Post-Traumatic/therapy , Stress Disorders, Post-Traumatic/psychology , Therapy Animals , Veterans/psychology
3.
Lab Anim (NY) ; 47(6): 139-140, 2018 06.
Article in English | MEDLINE | ID: mdl-29795157
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