This clinical trial examined animal-assisted therapy (AAT) as an adjunct to Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) for abused youth with posttraumatic stress disorder (PTSD). Youth between the ages of 6 and 17 (M = 11.79, SD = 3.08) were randomized to receive standard TF-CBT or TF-CBT with adjunctive AAT (TF-CBT+AAT) employing retired service dogs. Feasibility metrics evaluating the addition of AAT were collected in addition to common clinical outcomes evaluated in TF-CBT trials. The inclusion of AAT increased the number of potential participants who declined participation and there were no noted benefits for treatment retention or satisfaction with services. Analyses showed that the inclusion of AAT did not enhance improvement of PTSD symptom severity (β = .90, t = .94, p = .351) or a number of other outcomes. On the contrary, there were indications from analyses and clinician feedback that AAT may have attenuated improvement in many cases. This study identified a number of important feasibility considerations in the design of studies testing AAT. However, the results examining clinical outcomes suggest that the inclusion of AAT with TF-CBT in the treatment of maltreated youth with PTSD is not warranted at this time.
|Publication Title||Child Maltreat|
|Author Address||Department of Pediatrics, Penn State College of Medicine, Hershey, PA, USA.Department of Psychiatry and Behavioral Health, Penn State College of Medicine, Hershey, PA, USA.Center for the Protection of Children, Penn State Children's Hospital, Hershey, PA, USA.Department of Human Development and Family Studies, 8082Penn State University, State College, PA, USA.Department of Animal Science, 8082Penn State University, State College, PA, USA.Department of Public Health Sciences, 12310Penn State College of Medicine, Hershey, PA, USA.Department of Psychology, 14727University of North Carolina at Charlotte, Charlotte, NC, USA.Department of Psychology, 4052Indiana University of Pennsylvania, Indiana, PA, USA.|
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