Canine Cognitive Dysfunction from the Perspective of Dog Owners: Recognition, Care, and Emotional Challenges

Canine cognitive dysfunction (CCD) is a progressive neurodegenerative condition affecting aging dogs, characterized by impairments in learning, memory, spatial orientation, and behavior. Despite its substantial negative impact on dogs' quality of life and owners' emotional well-being, CCD is frequently underrecognized or diagnosed at a late stage. This study explored how challenges in CCD recognition and veterinary communication influence dog owners' ability to identify symptoms and make informed decisions about care. Semi-structured interviews were conducted with 22 dog owners whose dogs were suspected of having CCD, based on elevated scores on the Canine Cognitive Dysfunction Rating Scale (CCDR) and owner-reported behavioral changes. Interview data were analyzed using reflexive thematic analysis. Four main themes emerged: (1) difficulties in recognizing CCD-related symptoms, (2) communication challenges between owners and veterinarians, (3) owners' adaptation to gradually emerging symptoms, and (4) the emotional and practical burden of caregiving. Owners frequently interpreted behavioral changes as normal aging or other health problems, which delayed the recognition of cognitive decline. Participants also described limited guidance from veterinary professionals regarding CCD, contributing to uncertainty, emotional distress, and challenges in end-of-life decision-making. Together, these findings suggest that owners' experiences follow a progressive caregiving trajectory, from initial symptom uncertainty to increasing emotional and practical burden. Improving awareness of CCD, strengthening veterinary communication, and providing targeted support for caregivers may facilitate earlier recognition and more effective management of cognitive decline, ultimately benefiting both dogs and the people who care for them.