为患有创伤后应激障碍的退伍军人提供地面适应式骑马课程:一项随机对照试点研究
Ellen M Rankins1, Andrea Quinn2, Kenneth H McKeever1
1Equine Science Center, Department of Animal Sciences, Rutgers University, New Brunswick, NJ, United States.
Frontiers in psychiatry
|June 12, 2024
概括
马匹辅助服务 (EAS) 显示了减少退伍军人的创伤后应激障碍 (PTSD) 症状的趋势. 虽然生理测量没有显著变化,但在8周的自适应式骑马计划中,人与动物互动得分有所改善.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 兽医医学 兽医医学 兽医医学
- 人与动物的互动
背景情况:
- 马辅助服务 (EAS) 正在作为创伤后应激障碍 (PTSD) 的治疗方法进行探索.
- 现有研究表明潜在的症状减轻,但潜在的机制和生理影响需要进一步调查.
研究的目的:
- 研究适应式骑马 (AH) 对退伍军人的PTSD症状,激素水平和社会运动同步的影响.
- 为了确定在老兵与马互动期间是否发生生理变化.
- 为了检查老兵与马之间的互动在8周的时间里是如何发展的.
主要方法:
- 一项试点研究将患有PTSD的退伍军人随机分为适应式骑行 (AH) 或控制 (CON) 组,持续8周.
- 在多个时间点使用PTSD检查清单 (PCL-5) 和简要症状清单 (BSI) 评估PTSD症状.
- 生理学测量包括社会运动同步测试,血液抽取用于激素分析 (皮质醇,上腺素,北上腺素,催产素) 和人与动物相互作用量表 (HAIS).
主要成果:
- 全球资产负债指标得分在AH和CON组之间有显著差异 (p=0.0266),AH显示有所改善.
- PCL-5评分显示,两组之间存在差异的趋势 (p=0.0989).
- 在社会运动同步或大多数激素度方面没有发现显著差异;然而,上腺素水平倾向于下降,HAIS分数在会话中增加.
结论:
- 适应式骑马可能有助于减少退伍军人的PTSD症状,与EAS现有文献保持一致.
- 虽然在这个试点中生理变化并不显著,但人动物互动组件显示出积极的趋势.
- 指出招聘挑战,强调需要进一步研究更大的样本大小来证实这些初步发现.
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