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The Effect of an Animal-Assisted Intervention on Physiological Measures of Stress and Anxiety in Graduate Professional Physical Therapy Students

DOI: 10.4236/oalib.1104364, PP. 1-16

Subject Areas: Nursing, Kinesiology

Keywords: Therapy Animal, State-Trait Anxiety Inventory, Test Anxiety, Animal-Assisted Interventions

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Abstract

Introduction. Graduate professional educational programs are very rigorous and challenging, often leading to increased physiological stress and perceived anxiety for the enrolled student. Stress and anxiety levels in physical therapy students are higher than that in their age and gender matched peers. The purpose of this study was to assess the impact of an animal-assisted intervention on stress and anxiety of entry-level physical therapist (PT) students prior to a laboratory practical exam. Subjects. Twenty-three first-year PT students (mean age 23.4 ± 1.70) participated in this study. Methods. A 15-20-minute intervention which either included a therapy dog or no therapy dog was performed prior to the students’ laboratory practical exam. Following the intervention, heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and state anxiety measures using the State-Trait Anxiety Inventory (STAI) were obtained. Results were compared to baseline measures as well as between each of four intervention trials using repeated measures ANOVA or Freidman test (alpha level of p < 0.05). A post-participation questionnaire was administered at the end of the study. Results. Statistical significance was found between the no dog trials (Trial 1 & Trial 4) and the dog trials (Trial 2 & Trial 3) for state anxiety (p = 0.000), indicating that state anxiety scores were lower when students were exposed to the therapy dog compared to when no dog was present. No statistically significant effects of the therapy dog were observed for HR, SBP or DBP (p > 0.005). Discussion and Conclusion. The results of this study indicate that animal-assisted interventions may be beneficial in reducing perceived anxiety for students in graduate professional educational programs prior to an examination.

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Williams, C. L. , Dagnan, E. , Miner, K. M. and Sells, P. (2018). The Effect of an Animal-Assisted Intervention on Physiological Measures of Stress and Anxiety in Graduate Professional Physical Therapy Students. Open Access Library Journal, 5, e4364. doi: http://dx.doi.org/10.4236/oalib.1104364.

References

[1]  Ozen, N.S., Ercan, I., Irgil, E. and Sigirli, D. (2010) Anxiety Prevalence and Affecting Factors among University Students. Asia Pacific Journal of Public Health, 22, 127-133.
https://doi.org/10.1177/1010539509352803
[2]  Helmers, K.F., Danoff, D., Steinert, Y., Leyton, M. and Young, S.N. (1997) Stress and Depressed Mood in Medical Students, Law Students, and Graduate Students at McGill University. Academic Medicine, 72, 708-714.
https://doi.org/10.1097/00001888-199708000-00018
[3]  Toews, J.A., Lockyer, J.M., Dobson, D.J., et al. (1997) Analysis of Stress Levels among Medical Students, Residents, and Graduate Students at Four Canadian Schools of Medicine. Academic Medicine, 72, 997-1002.
https://doi.org/10.1097/00001888-199711000-00019
[4]  Chapell, M.S., Blanding, Z.B., Silverstein, M.E., et al. (2005) Test Anxiety and Academic Performance in Undergraduate and Graduate Students. Journal of Educational Psychology, 97, 268-274.
[5]  El-Ghoroury, N.H., Galper, D.I., Sawaqdeh, A. and Bufka, L.F. (2012) Stress, Coping, and Barriers to Wellness among Psychology Graduate Students. Training and Education in Professional Psychology, 6, 122-134.
https://doi.org/10.1037/a0028768
[6]  Stewart, L.A., Dispenza, F., Parker, L., Chang, C.Y. and Cunnien, T. (2014) A Pilot Study Assessing the Effectiveness of an Animal-Assisted Outreach Program. Journal of Creativity in Mental Health, 9, 332-345.
https://doi.org/10.1080/15401383.2014.892862
[7]  Bonaccio, S. and Reeve, C.L. (2010) The Nature and Relative Importance of Students’ Perceptions of the Sources of Test Anxiety. Learning and Individual Differences, 20, 617-625.
https://doi.org/10.1016/j.lindif.2010.09.007
[8]  Gerwing, T.G., Rash, J.A., Gerwing, A.M.A. and Landine, J. (2015) Perceptions and Incidence of Test Anxiety. The Canadian Journal for the Scholarship of Teaching and Learning, 6.
https://doi.org/10.5206/cjsotl-rcacea.2015.3.3
[9]  Cohen, M., Ben-Zur, H. and Rosenfeld, M.J. (2008) Sense of Coherence, Coping Strategies, and Test Anxiety as Predictors of Test Performance among College Students. International Journal of Stress Management, 15, 289-303.
https://doi.org/10.1037/1072-5245.15.3.289
[10]  Frank, L. and Cassady, S. (2005) Health and Wellness in Entry-Level Physical Therapy Students: Are Measures of Stress, Anxiety, and Academic Performance Related? Cardio-pulmonary Physical Therapy Journal, 16, 5-13.
[11]  Akinsola, E.F. and Nwajei, A.D. (2013) Test Anxiety, Depression and Academic Performance: Assessment and Management using Relaxation and Cognitive Restructuring Techniques. Psychology, 4, 18-24.
[12]  Kiecolt-Glaser, J.K., Garner, W., Speicher, C., Penn, G.M., Holliday, J. and Glaser, R. (1984) Psychosocial Modifiers of Immunocompetence in Medical Students. Psychosomatic Medicine, 46, 7-14.
https://doi.org/10.1097/00006842-198401000-00003
[13]  Charnetski, C.J., Riggers, S. and Brennan, F.X. (2004) Effect of Petting a Dog on Immune System Function. Psychological Reports, 25, 1087-1091.
https://doi.org/10.2466/pr0.95.3f.1087-1091
[14]  Markovitz, J.H., Jonas, B.S. and Davidson, K. (2001) Psychologic Factors as Precursors to Hypertension. Current Hypertension Reports, 3, 25-32.
https://doi.org/10.1007/s11906-001-0074-y
[15]  Sparrenberger, F., Cichelero, F., Ascoli, A., et al. (2009) Does Psychosocial Stress Cause Hypertension? A Systematic Review of Observational Studies. Journal of Human Hypertension, 23, 12-19.
https://doi.org/10.1038/jhh.2008.74
[16]  Cipriani, J., Cooper, M., DiGiovanni, N.M., Litchkofski, A., Nichols, A.L. and Ramsey, A. (2013) Dog-Assisted Therapy for Residents of Long-Term Care Facilities: An Evidence-Based Review with Implications for Occupational Therapy. Physical & Occupational Therapy in Geriatrics, 31, 214-240.
https://doi.org/10.3109/02703181.2013.816404
[17]  Barker, S.B., Knisely, J.S., McCain, N.L. and Best, A.M. (2005) Measur-ing Stress and Immune Response in Healthcare Professionals Following Interaction with a Therapy Dog: A Pilot Study. Psychological Reports, 96, 713-729.
https://doi.org/10.2466/pr0.96.3.713-729
[18]  Young, J. (2012) Pet Therapy: Dogs De-Stress Students. Journal of Christian Nursing, 29, 217-221.
https://doi.org/10.1097/CNJ.0b013e31826701a7
[19]  Marcus, D.A. (2012) Complementary Medicine in Cancer Care: Adding a Therapy Dog to the Team. Current Pain and Headache Reports, 16, 289-291.
https://doi.org/10.1007/s11916-012-0264-0
[20]  Nepps, P., Stewart, C.N. and Bruckno, S.R. (2014) Animal-Assisted Activity: Effects of a Complementary Intervention Program on Psychological and Physiological Variables. Journal of Evidence-Based Comple-mentary & Alternative Medicine, 19, 211-215.
https://doi.org/10.1177/2156587214533570
[21]  Goddard, A.T. and Gilmer, M.J. (2015) The Role and Impact of Animals with Pediatric Patients. Pediatric Nursing, 41, 65-71.
[22]  Barak, Y., Savorai, O., Mavashev, S. and Beni, A. (2001) Animal-Assisted Therapy for Elderly Schizophrenic Patients: A One-Year Controlled Trial. The American Journal of Geriatric Psychiatry, 9, 439-442.
https://doi.org/10.1097/00019442-200111000-00013
[23]  Boyer, V.E. and Mundschenk, N.A. (2014) Using Animal-Assisted Therapy to Facilitate Social Communication: A Pilot Study. Journal of Speech-Language Pathology and Audiology, 38, 26-39.
[24]  Friedmann, E., Katcher, A., Thomas, S., Lynch, J. and Messent, P. (1983) Social Interaction and Blood Pressure. Influence of Animal Companions. The Journal of Nervous and Mental Disease, 171, 461-465.
https://doi.org/10.1097/00005053-198308000-00002
[25]  Allen, K.M., Blascovich, J., Tomaka, J. and Kelsey, R.M. (1991) Presence of Human Friends and Pet Dogs as Moderators of Autonomic Responses to Stress in Women. Journal of Personality and Social Psychology, 61, 582-589.
https://doi.org/10.1037/0022-3514.61.4.582
[26]  Polheber, J.P. and Matchock, R.L. (2014) The Presence of a Dog Attenuates Cortisol and Heart Rate in the Trier Social Stress Test Compared to Human Friends. Journal of Behavioral Medicine, 37, 860-867.
https://doi.org/10.1007/s10865-013-9546-1
[27]  Nagasawa, M., Kikusui, T., Onaka, T. and Ohta, M. (2009) Dog’s Gaze at Its Owner Increases Owner’s Urinary Oxytocin during Social Interaction. Hormones and Be-havior, 55, 434-441.
https://doi.org/10.1016/j.yhbeh.2008.12.002
[28]  Odendaal, J. and Meintjes, R. (2003) Neurophysiological Correlates of Affiliative Behaviour between Humans and Dogs. The Veterinary Journal, 165, 296-301.
https://doi.org/10.1016/S1090-0233(02)00237-X
[29]  Lust, E., Ryan-Haddad, A., Coover, K. and Snell, J. (2007) Measuring Clinical Outcomes of Animal-Assisted Therapy: Impact on Resident Medication Usage. The Consultant Pharmacist, 22, 580-585.
https://doi.org/10.4140/TCP.n.2007.580
[30]  Pet Partners Handler Student Guide (2014) Pet Partners Therapy Animal Program for Animal-Assisted Activities and Animal-Assisted Therapy. Pet Partners, Bellevue.
[31]  Cole, K.M., Gawlinski, A., Steers, N. and Kotlerman, J. (2007) Animal-Assisted Therapy in Patients Hospitalized with Heart Failure. American Journal of Critical Care, 16, 575-588.
[32]  O’Haire, M.E., Guérin, N.A. and Kirkham, A.C. (2015) Animal-Assisted Intervention for Trauma: A Systematic Literature Review. Frontiers in Psychology, 6, 1121.
https://doi.org/10.3389/fpsyg.2015.01121
[33]  Gagnon, J., Bouchard, F., Landry, M., Belles-Isles, M., Fortier, M. and Fillion, L. (2004) Implementing a Hospital-Based Animal Therapy Program for Children with Cancer: A Descriptive Study. Canadian Oncology Nursing Journal, 14, 217-222.
https://doi.org/10.5737/1181912x144217222
[34]  Braun, C., Stangler, T., Narveson, J. and Pettingell, S. (2009) Ani-mal-Assisted Therapy as a Pain Relief Intervention for Children. Complementary Therapies in Clinical Practice, 15, 105-109.
https://doi.org/10.1016/j.ctcp.2009.02.008
[35]  Abate, S.V., Zucconi, M. and Boxer, B.A. (2011) Impact of Canine-Assisted Ambulation on Hospitalized Chronic Heart Failure Patients’ Ambulation Outcomes and Satisfaction: A Pilot Study. Journal of Cardiovascular Nursing, 26, 224-230.
https://doi.org/10.1097/JCN.0b013e3182010bd6
[36]  Creagan, E.T., Bauer, B.A., Thomley, B.S. and Borg, J.M. (2015) Complementary Therapies in Clinical Practice Animal-Assisted Therapy at Mayo Clinic: The Time Is Now. Complementary Therapies in Clinical Practice, 21, 101-104.
https://doi.org/10.1016/j.ctcp.2015.03.002
[37]  Perkins, J., Bartlett, H., Travers, C. and Rand, J. (2008) Dog-Assisted Therapy for Older People with Dementia: A Review. Australasian Journal on Ageing, 27, 177-182.
https://doi.org/10.1111/j.1741-6612.2008.00317.x
[38]  Adamle, K.N., Riley, T.A. and Carlson, T. (2009) Evaluating College Student Interest in Pet Therapy. Journal of American College Health, 57, 545-548.
https://doi.org/10.3200/JACH.57.5.545-548
[39]  Rehman memon, A., Khanzada, S., khan, K., et al. (2016) Perceived Stress among Physical Therapy Students. International Journal of Physiotherapy, 3, 35-38.
[40]  Spielberger, C.D., Gorsuch, R.L., Lushene, R., Vagg, P.R. and Jacobs, G.A. (1983) State-Trait Anxiety Inventory for Adults Manual. Mind Garden Inc.
http://www.mindgarden.com
[41]  Keedwell, P. and Snaith, R.P. (1996) What Do Anxiety Scales Measure? Acta Psychiatrica Scandinavica, 93, 177-180.
http://www.ncbi.nlm.nih.gov/pubmed/8739662
https://doi.org/10.1111/j.1600-0447.1996.tb10627.x
[42]  McKay, K.A., Buen, J.E., Bohan, K.J. and Maye, J.P. (2010) Deter-mining the Relationship of Acute Stress, Anxiety, and Salivary Alpha-Amylase Level with Performance of Student Nurse Anesthetists during Human-Based Anesthesia Simulator Training. AANA JOURNAL, 78, 301-309.
[43]  Wright, B.J., O’Brien, S., Hazi, A. and Kent, S. (2014) Increased Systolic Blood Pressure Reactivity to Acute Stress Is Related with Better Self-Reported Health. Scientific Reports, 4, Article No. 6882.
https://doi.org/10.1038/srep06882
[44]  Zhang, Z., Su, H., Peng, Q., Yang, Q. and Cheng, X. (2011) Exam Anxiety Induces Significant Blood Pressure and Heart Rate Increase in College Students. Clinical and Experimental Hypertension, 33, 281-286.
https://doi.org/10.3109/10641963.2010.531850
[45]  Marazziti, D., Ambrogi, F., Abelli, M., et al. (2007) Lymphocyte Subsets, Cardiovascular Measures and Anxiety State before and after a Professional Examination. Stress, 10, 93-99.
https://doi.org/10.1080/10253890601170563
[46]  Pet Partners (2017) Become a Handler.
https://petpartners.org/
[47]  Luptak, J.E. and Nuzzo, N.A. (2004) The Effects of Small Dogs on Vital Signs in Elderly Women: A Pilot Study. Cardiopul-monary Physical Therapy Journal, 15, 9-12.
[48]  Hoffmann, A.O.M., Lee, A.H., Wertenauer, F., et al. (2009) Dog-Assisted Inter-vention Significantly Reduces Anxiety in Hospitalized Patients with Major Depression. European Journal of Integrative Medicine, 1, 145-148.
https://doi.org/10.1016/j.eujim.2009.08.002
[49]  Dawson, K.S. and Barker, S.B. (1998) The Effects of Ani-mal-Assisted Therapy on Anxiety Ratings of Hospitalized Psychiatric Patients. Psychiatric Services, 49, 797-802.
https://doi.org/10.1176/ps.49.6.797
[50]  Barker, S.B., Barker, R.T., McCain, N.L. and Schubert, C.M. (2016) A Randomized Cross-Over Exploratory Study of the Effect of Visiting Therapy Dogs on College Student Stress before Final Exams. Anthrozoos, 29, 35-46.
https://doi.org/10.1080/08927936.2015.1069988
[51]  Núnez-Pena, M.I., Suárez-Pellicioni, M. and Bono, R. (2016) Gender Differences in Test Anxiety and Their Impact on Higher Education Students’ Academic Achievement. Procedia—Social and Behavioral Sciences, 228, 154-160.
[52]  Webster, C.S., Luo, A.Y., Krageloh, C., Moir, F. and Henning, M. (2016) A Systematic Review of the Health Benefits of Tai Chi for Students in Higher Education. Preventive Medicine Reports, 3, 103-112.
https://doi.org/10.1016/j.pmedr.2015.12.006
[53]  Odendaal, J. (2000) Animal-Assisted Therapy—Magic or Medicine? Journal of Psychosomatic Research, 49, 275-280.
https://doi.org/10.1016/S0022-3999(00)00183-5
[54]  Coakley, A.B. and Mahoney, E.K. (2009) Creating a Therapeutic and Healing Environment with a Pet Therapy Program. Complementary Therapies in Clinical Practice, 15, 141-146.
https://doi.org/10.1016/j.ctcp.2009.05.004
[55]  Lass-Hennemann, J., Peyk, P., Streb, M., Holz, E. and Micha, T. (2014) Presence of a Dog Reduces Subjective But Not Physiological Stress Responses to an Analog Trauma. Frontiers in Psychology, 5, 1-7.
https://doi.org/10.3389/fpsyg.2014.01010
[56]  Marcus, D.A., Bernstein, C.D., Constantin, J.M., Kunkel, F.A., Breuer, P. and Hanlon, R.B. (2014) Impact of Animal-Assisted Therapy for Outpatients with Fibromyalgia. Pain Medicine, 14, 43-51.
https://doi.org/10.1111/j.1526-4637.2012.01522.x
[57]  Stasi, M.F., Amati, D., Costa, C., et al. (2004) Pet-Therapy: A Trial for Institutionalized Frail Elderly Patients. Archives of Gerontology and Geriatrics, 38, 407-412.
https://doi.org/10.1016/j.archger.2004.04.052
[58]  Physical Therapist Centralized Application Service: 2016-2017 Applicant Data Report.
http://www.apta.org/Educators/PTCAS/
[59]  Al-Safi, S.A. (2005) Does Smoking Affect Blood Pressure and Heart Rate? European Journal of Cardiovascular Nursing, 4, 286-289.
https://doi.org/10.1016/j.ejcnurse.2005.03.004
[60]  Mort, J.R. and Kruse, H.R. (2008) Timing of Blood Pressure Measurement Related to Caffeine Consumption. Annals of Pharmacotherapy, 42, 105-110.
https://doi.org/10.1345/aph.1K337
[61]  Silcox, D. and Reed, B.J. (2014) The Human Animal Bond: Applications for Rehabilitation Professionals. Journal of Applied Rehabilitation Counseling, 45, 27-38.

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