"We need them as much as they need us": A systematic review of the qualitative evidence for possible mechanisms of effectiveness of animal-assisted intervention (AAI).


OBJECTIVE:Although Animal-Assisted Interventions (AAI) are effective treatments for a variety of psychological problems, the mechanism of treatment effectiveness remains unclear. Qualitative studies of AAI may reveal possible mechanisms. This review aims to synthesize qualitative research and identify factors that might contribute to the effectiveness of AAI. METHODS:A literature search of qualitative evidence published before August 8th, 2018 was conducted using the following databases: PubMed, ERIC, PsycARTICLES, PsycINFO, and HABRI, with the aim of identifying qualitative research conducted with individuals undergoing AAI. Quality assessment was undertaken by CASP and the certainty of the evidence was evaluated using CERQual. RESULTS:A total of 1866 articles were reviewed, and seven were included in the final analysis. A total of six themes were identified as factors relating to the effectiveness of AAI: 1. Fostering feelings of normalcy, 2. Improving behavioral activation, 3. Self-esteem enhancement, 4. Physical contact, belonging, and companionship, 5. Calming and comforting, and 6. Distraction. Barriers to AAI effectiveness were also identified. CONCLUSION:The results of these studies suggest that AAI was viewed as a positive and highly accepted intervention across populations and settings. AAI might be a useful intervention among people who suffer from a variety of mental disorders. All themes consistently demonstrated that contact with a live animal is more important than the appearance of the animal. Additional investigations of AAI treatment mechanisms are needed.


Complement Ther Med


Shen RZZ,Xiong P,Chou UI,Hall BJ




Has Abstract


2018-12-01 00:00:00












  • Simply because it works better: exploring motives for the use of medical herbalism in contemporary U.K. health care.

    abstract:AIM:To clarify the reasons underlying people's use of medical herbalism in the context of contemporary U.K. health care. DESIGN:This qualitative, interpretative study recruited 19 adults who were consulting with registered medical herbalists in a region of southern England. Participants were interviewed about their ex...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Little CV

    更新日期:2009-10-01 00:00:00

  • Upright water-based exercise to improve cardiovascular and metabolic health: a qualitative review.

    abstract::Research regarding the benefits of exercise for cardiovascular and metabolic health is extensive and well-documented. However, weight-bearing exercise may not be suitable for individuals with orthopaedic or musculoskeletal limitations, excess adiposity or other medical conditions. Water-based exercise may provide an a...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章,评审


    authors: Meredith-Jones K,Waters D,Legge M,Jones L

    更新日期:2011-04-01 00:00:00

  • Efficacy and safety of a combination of red yeast rice and olive extract in hypercholesterolemic patients with and without statin-associated myalgia.

    abstract::Cholesfytol®, a lipid-lowering dietary supplement with antioxidant and anti-atherosclerotic properties, combines red yeast rice (RYR) and olive extract (5mg hydroxytyrosol equivalent) and represents an alternative for patients who do not wish or are unable to use chemical statins, including individuals with previous s...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Tshongo Muhindo C,Ahn SA,Rousseau MF,Dierckxsens Y,Hermans MP

    更新日期:2017-12-01 00:00:00

  • Mineral rich algae with pine bark improved pain, physical function and analgesic use in mild-knee joint osteoarthritis, compared to Glucosamine: A randomized controlled pilot trial.

    abstract:INTRODUCTION:Osteoarthritis (OA) is characterised by synovial joint pain, functional disability and affects ∼13 % of people worldwide, of which ∼16-27 % report Knee-OA (KOA). Glucosamine (Glu) is the most widely used nutraceutical treatment for OA despite a lack of scientific consensus, therefore alternative nutraceuti...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章,随机对照试验


    authors: Heffernan SM,McCarthy C,Eustace S,FitzPatrick RE,Delahunt E,De Vito G

    更新日期:2020-05-01 00:00:00

  • Defining research priorities in complementary medicine in oncology.

    abstract:OBJECTIVES:The high usage of complementary and alternative medicines (CAM) by cancer patients is increasing, despite limited research available to support their use. Therefore identifying research priorities that can inform the evidence base for CAM treatment is relevant for many stakeholders, including funders, resear...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Robotin M,Holliday C,Bensoussan A

    更新日期:2012-10-01 00:00:00

  • The PedCAM Network: past, present, and future.

    abstract::Established in 2004, the Pediatric Complementary and Alternative Medicine Research & Education (PedCAM) Network (www.pedcam.ca) is a multidisciplinary national and international network focused on pediatric research and education with the vision of safe and effective use of complementary and alternative medicine (CAM)...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Surette S,Vohra S

    更新日期:2013-04-01 00:00:00

  • Evidence-based practice in chiropractic practice: A survey of chiropractors' knowledge, skills, use of research literature and barriers to the use of research evidence.

    abstract:BACKGROUND:Scant research has been undertaken regarding chiropractors' skills and knowledge associated with evidence-based practice (EBP), and their perceived barriers to EBP. These issues appear to have been examined in only one small qualitative study and one small study of chiropractors holding orthopaedic diplomas....

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Walker BF,Stomski NJ,Hebert JJ,French SD

    更新日期:2014-04-01 00:00:00

  • An assessment of the scientific status of anthroposophic medicine, applying criteria from the philosophy of science.

    abstract:OBJECTIVES:The objective was to evaluate the scientific status of anthroposophic medicine (AM) according to demarcation criteria proposed in contemporary philosophy of science. DESIGN:Criteria for what is science were retrieved from eight publications in the philosophy of science, focusing either on science in medicin...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Baars EW,Kiene H,Kienle GS,Heusser P,Hamre HJ

    更新日期:2018-10-01 00:00:00

  • Oatmeal interventions in severe insulin resistance on the intensive care unit: A case report.

    abstract:OBJECTIVES:To report on the potential effectiveness of hypocaloric, plant-based short-term dietary oatmeal interventions in the treatment of insulin resistance in critically ill patients on the intensive care unit. CLINICAL FEATURES AND OUTCOME:A 67-year-old female with type 2 diabetes was admitted to our hospital wit...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Storz MA,Helle P

    更新日期:2019-10-01 00:00:00

  • Effectiveness of Spiritist "passe" (Spiritual healing) for anxiety levels, depression, pain, muscle tension, well-being, and physiological parameters in cardiovascular inpatients: A randomized controlled trial.

    abstract:BACKGROUND:Biofield therapies, such as laying on of hands, are used in association with Conventional Medicine as Spiritist "passe", among others. The aim of this study was to evaluate anxiety, depression, pain, muscle tension and well-being, as well as physiological parameters in cardiovascular inpatients submitted to ...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章,随机对照试验


    authors: Carneiro ÉM,Barbosa LP,Marson JM,Terra JA Junior,Martins CJ,Modesto D,Resende LA,Borges MF

    更新日期:2017-02-01 00:00:00

  • Use of unconventional therapies by primary care patients--religious resources vs. complementary or alternative medicine services.

    abstract:OBJECTIVES:The study examines the difference in characteristics between primary care patients who turn to "religious resources for medical purposes" (RRMP) and those who turn to "complementary or alternative medicine" (CAM) services to cope with a physical or mental health problem. DESIGN AND SETTING:Data were collect...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Hornik-Lurie T,Cwikel J,Feinson MC,Lerner Y,Zilber N

    更新日期:2013-10-01 00:00:00

  • A nationwide population-based study of traditional Chinese medicine usage in children in Taiwan.

    abstract:OBJECTIVES:To characterize the application of traditional Chinese medicine (TCM) among pediatric patients. DESIGN AND SETTING:This study examined data sets from the National Health Insurance Research Database in Taiwan. Two cohorts, each with one million patients who were randomly sampled from the beneficiaries of the...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Huang TP,Liu PH,Lien AS,Yang SL,Chang HH,Yen HR

    更新日期:2014-06-01 00:00:00

  • Using acupuncture to treat depression: a feasibility study.

    abstract:OBJECTIVES:To establish the feasibility of conducting a randomised controlled trial to evaluate the efficacy of acupuncture in the treatment of mild-to-moderate depression. Control group intervention, blinding of treatment, outcome measures and the acceptability of such a trial amongst participants were key factors to ...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章,随机对照试验


    authors: Whiting M,Leavey G,Scammell A,Au S,King M

    更新日期:2008-04-01 00:00:00

  • Evaluation of complementary-alternative medicine (CAM) questionnaire development for Indonesian clinical psychologists: A pilot study.

    abstract::This study aimed to evaluate questionnaire development to measure the knowledge of Complementary-Alternative Medicine (CAM), attitudes towards CAM, CAM experiences, and CAM educational needs of clinical psychologists in Indonesia. A 26-item questionnaire was developed through an extensive literature search. Data was o...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Liem A,Newcombe PA,Pohlman A

    更新日期:2017-08-01 00:00:00

  • A survey of the uptake and implementation of research evidence by South Australian acupuncturists in clinical practice: attitudes and associated predictive factors.

    abstract:OBJECTIVE:To examine South Australian acupuncturists' attitudes towards the use of research evidence and concurrently identify predicative factors associated with the uptake and implementation of research evidence. METHODS:Questionnaires were mailed out to the entire South Australian acupuncturist population (n=94). T...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Stomski N,Grimmer-Somers K,Petkov J

    更新日期:2008-08-01 00:00:00

  • Moments of 'touch' as a way for mental support in Traditional Chinese Medicine consultations: Analysis of the interactional process of co-constructing understanding of the patient's body conditions in Hong Kong.

    abstract::Traditional Chinese Medicine (TCM) is a growing phenomenon around the world. However, despite its historical role in Chinese society, there has been limited research on exploring the nature of TCM practitioner-patient interactions in the Chinese context. This study used 10 hours audio recordings of consultations to el...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Pun JKH

    更新日期:2020-08-01 00:00:00

  • Does pain-catastrophising mediate the effect of tai chi on treatment outcomes for people with low back pain?

    abstract:OBJECTIVES:There is evidence to support the effectiveness of tai chi for reducing pain-related symptoms across multiple musculoskeletal conditions, however, the mechanism(s) are unclear. This study explores the role of pain-catastrophising as a possible mediator in the relationship between practising tai chi and back p...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章,随机对照试验


    authors: Hall AM,Kamper SJ,Emsley R,Maher CG

    更新日期:2016-04-01 00:00:00

  • Differences in demographics and complementary and alternative medicine use between patients attending integrative kampo versus biomedical clinics in Japan.

    abstract:OBJECTIVES:Growing interest in integrative medicine motivates examination of who seeks integrative care, and why. By examining differences in demographics and complementary and alternative medicine (CAM) use between patients recruited from Japanese Kampo (traditional herbal medicine) versus biomedical clinics, this stu...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Melby MK,Yoshino T,Tonob D,Horiba Y,Watanabe K

    更新日期:2019-10-01 00:00:00

  • A randomised study of the effects of massage therapy compared to guided relaxation on well-being and stress perception among older adults.

    abstract:OBJECTIVE:The objective was to assess the effects of massage compared to guided relaxation on stress perception and well-being among older adults. DESIGN:A randomised pilot study enrolled adults ages 60 and older to receive 50 min, twice weekly massage therapy or guided relaxation sessions. Questionnaires were adminis...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章,随机对照试验


    authors: Sharpe PA,Williams HG,Granner ML,Hussey JR

    更新日期:2007-09-01 00:00:00

  • Scientific case research in complementary and alternative medicine-a review.

    abstract::The description of individual cases is probably the most important didactic tool for teaching in medicine, especially in complementary and alternative medicine (CAM). However, only very rarely is the information provided in traditional single case reports sufficient to answer scientific questions. These reports typica...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章,评审


    authors: Teut M,Linde K

    更新日期:2013-08-01 00:00:00

  • Acupuncture for low back pain: traditional diagnosis and treatment of 148 patients in a clinical trial.

    abstract:AIMS:To assess patterns of diagnosis, including concordance, and treatment within a clinical trial of traditional acupuncture for low back pain. SETTING:In a pragmatic randomised controlled clinical trial, 148 patients with low back pain, of between 4 weeks and 12 months duration, were randomised to the offer of indiv...

    journal_title:Complementary therapies in medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: MacPherson H,Thorpe L,Thomas K,Campbell M

    更新日期:2004-03-01 00:00:00

  • General practitioners, complementary therapies and evidence-based medicine: the defence of clinical autonomy.

    abstract::Amidst the substantial change currently gripping primary health care are two developments central to contemporary debate regarding the very nature, territory and identity of general practice - the integration of complementary and alternative medicine (CAM) and the rise of evidence-based medicine (EBM). This paper repo...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Adams J

    更新日期:2000-12-01 00:00:00

  • Effect of Dahuang zhechong formula on liver fibrosis in patients with chronic hepatitis B: a meta-analysis.

    abstract:BACKGROUND:Dahuang zhechong formula has been used for the treatment of chronic hepatitis B, but its efficacy on the liver fibrosis is conflicting. We performed a meta-analysis to quantitatively investigate the efficacy of Dahuang zhechong formula as an adjunctive therapy treatment for liver fibrosis in patients with he...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章,meta分析,评审


    authors: Wei F,Lang Y,Gong D,Fan Y

    更新日期:2015-02-01 00:00:00

  • Randomized-controlled study of treating attention deficit hyperactivity disorder of preschool children with combined electro-acupuncture and behavior therapy.

    abstract:OBJECTIVE:To study the effectiveness of electro-acupuncture with behavior therapy on preschool children with attention deficit hyperactivity disorder (ADHD). METHODS:180 preschool children with ADHD diagnosed by DSM-IV were classified into three subtypes: predominantly inattentive subtype (PI subtype, 60 cases), predo...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章,随机对照试验


    authors: Li S,Yu B,Lin Z,Jiang S,He J,Kang L,Li W,Chen X,Wang X

    更新日期:2010-10-01 00:00:00

  • Aromatherapies using Osmanthus fragrans oil and grapefruit oil are effective complementary treatments for anxious patients undergoing colonoscopy: A randomized controlled study.

    abstract:BACKGROUND AND AIMS:Colonoscopy can be painful and uncomfortable. Aromatherapy is often used for the relief of anxiety or discomfort. Recently, it has been reported that olfactory stimulation induces various physiological effects. We investigated the effects of aromatherapy on anxiety and abdominal discomfort during co...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章,随机对照试验


    authors: Hozumi H,Hasegawa S,Tsunenari T,Sanpei N,Arashina Y,Takahashi K,Konnno A,Chida E,Tomimatsu S

    更新日期:2017-10-01 00:00:00

  • Virtual reality in psychiatric disorders: A systematic review of reviews.

    abstract:BACKGROUND:Virtual reality (VR) is being used more and more often as a therapeutic tool in psychology or psychiatry. In recent years, VR interventions appear more extensively also in disorders such as depression, anxiety and phobia. However, there has yet to be a comprehensive synthesis and critical review of the liter...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章,评审


    authors: Cieślik B,Mazurek J,Rutkowski S,Kiper P,Turolla A,Szczepańska-Gieracha J

    更新日期:2020-08-01 00:00:00

  • The effect of self-selected complementary therapies on cancer patients' quality of life and symptom distress: A prospective cohort study in an integrative oncology setting.

    abstract:OBJECTIVE:To examine the effectiveness of a multifaceted complementary therapies intervention, delivered in a systematic manner within an Australian public hospital setting, on quality of life and symptom distress outcomes for cancer patients. METHODS:Adults receiving treatment for any form of cancer were eligible to ...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Stomski NJ,Petterson A,Kristjanson L,Lobb EA,Phillips M,Williams A,Morrison P,Joske D

    更新日期:2018-04-01 00:00:00

  • Dance for Parkinson's-The effects on whole body co-ordination during turning around.

    abstract:OBJECTIVE:To investigate the effects of ballroom and Latin American dancing classes on turning in people with Parkinson's. DESIGN:This study employed a randomised, controlled, experimental design. SETTING:Dance classes were performed in a community dance centre in Southern England and all assessments took place a gai...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章,随机对照试验


    authors: Hulbert S,Ashburn A,Roberts L,Verheyden G

    更新日期:2017-06-01 00:00:00

  • Spa adjuvant therapy improves diabetic lower extremity arterial disease.

    abstract:OBJECTIVE:To investigate the effect of spa adjuvant therapy on diabetic lower extremity arterial disease (LEAD). METHODS:128 patients with type II diabetes were separated into three groups according to the degree of lower extremity vascular stenosis. Patients within each group were then randomly divided to receive no ...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章,随机对照试验


    authors: Qiu Y,Zhu Y,Jia W,Chen S,Meng Q

    更新日期:2014-08-01 00:00:00

  • C-reactive protein response to a vegan lifestyle intervention.

    abstract::This brief lifestyle intervention, including a vegan diet rich in fresh fruits and vegetables, whole grains and various legumes, nuts and seeds, significantly improved health risk factors and reduced systemic inflammation as measured by circulating CRP. The degree of improvement was associated with baseline CRP such t...

    journal_title:Complementary therapies in medicine

    pub_type: 杂志文章


    authors: Sutliffe JT,Wilson LD,de Heer HD,Foster RL,Carnot MJ

    更新日期:2015-02-01 00:00:00