Beyond the Leash: The Therapeutic Impact of Service Dogs in Posttraumatic Stress Disorder (PTSD) Intervention for United States Combat Veterans
Notice bibliographique
Résumé
Background: Posttraumatic stress disorder (PTSD) presents a significant mental health challenge for many veterans, prompting interest in innovative interventions such as the use of service dogs. Despite this, there remains a gap in understanding the specific impact of service dogs on the mental well-being of veterans who served in combat zones. Aim: This integrative review aims to explore the associations between service dog exposure and the mental health of veterans following deployment to combat zones, focused on those with PTSD. Through a systematic literature search, review, and synthesis, the study seeks to identify gaps in knowledge to inform future research efforts and interventions. Design: Adopting an integrative review design, the review explores existing literature to uncover insights into the associations between service dog exposure and veterans' mental well-being. The study ensures a comprehensive examination of relevant research articles by employing a systematic literature search methodology and rigorous inclusion and exclusion criteria. Methods: Inclusion criteria involve selecting research articles published in peer-reviewed journals focusing on veterans' participation with service dogs or canine exposure and their subsequent mental health outcomes. Exclusion criteria are non-U.S. research, abstracts without full-text articles, grey literature, and non-research articles. This rigorous approach aims to assemble reliable evidence to enhance understanding and inform future research and interventions supporting veterans' mental well-being. Results: This study examines the demographics, characteristics, challenges, and benefits associated with veterans with PTSD and their service dogs. Veterans in the studies ranged from 36.8 to 50.9 years old, were predominantly male, and mostly white, with significant portions being honorably discharged and married. The service dogs were mostly male, mixed-breed, or Labrador Retrievers sourced from shelters. Veterans faced challenges obtaining and training their dogs, such as demanding training processes and adjusting to public attention. Despite these challenges, service dogs provided substantial benefits, including reduced PTSD symptoms, improved sleep, increased physical activity, and emotional reconnection. Studies showed a reduction in PTSD severity, improved quality of life, and enhanced social participation for veterans with service dogs. However, veterans also experienced drawbacks like increased public attention and misconceptions about service dogs. The bond between veterans and their dogs was associated with lower anxiety and higher positive affect, highlighting the overall positive impact of service dogs on veterans' mental health and daily life. Conclusion: This study demonstrates the substantial benefits of service dogs for veterans with PTSD, including reductions in stress, anxiety, and PTSD symptoms and improvements in depression management, safety, and quality of life. Unexpected challenges with nonobedience issues arose, but they did not diminish the overall positive impact. Future research should explore the cost-effectiveness of service dog programs, their effects on different veteran demographics, and standardized training protocols. The findings emphasize the need for continued support and refinement of service dog programs to optimize their benefits and improve the well-being of veterans with PTSD.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,018 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,002 | 0,002 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».