Dog‐assisted therapy for older people with dementia: A review

This review summarises and critiques the published literature regarding dog therapy for older people with dementia living in residential aged care facilities. Nine studies were identified for inclusion and although the methodological variability of studies makes it difficult to draw firm conclusions, research suggests that dog therapy is beneficial for people with dementia. The most frequently reported findings were an increase in social behaviour and a decrease in agitated behaviour during dog contact. Improvement in social behaviour was found to be unrelated to the severity of dementia. Various improvements on measures of global function were also reported. No study adopted a randomised controlled trial design and a number of potentially important factors were not controlled for, including halo effects of animals on caregivers that may bias caregivers’ responses when acting as proxies for their relatives or residents. The premorbid relationship with dogs may be an important variable influencing outcomes.

[1]  R. Scholten,et al.  Music therapy for people with dementia. , 2003, The Cochrane database of systematic reviews.

[2]  K. Buckwalter,et al.  The effects of pet therapy on the social behavior of institutionalized Alzheimer's clients. , 1989, Archives of psychiatric nursing.

[3]  J. Birks,et al.  Physostigmine for dementia due to Alzheimer's disease , 2001 .

[4]  M. Baun,et al.  The effect of a therapy dog on socialization and physiological indicators of stress in persons diagnosed with Alzheimer's disease , 1998 .

[5]  J. Kennedy,et al.  Influence of Animals on Perceived Likability of People , 1995 .

[6]  Cavanaugh Sv A simple, reliable clinical behavioral scale for assessing demented patients. , 1984 .

[7]  N. Richeson,et al.  Effects of animal-assisted therapy on agitated behaviors and social interactions of older adults with dementia , 2003, American journal of Alzheimer's disease and other dementias.

[8]  M. Baun,et al.  Resident Dog in the Alzheimer’s Special Care Unit , 2002, Western journal of nursing research.

[9]  R. Cheston,et al.  Involving people who have dementia in the evaluation of services: A review , 2000 .

[10]  Jim Blascovich,et al.  Cardiovascular Reactivity and the Presence of Pets, Friends, and Spouses: The Truth About Cats and Dogs , 2002, Psychosomatic medicine.

[11]  Martin N. Rossor,et al.  The Quality of Life Assessment Schedule (QOLAS): a new method for assessing quality of life (QOL) in dementia , 2000 .

[12]  M Orrell,et al.  Cognitive rehabilitation and cognitive training for early-stage Alzheimer's disease and vascular dementia. , 2003, The Cochrane database of systematic reviews.

[13]  R. Arnold,et al.  Omeprazole: long-term safety. , 1989, Digestion.

[14]  M. Kanamori,et al.  A day care program and evaluation of animal-assisted therapy (AAT) for the elderly with senile dementia , 2001, American journal of Alzheimer's disease and other dementias.

[15]  H. Caci,et al.  The Apathy Inventory: assessment of apathy and awareness in Alzheimer's disease, Parkinson's disease and mild cognitive impairment , 2002, International journal of geriatric psychiatry.

[16]  M. Folstein,et al.  Clinical Assessment of Irritability, Aggression, and Apathy in Huntington and Alzheimer Disease , 1990, The Journal of nervous and mental disease.

[17]  D. Challis,et al.  ‘Not knowing where I am doesn't mean I don't know what I like’: cognitive impairment and quality of life responses in elderly people , 1999, International journal of geriatric psychiatry.

[18]  T. Dening,et al.  Antidepressants for treating depression in dementia. , 2002, The Cochrane database of systematic reviews.

[19]  T. Kanno,et al.  SALIVARY CHROMOGRANIN A AS AN INDEX OF PSYCHOSOMATIC STRESS RESPONSE , 1998 .

[20]  R. L. Zasloff,et al.  Measuring attachment to companion animals: a dog is not a cat is not a bird , 1996 .

[21]  D. Verlander,et al.  The effects of a ‘pets as therapy’ dog on persons with dementia in a psychiatric ward , 2010 .

[22]  D. Turner,et al.  Companion Animals in Human Health , 1997 .

[23]  V. Leirer,et al.  Development and validation of a geriatric depression screening scale: a preliminary report. , 1982, Journal of psychiatric research.

[24]  Michael J. Lichtenstein,et al.  The Nursing Home Behavior Problem Scale. , 2018, Journal of gerontology.

[25]  Debra M. Sellers The Evaluation of an Animal Assisted Therapy Intervention for Elders with Dementia inLong-Term Care , 2006 .

[26]  J. Cohen-Mansfield,et al.  A description of agitation in a nursing home. , 1989, Journal of gerontology.

[27]  L. Gibbons,et al.  Quality of life in Alzheimer's disease: Patient and caregiver reports. , 1999 .

[28]  M Neal,et al.  Validation therapy for dementia. , 2003, The Cochrane database of systematic reviews.

[29]  R. Ownby,et al.  Relationship of behavioral and psychological symptoms to cognitive impairment and functional status in Alzheimer's disease , 2000, International journal of geriatric psychiatry.

[30]  Debra M. Sellers PhD Ctrs The Evaluation of an Animal Assisted Therapy Intervention for Elders with Dementia inLong-Term Care , 2006 .

[31]  M Orrell,et al.  Reminiscence therapy for dementia (Review) , 2009 .

[32]  V. A. Kral,et al.  Clinical Value of the London Psychogeriatric Rating Scale , 1978, Journal of the American Geriatrics Society.

[33]  K. Buckwalter,et al.  Pet therapy for Alzheimer's patients: a survey. , 1990, The Journal of long term care administration.

[34]  M. Lawton,et al.  Assessment of older people: self-maintaining and instrumental activities of daily living. , 1969, The Gerontologist.

[35]  J. Haycox A simple, reliable clinical behavioral scale for assessing demented patients. , 1984, The Journal of clinical psychiatry.

[36]  A. Fine Handbook on animal-assisted therapy. Theoretical foundations and guidelines for practice , 2010 .

[37]  A. Spector,et al.  Aroma therapy for dementia. , 2003, The Cochrane database of systematic reviews.

[38]  N. Motomura,et al.  Animal assisted therapy for people with dementia , 2004 .

[39]  W. Snow,et al.  On the Clinical Value of the London Psychogeriatric Rating Scale , 1991, Journal of the American Geriatrics Society.

[40]  A. Fraser,et al.  The welfare of dogs. , 2007 .

[41]  M. Baun,et al.  Using a therapy dog to alleviate the agitation and desocialization of people with Alzheimer's disease. , 1999, Journal of psychosocial nursing and mental health services.

[42]  R. Woods,et al.  Clinical Psychology with the Elderly , 1985 .

[43]  S H Ferris,et al.  Behavioral symptoms in Alzheimer's disease: phenomenology and treatment. , 1987, The Journal of clinical psychiatry.

[44]  A. Beck,et al.  New perspectives on our lives with companion animals , 1983 .

[45]  D. Forbes,et al.  Light therapy for managing sleep, behaviour, and mood disturbances in dementia. , 2004, The Cochrane database of systematic reviews.

[46]  Steven M. Albert,et al.  Assessing quality of life in Alzheimer's disease , 1999 .

[47]  R. Llewellyn-Jones,et al.  Animal-assisted therapy for dementia: a review of the literature , 2006, International Psychogeriatrics.