| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 549.41 KB | Adobe PDF |
Advisor(s)
Abstract(s)
A depressão e a ansiedade afetam uma percentagem considerável de indivíduos com demência no decorrer da doença. A intervenção farmacológica na população geriátrica para tratamento destas sintomatologias tem sido altamente correlacionada a complicações de saúde, portanto, intervenções não farmacológicas têm sido cada vez mais recomendadas como abordagem de primeira linha para quadros clínicos neurodegenerativos. A Terapia Assistida por Animais é um modelo terapêutico não medicamentoso que investe na interação humano-animal como forma de incrementar o bem estar destes doentes através, entre outros objetivos, da diminuição ou prevenção da depressão e ansiedade. O objetivo da presente revisão sistemática da literatura é examinar metodicamente a eficácia da Terapia Assistida por Animais em doentes com demência que sofrem de sintomatologia depressiva e/ou ansiosa. A partir das bases de dados eletrónicas PubMed, Psycarticles, Scopus e Web of science, foi efetuada uma pesquisa minuciosa de trabalhos publicados até setembro de 2022, utilizando descritores alusivos aos termos chave Demência, Terapia Assistida por Animais e Depressão/Ansiedade. O comparador, Treatment As Usual ou outra terapia, foi considerado nos critérios de inclusão e de exclusão. Cinco estudos clínicos aleatorizados, integrando um total de 508 participantes institucionalizados em centros de cuidados geriátricos, foram incluídos, sumarizados e analisados qualitativamente. Em comparação com o grupo de controlo, o grupo TAA mostrou, com frequência, uma redução significativa na depressão. No entanto, não foram encontrados trabalhos que avaliassem a eficácia da TAA na ansiedade, pois esta ainda aparece camuflada em instrumentos de medida multidimensionais. A confiança atribuída aos resultados na depressão deve ter em consideração as limitações e risco de viés de cada estudo.
Depression and anxiety affect a considerable percentage of individuals with dementia over the course of the disease. Pharmacological intervention in the geriatric population to treat these symptoms has been highly correlated with health complications, therefore, non-pharmacological interventions have been increasingly recommended as a first-line approach for neurodegenerative clinical conditions. Animal-Assisted Therapy is a non-medication therapeutic model that invests in human-animal interaction as a way of increasing the well-being of these patients through, among other objectives, the reduction or prevention of depression and anxiety. The aim of this systematic literature review is to methodically examine the effectiveness of Animal Assisted Therapy in dementia patients suffering from depressive and/or anxious symptoms. Using the electronic databases PubMed, Psycarticles, Scopus and Web of science, a thorough search was carried out for works published until September 2022, using descriptors referring to the key terms Dementia, Animal-Assisted Therapy and Depression/Anxiety. The comparator, Treatment As Usual or another therapy, was considered in the inclusion and exclusion criteria. Five randomized clinical studies, integrating a total of 508 participants institutionalized in geriatric care centers, were included, summarized and qualitatively analyzed. Compared to the control group, the TAA group often showed a significant reduction in depression. However, no studies were found that evaluated the effectiveness of AAT in anxiety, as it still appears camouflaged in multidimensional measurement instruments. The confidence attributed to the results in depression must take into account the limitations and risk of bias of each study.
Depression and anxiety affect a considerable percentage of individuals with dementia over the course of the disease. Pharmacological intervention in the geriatric population to treat these symptoms has been highly correlated with health complications, therefore, non-pharmacological interventions have been increasingly recommended as a first-line approach for neurodegenerative clinical conditions. Animal-Assisted Therapy is a non-medication therapeutic model that invests in human-animal interaction as a way of increasing the well-being of these patients through, among other objectives, the reduction or prevention of depression and anxiety. The aim of this systematic literature review is to methodically examine the effectiveness of Animal Assisted Therapy in dementia patients suffering from depressive and/or anxious symptoms. Using the electronic databases PubMed, Psycarticles, Scopus and Web of science, a thorough search was carried out for works published until September 2022, using descriptors referring to the key terms Dementia, Animal-Assisted Therapy and Depression/Anxiety. The comparator, Treatment As Usual or another therapy, was considered in the inclusion and exclusion criteria. Five randomized clinical studies, integrating a total of 508 participants institutionalized in geriatric care centers, were included, summarized and qualitatively analyzed. Compared to the control group, the TAA group often showed a significant reduction in depression. However, no studies were found that evaluated the effectiveness of AAT in anxiety, as it still appears camouflaged in multidimensional measurement instruments. The confidence attributed to the results in depression must take into account the limitations and risk of bias of each study.
Description
Keywords
Terapia assistida por animais Eficácia Demência Depressão Ansiedade Animal assisted therapy Anxiety Depression Efficiency Insanity