Therapy Dog Support in Pediatric Dentistry: A Social Welfare Intervention for Reducing Anticipatory Anxiety and Situational Fear in Children.

Children often experience anticipatory anxiety and situational fear (AA&SF) as a common reaction to perceived environmental threats. Animal-assisted interventions (AAI) with certified therapy dogs have been increasing in commonality within social work and medical practice as a non-pharmaceutical int...

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Publicado en:Child & Adolescent Social Work Journal Vol. 37; no. 6; pp. 615 - 630
Autores principales: Vincent, Aviva, Heima, Masahiro, Farkas, Kathleen J.
Formato: Artículo
Publicado: Springer Nature 2020
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2020
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      pub: Springer Nature
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        10.1007/s10560-020-00701-4
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        atl: Therapy Dog Support in Pediatric Dentistry: A Social Welfare Intervention for Reducing Anticipatory Anxiety and Situational Fear in Children.
      aug:
        au:
          Vincent, Aviva
          Heima, Masahiro
          Farkas, Kathleen J.
        affil:
          Adjunct Faculty, Jack, Joseph and Morton Mandel School of Applied Social Science, Case Western Reserve University, 10900 Euclid Avenue, 11235 Bellflower Road, 44106-7164, Cleveland, OH, USA
          School of Dental Medicine, Case Western Reserve University, 2124 Cornell Road, 44106, Cleveland, OH, USA
          Department of Social and Behavioral Medicine, Graduate School for Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, 890-8544, Kagoshima-City, Kagoshima, Japan
      su:
        Human-animal relationships
        Fear of dentists
        Pets
        Public welfare
        Social support
        Anxiety prevention
        Saliva analysis
        Hydrocortisone
        Oxytocin
        Pediatric dentistry
        Statistical sampling
        Time series analysis
        Pet therapy
        Pilot projects
      sug:
        subj:
          Human-animal relationships
          Fear of dentists
          Pets
          Public welfare
          Social support
          Live animal merchant wholesalers
          All other miscellaneous animal production
          Pet and Pet Supplies Stores
          All Other Animal Production
          Emergency and Other Relief Services
          Other Individual and Family Services
          Health and Welfare Funds
          Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
          Marketing Research and Public Opinion Polling
          Anxiety prevention
          Saliva analysis
          Hydrocortisone
          Oxytocin
          Pediatric dentistry
          Statistical sampling
          Time series analysis
          Pet therapy
          Pilot projects
      keyword:
        Anticipatory anxiety
        Dental fear
        Human-animal interaction
        Veterinary social work
        Anticipatory anxiety
        Dental fear
        Human-animal interaction
        Veterinary social work
      ab: Children often experience anticipatory anxiety and situational fear (AA&SF) as a common reaction to perceived environmental threats. Animal-assisted interventions (AAI) with certified therapy dogs have been increasing in commonality within social work and medical practice as a non-pharmaceutical intervention to increase relaxation. This pilot study explored the impact of certified therapy dogs on youth in a known AA&SF triggering experience – the dental office. Canine Support in Pediatric Dentistry was designed and evaluated as an innovative, non-pharmacological behavior management strategy to support children, ages 8–12, with known AA&SF of the dentist. A time-series design utilized a convenience sample (n = 18) for current patients with known AA&SF. Measures of survey, observation, and salivary analyte analysis assessed biopsychosocial changes, including a refined methodology for oxytocin. The intervention as deemed acceptability by guardians at a rate of 83%. Guardians further supported the intervention with 100% stating that the liked the therapy dog's presence for their child. No safety issues were observed. Oxytocin trended positively from baseline across majority of sample; though not statistically significant. Cortisol tended to decreased over the three time points, while alpha-amylase appeared to follow the trend of oxytocin more than cortisol. The findings support that Canine Support in Pediatric Dentistry is a feasible AAI in the pediatric dental clinic, which provides a model generalizable to other medical environments and experiences that may provoke AA&SF in children. Collection and measurement of salivary analysis is a feasible and practical method to explore biopsychosocial change in social welfare research.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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