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Use of animal-assisted therapy and service animals with Borderline personality disorder patients: a narrative review

Authors: Eleonora Fernandes Zille;

Use of animal-assisted therapy and service animals with Borderline personality disorder patients: a narrative review

Abstract

A Perturbação de Personalidade Borderline (PPB) é um distúrbio psiquiátrico caracterizado por instabilidade nos relacionamentos interpessoais, na autoimagem e nos afetos e impulsividade acentuada. Esses pacientes geralmente apegam-se a objetos transicionais, como animais de estimação. A terapia assistida por animais (TAA) é uma intervenção com objetivos definidos e é projetada para promover a melhoria na função física, social, emocional ou cognitiva humana. Os animais de serviço (AS) são treinados para auxiliar pessoas com deficiências nas atividades da vida diária. Esta revisão narrativa tem como objetivo investigar a eficácia da TAA e dos AS em pacientes com PPB, acreditando que eles podem ter um efeito benéfico, especialmente na criação de uma aliança terapêutica e na melhoria da funcionalidade. Uma revisão da literatura foi realizada, pesquisando em 4 bases de dados (PsycINFO por meio da interface EBSCO; WebOfScience; Pubmed e Scopus). 5 artigos foram identificados. Embora a literatura seja muito escassa, os resultados disponíveis mostram alguns benefícios potenciais destas abordagens na diminuição da gravidade dos sintomas e na melhoria da qualidade de vida, dos relacionamentos interpessoais, dos níveis de stresse e da funcionalidade. Um aspeto importante destas terapias é que elas poderão ter efeitos benéficos nas principais características da PPB, como a impulsividade e a instabilidade. No entanto, mais estudos são necessários para avaliar efetivamente a eficácia da TAA e dos AS nestes pacientes e para validar este tipo de abordagens.

Borderline Personality Disorder (BPD) is a psychiatric disorder characterized by instability in interpersonal relationships, self-image and affects and marked impulsivity. These patients usually develop attachment to transitional objects, like pets. Animal-assisted therapy (AAT) is a goal directed intervention and is designed to promote improvement in human physical, social, emotional, or cognitive function. Service animals (SA) are trained to assist people with disabilities in the activities of normal living. This narrative review aims to investigate the efficacy of AAT and SA in BPD patients, believing that they could have a beneficial effect, especially in the creation of a therapeutic alliance and in improving functionality. A literature review was made searching 4 databases (PsycINFO through EBSCO interface; WebOfScience; Pubmed and Scopus). 5 articles were identified. Although the literature is very scarce, the results available show some potential benefits of these approaches in decreasing the severity of the symptoms and improving quality of life, interpersonal relationships, stress levels and functionality. An important aspect of these approaches is that they might have beneficial effects on the core features of BPD, such as impulsivity and instability. However, more studies are needed to effectively assess AAT's and SA's efficacy in these patients and to validate these kinds of approaches.

Country
Portugal
Related Organizations
Keywords

Medicina clínica, Ciências médicas e da saúde::Medicina clínica, Medical and Health sciences::Clinical medicine, Clinical medicine

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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