Evidence map›Paper›PMID 41179815›Full record

ReviewFrontiers in psychiatry2025

Donkey-assisted therapy in mental health conditions: a systematic review.

Alessia Fulgenzi, Antonio Raffa, Carmela De Domenico, Marcella Di Cara, Simona Leonardi, Adriana Piccolo, Fabio Mauro Giambò, Giulia Marafioti, Angelo Alito, Giulia Leonardi and 4 more

Abstract readReview
In one paragraph

Review in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Alessia FulgenziIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Antonio RaffaIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Carmela De DomenicoIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Marcella Di CaraIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Simona LeonardiIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Adriana PiccoloIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Fabio Mauro GiambòIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Giulia MarafiotiIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Angelo AlitoDepartment of Biomedical, Dental Sciences and Morphological and Functional Images, University of Messina, Messina, Italy.
Giulia LeonardiPhysical Rehabilitation Medicine Department, University Hospital A.O.U. "G. Martino", Messina, Italy.
Laura TurrizianiCentro Specializzato Universitario per gli InterventiAssistiti con gli Animali, Università degli Studi di Messina, Messina, Italy.
Michele PanzeraCentro Specializzato Universitario per gli InterventiAssistiti con gli Animali, Università degli Studi di Messina, Messina, Italy.
Angelo QuartaroneIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Francesca CucinottaIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This paper evaluates the effectiveness of donkey-assisted therapy in neurodevelopmental disorders in children, adolescents, and adults. Methods: Registered in the PROSPERO database (CRD42025644921) and conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses, the review included studies from ScienceDirect (Elsevier), Web of Science, and PubMed (National Library of Medicine), searched up to 31 December 2024. The inclusion criteria were (a) pilot studies, randomized control studies, and uncontrolled clinical trials, (b) dealing with donkey-assisted interventions (DAI) in children, adolescents, and adults age, (c) in English, Italian, Spanish, or German languages. The exclusion criteria were: (a) clinical cases, pre-prints, letters to the editor, reviews, and systematic reviews; (b) studies involving therapies other than donkey-assisted therapy. Results: Four observational studies were included. The results suggest that donkey-assisted interventions, particularly donkey-assisted therapy, help improve emotional regulation, communication, social interaction, and self-esteem in children with neurodevelopmental disorders. Improvements in autonomy, motor coordination, and social engagement have been observed in adults. Conclusion: The heterogeneity of study methodologies, variations in sample size, assessment instruments, and intervention duration limit the generalizability of the results. Future research should focus on large-scale, well-controlled studies, standardizing protocols and outcome measures to quantify the therapeutic impact of DAI in diverse populations.

Indexed as

animal-assisted interventionanimal-assisted therapydonkey therapyneurodevelopmental disorderspsychiatric disorders

Identifiers

PMID41179815
PMCPMC12573460

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.