Evidence map›Paper›PMID 42466625›Full record

SynthesisJournal of global health2026

Animal-assisted therapy on psychological and physical outcomes: a meta-analysis of randomised controlled trials.

Chun-Ying Shih, Hidayat Arifin, Christina Yeni Kustanti, Wen-Jui Chang, Chi-Hsien Huang, Rizki Fitryasari, Mei-Chu Tsai, Jia-You Ye

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Chun-Ying ShihDepartment of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
Hidayat ArifinDepartment of Medical-Surgical, Emergency, Disaster, and Critical Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
Christina Yeni KustantiStudy Program of Nursing Science, Sekolah Tinggi Ilmu Kesehatan Bethesda Yakkum, Yogyakarta, Indonesia.
Wen-Jui ChangDepartment of Thoracic Medicine, Chang Gung Memorial Hospital, Tucheng (New Taipei Municipal Tucheng Hospital) Branch, New Taipei City, Taiwan.
Chi-Hsien HuangDepartment of Thoracic Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Rizki FitryasariDepartment of Psychiatric/Mental Health Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
Mei-Chu TsaiDepartment of Nursing, Taoyuan Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Jia-You YePost-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Taipei City, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adults are at heightened risk of anxiety, stress, and depression; animal-assisted therapy (AAT) may serve as an effective approach to promote psychological well-being. In this study, we compared the effectiveness of AAT in improving depression, anxiety, stress, pain, and gait among adults with or without illness. Methods: We systematically searched six electronic databases (PubMed, CINAHL, Embase, Web of Science, the Cochrane Library, and Scopus) and included all studies published up to August 2024. We used comprehensive meta-analysis software to complete the quantitative synthesis. We reported pooled effect sizes as Hedges' g with corresponding 95% confidence intervals (CIs), after applying a random-effects model. Furthermore, we assessed heterogeneity using Cochran's Q test and the I Results: From the 13,345 studies identified, 35 randomised controlled trials involving 2391 adults were included. Across diverse populations, AAT was associated with reductions in depression (Hedges' g = -0.403; 95% CI = -0.536, -0.271), anxiety (Hedges' g = -0.661; 95% CI = -1.069, -0.253), and stress (Hedges' g = -1.062; 95% CI = -1.849, -0.275) at post-intervention, although substantial between-study variability was observed. Conclusions: We demonstrated that AAT significantly improves anxiety, depression and stress in adults, but has no meaningful effect on pain or gait. Subgroup and meta-regression analyses indicate that psychological benefits depend on population and intervention characteristics, and are not moderated by age or gender. Registration: PROSPERO: CRD42024570108.

Indexed as

Animal Assisted TherapyAnxietyDepressionStress, PsychologicalHumansRandomized Controlled Trials as Topicadultsanimal-assisted therapymeta-analysispsychological outcomesrandomised controlled trialswell-being

Identifiers

PMID42466625
PMCPMC13377760

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Registered trials

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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.