Examining the effects of animal assisted activities against standard treatment in a university setting

The wellbeing of university students has become a global issue in recent years, with the rise of students seeking help for their mental health, the demand for such services has increased exponentially, leading many Universities to struggle in meeting these growing demands. With research in the area manly focused on formal methods of student support, the current study explores the use of more informal sources of support. 100 university students who had attended a standard informal student support session (known as Chooseday Chill) or a wellbeing dog session, were asked to complete a questionnaire measuring their anxiety and overall wellbeing. Results indicated that when compared to the standard support, students who attended the wellbeing dog sessions reported significantly lower levels of anxiety and higher levels of wellbeing at the end of the sessions. The authors discuss the practical implications of these findings for treatment in Higher Education.

Ahmed, I., Banu, H. Al‑Fageer, R. Al‑Suwaidi, R. (2009). Cognitive emotions:
Depression and anxiety in medical students and staff. Journal of Critical Care, 24(3). https://doi.org/10.1016/j.jcrc.2009.06.003
Akram, U., Tpsilanti, A., Gardani, M., Irvine, K., Allen, S., Akram, A., Drabble,J., Bickle, E., Kaye, L., Lipinski, D., Matuszyk, E., Sarlak, H., Steedman, E., & Lazuras, L. (2020). Prevalence and psychiatric correlates of suicidal ideation in
UK university students. Journal of Affective Disorders, 272. https://doi.org/10.1016/ j.jad.2020.03.185
Amanvermez, Y., Karyotaki, E., Cuijpers, P., Salemink, E., Spinhoven, P., Struijs,S., & de Wit, L. M. (2021). Feasibility and acceptability of a guided internet‑
based stress management intervention for university students with high levels of stress: Protocol for an open trial. Internet Interventions, 24. https://doi.org/
10.1016/j.invent.2021.100369
Azam, M. A., Mongrain, M., Vora, K., Pirbaglou, M., Azargive, S., Changoor, T., Wayne, N., Guglietti, C., Macpherson, A., Irvine, J., Rotondi, M., Smith, D., Perez, D., & Ritvo, P. (2016). Mindfulness as an alternative for supporting
university student mental health: cognitive‑emotional and depressive self‑criticism measures. International Journal of Educational Psychology, 5(2). http://
dx.doi.org/10.17583/ijep.2016.1504
Barnes, N., Hattan, P., Black, D. S., & Schuman‑Olivier, Z. (2017). An examination of mindfulness‑based programs in US medical schools.Mindfulness, 8, 489–94. https://doi.org/10.1007/s12671‑016‑0623‑8
Batchelor, R., Pitman, E., Sharpington, A., & Stock, M. (2020). Student perspectives on mental health support and services in the UK. Journal of Further
and Higher Education, 44(2), 1‑15. https://doi.org/10.1080/0309877X.2019.1579896
Bell A. (2013). PAwS for a Study Break: Running an Animal‑Assisted Therapy Program at the Gerstein Science Information Centre. Partnership, 8, 1–14. https://
doi.org/10.21083/partnership.v8i1.2403
Bilican, I. (2013). Help‑seeking attitudes and behaviours regarding mental
health among Turkish college students. International Journal of Mental Health,
42(2), 43‑59. https://doi.org/10.2753/IMH0020‑7411420203
Binfet, J., & Passmore, H. (2016). Hounds and homesickness: The effects of an animal‑assisted therapeutic intervention for first‑year university students.
Anthrozoös, 29(3). https://doi.org/10.1080/08927936.2016.1181364
Cage, E., Stock, M., Sharpington, A., Pitman, E., & Batchelor, R. (2020). Barriers to accessing support for mental health at university. Studies in Higher Education,
45(8). https://doi.org/10.1080/03075079.2018.1544237
Coakley, A. B., & Mahoney, E. K. (2009). Creating a therapeutic and healing environment with a pet therapy program. Complementary Therapies in Clinical
Practice, 15, 141‑146. https://doi.org/10.1016/j.ctcp.2009.05.004
Craggs, S. (2012, October 2). One‑third of McMaster students battle depression:Survey. CBC News Hamilton. https://www.cbc.ca/news/canada/hamilton/
headlines/one‑third‑of‑mcmaster‑students‑battle‑depression‑survey‑1.1200815
Crane, R. S., Eames, C., Kuyken, W., Hastings, R. P., Williams, J. M. G., Bartley,
T., Evans, A., Silverton, S., Soulsby, J. G., & Surawy, C. (2013). Development and
Validation of the Mindfulness‑Based Interventions – Teaching Assessment
Criteria (MBI:TAC). Assessment, 20(6), 681–688. https://doi.org/10.1177/1073191113490790
Crossman, M. K., Kazdin, A. E., & Knudson, K. (2015). Brief unstructured interaction with a dog reduces distress. Anthrozoös, 28(4). https://doi.org/
10.1080/08927936.2015.1070008
Darling‑Hammond, L., Flook, L., Cook‑Harvey, C., Barron, B., & Osher, D. (2020). Implications for educational practice of the science of learning and
development. Applied Developmental Science, 24(2). https://doi.org/10.1080/10888691.2018.1537791
Dawson, A. F., Brown, W. W., Anderson, J., Datta, B., Donald, J. N., Hong, K.,Allan, S., Mole, T. B., Jones, P. B., & Galante, J. (2019). Mindfulness‑based
interventions for university students: A systematic review and meta‑analysis of
randomised controlled trials. Applied Psychology: Health and Well‑being, 12(2),
384‑410. https://doi.org/10.1111/aphw.12188
Dobkin, P. L., Irving, J. A., & Amar, S. (2012). For whom may participation in a mindfulness‑based stress reduction program be contraindicated? Mindfulness, 3.
https://doi.org/10.1007/s12671‑011‑0079‑9
Drum, D. J., Brownson, C., Burton Denmark, A., & Smith, S. E. (2009). New data on the nature of suicidal crises in college students: Shifting the paradigm.
Professional Psychology: Research and Practice, 40(3), 213‑222. https://doi.org/10.1037/a0014465
Farrer, L. M., Gulliver, A., Katruss, K., Bennett, A., Ali, K., & Griffiths, K. M.
(2020). Development of the Uni Virtual Clinic: an online programme for improving the mental health of university students. British Journal of Guidance
and Counselling, 48(3). https://doi.org/10.1080/03069885.2020.1729341
2023 Vol. 14 1 - 21 www.PetBehaviourScience.org
Friedlander, L. J., Reid, G. J., Shupak, N., & Cribble, R. (2007). Social support, self‑esteem, and stress as predictors of adjustment to university among first‑year
undergraduates. Journal of College Student Development, 48(3). https://doi.org/10.1353/csd.2007.0024
Galbraith, N. D., Brown, K. E., & Clifton, E. (2014). A survey of student nursesʹ attitudes toward help seeking for stress. Nursing Forum, 49(3), 171‑181. http://
dx.doi.org/10.1111/nuf.12066.
Galante, J., Friedrich, C., Dawson, A. F., Modrego‑Alarcon, M., Gebbing, P.,Delgado‑Suarez, I., Gupta, R., Dean, L., Dalgleish, T., White, I. R., & Jones, P. B.
(2021). Mindfulness‑based programmes for mental health promotion in adults in nonclinical settings: A systematic review and meta‑analysis of randomised controlled trials. PLOS Medicine, 18(1). https://doi.org/10.1371/
journal.pmed.1003481
Genc, E., & Arslan, G. (2021). Optimism and dispositional hope to promote
college students’ subjective well‑being in the context of the Covid‑19 pandemic.
Journal of Positive Psychology and Wellbeing, 5(2), 87 ‑ 96. https://journalppw.com/index.php/jpsp/article/view/127/121
Grajfoner, D., Harte, E., Potter, L. M., & McGuigan, N. (2017). The effect of dog‑assisted intervention on student well‑being, mood, and anxiety. International
Journal of Environmental Research and Public Health, 14(5). https://doi.org/10.3390/ijerph14050483
Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help‑seeking in young people: A systematic review.
BMC Psychiatry, 10(113).https://doi.org/10.1186/1471‑244X‑10‑113
Guney, S., Kalafat, T., & Boysan, M. (2010). Dimensions of mental health: Life satisfaction, anxiety, and depression: A preventive mental health study in Ankara University student population. Procedia Social and Behavioral Sciences, 2,
1210‑1213. https://doi.org/10.1016/j.sbspro.2010.03.174
Healey, M., Flint, A., & Harrington, K. (2014). Engagement through partnership: Students as partners in learning and teaching in higher education. Higher Education Academy. https://www.heacademy.ac.uk/sites/default/files/resources/
engagement_through_partnership.pdf
Herlache‑Pretzer, E., Winkle, M., Brown, K., Bommarito, B., Andres, J.,Hoffman, S., & Ewer, A. (2020). The impacts of animal‑assisted therapy (AAT) on active participation in therapy sessions: A descriptive case series study.
American Journal of Occupational Therapy, 74. https://doi.org/10.5014/ajot.2020.74S1‑PO5719
Higher Education Statistics Authority. (2020). Table 15 – UK domiciled student enrolments by disability and sex 2014/15 to 2018/19. Retrieve 3 July 2021 from
https://www.hesa.ac.uk/data‑and‑analysis/students/table‑15
Higher Education White Paper ‑ students at the heart of the system. (2021). Retrieved 3 July 2021, from https://www.gov.uk/government/consultations/
higher‑education‑white‑paper‑students‑at‑the‑heart‑of‑the‑system Pet Behaviour Science Spruin, Islam, Wornast & Dempster
Hodgson, J., & Hagan, P. (2020). Medical education adaptions during a
pandemic: Transitioning to virtual student support. Medical Education Adaption,7, 662‑663. https://doi.org/10.1111/medu.14177
Houston, J. B., First, J., Spialek, M. L., Sorenson, M. E., Mills‑Sandoval, T.,Lockett, M., First, N. L., Nitiéma, P., Allen, S. F., & Pfefferbaum, B. (2017).
Randomized controlled trial of the Resilience and Coping Intervention (RCI) with undergraduate university students. Journal of American College Health, 65(1),
1‑9. https://doi.org/10.1080/07448481.2016.1227826
Huberty, J., Green, J., Glissman, C., Larkey, L., Puzia, M., & Lee, C. (2019).Efficacy of the mindfulness meditation mobile app “calm” to reduce stress
among college students: Randomized controlled trial. JMIR Mhealth Unhealth,7(6). https://doi.org/10.2196/14273
Hughes, G., & Spanner, L. (2019). The University Mental Health Charter.
Student Minds. Retrieved:https://www.studentminds.org.uk/uploads/
3/7/8/4/3784584/180129_student_mental_health__the_role_and_experience_of_academics__student_minds_pdf.pdf
Jarolmen, J., & Patel, G. (2018). The effects of animal‑assisted activities on
college students before and after a final exam. Journal of Creativity in Mental Health, 13(3), 264‑274. https://doi.org/10.1080/15401383.2018.1425941
Jessop, D. C., Reid, M., & Solomon, L. (2020). Financial concern predicts
deteriorations in mental and physical health among university students.
Psychology & Health, 35(2). https://doi.org/10.1080/08870446.2019.1626393
Johnson, R. A., Meadows, R. L, Haubner, J. S., & Sevedge, K. (2003). Human‑animal interaction. A complementary/alternative medical (CAM) intervention
for cancer patients. American Behavioral Scientist, 47(1), 55–69. https://doi.org/10.1177/0002764203255213
Khawaja, N. G., & Dempsey, J. (2012). Psychological distress in international university students: An Australian study. Australian Journal of Guidance and Counselling, 17(1), 13‑27. https://doi.org/10.1375/ajgc.17.1.13
Lau, E. Y. H., Chan, K. K. S., & Lam, C. B. (2018). Social support and adjustment outcomes of first‑year university students in Hong Kong: Self‑esteem as a
mediator. Journal of College Student Development, 59(1), 129‑134. https://doi.org/10.1353/csd.2018.0011
Leppin, A., Bora, R., & Tilburt, C. (2014). The efficacy of resiliency training
programs: a systematic review and meta‑analysis of randomized trials. PLoS ONE, 9(10). https://doi.org/10.1371/journal.pone.0111420
Lupo, M., & Strous, R. (2011). Religiosity, anxiety and depression among Israeli
medical students. The Israel Medical Association Journal, 13(1), 613‑618.
Marteau, T. M., & Bekker, H. (1992). The development of a six‑item short‑form
of the state scale of the Spielberger State‑Trait Anxiety Inventory (STAI). British Journal of Clinical Psychology, 31(3). https://doi.org/10.1111/j.2044‑8260.1992.tb00997.x
2023 Vol. 14 1 - 21 www.PetBehaviourScience.org
Mian, E., & Richards, B. (2016). Widening Participation in Higher Education.London: Social Market Foundation.
Mikolajczyk, R. T., Naydenova, V., Stock, C., & El Ansari, W. (2008). Prevalence of depressive symptoms in university students from Germany, Denmark, Poland and Bulgaria. Social Psychiatry and Psychiatric Epidemiology, 43, 105‑112.
https://doi.org/10.1007/s00127‑007‑0282‑0
Muckle, J., & Lasikiewicz, N.(2017). An exploration of the benefits of animal‑assisted activities in undergraduate students in Singapore. Asian Journal of Social
Psychology, 20(2), 75‑84. https://doi.org/10.1111/ajsp.12166
Nathan L. & Houston, B (2017). Resilience and Coping Intervention (RCI): A group intervention to foster college student resilience. Social Work with Groups, 0,
1‑13. https://doi.org/10.1080/01609513.2016.1272032
Othman, M. A., & Rashid, M. A. (2018). Stress and mental health of undergraduate students at a private higher learning institute in Malaysia.
PEOPLE: International Journal of Social Sciences, 4, 453‑465. https://dx.doi.org/10.20319/pijss.2018.42.453465
Pendry, P., Carr, A. M., Gee, N. R., & Vandagriff, J. L. (2020). Randomized trial examining effects of animal‑assisted intervention and stress related symptoms
on college students’ learning and study skills. International Journal of Environmental Research and Public Health, 17(6). https://doi.org/10.3390/ijerph17061909
Pendry, P., Kuzara, S., & Gee, N. (2019). Evaluation of undergraduate students’ responsiveness to a 4‑week university‑based animal‑assisted stress prevention
program. International Journal of Environmental Research and Public Health, 16(18).https://doi.org/10.3390/ijerph16183331
Piper, R., & Emmanuel T. (2019). Co‑producing mental health strategies with students: A guide for the Higher Education Sector. Student Minds. https://www.studentminds.org.uk/uploads/3/7/8/4/3784584/
cpdn_document_artwork.pdf
Regehr, C., Glancy, D., & Pitts, A. (2013). Interventions to reduce stress in university students: A review and meta‑analysis. Journal of Affective Disorders,
148, 1‑11. https://doi.org/10.1016/j.jad.2012.11.026
Royal College of Psychiatrists (2011). The mental health of students in higher education, London: Royal College of Psychiatrists.
Schoeps, K., de la Barrera, U., & Montoya‑Castilla, I. (2020). Impact of emotional development intervention program on subject well‑being of university students.
Higher Education, 79, 711‑729. https://doi.org/10.1007/s10734‑019‑00433‑0
Seon, J., Prock, K., Bishop, J., Hughes, A., Woodward, A., & MacLean, S. (2019).Formal and informal social support and academic achievement among college students with unstable childhood experiences. Child Welfare, 97, 21‑43.
Pet Behaviour Science Spruin, Islam, Wornast & Dempster
Shearer, A., Hunt, M., Chowdhury, M., & Nicol, L. (2015). Effects of a brief mindfulness meditation intervention on student stress and heart rate variability.
International Journal of Stress Management, 23, 232‑254. http://dx.doi.org/10.1037/a0039814
Soe, T., & Theint, K. (2020). The impact of social support on loneliness and worry among university freshmen in Sagaing District, Myanmar. Technium Social Sciences Journal, 8(1), 387‑397. https://doi.org/10.47577/tssj.v8i1.832
Spruin, E., Dempster, T., Islam, S. and Raybould, I. (2020). The effects of a therapy dog vs mindfulness vs a Student Advisor on student anxiety and well‑being. Journal of Further & Higher Education, 45(5). https://doi‑
org.chain.kent.ac.uk/10.1080/0309877X.2020.1804535
Stallman, H. M. (2010). Psychological distress in university students: A comparison with general population data. Australian Psychologist, 45(4), 249–257,
http://dx.doi.org/10.1080/00050067.2010.482109
Stallman, H. (2012). University Counselling Services in Australia and New Zealand: Activities, Changes, and Challenge. Australian Psychologist, 47, 249–
253. https://doi.org/10.1111/j.1742‑9544.2011.00023.x
Storrie, K., Ahern, K., & Tuckett, A. (2010). A systematic review: Students with mental health problems–a growing problem. International Journal of Nursing
Practice, 16(1), 1–6. http://dx.doi.org/10.1111/j.1440‑172X.2009.01813.x
Student Minds. (2021). Retrieved 19 June 2021, from https://
www.studentminds.org.uk/uploads/3/7/8/4/3784584/peer_support_for_student_mental_health.pdf
Tennant, R., Hiller, L., Fishwick, R., Platt, S., Joseph, S., Weich, S., Parkinson, J., Secker, J., & Stewart‑Brown S. (2007). The Warwick‑Edinburgh Mental Well‑
being Scale (WEMWBS): Development and UK validation. Health and Quality of Life Outcomes, 5(63). https://doi.org/10.1186/1477‑7525‑5‑63
Turner, R. N., Crisp, R. J., and Lambert, E. (2007). Imagining intergroup contact can improve intergroup attitudes. Group Process and Intergroup Relations, 10, 427–
441. https://doi.org/10.1177/1368430207081533
Usher, W. (2020). Living in quiet desperation: The mental health epidemic in Australia’s higher education. Health Education Journal, 79(2). https://doi.org/
10.1177/0017896919867438
Viskovich, S., & Pakenham, K. I. (2020). Randomized controlled trial of a web‑ based Acceptance and Commitment Therapy (ACT) program to promote mental health in university students. Journal of Clinical Psychology (2020)76. https://
doi.org/10.1002/jclp.22848
Ward‑Griffin, E., Klaiber, P., Collins, H. K., Owens, R. L. Coren, S., & Chen, F. S.(2018). Petting away pre‑exam stress: The effect of therapy dog sessions on
student well‑being. Stress and Health, 34(3), 468‑473. https://doi.org/10.1002/smi.2804
Wood, E., Ohlsen, S., Thompson, J., Hulin, J., & Knowles, L. (2018). The
feasibility of brief dog‑assisted therapy on university students stress levels: The
PAwS study. Journal of Mental Health, 27(3). https://doi.org/
10.1080/09638237.2017.1385737
Wynaden, D., McAllister, M., Tohotoa, J., Al Omari, O., Heslop, K., Duggan, R., Murray, S., Happel, B., & Byrne, L. (2014). The silence of mental health issues within university environments: A quantitative study. Archives of Psychiatric Nursing, 28(5), 339‑344. https://doi.org/10.1016/j.apnu.2014.08.003