Original Article

Perceptions of Companion Dog Benefits on Well-Being of US Military Veterans with HIV/AIDS

Authors: Kimberly Swart Kruger, BA, Stephen L. Stern, MD, Gregory Anstead, MD, PhD, Erin P. Finley, PhD, MPH

Abstract

Objectives: Patients with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) frequently experience psychosocial complications in addition to physical illness. Conflicting data on the value of companion dog ownership in minimizing psychosocial distress suggest the need for more research in this field. This study helps to clarify and expand upon previous research on perceived well-being among patients with HIV/AIDS, specifically as it relates to how owning dogs influences the well-being of US military veterans living with HIV/AIDS.

Methods: Twenty-nine male veterans with a mean age of 52 years who reported having owned a dog since being diagnosed as having HIV/AIDS completed semistructured interviews regarding pet ownership and perceived well-being. Participants also completed a brief survey describing their pets and rating scales that assessed symptoms of depression (nine-question Patient Health Questionnaire-9) and the extent of attachment to their pets (Lexington Attachment to Pets Scale). Descriptive statistics were completed and interview responses were transcribed and examined qualitatively for key themes.

Results: The mean Patient Health Questionnaire-9 score of 8.9 (median score of 6) was consistent with mild depressive symptoms, and the mean Lexington Attachment to Pets Scale score was 83.2, indicative of high attachment to one’s dog. Veterans reported walking their dogs a mean of 49 minutes/day. Qualitative analysis of the interviews showed that having HIV/AIDS interfered with well-being in three main ways (emotional burden, physical condition, and social isolation). Owning dogs enhanced perceived well-being in four ways (physical activity, companionship, responsibility, and stress reduction).

Conclusions: Twenty-eight of the 29 participants (97%) reported that owning dogs was a positive experience. Overall, this study suggests that veterans with HIV/AIDS who own companion dogs believe that it improves their well-being.

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References

1. Serpell J. Beneficial effects of pet ownership on some aspects of human health and behaviour. J R Soc Med 1991;84:717-720.
 
2. Levine GN, Allen K, Braun LT, et al. Pet ownership and cardiovascular risk: a scientific statement from the American Heart Association. Circulation 2013;127:2353-2363.
 
3. Allen K, Shykoff BE, Izzo JL Jr. Pet ownership, but not ACE inhibitor therapy, blunts home blood pressure responses to mental stress. Hypertension 2001;38:815-820.
 
4. Charnetski CJ, Riggers S, Brennan FX. Effect of petting a dog on immune system function. Psychol Rep 2004;95:1087-1091.
 
5. Wells DL. Associations between pet ownership and self-reported health status in people suffering from chronic fatigue syndrome. J Altern Complement Med 2009;15:407-413.
 
6. McConnell AR, Brown CM, Shoda TM, et al. Friends with benefits: on the positive consequences of pet ownership. J Pers Soc Psychol 2011;101: 1239-1252.
 
7. Beck AM, Meyers NM. Health enhancement and companion animal ownership. Annu Rev Public Health 1996;17:247-257.
 
8. Cline KM. Psychological effects of dog ownership: role strain, role enhancement, and depression. J Soc Psychol 2010;150:117-131.
 
9. Ogalha C, Luz E, Sampaio E, et al. A randomized, clinical trial to evaluate the impact of regular physical activity on the quality of life, body morphology and metabolic parameters of patients with AIDS in Salvador, Brazil. J Acquir Immune Defic Syndr 2011;57:S179-S185.
 
10. Siegel JM, Angulo FJ, Detels R, et al. AIDS diagnosis and depression in the Multicenter AIDS Cohort Study: the ameliorating impact of pet ownership. AIDS Care 1999;11:157-170.
 
11. Carmack BJ. The role of companion animals for persons with AIDS/HIV. Holistic Nurs Pract 1991;5:24-31.
 
12. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 2001;16:606-613.
 
13. Monahan PO, Shacham E, Reece M, et al. Validity/reliability of PHQ-9 and PHQ-2 depression scales among adults living with HIV/AIDS in western Kenya. J Gen Intern Med 2009;24:189-197.
 
14. Perry BA, Westfall AO, Molony E, et al. Characteristics of an ambulatory palliative care clinic for HIV-infected patients. J Palliat Med 2013;16:934-937.
 
15. Johnson TP, Garrity TF, Stallones L. Psychometric evaluation of the Lexington Attachment to Pets Scale (LAPS). Anthrozoos 1992;5:160-175.
 
16. Horberg MA, Silverberg MJ, Hurley LB, et al. Effects of depression and selective serotonin reuptake inhibitor use on adherence to highly active antiretroviral therapy and on clinical outcomes in HIV-infected patients. J Acquir Immune Defic Syndr 2008;47:384-390.
 
17. Leserman J, Jackson ED, Petitto JM, et al. Progression to AIDS: the effects of stress, depressive symptoms, and social support. Psychosom Med 1999;61:397-406.
 
18. Leserman J, Pence BW, Whetten K, et al. Relation of lifetime trauma and depressive symptoms to mortality in HIV. Am J Psychiatry 2007;164:1707-1713.
 
19. Leserman J, Petitto JM, Golden RN, et al. Impact of stressful life events, depression, social support, coping, and cortisol on progression to AIDS. Am J Psychiatry 2000;157:1221-1228.
 
20. Ostberg V, Lennartsson C. Getting by with a little help: the importance of various types of social support for health problems. Scand J Public Health 2007;35:197-204.
 
21. Mosepele M, Mazo D, Cohn J. Bartonella infection in immunocompromised hosts: immunology of vascular infection and vasoproliferation. Clin Dev Immunol 2012;2012:612809.
 
22. Merchant M, Robinson J. Controlling fleas. https://insects.tamu.edu/extension/publications/epubs/e-433.cfm. Accessed August 10, 2013.