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Equine-Assisted Interventions for Psychosocial Functioning in Children and Adolescents with Autism Spectrum Disorder: a Literature Review

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Abstract

Equine-Assisted Activities and Therapies (EAAT), in its various forms, is an innovative approach emerging in the treatment of symptoms and difficulties associated with autism spectrum disorder (ASD). This literature review presents an overview of the current research on psychosocial outcomes of EAAT for children and adolescents with ASD. Sixteen studies published in peer-reviewed journals between 2007 and 2017 were selected for inclusion. The research reports outcomes which include improvements in multiple areas of functioning relating to core features of ASD, such as greater social interaction and decreased problematic behaviors. Yet, there is much variability in the presentation of EAAT across the studies, with the majority concerned with therapeutic riding. EAAT may be relevant and powerful for client populations where there has been limited success with traditional clinic- or room-based forms of treatment.

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References

  • Achenbach, T. M., & Rescorla, L. (2001). Child behaviour checklist. Burlington: University of Vermont, Research Center for Children, Youth & Families.

    Google Scholar 

  • Ajzenman, H. F., Standeven, J. W., & Shurtleff, T. L. (2013). Effect of hippotherapy on motor control, adaptive behaviors, and participation in children with autism spectrum disorder: a pilot study. American Journal of Occupational Therapy, 67(6), 653–663.

    Article  Google Scholar 

  • Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985). The aberrant behavior checklist: a behavior rating scale for the assessment of treatment effects. American Journal of Mental Deficiency.

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Virginia: American Psychiatric Publishing.

    Book  Google Scholar 

  • Anderson, S., & Meints, K. (2016). Brief report: the effects of equine-assisted activities on the social functioning in children and adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 46(10), 3344–3352.

    Article  Google Scholar 

  • Anderson-Hanley, C., Tureck, K., & Schneiderman, R. L. (2011). Autism and exergaming: effects on repetitive behaviors and cognition. Psychology Research and Behavior Management, 4, 129.

    Article  Google Scholar 

  • Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985). Does the autistic child have a “theory of mind”? Cognition, 21(1), 37–46.

    Article  Google Scholar 

  • Bass, M. M., Duchowny, C. A., & Llabre, M. M. (2009). The effect of therapeutic horseback riding on social functioning in children with autism. Journal of Autism and Developmental Disorders, 39(9), 1261–1267.

    Article  Google Scholar 

  • Basu, S., Kafkes, A., Schatz, R., Kiraly, A., & Kielhofner, G. (2008). The pediatric volitional questionnaire (PVQ) version 2.1. Model of human occupation clearing house. Chicago: University of Illinois at Chicago Press.

    Google Scholar 

  • Ben-Sasson, A., Hen, L., Fluss, R., Cermak, S. A., Engel-Yeger, B., & Gal, E. (2009). A meta-analysis of sensory modulation symptoms in individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(1), 1–11.

    Article  Google Scholar 

  • Borgi, M., Loliva, D., Cerino, S., Chiarotti, F., Venerosi, A., Bramini, M., et al. (2016). Effectiveness of a standardized equine-assisted therapy program for children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 46(1), 1–9.

    Article  Google Scholar 

  • Boyd, L., & Le Roux, M. (2017). ‘When he’s up there he’s just happy and content’: parents’ perceptions of therapeutic horseback riding. African Journal of Disability, 6(1), 1–9.

    Google Scholar 

  • Brown, T. E. (2005). Attention deficit disorder: The unfocused mind in children and adults. Yale University Press.

  • Chown, N. (2015). Do researchers evaluate psychosocial interventions for autism from the perspective of the three dominant cognitive autism theories? Review Journal of Autism and Developmental Disorders, 2(3), 243–261.

    Article  Google Scholar 

  • Cirulli, F., Borgi, M., Berry, A., Francia, N., & Alleva, E. (2011). Animal-assisted interventions as innovative tools for mental health. Annali dell'Istituto Superiore di Sanità, 47(4), 341–348.

    PubMed  Google Scholar 

  • Constantino, J. N., & Gruber, C. P. (2002). The social responsiveness scale. Los Angeles: Western Psychological Services. Google Scholar.

    Google Scholar 

  • Endicott, J., Nee, J., Harrison, W., & Blumenthal, R. (1993). Quality of Life Enjoyment and Satisfaction Questionnaire: a new measure. Psychopharmacology Bulletin.

  • Gabriels, R. L., Agnew, J. A., Holt, K. D., Shoffner, A., Zhaoxing, P., Ruzzano, S., et al. (2012). Pilot study measuring the effects of therapeutic horseback riding on school-age children and adolescents with autism spectrum disorders. Research in Autism Spectrum Disorders, 6(2), 578–588.

    Article  Google Scholar 

  • Gabriels, R. L., Pan, Z., Dechant, B., Agnew, J. A., Brim, N., & Mesibov, G. (2015). Randomized controlled trial of therapeutic horseback riding in children and adolescents with autism spectrum disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 54(7), 541–549.

    Article  Google Scholar 

  • García-Gómez, A., Risco, M. L., Rubio, J. C., Guerrero, E., & García-Peña, I. M. (2014). Effects of a program of adapted therapeutic horse-riding in a group of autism spectrum disorder children. Electronic Journal of Research in Educational Psychology, 12(1).

  • Ghorban, H., Sedigheh, R. D., Marzieh, G., & Yaghoob, G. (2013). Effectiveness of therapeutic horseback riding on social skills of children with autism spectrum disorder in Shiraz, Iran. Journal of Education and Learning, 2(3), 79–84.

    Article  Google Scholar 

  • Gilliam, J. E. (2006). Gilliam Autism Rating Scale: GARS 2. Pro-ed.

  • Granados, A. C., & Agís, I. F. (2011). Why children with special needs feel better with hippotherapy sessions: a conceptual review. The Journal of Alternative and Complementary Medicine, 17(3), 191–197.

    Article  Google Scholar 

  • Guymer, E. C., Mellor, D., Luk, E. S., & Pearse, V. (2001). The development of a screening questionnaire for childhood cruelty to animals. The Journal of Child Psychology and Psychiatry and Allied Disciplines, 42(8), 1057–1063.

    Article  Google Scholar 

  • Happé, F., & Frith, U. (2006). The weak coherence account: detail-focused cognitive style in autism spectrum disorders. Journal of Autism and Developmental Disorders, 36(1), 5–25.

    Article  Google Scholar 

  • Harris, A., & Williams, J. M. (2017). The impact of a horse riding intervention on the social functioning of children with autism spectrum disorder. International Journal of Environmental Research and Public Health, 14(7), 776.

    Article  Google Scholar 

  • Hilton, C. L., Harper, J. D., Kueker, R. H., Lang, A. R., Abbacchi, A. M., Todorov, A., & LaVesser, P. D. (2010). Sensory responsiveness as a predictor of social severity in children with high functioning autism spectrum disorders. Journal of Autism and Developmental Disorders, 40(8), 937–945.

    Article  Google Scholar 

  • Holm, M. B., Baird, J. M., Kim, Y. J., Rajora, K. B., D’Silva, D., Podolinsky, L., et al. (2014). Therapeutic horseback riding outcomes of parent-identified goals for children with autism spectrum disorder: an ABA multiple case design examining dosing and generalization to the home and community. Journal of Autism and Developmental Disorders, 44(4), 937–947.

    Article  Google Scholar 

  • Howlin, P., Goode, S., Hutton, J., & Rutter, M. (2004). Adult outcome for children with autism. Journal of Child Psychology and Psychiatry, 45(2), 212–229.

    Article  Google Scholar 

  • Jang, B., Song, J., Kim, J., Kim, S., Lee, J., Shin, H. Y., et al. (2015). Equine-assisted activities and therapy for treating children with attention-deficit/hyperactivity disorder. Journal of Alternative and Complementary Medicine, 21(9), 546–553.

    Article  Google Scholar 

  • Jenkins, S. R., & Reed, F. D. (2013). An experimental analysis of the effects of therapeutic horseback riding on the behavior of children with autism. Research in Autism Spectrum Disorders, 7(6), 721–740.

    Article  Google Scholar 

  • Jones, C. R., Simonoff, E., Baird, G., Pickles, A., Marsden, A. J., Tregay, J., et al. (2018). The association between theory of mind, executive function, and the symptoms of autism spectrum disorder. Autism Research, 11(1), 95–109.

    Article  Google Scholar 

  • Kamioka, H., Okada, S., Tsutani, K., Park, H., Okuizumi, H., Handa, S., et al. (2014). Effectiveness of animal-assisted therapy: a systematic review of randomized controlled trials. Complementary Therapies in Medicine, 22(2), 371–390.

    Article  Google Scholar 

  • Kendall, E., Maujean, A., Pepping, C. A., Downes, M., Lakhani, A., Byrne, J., & Macfarlane, K. (2015). A systematic review of the efficacy of equine-assisted interventions on psychological outcomes. European Journal of Psychotherapy & Counselling, 17(1), 57–79.

    Article  Google Scholar 

  • Kern, J. K., Fletcher, C. L., Garver, C. R., Mehta, J. A., Grannemann, B. D., Knox, K. R., et al. (2011). Prospective trial of equine-assisted activities in autism spectrum disorder. Alternative Therapies in Health and Medicine, 17(3), 14–20.

    PubMed  Google Scholar 

  • Langraf, J. M., & Ware, J. E. (2008). The CHQ user’s manual. Boston: HealthActCHQ Inc.

    Google Scholar 

  • Lanning, B. A., Baier, M. E. M., Ivey-Hatz, J., Krenek, N., & Tubbs, J. D. (2014). Effects of equine assisted activities on autism spectrum disorder. Journal of Autism and Developmental Disorders, 44(8), 1897–1907.

    Article  Google Scholar 

  • Lee, P. T., Dakin, E., & McLure, M. (2016). Narrative synthesis of equine-assisted psychotherapy literature: current knowledge and future research directions. Health & Social Care in the Community, 24(3), 225–246.

    Article  Google Scholar 

  • Llambias, C., Magill-Evans, J., Smith, V., & Warren, S. (2016). Equine-assisted occupational therapy: increasing engagement for children with autism spectrum disorder. American Journal of Occupational Therapy, 70(6), 1–9.

    Article  Google Scholar 

  • Loomes, R., Hull, L., & Mandy, W. P. L. (2017). What is the male-to-female ratio in autism spectrum disorder? A systematic review and meta-analysis. Journal of the American Academy of Child & Adolescent Psychiatry, 56(6), 466–474.

    Article  Google Scholar 

  • Lord, C., & McGee, J. P. (2001). Educating children with autism. Washington DC: National Academy Press.

    Google Scholar 

  • Macauley, B. L., & Gutierrez, K. M. (2004). The effectiveness of hippotherapy for children with language-learning disabilities. Communication Disorders Quarterly, 25(4), 205–217.

    Article  Google Scholar 

  • Mapes, A. R., & Rosén, L. A. (2016). Equine-assisted therapy for children with autism spectrum disorder: a comprehensive literature review. Review Journal of Autism and Developmental Disorders, 3(4), 377–386.

    Article  Google Scholar 

  • Maujean, A., Pepping, C. A., & Kendall, E. (2015). A systematic review of randomized controlled trials of animal-assisted therapy on psychosocial outcomes. Anthrozoös, 28(1), 23–36.

    Article  Google Scholar 

  • Memishevikj, H., & Hodzhikj, S. (2010). The effects of equine-assisted therapy in improving the psycho-social functioning of children with autism. Journal of Special Education and Rehabilitation, 11(3–4), 57–67.

    Google Scholar 

  • Nimer, J., & Lundahl, B. (2007). Animal-assisted therapy: a meta-analysis. Anthrozoös, 20(3), 225–238.

    Article  Google Scholar 

  • O’Haire, M. E. (2013). Animal-assisted intervention for autism spectrum disorder: a systematic literature review. Journal of Autism and Developmental Disorders, 43(7), 1606–1622.

    Article  Google Scholar 

  • O’Haire, M. E. (2017). Research on animal-assisted intervention and autism spectrum disorder, 2012–2015. Applied Developmental Science, 21(3), 200–216.

    Article  Google Scholar 

  • Pan, C. Y., Chu, C. H., Tsai, C. L., Sung, M. C., Huang, C. Y., & Ma, W. Y. (2017). The impacts of physical activity intervention on physical and cognitive outcomes in children with autism spectrum disorder. Autism, 21(2), 190–202.

    Article  Google Scholar 

  • PATH International. (2018). About PATH Intl. Retrieved from http://www.pathintl.org/about-path-intl/about-path-intl.

  • Peters, B. C. M., & Wood, W. (2017). Autism and equine-assisted interventions: a systematic mapping review. Journal of Autism and Developmental Disorders, 47(10), 3220–3242.

    Article  Google Scholar 

  • Petty, J. D., Pan, Z., Dechant, B., & Gabriels, R. L. (2017). Therapeutic horseback riding crossover effects of attachment behaviors with family pets in a sample of children with autism spectrum disorder. International Journal of Environmental Research and Public Health, 14(3), 256.

    Article  Google Scholar 

  • Reynolds, C. R., & Kamphaus, R. W. (1992). Behavior assessment system for children: Manual. Circle Pines: American Guidance Service.

    Google Scholar 

  • Rigby, B. R., & Grandjean, P. W. (2016). The efficacy of equine-assisted activities and therapies on improving physical function. The Journal of Alternative and Complementary Medicine, 22(1), 9–24.

    Article  Google Scholar 

  • Rimland, B., & Edelson, S.M. (1999) Autism Treatment Evaluation Checklist (ATEC). Retrieved from https://www.autism.com/ind_atec.

  • Ro, E., & Clark, L. A. (2013). Interrelations between psychosocial functioning and adaptive-and maladaptive-range personality traits. Journal of Abnormal Psychology, 122(3), 822.

    Article  Google Scholar 

  • Robertson, C. E., & Baron-Cohen, S. (2017). Sensory perception in autism. Nature Reviews Neuroscience, 18, 671–684.

    Article  Google Scholar 

  • Schalock, R. L., Verdugo, M. A., & Braddock, D. L. (2002). Handbook on quality of life for human service practitioners. Washington, DC: American Association on Mental Retardation.

    Google Scholar 

  • Schopler, E., Reichler, R. J., & Renner, B. R. (2002). The childhood autism rating scale (CARS). Los Angeles: Western Psychological Services.

    Google Scholar 

  • Schopler, E., Van Bourgondien, M. E., Wellman, G. J., & Love, S. R. (2010). Childhood autism rating scale, (CARS2). Torrance: WPS.

    Google Scholar 

  • Selby, A., & Smith-Osborne, A. (2013). A systematic review of effectiveness of complementary and adjunct therapies and interventions involving equines. Health Psychology, 32(4), 418–432.

    Article  Google Scholar 

  • Shallice, T. (1982). Specific impairments of planning. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences, 298(1089), 199–209.

    Article  Google Scholar 

  • Smith, T., Scahill, L., Dawson, G., Guthrie, D., Lord, C., Odom, S., et al. (2007). Designing research studies on psychosocial interventions in autism. Journal of Autism and Developmental Disorders, 37(2), 354–366.

    Article  Google Scholar 

  • Sparrow, S. S., Balla, D. A., & Cicchetti, D. V. (1984). Vineland adaptive behaviour scale. Circle Pines: American Guidance Service.

    Google Scholar 

  • Sparrow, S. S., Balla, D. A., & Cicchetti, D. V. (2005). Vineland-II adaptive behavior scales. AGS Publishing.

  • Srinivasan, S. M., Cavagnino, D. T., & Bhat, A. N. (2018). Effects of equine therapy on individuals with autism spectrum disorder: a systematic review. Review Journal of Autism and Developmental Disorders, 1–20.

  • Stone, W., Ruble, L., Coonrod, E., Hepburn, S., Pennington, M., Burnette, C., & Brighham, N. (2010). TRIAD social skill assessment. Nashvill: Vanderbilt Kennedy Center.

    Google Scholar 

  • Strang, J. F., Kenworthy, L., Daniolos, P., Case, L., Wills, M. C., Martin, A., & Wallace, G. L. (2012). Depression and anxiety symptoms in children and adolescents with autism spectrum disorders without intellectual disability. Research in Autism Spectrum Disorders, 6(1), 406–412.

    Article  Google Scholar 

  • Tan, V. X. L., & Simmonds, J. G. (2018). Parent perceptions of psychosocial outcomes of equine-assisted interventions for children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 48(3), 759–769.

    Article  Google Scholar 

  • Taylor, R. R., Kielhofner, G., Smith, C., Butler, S., Cahill, S. M., Ciukaj, M. D., & Gehman, M. (2009). Volitional change in children with autism: a single-case design study of the impact of hippotherapy on motivation. Occupational Therapy in Mental Health, 25(2), 192–200.

    Article  Google Scholar 

  • Trotter, K. S., Chandler, C. K., Goodwin-Bond, D., & Casey, J. (2008). A comparative study of the efficacy of group equine assisted counseling with at-risk children and adolescents. Journal of Creativity in Mental Health, 3(3), 254–284.

    Article  Google Scholar 

  • Tse, C. A., Pang, C. L., & Lee, P. H. (2017). Choosing an appropriate physical exercise to reduce stereotypic behavior in children with autism spectrum disorders: a non-randomized crossover study. Journal of Autism and Developmental Disorders, 1–7.

  • Tseng, S. H., Chen, H. C., & Tam, K. W. (2013). Systematic review and meta-analysis of the effect of equine assisted activities and therapies on gross motor outcome in children with cerebral palsy. Disability and Rehabilitation, 35(2), 89–99.

    Article  Google Scholar 

  • Varni, J. W., Seid, M., & Rode, C. A. (1999). The PedsQL™: measurement model for the pediatric quality of life inventory. Medical Care, 37(2), 126–139.

    Article  Google Scholar 

  • Verte, S., Geurts, H. M., Roeyers, H., Oosterlaan, J., & Sergeant, J. A. (2006). Executive functioning in children with an autism spectrum disorder: can we differentiate within the spectrum? Journal of Autism and Developmental Disorders, 36(3), 351–372.

    Article  Google Scholar 

  • Ward, S. C., Whalon, K., Rusnak, K., Wendell, K., & Paschall, N. (2013). The association between therapeutic horseback riding and the social communication and sensory reactions of children with autism. Journal of Autism and Developmental Disorders, 43(9), 2190–2198.

    Article  Google Scholar 

  • White, S. W., & Roberson-Nay, R. (2009). Anxiety, social deficits, and loneliness in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(7), 1006–1013.

    Article  Google Scholar 

  • White, S. W., Albano, A. M., Johnson, C. R., Kasari, C., Ollendick, T., Klin, A., et al. (2010). Development of a cognitive-behavioral intervention program to treat anxiety and social deficits in teens with high-functioning autism. Clinical Child and Family Psychology Review, 13(1), 77–90.

    Article  Google Scholar 

  • Wiese, C., Simpson, R., & Kumar, S. (2016). The effectiveness of equine-based therapy in the treatment of social and behavioural aspects of children with autism spectrum disorder: a systematic review. Internet Journal of Allied Health Sciences and Practice, 14(3), 12.

    Google Scholar 

  • Zhao, M., & Chen, S. (2018). The effects of structured physical activity program on social interaction and communication for children with autism. BioMed Research International, 2018.

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  1. Psychology Programs, Faculty of Education, Monash University, Melbourne, Victoria, Australia

    Vanessa Xue-Ling Tan & Janette Graetz Simmonds

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  1. Vanessa Xue-Ling Tan
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VXT and JGS developed the concept and participated in the analysis and drafts of the manuscript. Both authors contributed to the writing of the paper and had intellectual input.

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Correspondence to Janette Graetz Simmonds.

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Tan, V.XL., Simmonds, J.G. Equine-Assisted Interventions for Psychosocial Functioning in Children and Adolescents with Autism Spectrum Disorder: a Literature Review. Rev J Autism Dev Disord 6, 325–337 (2019). https://doi.org/10.1007/s40489-018-0143-7

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