Carri Westgarth’s research while affiliated with WWF United Kingdom and other places

Objectives The UK dog population is living longer, raising concerns about their welfare as a result of ageing‐related diseases. Our primary objective was to determine when dogs enter the “old age” life stage based on free‐text clinical narratives in veterinary electronic health records. In addition, to identify common conditions documented during consultations with old dogs. Materials and Methods Regular expressions were developed for: ageing, elderly, geriatric, senior and old. These were used to search the veterinary clinical narratives within a large database of veterinary electronic health records. A sample of 1000 consultations were then read, and those confirmed as being old age classified according to a modified scheme based on the World Health Organization International Classification of Disease 10th Revision. Results A total of 832 old age dogs were identified. The age at which veterinary professionals considered dogs to be in old age was over 7.25 years in 95% of patients (median age 12.5 years). This age varied among the most common breeds, with cocker spaniels being younger (median 11.7 years) compared with Jack Russell terriers (14.1 years). Weight‐related (289/832 consultations, 35%), musculoskeletal (278, 33%), dental (254, 31%), integumentary (235, 28%) and digestive (187, 22%) conditions were most common. The odds of a dental condition were greater (odds ratio: 2.71, 95% confidence interval: 1.38 to 5.31) and musculoskeletal condition less (odds ratio: 0.36, 95% confidence interval: 0.17 to 0.81) in cocker spaniels than in a mixed breeds reference. Clinical Significance This metric applied at scale to identify old patients may provide a novel foundation for timely health interventions targeted to dogs at increased risk of developing various age‐related conditions.

Background Research into the impact of social relationships on childhood and adolescent health and wellbeing has been largely limited to children’s relationships with other humans, while studies into the impact of pet ownership are sparse and have generally not adjusted for potential confounders. This study aimed to investigate the association between pet ownership and a range of developmental outcomes in childhood and adolescence. Methods Data were self-reports and direct assessments of approx. 14,000 children from the Avon Longitudinal Study of Parents and Children (ALSPAC). Multivariable regression models adjusting for confounding factors examined associations between developmental outcome measures (emotional health, behavioural development, cognitive development, language development, educational attainment) and concurrent pet ownership, including species, and also longitudinal pet ownership history and pet-interaction where possible. Analyses model numbers using multiple imputation varied from n = 393–8963. Results In cross-sectional analyses, owning a dog (b = 0.24, [0.06–0.41], p = .004) and owning other/miscellaneous pets (b = 0.18, [0.03–0.33], p = .021) at age 3 were associated with higher prosocial behaviour score. Owning a pet was associated with a higher non-verbal communication score at age 2 (cross-sectional, b = 0.18, [0.04–0.32], p = .014), and a higher language development score at age 5 (cross-sectional, b = 1.01, [0.18–1.83], p = .017). However, pet ownership was associated with lower educational attainment across a number of academic subjects and timepoints, in both cross-sectional and longitudinal analyses. It was also cross-sectionally linked to hyperactivity at age 3 and conduct problems at age 3 and 11. Furthermore, at age 8, cross-sectional analysis showed that children who owned any pets (OR [95% CI]: 0.85 [0.73–0.98], p= ·026) or cats (0.83, [0.73–0.95], p= ·006) had lower odds of high self-esteem (scholastic competence). Conclusions Using a large, well-designed longitudinal study and adjusting for key confounders, we found little evidence of cross-sectional or longitudinal associations between pet ownership and emotional health or cognitive outcomes in children. There may, however, be some cross-sectional and longitudinal association with poorer educational attainment and a positive impact on social interactions as seen through associations with enhanced language development and prosocial behaviour. This study demonstrates the importance of adjustment for confounding variables and suggests that, contrary to popular belief, positive impacts of pet ownership on childhood development may be mainly limited to social behaviour and language development.

Importance Understanding how attachment to pets can alleviate depression and anxiety offers valuable insights for developing preventive and therapeutic strategies, particularly for those with insecure attachment styles from childhood trauma. Objective To determine if a close bond with a pet is associated with reduced depression and anxiety, especially among women who experienced childhood abuse. Design, Setting, and Participants This cross-sectional study involved women who voluntarily enrolled in the Mind Body Study (MBS), a substudy of the Nurses’ Health Study II (NHS2) focusing on psychosocial factors. Women reporting childhood abuse were oversampled to capture their psychosocial distress in adulthood. MBS participants were invited to complete comprehensive online questionnaires, which were administered twice (March 2013 and February 2014). Exposure Pet attachment measured by Lexington Attachment to Pets Scale (LAPS). Main Outcomes and Measures Levels of depression and anxiety (10-item Centre for Epidemiologic Studies Depression Scale [CESD-10]; Kessler Psychological Distress Scale [K6]; 7-item Generalized Anxiety Disorder scale [GAD-7]; Crown Crisp Experiential Index phobic anxiety subscale [CCI]), considered individually and combined into an overall z -score measure of anxiety and depression symptoms. Results A total of 214 women (mean [SD] age, 60.8 [3.9] years) were included; 156 women (72.6%) reported a history of childhood abuse. Of 688 invited MBS participants in 2013, 293 (42.6%) expressed interest; there were 228 completed questionnaires (response rate, 77.8%) in 2013 and 208 questionnaires (response rate, 71.0%) in 2014. LAPS scores were provided by 140 participants (65.4%), 78 (55.7%) for dogs and 46 (32.9%) for cats. Overall higher pet attachment on the LAPS score was significantly associated with lower GAD-7 scores (β = −0.17; 95% CI, −0.29 to −0.06), but there was no association for phobic anxiety or depression. There were no statistically significant associations between cat attachment and depression or anxiety. Higher dog attachment was associated with significantly lower scores in depression (CESD-10: β, −0.47; 95% CI, −0.68 to −0.26; K6: β = −0.42; 95% CI, −0.54 to −0.31), generalized anxiety (GAD-7: β = −0.47; 95% CI, −0.65 to −0.3), and the overall measure of anxiety and depression ( z score: β = −0.12; 95% CI, −0.17 to −0.08), but there was no association between dog attachment and phobic anxiety (CCI: β = −0.08; 95% CI, −0.24 to 0.09). All effect sizes for associations were higher when analyses were restricted to women with a history of childhood abuse. Conclusions and relevance In this explorative cross-sectional study, strong attachment to pets, especially dogs, was associated with lower anxiety and depression symptoms. The favorable association was particularly apparent in women with a history of childhood abuse.

Dog bites are a global public health concern. As well as causing injuries and psychological trauma in victims, they can result in the breakdown of the human-dog relationship, relinquishment or euthanasia. Dogs can signal distress through visual displays which people often misinterpret. Dog bite interventions often focus on teaching people how to behave appropriately around dogs rather than how to identify and correctly interpret dog behaviour. Teaching adults and children how to identify and interpret dog behaviour through videos improved their assessment of dog behaviour. However, interventions of this nature often present dogs through videos, photographs or animations because of the risks associated with placing dogs and humans in aversive situations. Virtual reality (VR) can provide a realistic but safe way to assess human-dog interactions and explore how the environment and morphological features of the dog impact human behaviour. VR also provides a controlled situation to deliver an intervention to aid the understanding of dog behaviour. We have developed the first evidence-based Dog Assisted Virtual Environment (DAVE) in which user distance results in a Labrador displaying behaviour and signals of response to perceived threat. Pilot work with university students suggests early signals of appeasement are missed and misinterpreted. Our aim is to now develop an educational intervention using DAVE to improve the identification and interpretation of canine visual signals leading to appropriate interactions with dogs and ultimately a reduction in dog bite incidents. We anticipate challenges in creating an effective stand-alone intervention in VR that is widely accessible. We would like to discuss: What might an educational VR intervention look like? Which behaviours and perceptions should the messaging focus on? In which contexts would the intervention be of use? What other factors need to be considered (e.g. transferability to the real world)?

Background Dog bites are a concerning health problem in children and one of the leading causes of non-fatal injuries in this population. Dog attacks not only cause physical injuries but can also lead to long-term psychological problems. A review was performed to investigate the scope of literature on the psychological effects of dog bites on a paediatric population. Methods A literature search was performed on Web of Knowledge database between 1982 to June 2023, returning 249 results. 14 primary studies reporting the psychological consequences of dog bites in children or adolescents were classed as eligible and 9 further studies were added from prior knowledge and bibliographical searches. 23 studies involving 1894 participants met the criteria and were included in this review. Results Of these 23 studies, 8 were case studies or small case series reports (up to n=4), 14 larger descriptive studies and 1 analytical cross-sectional study. There was a mixture of retrospective and prospective data-gathering. The most common psychological consequences of dog bites in children were post-traumatic stress disorder, dog phobia, nightmares and symptoms of anxiety and avoidance behaviours. Conclusions Studies on dog bites in a paediatric population with a specific focus on the psychological consequences associated with dog bites and their management are sparse. Future research and practice should more greatly consider the psychological impact on child victims of dog bites and their family members, as well as their management to avoid the development of mental health issues and improve their quality of life. Future research also needs to ascertain the efficacy of using virtual reality in treating children with dog phobia.

Perceptions of dog owners and veterinary professionals (surgeons/nurses) can influence the preventive healthcare and treatment provided to dogs, especially at the senior life-stage, when chronic diseases become more common. This study compared perceptions of healthcare of dogs as they age between dog owners and veterinary professionals. Data from two online surveys (owners: N = 633, veterinary professionals: N = 305) examined perceived need for veterinary visits and vaccinations. In addition, 48 clinical signs were rated on perceived prevalence (whether owners’ dogs had experienced them) and how urgently they should seek veterinary advice. Groups were compared using descriptive statistics and chi-square. Owners most often believed a ‘healthy’ senior dog (>7 years) should go to the vet once a year (47% owners vs. 25% veterinary professionals, p < 0.001), compared with veterinary professionals every 6 months (39 vs. 73%). A minority (14%) of owners would just take the dog ‘if they got sick’ but only 2% of veterinary professionals advised this, and 16% of owners of dogs of all ages had not had any contact with their veterinary practise in the previous year. Nearly all veterinary professionals (92%) believed that senior/geriatric dogs should receive yearly vaccinations. However, 28% of owners’ dogs of all ages were not vaccinated in the previous year and, of these, 33% did not believe that older dogs need vaccinations. Only 10% of dogs considered ‘old’ by their owners had attended a senior wellness clinic or examination, despite 14% of practises offering them. The three most common clinical signs reported by owners were slowing down on walks (57%), dental tartar (53%) and being stiff on rising (50%). Owners perceived urgency to seek veterinary care was lower if they had experienced the clinical sign before. In the current study, dog owners and veterinary professionals differed in their opinions about the need for veterinary care, suggesting new educational initiatives, and more effective communication is required.

Dog "aggression" in the veterinary practice is commonplace. Therefore, student knowledge and education about dog behaviour and the ability to interpret "aggressive" behaviour is important from a human injury prevention and dog welfare perspective. The study aimed to compare first-year veterinary students' perceived safest proximity to both an "aggressive" and non-reactive simulated dog, both before and after a teaching intervention about canine behaviour and a handling practical. It also examined student confidence and their ability to identify "aggressive" behaviours. Forty first year veterinary students took part in two surveys. Each survey included two videos: one of a simulated dog displaying "aggressive" behaviour, based on the 'Canine Ladder of Aggression'; and another displaying non-reactive (passive behaviours without reaction to the participants) behaviours. Each video depicted the slow and consistent approach towards the virtual dog within a virtual indoor environment, and participants were asked to press stop if or when they would stop approaching the dog. In the "aggressive" scenario, there was a reduction in the approach-stop time from survey 1 (median = 17.8 s) to survey 2 (median = 15.2 s) in the intervention group (p = 0.018) but not in the control group (p = 0.147). Regarding confidence, there was a significant increase in the self-reported confidence rating relating to a participant's ability to interpret canine behaviour in both the control (p = 0.011) and intervention (p = 0.003). In conclusion, these results indicate that students using approach-stop videos stayed further away from an "aggressive" virtual dog model if they had undertaken a canine behaviour educational intervention. This novel approach has the potential for further use in teaching and assessment of student knowledge and behaviour which may otherwise be difficult to demonstrate.

Background We examined associations between dog ownership, morning dog walking and its timing and duration, and depression risk in female nurses, exploring effect modification by chronotype. We hypothesized that dog ownership and morning walking with the dog are associated with lower odds of depression, and that the latter is particularly beneficial for evening chronotypes by helping them to synchronize their biological clock with the solar system. Methods 26,169 depression-free US women aged 53–72 from the Nurses’ Health Study 2 (NHS2) were prospectively followed from 2017–2019. We used age- and multivariable-adjusted logistic regression models to estimate odds ratios (ORs) and 95% confidence intervals (95%CIs) for depression according to dog ownership, and morning dog walking, duration, and timing. Results Overall, there was no association between owning a dog (ORvs_no_pets = 1.12, 95%CI = 0.91–1.37), morning dog walking (ORvs_not = 0.87, 95%CI = 0.64–1.18), or the duration (OR>30min vs. ≤15mins = 0.68, 95%CI = 0.35–1.29) or timing of morning dog walks (ORafter9am vs. before7am = 1.06, 95%CI = 0.54–2.05) and depression. Chronotype of dog owners appeared to modify these associations. Compared to women of the same chronotype but without pets, dog owners with evening chronotypes had a significantly increased odds of depression (OR = 1.60, 95%CI = 1.12–2.29), whereas morning chronotypes did not (OR = 0.94, 95%CI = 0.71–1.23). Further, our data suggested that evening chronotypes benefited more from walking their dog themselves in the morning (OR = 0.75, 95%CI = 0.46–1.23, Pintx = 0.064;) than morning chronotypes. Conclusions Overall, dog ownership was not associated with depression risk though it was increased among evening chronotypes. Walking their dog in the morning might help evening chronotypes to lower their odds of depression, though more data are needed to confirm this finding.