Pet Therapy Science: Evidence for Cortisol Reduction and Stress Relief
Bonding with trained animals can spark relaxation and foster long-term stress resilience.

Pet Therapy Science: Reducing Cortisol Levels
Table of Contents
- Understanding Cortisol and Stress
- What Is Pet Therapy?
- Mechanisms of Action: How Pet Therapy Reduces Cortisol
- Pet Therapy in Children: Randomized Controlled Trial Evidence
- Pet Therapy in Adults: University and Community Studies
- Types of Animals Used in Therapy
- Group vs. Individual Interventions: What Works Best?
- The Oxytocin Connection in Human-Animal Bonding
- Practical Applications: Settings and Populations
- Limitations and Future Directions
- Frequently Asked Questions (FAQs)
- Conclusion
Understanding Cortisol and Stress
Cortisol, often called the “stress hormone,” is produced by the adrenal glands and plays a crucial role in the body’s response to stress. Elevated cortisol levels are linked to anxiety, depression, and a range of physical health problems. Measuring cortisol—typically in saliva, blood, or urine—provides a window into physiological stress responses and is a key biomarker in stress research.
What Is Pet Therapy?
Pet therapy, also known as animal-assisted therapy (AAT) or animal-assisted intervention (AAI), involves guided interactions between a person and a trained animal to improve mental, emotional, and sometimes physical health. Dogs and cats are most commonly used, but horses, rabbits, and even birds can participate. These interventions are delivered in various settings, including schools, hospitals, universities, and care homes.
Mechanisms of Action: How Pet Therapy Reduces Cortisol
Research indicates that interacting with animals can trigger the release of oxytocin, a hormone associated with bonding and relaxation, while simultaneously reducing cortisol levels. The simple act of petting a dog or cat can lower blood pressure, slow heart rate, and alleviate anxiety, creating a calming effect that is both immediate and, in some cases, sustained.
This physiological response may be rooted in evolutionary biology—humans have co-evolved with animals, and positive interactions likely activate reward pathways in the brain, promoting relaxation and reducing the perception of threat.
Pet Therapy in Children: Randomized Controlled Trial Evidence
Several rigorous studies have examined the effects of pet therapy on cortisol levels in children. A notable randomized controlled trial (RCT) involving 8–10-year-olds compared dog-assisted interventions, relaxation techniques, and no treatment across mainstream and special educational needs (SEN) schools. Baseline and acute cortisol levels were measured before and after interventions, both in groups and individually, over a school term.
- Immediate Effects: Children who participated in dog-assisted interventions showed a significant reduction in cortisol immediately after the first session, with a medium effect size. This effect was not observed in relaxation or control groups after the first session.
- Sustained Effects: While relaxation interventions showed delayed cortisol reduction (by sessions 4 and 8), the dog intervention group maintained lower overall cortisol levels throughout the term, suggesting more consistent stress relief.
- Special Populations: Children with SEN also benefited, with significant cortisol decreases after group dog interventions. Both typically developing children and those with SEN showed positive outcomes, though the optimal format (group vs. individual) may vary by individual needs.
Pet Therapy in Adults: University and Community Studies
Pet therapy is not limited to children. University students participating in brief, hands-on interactions with cats and dogs experienced significantly lower salivary cortisol levels compared to control groups who observed the animals or waited quietly.
- University Programs: Just 10 minutes of interaction with shelter animals reduced cortisol in students, demonstrating that even short, group-based animal visitation programs can have measurable physiological benefits.
- Therapeutic Settings: Similar cortisol-lowering effects have been documented in healthcare environments, supporting the use of animal-assisted interventions for stress relief in hospitals, nursing homes, and rehabilitation centers.
Types of Animals Used in Therapy
While dogs are the most common therapy animals, various species are employed based on setting and audience. Here’s a comparison of frequently used therapy animals:
Animal | Common Settings | Noted Benefits |
---|---|---|
Dogs | Schools, hospitals, offices, care homes | Highly trainable, social, reduce cortisol, increase oxytocin |
Cats | Universities, retirement homes | Calming presence, suitable for quieter environments |
Horses | Rehabilitation centers, mental health clinics | Equine therapy for trauma, physical rehabilitation |
Rabbits, Birds | Children’s hospitals, special needs programs | Gentle, non-threatening, encourage nurturing behavior |
Group vs. Individual Interventions: What Works Best?
Research suggests that both group and individual animal-assisted interventions can reduce cortisol, but the optimal approach may depend on the population and context. For example:
- Children with SEN: Group interventions were particularly effective for reducing cortisol in special educational needs populations.
- Mainstream Schoolchildren: Both individual and group sessions provided benefits, but immediate cortisol reduction was more pronounced in individual settings after the first session.
- Adults: Group-based animal visitation programs at universities showed significant cortisol reduction, even in short sessions.
Overall, the choice between group and individual formats should consider the participants’ needs, the goals of the intervention, and logistical factors.
The Oxytocin Connection in Human-Animal Bonding
Oxytocin, often called the “love hormone,” is released during positive social interactions, including those between humans and animals. Studies show that dog–owner interaction increases oxytocin levels in both parties while decreasing cortisol in owners. This hormonal interplay reinforces the bond and may explain the sustained stress-relief effects of pet therapy.
However, the relationship is complex: while owners’ cortisol levels drop, the animals’ cortisol levels may rise during interaction, especially with frequent tactile stimulation. This highlights the importance of monitoring animal welfare in therapeutic settings.
Practical Applications: Settings and Populations
Pet therapy is used in diverse environments to address a range of needs:
- Schools: Reduces stress, improves social skills, and supports emotional wellbeing in both mainstream and special needs students.
- Universities: Helps students cope with academic pressure and anxiety during exams.
- Hospitals and Care Homes: Alleviates loneliness, reduces agitation, and improves mood in patients and residents.
- Corporate and Workplace: “Bring Your Dog to Work” programs and office therapy animals can reduce employee stress and enhance morale.
Limitations and Future Directions
While the evidence for cortisol reduction is promising, there are important caveats:
- Duration and Frequency: The optimal dose and frequency of pet therapy sessions are not yet established. Some studies show immediate effects, while others find benefits accumulate over multiple sessions.
- Animal Welfare: The impact on therapy animals themselves must be considered, as their stress levels may rise during interactions.
- Individual Differences: Not everyone responds equally; factors such as prior experience with animals, allergies, and personal preferences can influence outcomes.
- Standardization: There is a need for standardized protocols to ensure safe, effective, and ethical delivery of animal-assisted interventions.
Frequently Asked Questions (FAQs)
Is pet therapy scientifically proven to reduce stress?
Yes, multiple randomized controlled trials and observational studies demonstrate that interactions with therapy animals can reduce cortisol levels and alleviate stress in both children and adults.
How quickly does pet therapy lower cortisol?
Some studies show immediate reductions in cortisol after a single session, especially with dogs. Other interventions, like relaxation techniques, may take several sessions to achieve similar effects.
Are certain animals better for therapy than others?
Dogs are most commonly used due to their trainability and social nature, but cats, horses, rabbits, and birds can also be effective depending on the setting and population.
Can pet therapy help people with special needs?
Yes, research indicates that children with special educational needs benefit from group dog interventions, with significant reductions in cortisol.
Are there any risks or side effects?
Potential risks include allergies, fear of animals, and zoonotic diseases. Animal welfare must also be considered, as therapy animals may experience stress during sessions.
How can I find pet therapy programs near me?
Many hospitals, schools, and community centers offer pet therapy programs. Organizations such as Pet Partners and Therapy Dogs International can help locate certified teams.
Conclusion
The science of pet therapy provides compelling evidence that animal-assisted interventions can reduce cortisol levels and alleviate stress in diverse populations. From schoolchildren to university students, and from hospitals to corporate offices, the human-animal bond offers a unique, accessible, and often joyful pathway to improved mental and emotional wellbeing. While more research is needed to optimize protocols and ensure animal welfare, pet therapy stands as a valuable complement to traditional stress management strategies, enriching lives one paw (or hoof) at a time.
References
- https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0269333
- https://journals.sagepub.com/doi/10.1177/2332858419852592
- https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2017.01796/full
- https://pmc.ncbi.nlm.nih.gov/articles/PMC9216416/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC10340037/
- https://www.integrmed.org/journal/view.php?number=55
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