Key result
Stronger therapist-horse HRV synchronization correlates with greater horse-participant HRV synchronization.
Why the study?
Therapeutic outcomes depend on therapeutic alliance manifesting through physiological synchronization, but dynamics of heart rate variability synchronization patterns during horse-assisted therapy remained to be examined.
Does early life adversity affect heart rate variability synchronization within the therapeutic triad during horse-assisted therapy?
Observational (n=42)
No
Does early life adversity affect heart rate variability synchronization within the therapeutic triad during horse-assisted therapy?
Effect estimate: Estimate 0.54 (95% CI 0.52-0.57)
p-value: p=<0.01
Early life adversity negatively impacts physiological synchronization between patients and therapists during horse-assisted therapy, highlighting the role of autonomic regulation in therapeutic alliances.
Therapist-horse HRV synchrony was associated with greater participant alignment; extends physiological alliance models in equine therapy but remains hypothesis-generating.
In any therapeutic setting, the outcome depends in part on the therapeutic alliance, characterized by mutual understanding, empathy and trust among the participants. This also manifests through physiological synchronization (PS) processes involving breathing, heart and brain. This study examined the dynamics of heart rate variability (HRV) synchronization patterns during horse-assisted therapy. We explored the correlations between the therapist's horse preference, levels of early life adversity (ELA), and PS relationships within and across dyads of participants, therapists, and therapy horses. Our sample of 42 female participants engaged in standardized horse-assisted therapy sessions facilitated by three riding therapists and four therapy horses. PS was operationalized through cross-wavelet power analyses across the different dyads. The results showed, that stronger HRV synchronization between the therapist and horse was associated with stronger HRV synchronization between the horse and participant, as well as stronger HRV synchronization between the therapist and participant. We found a correlation between ELA and HRV synchronization between participants and therapists, with individuals experiencing higher levels of ELA showing lower synchronization. However, this effect of ELA was not observed for HRV synchronization between participants and horses. Furthermore, we found a negative correlation between the riding therapist's preference for a particular therapy horse and the HRV synchronization between the therapist and that horse. These findings contribute to a better understanding of the correlational dynamics in horse-human interactions and may have potential implications for optimizing therapeutic interventions in clinical settings.
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Wienhold et al. (2025) conducted an observational in Psychiatric disorders and early life adversity (n=42). Horse-assisted therapy and early life adversity was evaluated on High-frequency heart rate variability (HF-HRV) synchronization between therapy horse and participant (Estimate 0.54, 95% CI 0.52-0.57, p=<0.01). Stronger heart rate variability synchronization between the riding therapist and therapy horse was significantly associated with increased synchronization between the therapy horse and participant.
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