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BMJ 2005;331:1407 (10 December), doi:10.1136/bmj.331.7529.1407
| The first 150 words of the full text of this article appear below. |
EditorWe have the following concerns with Antonioli and Reveley's study of animal facilitated depression with dolphins in the treatment of depression.1
The study was small (30 patients), only 13 people from the animal care programme and 12 from the outdoor nature programme completing the study. The authors used a conservative measure to estimate the number of patients required for this study, and even then fell short by 17%.
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Single women predominated in both arms.
It is difficult to fathom how clinical raters can be blinded to the treatment hypothesis.
The authors did not mention the ethnic group of the participants.
Only people who could go to Honduras were able to take part in this study. Most people with mild depression will not be able to take a three week holiday.
The findings are not generalisable as most people would not be able to afford to go to such a location
Biju Basil, resident in psychiatry
Drexel University College of Medicine, Philadelphia, PA 19124 USA, bijubasil@yahoo.com
Maju Mathews, professor of psychiatry
Drexel University College of Medicine, Philadelphia, PA 19124 USA