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Applied Animal Behaviour Science 125 (2010) 157–162

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Applied Animal Behaviour Science


journal homepage: www.elsevier.com/locate/applanim

The effects of fear and anxiety on health and lifespan in pet dogs
Nancy A. Dreschel ∗
Department of Dairy and Animal Science, Pennsylvania State University, 324 Henning Building, University Park, PA 16802, United States

a r t i c l e i n f o a b s t r a c t

Article history: Fear and anxiety-related behaviors are common in pet dogs and are likely to cause a phys-
Accepted 13 April 2010 iological stress response in individuals that are exposed to those things they find fear or
Available online 6 May 2010
anxiety-inducing. Stress responses are related to a number of changes in hormonal and
immune modulation and have been shown in many species to be related to disease pro-
Keywords: cesses and shortened lifespan. It was predicted that dogs with fear and anxiety disorders
Canine
would have decreased lifespan and increased disease frequency and severity.
Fear
In this retrospective study, owners of 721 deceased dogs completed a 99 question on-
Anxiety
Stress line survey that asked about the demographics, training, behavioral characteristics, health
Lifespan history, age at and cause of death in their pets. Correlational and regression analyses were
Health performed to explore relationships between behavior; fear and anxiety subscales; lifespan;
and specific diseases and causes of death.
Results show that how “well-behaved” an owner felt their dog was positively correlated
with lifespan (R2 = 0.18, P < 0.001). Dogs with extreme non-social fear and separation anx-
iety were found to have an increased severity and frequency of skin disorders (R2 = 0.03,
P < 0.001). While neither stranger-directed fear nor any other fear or anxiety scales were
related to specific causes of death, fear of strangers was found to be related to a signifi-
cantly shortened lifespan (R2 = 0.16, P < 0.001). There is evidence to suggest that the stress
of living with a fear or anxiety disorder can have negative effects on health and lifespan in
the domestic dog.
© 2010 Elsevier B.V. All rights reserved.

1. Introduction pan of the individual (Chrousus and Gold, 1992; McEwen,


2005).
Behavior problems related to fear and anxiety are One feature of the stress response is that a single acute
common in the domestic dog. Fear and anxiety-related stressor can lead to long-term neurochemical changes
problems can include separation anxiety, noise phobias (Koolhaus et al., 1997). Little information currently exists as
and fear-related aggression (Overall, 1997). While it is to how long after a stressor the effects remain in the body. It
known that these problems have profound effects on is thought that different stressors activate different parts of
dogs’ interactions with their human and animal com- the stress response system (Stroud et al., 2002). Due to the
panions, the effect on their physical well-being is less temporal dynamics of the hypothalamic–pituitary–adrenal
well studied. In many species, a physiological stress (HPA) system vs. the sympathetic nervous system (SNS),
response occurs following exposure to a fear- or anxiety- one would expect those stressors that specifically activate
provoking stimulus. This stress response is thought to have the SNS to be shorter-lasting and to have less of an effect
both short- and long-term effects on health and lifes- on the health and well-being of the individual. On the other
hand, a stressor that activates the HPA axis, particularly if
it occurs over a long period of time or without time for
∗ Tel.: +1 814 863 4197. recovery in between, could have detrimental effects on the
E-mail address: nad5@psu.edu. individual.

0168-1591/$ – see front matter © 2010 Elsevier B.V. All rights reserved.
doi:10.1016/j.applanim.2010.04.003
158 N.A. Dreschel / Applied Animal Behaviour Science 125 (2010) 157–162

If anxious or fearful animals produce a stress response to dog they had that had died. Seven hundred and forty-one
many day-to-day stimuli, it follows that they may also live participants from the USA and around the world logged on
in a state of chronic physiological stress. For example, there to the specific survey website. Of these, 721 completed the
are distinct geographic locations in the USA where thun- survey, provided the age of death (or birth and death years)
derstorm frequency is higher than others. Florida and the of their pet, and were included in the analysis. All proce-
other southeastern states average 50–100 thunderstorm dures were approved by the Pennsylvania State University
days/year, while the western states average only 5–10 Institutional Review Board for Human Subject Participa-
thunderstorm days/year (National Weather Service, 2000). tion.
A dog with thunderstorm phobia living in a storm-prone Recruitment for the study was targeted towards obtain-
area would mount a stress response every time a storm ing information on dogs of all breeds and temperaments.
is experienced. Likewise, a dog suffering from separation The survey was advertised as a canine health and behav-
anxiety would react every time she was left alone. Over a ior survey to avoid selection bias for dogs with specific
lifetime, these animals would suffer chronic repeated and behavioral, personality or health problems. The only inclu-
uncontrolled stressful episodes. These factors could lead to sion criteria were that owners must be over 18 years
decreased longevity in an individual under chronic stress. of age, and that they had a dog that had died within 5
It has been shown that rats with neophobia charac- years. Flyers were posted at veterinary offices, in public
terized by a larger HPA response than their non-fearful places (e.g. grocery stores, restaurants, pet-related orga-
littermates die sooner than their cohorts (Cavigelli and nizations) and on a University campus in a Northeastern
McClintock, 2003). Although the pathologies related to USA town. The survey web-link also appeared on a num-
death are similar (e.g. tumors), the neophilic animals seem ber of pet-loss related websites and list-servs, in a national
to be able to handle a larger disease load. Similar results magazine which ran a short article on a related study, on
have been seen in studies of human caregivers of disabled a veterinary behavior list-serv, and was distributed to a
spouses experiencing mental or emotional strain. A study number of breed-specific organizations, training groups
by Schulz and Beach (1999) showed that these individ- and veterinary professional groups. Participants and other
uals had increased mortality compared to non-caregiver interested parties were encouraged to send the link to
individuals, even when other factors affecting disease and friends, relatives, colleagues and others who might qual-
mortality were taken into account. Chronic stress associ- ify.
ated with high levels of cortisol in the blood stream has
been related to a number of human disorders including 2.2. Questionnaire
obesity, insulin resistance, cardiovascular disease, immune
disturbances, altered endocrine responses and nervous sys- The on-line survey included 99 questions about the
tem disorders (McEwen, 2005). dog’s breed (purebred or mixed, breeds known or thought
While there are a number of reasons why chronic stress to be represented), reason for obtaining the dog (com-
would lead to shortened lifespan on a systemic level, the panionship, protection, hunting, showing, etc.), social
cellular mechanisms for death in these individuals is less environment (numbers and ages of humans living with
well understood. A particularly interesting discovery is the dog, numbers and species of other animals living with
that emotional or physical stress is associated with higher the dog, percentage of the day spent outside, hours per
oxidative stress, a lower telomerase activity and shorter day “left alone”, amount of exercise/day during active
telomere length which in turn leads to earlier cell death and adult life, training history), geographic residence through-
aging (Epel et al., 2004). This may explain the cellular mech- out life, behavioral history, and health history. The age of
anism by which some of the cardiovascular, endocrine and death and cause of death were also included. Questions
immunologic changes occur with chronic stress. regarding anxiety and fear from the C-BARQ questionnaire
In this study, an on-line survey was conducted to collect (Hsu and Serpell, 2003), a validated behavior instrument,
health, behavioral and lifespan data on a diverse population were included. The survey was reviewed by three indi-
of dogs to examine the relationships between fear, anxiety, viduals with veterinary behavior backgrounds and their
and longevity. It is hypothesized that chronic activation of suggestions were considered and incorporated. Several
the stress response will have detrimental health effects. It “non-professional” dog owners also reviewed the sur-
is predicted that dogs suffering from fear and anxiety dis- vey before posting. The survey was hosted on a website
orders will have decreased lifespans and increased disease served by PsychData (www.psychdata.com, State College,
frequency and severity. In particular, it is predicted that PA, USA), and was available to participants from October,
dogs with fear and anxiety disorders will have a higher inci- 2005 through April, 2006.
dence of immune, hormonal and nervous system disorders,
as these are the systems most affected by prolonged stress 2.3. Analytical strategy
response.
Descriptive statistics were computed on the physical,
2. Methods and materials social, and behavioral characteristics of the dogs. Those
variables that were positively or negatively skewed under-
2.1. Participants went log transformation for further statistical analysis.
Because variables such as the size of the dog and neuter-
Owners of dogs who had passed away within 5 years ing status have been shown previously to be related to
were recruited to fill out an on-line survey about the last lifespan, correlations between these variables and lifes-
N.A. Dreschel / Applied Animal Behaviour Science 125 (2010) 157–162 159

pan were computed and these variables were controlled more than 4 h/day as reported by the owner) with specific
in further analyses. diseases and age at death as dependent variables were per-
If the owner did not specify an “age at death”, a value formed. To investigate the situational effect of geography
was calculated by subtracting the year of birth from the and thunderstorm fear, a series of 2 × 2 ANOVAs with USA
year of death. Categories for the cause of death were geographic location (southeastern USA, northeastern USA,
constructed based on responses given to the open-ended central USA, and western USA) and extreme thunderstorm
question “If your dog died from a disease or diseases, fear with age at death as a dependent variable were also
please specify what they were”. Using the most fre- performed. SPSS statistical software (Chicago, IL, USA) was
quent responses, categories were constructed including used to analyze all data.
“unknown”, “immune” (including autoimmune hemolytic
anemia, allergies, immune-mediated thrombocytopenia, 3. Results
and granulomatous meningoencephylomyelitis), “infec-
tion”, and “cancer”. An “other” category included other 3.1. Descriptive statistics
organ system diseases not falling into the above categories
(neurological, cardiovascular, endocrine, renal, hepatic, Of the 721 respondents included in analysis, 77% indi-
pulmonary, and musculoskeletal diseases), as well as death cated only one breed for their dog, while 23% indicated that
due to “old age”, bloat, surgical complications and other their dog was a mix of two or more breeds. The dogs ranged
rarer diseases. A continuous score from a Likert scale of in weight from 3 to 200 pounds (M = 59.6, SD = 30.7). The
0–5 based on severity and frequency of disease was calcu- majority of dogs (92%) in this study were neutered by the
lated for diseases that affected the dog during adulthood, time of death, 54% were female and 46% were male. Sixty-
but did not necessarily cause the death of the individual. three percent of the dogs were vaccinated yearly as adults,
Scores were calculated for the stranger-directed fear and another 25% were vaccinated every 2–3 years.
(fearful behavior associated with contact with unfamiliar Most of the owners (94%) indicated that they had
humans), non-social fear (fearful behavior related to noise, obtained their dog for companionship. Other reasons noted
unfamiliar objects, traffic, storms, wind, new situations), for obtaining dogs included protection, hunting, breed-
separation-related anxiety and body sensitivity (fearful ing, showing and competition, herding, service, and police
behavior related to grooming, handling, being stepped over work. The majority of the dogs had lived with other ani-
by a member of the household) subscales of the C-BARQ mals during their lifetimes. Eighty-two percent had lived
(Hsu and Serpell, 2003). Scores for thunderstorm fear were with other dogs and 52% had lived with cats. Other species
based on a single question of the survey that is also included that the dogs had lived and interacted with included birds,
in the non-social fear subscale. To determine scores indica- horses, cattle, sheep, goats, llamas, pigs, small mammals,
tive of severe fears and anxieties, calculations based on and reptiles. Nearly one quarter (24%) of the dogs had lived
mean scores plus two standard deviations were computed. in households with children less than 12 years old, 25% had
In order to test the effect of fear and anxiety on lived with teenagers and young adults, and 10% had lived
long-term health and lifespan, while controlling for those with seniors over 65 years old. Almost all the respondents’
variables already known to affect lifespan, a regression dogs had lived their entire lives in North America (96%).
analysis with weight (as an indication of overall size), neu- Only 11% of the respondents’ dogs had not received any
tering status, death due to accident, and behavior scales as formal training at home or at a school. Forty-six percent had
predictor variables and lifespan (in years) as the dependent received basic group training lessons and 28% had received
variable was performed. Further regression analyses inves- advanced group lesson training. Most owners felt that their
tigated the relationship between behavior scores, specific dogs were “very well trained and responded quickly to
diseases affecting dogs during adulthood, and causes of commands” (M = 4.1, SD = 0.9 on a 1–5 Likert scale) and
death. To investigate the situational effect of separation were “very well-behaved and never caused any problems”
anxiety, 2 × 2 ANOVAs (high and low anxiety based on (M = 4.1, SD = 1.0 on 1–5 Likert scale).
scores of “no fear” on the scale, and high and low amount The average age at death was 11.6 years (SD = 3.6), with
of time the dog was left alone based on less than or a range of 4 months to 22 years. Cancer was the most com-
mon cause of death, affecting 38% of dogs in this study. Most
dogs (79%) were euthanized while 21% were reported to
Table 1
Regression models and corresponding beta coefficients examining the have died an unassisted death.
effects of non-behavioral factors on lifespan. Weight, neutering status, and
death by accident have independent and significant effects on longevity. 3.2. Differential effects of non-behavioral factors on
Death by euthanasia also has an independent significant effect when lifespan
weight and neutering status are controlled.

Model Regression coefficients for weight, neutering status,


1 2 and accidental death are presented in Table 1. These
non-behavioral individual factors account for 15% of the
Weight −0.33*** −0.33***
Neuter 0.17*** 0.16***
variability in lifespan for this population. Weight and neu-
Accident −0.11*** tering status were shown to have significant effects on
Euthanasia 0.14*** lifespan with smaller dogs living longer than larger dogs
R2 0.15*** 0.16*** and neutered dogs having significantly longer lifespans
***
P < 0.005. (M = 11.9 years, SD = 3.4) than un-neutered dogs (M = 9.6
160 N.A. Dreschel / Applied Animal Behaviour Science 125 (2010) 157–162

Table 2
Regression models and corresponding beta coefficients examining the effects of behavioral factors on lifespan. How “well-behaved” the owner considered
the dog to be and the level of stranger-directed fear (SDF) both have independent and significant effects on longevity when weight, neutering status and
death caused by accidents are controlled for.

Model

1 2 3 4 5 6

Weight −0.33*** −0.34*** −0.35*** −0.33*** −0.33*** −0.34***


Neuter 0.18*** 0.18*** 0.17*** 0.17*** 0.17*** 0.17***
Accident −0.10** −0.10 −0.10** −0.11** −0.11*** −0.17***
“Well-behaved” 0.18***
Stranger-directed fear (SDF) −0.12* −0.10**
Non-social fear (NSF) 0.04 −0.02
Body sensitivity 0.07 0.02
Separation anxiety −0.07 −0.06
R2 0.18*** 0.16*** 0.16*** 0.14*** 0.15*** 0.15***
***
P < 0.001.
**
P < 0.01.
*
P < 0.05.

years, SD = 4.8), t (73.2) = 3.7, P < 0.001. No significant differ- diseases that dogs suffered from as adults (see Table 3).
ence in lifespan for sex of the animal was noted. Lifespan Non-social fear and separation anxiety both positively
was shortened for dogs that had died in accidents. Acci- predicted the severity and incidence of skin problems in
dents are a common cause of death for younger animals, the dogs as adults. Weight and body sensitivity predicted
but may or may not be related to fearful behavior of the arthritis signs in adult dogs. None of the behavioral scores
animal. Euthanasia positively predicts lifespan in this pop- were shown to be predictive of the incidence and severity of
ulation, with older animals more likely to be euthanized immune-mediated diseases, endocrine disorders, or cancer
than younger animals. Whether dogs had lived with other in the dogs as adults. To investigate the interaction of more
dogs during their life did not predict lifespan. severe separation anxiety and time left alone on various
health conditions, a 2 × 2 ANOVA (high and low separa-
3.3. Behavior, disease and lifespan tion anxiety, high and low amount of time the dog was left
alone) was performed. No significant effects on specific dis-
Results of the regression model testing for behavior eases or age at death were noted. There were no significant
scores and lifespan are shown in Table 2. In each model differences in lifespan in dogs that had severe thunder-
lifespan is the dependent variable and each behavior score storm fear and had lived in any of the USA geographic areas
is the independent variable. Weight, neutering status and (e.g. northeast, southeast, central USA, etc.).
accidental death were controlled for, as these have sig-
nificant and independent effects on lifespan. A single 4. Discussion
regression analysis with all the fear and anxiety behavior
subscales was performed. Because some of the subscales The average lifespan of dogs in this study is similar to
had non-significant effects, a series of regression analy- that previously reported (Michell, 1998). This study also
ses were run to investigate the effects for each behavior supports previous findings that cancer is one of the leading
subscale on longevity of the dogs. causes of death in the canine population (Bronson, 1982;
The first model shows that how “well-behaved” the Ogilvie and Marks, 2000). Not surprisingly, dying in an acci-
owner considered the dog to be had a significant positive dent (e.g. hit by a car or other trauma) was predictive of a
effect on the lifespan of the dog. Owners’ ratings of how shorter lifespan.
well their dogs were trained and how well they behaved As expected, higher weight was highly predictive of
were highly correlated, r (724) = 0.31, P < 0.001, but train- shorter lifespan. Larger breeds of dogs by both weight and
ing did not independently predict lifespan, while how well
the dog behaved did positively predict the dog’s lifespan. Table 3
Stranger-directed fear (SDF) significantly predicted Regression models and corresponding beta coefficients examining the
decreased lifespan when weight, neutering status and acci- effects of behavioral factors on disease. Both non-social fear and separa-
tion anxiety positively predict the incidence and severity of skin disorders.
dental death were controlled for. Further investigation
Body sensitivity scores had a significant independent predictive value of
into causes of death failed to show significant differ- arthritis when weight was controlled for.
ences in any disease categories at death and SDF. There
Skin disorders Arthritis
was a significant difference between the stranger-directed
fear scores and whether dogs were euthanized or not, Weight 0.11*
with euthanized dogs having significantly lower stranger- Body sensitivity 0.08***
Non-social fear 0.12**
directed fear scores than those that died a natural death, Separation anxiety 0.11*
t (203.2) = 2.5, P < 0.05. Other behavioral subscales, includ- R2 0.03*** 0.03***
ing non-social fear (NSF), body sensitivity, and separation *
P < 0.01.
anxiety failed to predict lifespan. Further regression analy- **
P < 0.005.
ses examined the relationship between anxiety scores and ***
P < 0.001.
N.A. Dreschel / Applied Animal Behaviour Science 125 (2010) 157–162 161

height have been shown to live shorter lives than smaller be exposed to a fear-inducing stimulus in a hospital sit-
breeds (Greer et al., 2007). Although obesity is known to uation, in this case, a strange environment with unfamiliar
decrease lifespan, it is important to keep in mind that surroundings, sounds, and equipment.
in this study, weight was representative of overall breed Although fear and anxiety measures were not corre-
related size instead of individual obesity. No measures of lated with the presence or absence of disease, several scores
obesity were included in the survey. Another finding sup- did predict the frequency and severity of specific diseases
porting the observations of Michell (1998), is that neutered during the dogs’ adult lives. Specifically, non-social fear
dogs had significantly longer lifespans, living an average and separation anxiety were predictive of increased skin
of 2.3 years longer than their un-neutered counterparts. problems. The effect of psychological stress in a number
Because weight, neutering status and dying in an accident of human skin diseases has been recognized for many
accounted for 15% of the variability in lifespan, these fac- years (Tausk and Nousari, 2001). In particular, psycho-
tors were controlled for in further analysis of lifespan and logical stress in humans has been found to disturb the
behavior. epidermal barrier function (Garg et al., 2001). A similar dis-
Behavior significantly impacts lifespan in dogs. Behav- turbance could lead to increased susceptibility to fungal
ior problems are recognized as being a leading cause of and bacterial infection as well as an increase in atopic or
death in pet dogs due to euthanasia. In this sample, how allergic reactions in dogs.
much the owner perceived the dog to be “well-behaved” Other significant findings include the prediction of
is significantly predictive of their length of life. An obvi- body sensitivity on arthritis. When examining relation-
ous reason for this would be premature euthanasia of pets ships between physical disorders and behavioral scales, it
that are aggressive towards their owners or others. It is is important to note that these are correlational relation-
important to remember that this study did not measure ships. In the case of body sensitivity, it is likely that these
aggressive behaviors that are more likely to play a role physical disorders are the cause, rather than the result of
in earlier euthanasia or surrender to a new home. In fact, behavioral signs. Animals with arthritis are often in pain
death by euthanasia is related to longer lifespan in this pop- and protective of themselves. It would be expected that a
ulation. This indicates that dogs were older when they were dog in discomfort or pain would resist grooming and hav-
euthanized. Well-behaved dogs may live longer because ing his feet manipulated for toweling dry or nail trimming
they may be under less stress living in a more harmonious (questions related to body sensitivity on the C-BARQ). Dogs
household. with arthritis may show aggression when bumped into
Stranger-directed fear independently and significantly or stepped upon. Arthritis in dogs may be developmental,
predicts decreased lifespan when other variables related to such as hip dysplasia or osteochondrosis, or degenerative
shortened lifespan are controlled for. In this study, extreme and inflammatory, as in rheumatoid arthritis (Allen, 2005).
stranger-directed fear (a rating of 5 on the stranger- It is an inflammatory condition and cytokine expression
directed fear scale) corresponds to a one-half (0.5) year in dogs with osteoarthritis secondary to cranial cruciate
shorter lifespan than a dog with no stranger-directed fear. ligament disease and hip dysplasia has been documented
While the mechanism of this relationship is unknown, it (Maccoux et al., 2007). Body sensitivity in these individuals
supports the hypothesis that stress secondary to fear or could therefore be a “sickness behavior” that is activated by
anxiety may lead to deleterious effects on health and lifes- the inflammatory response.
pan. Interestingly, neither stranger-directed fear nor any of A previous study indicated that dogs that lived with
the other fear or anxiety scales are related to specific dis- other dogs may not mount as high a cortisol response
ease causes of death. Based on what is known of the effects and may recover more quickly after a stressor than
of stress on the living system, one might expect an increase those dogs living alone (Dreschel and Granger, 2005).
in deaths due to immune disorders (autoimmune dis- The majority of dogs in this study had lived with other
eases, cancer, infection) or endocrinopathies. However, this dogs during at least part of their lives. However, no sig-
research supports that of Cavigelli and McClintock (2003) nificant difference in lifespan between these dogs and
who found that although neophobic rats had decreased those living without canine companions was seen. How
lifespans, there were no differences in the specific diseases the presence of conspecifics affects stress and behav-
causing their deaths. There is evidence that stress may be ior in dogs is an interesting question that merits further
more related to accelerated aging of cells at the molecu- research.
lar level, thereby increasing the speed at which the system Overall, this sample appears to represent a well-cared-
succumbs to natural disease, instead of introducing new for companion dog population. A broad distribution of dogs
disease processes (Epel et al., 2004). A lifetime of stress across breed, gender, and weight range is seen. Nearly
in a stranger-fearing dog may take its toll on the body at all the owners had obtained their dog for companion-
a molecular level, causing accelerated aging in cells and ship. The high percentage of vaccinated, neutered, and
earlier death from any cause. trained dogs in this sample also indicates a responsible
Dogs suffering from stranger-directed fear could also be pet-owning survey population. This may reflect a selec-
less likely to improve in a hospital situation where they are tion bias to be expected from an on-line survey that might
exposed to and handled by strangers. The stress associated attract more educated respondents with more resources. It
with medical care and hospitalization may diminish their is also likely that respondents motivated to complete this
ability to physically respond to therapy. However, there survey may have been more closely attached to and respon-
were no similar effects seen for dogs that had non-social sible for their pets than the general population. Although
fear, which one might expect, as these dogs would also these could be confounding factors in this study, how they
162 N.A. Dreschel / Applied Animal Behaviour Science 125 (2010) 157–162

might affect the basic hypotheses of relationships between physical and behavioral functioning. Because of our close
behavior, anxiety and health outcome are not apparent. relationship, dogs and humans share both physical and
There are a number of inherent limitations in a study social environments. Further research into the interactions
of this type. With a cross-sectional design, all results are of health, social environment and behavior promises to be
correlational. We can hypothesize about the mechanisms rich and applicable to many species.
of interaction and treatments that might be effective, but
it is impossible to determine cause and effect of particular Acknowledgements
diseases and personality traits without longitudinal data.
Another limitation of this particular design is the effect Data in this paper are from a thesis titled “The biobehav-
of historical factors. Many of these dogs lived during some ioral effects of stress related to fear and anxiety in domestic
of the same time, but their lives span a 20–25-year period. canines” that was submitted in partial fulfillment of the
Much has changed in pet care over that time period, includ- requirements for the Degree of Doctor of Philosophy in the
ing health and vaccine status, parasite control, dog food and Department of Biobehavioral Health, The Graduate School
training methods. Likewise, this study is highly dependent of The Pennsylvania State University. The author wishes
on the respondents’ abilities to recall information that may to thank Dr. Douglas Granger and Dr. David Johnson for
have spanned up to 20 years time. Because of their rela- their guidance in study design and analysis and Dr. Eliza-
tively long lifespan, the social environment of dogs may beth Susman and Dr. Laura Cousino Klein for their helpful
change greatly throughout their life as well (children they input. I also thank all the owners who took the time to share
live with will grow up and leave home, owners’ time spent memories of their dogs’ lives.
at home may vary, families may move from one geographic
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