A Systematic Review of Pet Attachment and Health Outcomes in Older Adults

Research suggests that older adults might obtain health benefits from pet ownership; however, results are mixed. Pet attachment is suggested as both a mechanism for the relationship and a reason for differences in the association of pet ownership with health outcomes. This systematic review examines evidence for the relationship between pet attachment and health outcomes among older adults. The Open Science Foundation-registered review began with 20,795 candidate articles. We limited our review to the 58 articles that consisted of original research, published in peer-reviewed journals between 1965 and June 2025, written in English, included older adults (age ≥ 50 years) or were limited to only older adults, and examined the relationship between pet attachment and health outcomes. The articles included analyses of psychological (n = 53), social (n = 27), or physical (n = 2) health outcomes. Pet attachment was assessed with 19 tools; most frequently the Lexington Attachment to Pets Scale (n = 21) and the Pet Attachment Questionnaire (n = 8). The studies were not consistently of high quality according to OCEBM criteria. Except for grief, which was consistently related to pet attachment, the findings do not support a clear relationship between pet attachment and health outcomes in older adults. Findings suggest that the relationship between pet attachment and health outcomes may be more pronounced in younger than in older adults.