{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T06:05:21Z","timestamp":1784786721913,"version":"3.55.0"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Psychological stress impairs both mental health and physiological function, making it a major occupational health risk for office workers. Although non-pharmacological emotional interventions have gained attention, scientific evidence for structured animal-based video content remains scarce. This study investigated whether structured puppy video viewing improves stress responses and compared outcomes between normal blood pressure (BP) and elevated BP office workers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Sixty-six participants (36 for normal BP, 30 for elevated BP) took part in a non-randomized pre-post intervention, viewing structured puppy videos for 15 min. Systolic BP (SBP), diastolic BP (DBP) and pulse rate were measured as physiological outcomes; psychological outcomes were assessed with the 20-item State Anxiety subscale of the State\u2013Trait Anxiety Inventory (STAI-S) and with the 30-item the Korean Profile of Mood States-Brief (K-POMS-B), summarized as Total Mood Disturbance (TMD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In normal BP group, SBP decreased by 3.16 mmHg (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f= 0.002), pulse rate by 2.76 bpm (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt; 0.001), STAI-S by 6.64 points (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt; 0.001), and TMD by 7.92 points (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt; 0.001) after viewing the video. In the elevated BP group, there were significant reductions in SBP (\u03946.65 mmHg), DBP (\u03944.93 mmHg), pulse rate (\u03944.12 bpm), and STAI-S (\u03949.43 points) (with all\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt; 0.001), alongside a TMD reduction of 11.77 points (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt; 0.001). When comparing between normal and elevated BP groups, SBP and DBP were decreased more in the elevated BP participants (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.049, and\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001, respectively). Overall, structured puppy video viewing significantly alleviated both physiological and psychological stress.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These findings suggest its potential as a scalable, non-pharmacological approach to support workplace stress management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1726679","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T05:37:15Z","timestamp":1784785035000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Structured puppy video viewing improves physiological and psychological stress responses in office workers"],"prefix":"10.3389","volume":"14","author":[{"given":"Sang Gi","family":"Kwak","sequence":"first","affiliation":[{"name":"Department of Veterinary Internal Medicine, College of Veterinary Medicine, Jeonbuk National University","place":["Iksan, Republic of Korea"]},{"name":"Happy Dog TV Ltd.","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoon Joo","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Veterinary Internal Medicine, College of Veterinary Medicine, Jeonbuk National University","place":["Iksan, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Won Guk","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Companion Animal Industry, Wonkwang University","place":["Iksan, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Veterinary Internal Medicine, College of Veterinary Medicine, Jeonbuk National University","place":["Iksan, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun Hyung","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Veterinary Internal Medicine, College of Veterinary Medicine, Jeonbuk National University","place":["Iksan, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chul","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Veterinary Internal Medicine, College of Veterinary Medicine, Jeonbuk National University","place":["Iksan, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Hwan","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Seoul National University Bundang Hospital","place":["Seongnam, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"923","DOI":"10.2466\/09.15.20.PR0.107.6.923-938","article-title":"Psychological factors associated with poor hypertension control: differences in personality and stress between patients with controlled and uncontrolled hypertension","volume":"107","author":"Sanz","year":"2010","journal-title":"Psychol Rep"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1038\/s41440-024-01892-4","article-title":"The effect of digital therapeutics intervention on improving hypertension management in adults: a meta-analysis of randomized controlled trial","volume":"48","author":"Liu","year":"2025","journal-title":"Hypertens Res"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1136\/postgradmedj-2013-101396rep","article-title":"Is hypertension associated with job strain? A meta-analysis of observational studies","volume":"90","author":"Babu","year":"2014","journal-title":"Postgrad Med J"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1002\/smi.1203","article-title":"Occupational stress and cardiovascular disease","volume":"24","author":"Byrne","year":"2008","journal-title":"Stress Health"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1080\/01616412.2017.1317904","article-title":"Association between psychosocial stress and hypertension: a systematic review and meta-analysis","volume":"39","author":"Liu","year":"2017","journal-title":"Neurol Res"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1136\/pgmj.2004.028977","article-title":"Psychosocial stress and cardiovascular diseases","volume":"81","author":"Vale","year":"2005","journal-title":"Postgrad Med 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Bull"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"e46362","DOI":"10.1371\/journal.pone.0046362","article-title":"The power of kawaii: viewing cute images promotes a careful behavior and narrows attentional focus","volume":"7","author":"Nittono","year":"2012","journal-title":"PLoS One"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1037\/a0014904","article-title":"Viewing cute images increases behavioral carefulness","volume":"9","author":"Sherman","year":"2009","journal-title":"Emotion"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"12805","DOI":"10.3390\/ijerph182312805","article-title":"The effect of forest video using virtual reality on the stress reduction of university students: focused on C University in Korea","volume":"18","author":"Jo","year":"2021","journal-title":"Int J Environ Res Public 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1964\u20132002","author":"McNair","year":"2003"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"1173","DOI":"10.1002\/jclp.20269","article-title":"Verification of the profile of mood states-brief: cross-cultural analysis","volume":"62","author":"Yeun","year":"2006","journal-title":"J Clin Psychol"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"1360","DOI":"10.1161\/HYP.0b013e318293645f","article-title":"Beyond medications and diet: alternative approaches to lowering blood pressure: a scientific statement from the American Heart Association","volume":"61","author":"Brook","year":"2013","journal-title":"Hypertension"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1002\/smi.1057","article-title":"The effect of videotapes of animals on cardiovascular responses to stress","volume":"21","author":"Wells","year":"2005","journal-title":"Stress 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brain reward system in nulliparous women","volume":"106","author":"Glocker","year":"2009","journal-title":"Proc Natl Acad Sci USA"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"640","DOI":"10.1161\/HYPERTENSIONAHA.120.14742","article-title":"Management of hypertension in the digital era: small wearable monitoring devices for remote blood pressure monitoring","volume":"76","author":"Kario","year":"2020","journal-title":"Hypertension"}],"container-title":["Frontiers in Public 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