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Basics

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BASICS

Definition!!navigator!!

  • Behaviors that do, or attempt to do, injury to another with the apparent motivation of causing harm
  • Agonistic behaviors include threats, offensive aggressive behaviors, defensive behaviors, and submissive behaviors
  • Aggression occurs in specific contexts or circumstances and is influenced by numerous variables, including internal states, external stimuli, learned experiences, etc
  • It can be classified in numerous overlapping categories, e.g. according to the target, function, motivation, whether offensive or defensive

Pathophysiology!!navigator!!

  • Aggression usually is a normal, species-typical behavior but can be triggered by anxiety, fear, and underlying pathophysiologic conditions that result in pain or endocrine and CNS abnormalities. Underlying conditions may be acute or chronic as well as intermittent. Consequently, corresponding aggression may vary in intensity and frequency
  • “Grouchiness” or “irritability” may be related to low or moderate levels of pain
  • Endocrine and gonad abnormalities, e.g., hypertestosteronism and ovarian and ovarian tumors in mares, retained testicles in males
  • CNS disorders, e.g., encephalopathies, rabies, irritating or ablative lesions
  • Low serum serotonin levels have been associated with aggressive behavior, stress, and illness

Systems Affected!!navigator!!

  • Many physiologic and behavioral systems can be affected
  • Musculoskeletal, skin, ophthalmic injuries may be incurred due to aggressive behaviors
  • Reproductive behaviors may be interrupted
    • Horses may exhibit aggression towards members of the same sex to disrupt courtship and copulation. Some breeding stallions managed “in-hand” are aggressive to the mare and handlers
    • Some mares are aggressive towards their foals. In free-ranging situations the foal may not survive; in a controlled environment, successful intervention is possible. Some mares aggressively defend their foals against other animals, including people
  • Aggressive outbursts can severely affect the human-animal bond and consequently impair a horse's welfare
  • Frequent or prolonged states of aggression can result in chronic stress and result in changes in the hypothalamic–pituitary–cortical continuum. Chronic stress can affect immune function, body maintenance
  • Interference with learning and performance

Genetics!!navigator!!

Genetics has been shown to influence specific types of aggressive behaviors in many species, but the mechanisms are unknown.

Incidence/Prevalence!!navigator!!

Unknown

Geographic Distribution!!navigator!!

Unknown

Signalment!!navigator!!

Breed Predilections

Aggressive protection of foals is reported more often in Arabian mares.

Mean Age and Range

  • Any age
  • Playful aggression is most common in young horses and colts
  • Intraspecific, intermale aggression is more common and intense in mature males

Predominant Sex

  • Intact males are more likely to show aggression to other horses and people
  • Self-mutilation is most likely to be exhibited by isolated stallions and geldings

Signs!!navigator!!

General Comments

Aggressive behaviors range from mild threats to intense injurious acts.

  • Mild forms include laying back of ears, lowering and extending head, nodding or swinging of head and neck, shifting of hindquarters toward another sometimes with mild pushing
  • Moderate aggression adds threats to bite, strike or kick, tail switching, sometimes slight hopping motions with rear quarters, head and body bumping, harsh vocal squeals. There is an apparent restraint in intensity and effort
  • High levels of aggression include serious efforts to bite, strike, or kick, severe bites, and attempts to knock opponent off balance. Rearing and striking with forelegs (boxing)
  • Play aggression includes components of above but of low intensity, usually not causing any or serious harm between unshod horses
  • Defensive behaviors include moving away and/or shifting rear quarters toward aggressor
  • Offensive behaviors usually involve a head-on approach and threat
  • Submissive behaviors include deferring to more dominant animal and “snapping” (jaw-waving, teeth-clamping, or unterlegenheitgebärde). Sometimes a slight sucking sound occurs. The ears are usually in a somewhat horizontal position
  • Mares with elevated testosterone levels may show “stallion-like” behaviors, e.g. mounting other mares, vocalizing like a stallion, herding other mares, and aggression to other horses

Historical Findings

  • Ask questions to identify exactly what behaviors are occurring. Determine when, where, how often they occur, when did they start and how did they progress, the targets of the aggression; the situations that tend to make it worse and situations when it does not occur; and what has been done thus far to deal with the problem. These answers form the basis for diagnosis, treatment, and risk assessment
  • Aggressiveness associated with endocrine abnormalities is generally of gradual onset

Physical Examination Findings

  • Examine carefully for pain. Chronic vertebral problems are often overlooked as a source of pain and aggression or grouchiness in riding horses
  • Reproductive tract abnormalities, including retained testicles. Mares may have ovarian abnormalities, enlarged clitoris, blind vaginal sac, “cresty neck”

Causes!!navigator!!

  • Pain
  • Fear/defense
  • Play aggression usually is inhibited and causes few serious injuries among unshod horses of similar ages and weight; however, play can cause serious injury to people
  • Protective—occurs in defense of other animals or people with whom the aggressor has a relationship and that are perceived to be under threat
  • Dominance—hierarchies exist in groups of horses and are usually initially established via aggression, threats, and reciprocal deference. Once hierarchies are established and there is sufficient opportunity for the subordinate horse to defer, high levels of aggression rarely occur
  • Resource guarding—food, preferred pasture partners, water, shelter, etc. Usually directed toward other horses but can be directed toward people
  • Redirected—occurs during conflict situations in which a horse attacks another animal or person when access to the original target is blocked
  • Redirected aggression occurs when a horse is motivated to be aggressive but is either physically or psychologically prevented from aggressing the eliciting stimuli and, instead, redirects the aggression to another target
  • Infanticide—stallions may kill foals that are not theirs or are not recognized as theirs
  • Sex related—occurs as part of courtship, copulation, or intrasexual competition
  • Endocrine abnormalities
  • CNS abnormalities such as encephalitis. Rabies may be manifested as “dumb,” “furious,” “paralytic,” or any combination as well as other pathologic signs. These horses may be violent and, in attempts to control them, handlers are exposed to saliva and biting

Risk Factors!!navigator!!

  • Inappropriate use of punishment and mismanagement
  • Small enclosures and poorly designed enclosures that prevent escape or deferral to threats
  • Inadequate designs of water and feeding sites that result in fighting over access to resources
  • Indiscriminate hand feeding treats can lead to “nipping”
  • Adjacent stabling of horses that exhibit aggression toward each other
  • Insufficient exercise
  • Foals reared in isolation from other horses may not develop adequate social skills and may develop inappropriately rough play aggression with people

Diagnosis

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DIAGNOSIS

Differential Diagnosis!!navigator!!

  • Rule out pathologic conditions, before establishing solely a nonmedical behavioral diagnosis
  • Aberrant, intense, steadily increasing aggressiveness or “grouchiness” warrants comprehensive medical workup
  • Nonmedical diagnoses are based on circumstances and behavioral signs exhibited and ruling out medical causes
  • Be aware that residual aggressive behaviors can persist after successful treatment of medical problems and management changes. Behavior modification may also be necessary

CBC/Biochemistry/Urinalysis!!navigator!!

Dependent on clinical signs.

Other Laboratory Tests!!navigator!!

  • Dependent on clinical signs
  • Testosterone, estrogen, and inhibin assays may be indicated
  • Karyotyping of mares exhibiting stallion-like behaviors

Imaging!!navigator!!

Radiographs, endoscopic examinations, transrectal ultrasonography of reproductive organs.

Other Diagnostic Procedures!!navigator!!

  • Rectal palpation
  • Vaginal examination
  • Lameness examination
  • Visual recordings of the behavior to study and to monitor occurrence and intensity of the behavior

Pathologic Findings!!navigator!!

Dependent on etiology of aggression.

Treatment

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TREATMENT

Aims!!navigator!!

  • Identify underlying reason for aggression and contributing factors
  • Correct medical causes
  • Specific treatments vary with the kind of aggression
  • Most treatments of nonmedical conditions involve changing handling techniques, physical or social environments, and/or using behavior modification techniques to change the motivational state of the animal
  • Behavior modification must be done precisely if it is to be safe and effective. Even stallions that are “unruly” when bred “in-hand” can be successfully retained using positive and negative reinforcement with very little or no punishment. It should always be remembered that the use of aversive stimuli comes with the risk of causing anxiety, fear, and aggression. Referral to an experienced and competent veterinary behaviorist, applied animal behaviorist, or trainer is often necessary to help the client implement the plan
  • Assess the risks of treating and keeping a horse exhibiting aggression

Appropriate Health Care!!navigator!!

N/A

Nursing Care!!navigator!!

N/A

Activity!!navigator!!

  • Prevent or control access to targets of aggression
  • Increase appropriate and safe types of exercise

Diet!!navigator!!

Reduction of energy and protein intake is reported to reduce activity level and aggressiveness. However, numerous interventions (generally increased exercise and changes in environment) are usually also implemented simultaneously and it is difficult to assess the effect of the diet.

Client Education!!navigator!!

  • Advise owner of risks involved with keeping the animal when considering treatment. Aggressive animals can deliver serious injury or cause death, and keeping an aggressive animal may place the client at risk of criminal and civil legal actions
  • Advise owner that, even if underlying medical reasons are alleviated, there may be residual behavior patterns that require behavior modification and/or training

Surgical Considerations!!navigator!!

  • Removal of abnormal gonads in mares (ovarian tumors, aberrant testicular tissue) has a good prognosis
  • Castration of stallions and colts usually reduces, but does not always eliminate, aggressive behaviors directed towards other horses and people. Age and experience of horse prior to castration are reported to be unrelated to effectiveness of castration
  • Castration has been reported to completely improve self-mutilation in only 3 of 10 self-mutilating stallions

Medications

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MEDICATIONS

Drug(s) of Choice!!navigator!!

  • No drug is approved by the FDA for the treatment of aggressive behaviors in horses
  • Pain medications may help to reduce or eliminate pain-elicited aggression
  • Anxiolytics or antidepressants may help with fear-motivated aggression
  • Naturally occurring and synthetic progestins can inhibit aggression in domestic and wild equids. In larger doses progestins can reduce arousal and can be sedating

Contraindications!!navigator!!

  • Benzodiazepines may increase aggressive behaviors
  • Use of commercial synthetic progestins can affect testosterone levels, sperm production, and testicular morphology. There are few reported studies on the consequences of long-term use of exogenous progestins in horses
  • Synthetic progestins are not disallowed when used to regulate the estrus cycle of performance mares. The drugs however are usually banned for use in other performance horses

Precautions!!navigator!!

  • Inform clients that use of psychoactive drugs and progestins for aggression problems constitutes off-label and experimental use
  • Inform clients regarding possible benefits, dangers, and side effects
  • Obtain written informed consent before prescribing off-label medication

Possible Interactions!!navigator!!

N/A

Alternative Drugs!!navigator!!

N/A

Follow-up

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FOLLOW-UP

Patient Monitoring!!navigator!!

  • Contact clients on a regular basis to check compliance with recommendations and to provide additional support
  • Behavioral problems generally require intensive follow-up

Prevention/Avoidance!!navigator!!

  • Avoid inappropriate use of punishment
  • Rear foals with other horses. Ideally foals should remain with mother for 6 months and allowed access to other foals and (appropriate) horses as much as possible and for as long as possible
  • Sufficient exercise and opportunities for appropriate play
  • Adequate space to defer to dominant horses
  • Strategic placement of critical resources, e.g. food, water, shelter, to alleviate competition
  • Ground work that results in the horse consistently and quickly yielding to the requests of the handler. Most easily accomplished with naive and young horses
  • If the aggression is not pathophysiologic, at the first indication there might be an aggressive behavior problem advise clients to seek help from qualified, accomplished professionals who address such behaviors

Possible Complications!!navigator!!

See Client Education.

Expected Course and Prognosis!!navigator!!

  • Ovariectomies usually resolve aggressive and stallion-like behaviors of mares related to ovarian pathologies
  • Removal of normal or retained testicles in males generally results in reduction of aggressive and typically masculine behaviors. Approximately one-third retain some aggressive behaviors to other horses and interest in mares. From 5% to 17% retain some aggressiveness toward people
  • Successful treatment of nonmedical causes of aggression is dependent on many variables

Miscellaneous

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MISCELLANEOUS

Associated Conditions!!navigator!!

N/A

Age-Related Factors!!navigator!!

N/A

Zoonotic Potential!!navigator!!

N/A

Pregnancy/Fertility/Breeding!!navigator!!

N/A

Synonyms!!navigator!!

N/A

Abbreviations!!navigator!!

  • CNS = central nervous system
  • FDA = United States Food and Drug Administration

Suggested Reading

Ayala I, Martos NF, Silvan G, et al. Cortisol, adrenocorticotropic hormone, serotonin, adrenaline and noradrenaline serum concentrations in relation to disease and stress in the horse. Res Vet Sci 2012;93:103107.

Crowell-Davis SL. Normal behavior and behavior problems. In: Kobluk CN, Ames TR, Geor RJ, eds. The Horse: Diseases and Clinical Management. Philadelphia, PA: WB Saunders, 1995:121.

Dodman NH, Normile JA, Shuster L, Rand W. Equine self-mutilation syndrome (57 cases). JAVMA 1994;204(8):12191223.

Fureix C, Menguy H, Hausberger M. Partners with bad temper: reject or cure? A study of chronic pain and aggression in horses. PLoS One 2010;5(8):e12434.

Goolsby HA, Brady HA, Prien DS. The off-label use of altrenogest in stallions: a survey. J Equine Vet Sci 2004;24(2):7275.

Hinde RA. The Bases of Aggression in Animals. J Psychosom Res 1969;3(3):213219.

Houpt KA. Domestic Animal Behavior for Veterinarians and Animal Scientists, 5e. Ames, IA: Wiley Blackwell, 2011.

Long MT. Contagious neurological diseases. In: Furr M, Reed S, eds. Equine Neurology, 2e. Ames, IA: Wiley Blackwell, 2015:262272.

McDonnell SM, Turner RM, Diehl NK. Modifying Unruly Breeding Behavior in Stallions. Compendium 1995;17(3):411417.

McDonnell SM. Abnormal Sexual Behavior. In: McKinnon AO, Squires EL, Vaala WE, Varner DD, eds. Equine Reproduction, 2e. Wiley-Blackwell, 2011:14071412.

McGreevy P. Equine Behaviour: A Guide for Veterinarians and Equine Scientists, 2e. Philadelphia, PA: WB Saunders, 2012.

Meral Y, Cakiroglu D, Sancak AA. Relationships between serum serotonin and serum lipid levels, and aggression in horses. Dtsch Tierarzti Wochenscher 2007;114:3032.

Mills DS, McDonnell S. Domestic Horse: The Origins, Development, and Management of Its Behaviour. New York, NY: Cambridge University Press, 2005.

Waring GH. Horse Behavior, 2e. Norwich, NY: Noyes Publications/William Andrew Publishing, 2003.

Author(s)

Author: Victoria L. Voith

Consulting Editor: Victoria L. Voith

Acknowledgment: The author/editor acknowledges the prior contribution of Daniel Q. Estep.