Zubair Khalid

Virologist/Molecular Biologist | Veterinarian | Bioinformatician

Conventional & Molecular Virology • Vaccine Development • Computational Biology

Dr. Zubair Khalid is a veterinarian and virologist specializing in conventional and molecular virology, vaccine development, and computational biology. Dedicated to advancing animal health through innovative research and multi-omics approaches.

Dr. Zubair Khalid - Veterinarian, Virologist, and Vaccine Development Researcher specializing in Computational Biology, Multi-omics, Animal Health, and Infectious Disease Research

Section: Behavior

This article is educational and is not a substitute for veterinary diagnosis or treatment. A new or intense behavior change, especially with pain, skin injury, weakness, appetite loss, vocalization, or compulsive fabric eating, deserves veterinary assessment.

Why Do Cats Knead? Meaning, Body Language, and Safe Management

Relaxed ginger cat resting with its front paws visible
Photo by Alexas Fotos on Pexels.

Quick Answer

Kneading is the repeated pressing of one paw and then the other against a surface, often called “making biscuits.” It begins in kittenhood during nursing and commonly appears in relaxed adult interactions, on soft bedding, before rest, or during contact with a preferred person. Research on human-cat interaction includes kneading among affiliative behaviors, meaning behaviors observed in socially positive engagement [1][2].

No controlled study has proved one universal reason why adult cats knead. The familiar explanations, retained nursing behavior, comfort, preparing a resting surface, stretching, scent-related communication, or learned attention seeking, are plausible and may overlap, but most are hypotheses rather than individually tested causes. Context is more informative than a dictionary-style translation.

Kneading is usually harmless. Give the cat a thick washable blanket, keep nails maintained, protect skin, and allow choice. Do not punish or declaw a cat for kneading. Contact a veterinarian if the behavior begins suddenly, becomes frantic or difficult to interrupt, accompanies pain or distress, damages the cat's paws, includes swallowing fabric, or occurs with other major behavior or health changes.

At a Glance

What you see More useful interpretation
Slow kneading on a blanket, soft posture, half-closed eyes Often compatible with settling or positive arousal
Kneading a familiar person while purring Can occur during affiliative interaction, but purring and kneading are not proof of one emotion [1][2]
Claws extending with each press Normal paw mechanics; manage the surface and nails rather than punishing
Biting or suckling a blanket while kneading May be an oral comfort pattern; fabric ingestion is a medical risk
Hind-foot treading, calling, rolling, tail held aside in an intact female May be estrus behavior rather than ordinary resting kneading [3]
Sudden persistent kneading plus hiding, irritability, or movement change Needs health and pain assessment [7-9]
Kneading that wakes the owner for food May have been reinforced by attention or feeding
Cat stops kneading after years of doing it Not automatically illness, but assess the whole behavior and health pattern

What Cat Kneading Looks Like

Classic kneading alternates the front paws in a rhythmic press-and-release movement. A cat may stand, crouch, or lie on a blanket, bed, another animal, or a person's lap. The digits spread and claws may extend on the pressure phase. Some cats use all four feet, turn in circles, drool, purr, suck fabric, carry a blanket, or settle down afterward.

Kneading differs from scratching. During scratching, the cat typically hooks the claws into a vertical or horizontal surface and pulls, leaving visual and scent marks while stretching the body. Kneading presses downward repeatedly with less backward pull. The movements can overlap, especially on a textured blanket, but the context and posture are usually different.

It also differs from paddling caused by neurologic dysfunction. An unconscious, severely weak, seizing, or injured cat may make repetitive limb movements without the coordinated, context-dependent pattern of ordinary kneading. Altered awareness, inability to stand, collapse, tremors, or seizure-like activity is an emergency.

Kneading Can Use Front or Hind Feet

Owners usually mean alternating front-paw movement. Intact female cats in heat can also tread with the hind feet while holding the hindquarters elevated and tail to one side. Merck lists hind-foot kneading alongside rolling, rubbing, and repeated vocalization as part of mating behavior [3]. A single movement should not be used to diagnose estrus; age, reproductive status, season, posture, calling, and access to males matter.

A male cat may grasp or bite fabric, tread, and make pelvic movements. That sequence can be sexual or high-arousal behavior rather than simple kneading. Neutered cats can retain learned sexual patterns. If it is new, intense, directed at another animal, or associated with genital licking, urinary signs, or distress, seek veterinary assessment.

Why Kittens Knead

Kittens display pawing movements while nursing against the queen's mammary area. The contact occurs in a warm, fed, protected social context during early development. Adult kneading is widely interpreted as persistence or repurposing of this juvenile motor pattern. That explanation is biologically plausible and fits the frequent pairing with soft surfaces, purring, suckling, and rest.

The common statement that kneading “stimulates milk flow” should be presented with care. Pressure and manipulation occur during nursing, but the exact mechanical and hormonal contribution of kitten pawing has not been isolated in a way that proves why adult cats retain the behavior. The safe evidence-based conclusion is that kneading is part of the kitten nursing context and can persist into adulthood.

Adult Behavior Is Not Proof of Early Weaning

An adult cat that kneads was not necessarily orphaned or weaned too early. Cats raised with their mothers for an appropriate period can knead throughout life, while some bottle-raised cats rarely do it. Early experience may influence suckling, fabric chewing, and other oral patterns, but one behavior cannot reconstruct a cat's developmental history.

If a kitten is currently nursing, do not separate it early simply because it eats some solid food. Weaning is a gradual nutritional and social process. The queen and litter contribute to behavioral learning. A veterinarian or experienced welfare organization can guide orphan care and age-appropriate transition.

Why Adult Cats May Knead

1. A Retained Nursing-Context Motor Pattern

This is the most familiar explanation. Soft texture, warmth, body contact, purring, drooling, and settling resemble parts of the early nursing context. The pattern may be intrinsically rewarding or become associated with later comfort. It is better described as a likely developmental origin than a proven emotional message.

2. Positive Social Interaction

Studies and reviews of human-cat interaction classify kneading among affiliative responses observed during preferred contact [1][2]. In one experimental handling study, cats showed more affiliative behaviors, including kneading, and fewer conflict behaviors when humans followed cat-centered interaction guidelines [2]. Those guidelines emphasized offering choice, allowing the cat to initiate or end contact, and focusing touch where the individual tolerated it.

This evidence supports reading kneading as compatible with a positive interaction in the right context. It does not prove that every kneading cat feels affection, that the cat regards a person as its mother, or that continued petting is always wanted.

3. Settling Before Rest

Many cats knead a bed and then lie down. The movement may help arrange a soft surface, stretch muscles and toes, or form part of a learned sleep routine. The popular evolutionary story that wild ancestors flattened grass into a nest is possible, but direct tests in domestic cats are lacking. Present it as a hypothesis, not established fact.

4. Stretching and Paw Movement

Alternating pressure extends and flexes the digits, wrist, elbow, and shoulder while shifting weight. It can be a comfortable stretch after rest. This explanation is mechanically plausible, but it does not mean kneading is therapeutic or that a cat with arthritis should be encouraged to continue a painful movement.

A cat that shortens the press on one side, avoids one paw, keeps claws extended, licks a joint, or stops jumping may have nail, paw, neurologic, or musculoskeletal pain. Behavior changes are a valuable clue to chronic pain [7][8].

5. Scent and Familiarity

Cats use chemical and visual information extensively. Paws contain scent-producing glands, and scratching deposits scent and visible marks. Kneading may also transfer odor to a surface, but the amount and communicative function have not been demonstrated as clearly as they have for facial rubbing, urine marking, or scratching. “My cat is claiming me” is therefore a possible human shorthand, not a proven translation.

6. Reproductive Arousal

Hind-foot treading can occur during estrus, and some cats combine kneading with gripping, pelvic movement, or genital exposure [3]. The immediate pattern, reproductive status, and other signs distinguish this from relaxed blanket kneading. Spaying or neutering often changes hormonally driven behavior, but learned patterns can remain.

7. Learned Access to Attention, Food, or Warmth

If kneading reliably makes a person talk, pet, feed, open a door, or lift a blanket, the behavior can be reinforced. The cat is not manipulating in a moral sense. It repeats an action that has produced a useful outcome. Morning kneading often persists because the sleepy owner eventually responds.

Change the outcome gently if necessary. Reinforce a competing behavior such as settling on a nearby mat. Use an automatic feeder for predictable early meals. Avoid sometimes rewarding painful clawing and sometimes punishing it, because inconsistency can increase persistence.

8. Self-Regulation During Arousal

Some cats knead when shifting from excitement to rest, during reunion, or in an unfamiliar environment with a preferred blanket. Repetitive movement can occur during emotional regulation, but it should not automatically be labeled “self-soothing.” Observe ears, pupils, tail, posture, breathing, vocalization, appetite, and ability to disengage.

A relaxed-looking sequence that ends in sleep differs from frantic repetition with wide pupils, tail lashing, hiding, aggression, or inability to settle. Humans are imperfect at reading feline stress from visual cues alone, and a 2026 study found that recognition accuracy varied and remained challenging even across a large participant sample [6]. Video and a detailed history help a professional interpret the pattern.

What Does It Mean When a Cat Kneads You?

The most defensible answer is that the cat chose to perform a familiar motor pattern on a warm, soft, socially relevant surface. In many cases, the surrounding signals suggest positive engagement. The cat may settle, half-close the eyes, purr, rub, or sleep afterward. That is a pleasant interaction even if science cannot assign one internal sentence to it.

Do not treat kneading as consent for unrestricted handling. A cat may enjoy lying on a lap but dislike strokes along the back or abdomen. Watch for tail swishing, skin twitching, ears rotating sideways or back, a sudden head turn, freezing, paw lifting, or leaving. Stop before a bite or swat.

Why Does My Cat Knead Me but Not Someone Else?

The cat may associate you with warmth, stillness, a particular fabric, predictable touch, food, or safety. Individual relationships are shaped by history. Research shows that cats can distinguish their owner's voice from unfamiliar voices, even when their response is subtle [10]. Recognition does not mean every preference is “love” in the human sense, but it supports the importance of familiar individuals.

Another person may move more, pet different body regions, wear a less appealing texture, or interrupt the sequence. Let the cat choose. Forcing kneading by placing paws on someone can create avoidance.

Why Does Kneading Hurt?

Normal claw extension can make each press sharp, especially through thin clothing. The cat is not necessarily angry or deliberately injuring the person. Do not push, shout, spray water, or hit. Slide a folded blanket between paws and skin, shift calmly, or stand up before the behavior begins.

Keep claws trimmed at an interval appropriate for the cat. Provide stable scratching surfaces so normal claw maintenance continues. Nail caps may suit selected cats for limited situations when applied correctly and monitored, but they do not replace scratching outlets or trimming. Declawing amputates the last bone of each digit and is not an ethical solution to kneading.

Reading the Whole Cat

Signals Compatible With Relaxed Engagement

  • Loose body and balanced posture
  • Ears neutral or forward
  • Soft facial muscles
  • Eyes partly closed or normal pupils for the light
  • Tail resting rather than whipping
  • Voluntary approach and ability to leave
  • Settling, grooming normally, or sleeping afterward

Purring can occur in relaxed contexts, but cats also purr during pain, illness, labor, or distress. Likewise, kneading is not a stand-alone happiness meter.

Signals to Pause Interaction

  • Tail lashing or repeated tip flicking
  • Ears flattened or rotated back
  • Skin rippling along the back
  • Sudden pupil dilation unrelated to light
  • Head turning sharply toward the hand
  • Crouching, freezing, trying to leave
  • Growling, hissing, swatting, or biting

Respecting early signals prevents escalation. Cat-centered interaction guidelines improve affiliative responses and reduce conflict signs [2]. Offer a hand near the cat, focus initially around cheeks and temporal regions if welcomed, pause frequently, and let the cat decide whether contact continues.

Kneading Blankets, Beds, and Other Objects

Texture Matters

Fleece, wool, plush bedding, sweaters, and soft laps provide resistance without being hard. Some cats seek one particular blanket. Odor may contribute, especially when the object smells like the cat or a familiar person. Washing, moving, or replacing it can change the behavior.

Provide a dedicated kneading surface that is thick enough to protect furniture and skin, washable, free of loose threads, and large enough for turning and settling. Place it where kneading already occurs rather than expecting the cat to find it in an unused room.

Kneading and Suckling

Some cats hold fabric in the mouth, suck it, drool, and knead. Occasional suckling without damage or ingestion may be a benign retained oral pattern. The critical distinction is whether material is swallowed. Fabric, thread, yarn, elastic, foam, and stuffing can cause gastrointestinal obstruction.

Inspect the blanket for missing fibers, holes, wet chewed areas, or pulled threads. Remove unsafe items when unsupervised. If the cat eats nonfood material, schedule veterinary care. Pica can be behavioral, but anemia, gastrointestinal disease, dental pain, nutritional imbalance, stress, and other medical problems must be considered.

String is especially dangerous because a linear foreign body can anchor under the tongue or in the stomach while the intestine gathers along it. Never pull string from a cat's mouth or rectum. Prevent further access and seek urgent care.

Kneading and Biting the Blanket

A cat may grip a blanket while kneading as part of suckling, play, sexual behavior, or high arousal. Look for pelvic thrusting, genital exposure, hind-foot treading, calling, and whether the cat is intact. A quiet suck-and-knead pattern that ends in sleep differs from compulsive chewing or redirected aggression.

Do not put fingers near a gripping cat's mouth. Redirect before arousal peaks by placing the object down, offering distance, or using a familiar play routine. If another cat is the target, separate them safely and seek behavior advice rather than allowing repeated mounting or biting.

Is Too Much Kneading a Problem?

Frequency alone does not define a disorder. One cat kneads every evening, another once a month, and another never. Ask whether the pattern is voluntary, context-linked, physically safe, and compatible with normal eating, sleep, play, grooming, elimination, movement, and social behavior.

A Normal High-Frequency Routine

A cat that kneads a blanket for several minutes before sleep, can stop when the environment changes, and remains otherwise healthy may simply have a strong routine. Management is needed only if claws hurt a person or fabric becomes unsafe.

Repetitive or Compulsive-Looking Behavior

Concern increases when kneading consumes long periods, interferes with rest or feeding, causes paw injury, occurs without an obvious context, or is difficult to interrupt gently. Repetitive behavior can be influenced by stress, reinforcement, frustration, neurologic disease, pain, or other illness. It should not be diagnosed as a compulsive disorder until medical causes and normal behavioral needs are assessed [4][5].

Record video without provoking the behavior. Note time, duration, trigger, surface, body language, ability to stop, recent household changes, medications, and associated signs. This evidence is more useful than the label “obsessed.”

When a Behavior Change Needs a Veterinarian

Cats often express pain and illness through changes in activity, mobility, grooming, sleep, social tolerance, and routine. A study of cats with musculoskeletal disease found that owner-observed behavior and lifestyle changes improved after analgesic treatment, supporting the clinical value of these observations [7]. A newer survey also showed that brief pain education increased owners' concern and stated intention to seek care for behavior changes [8].

Schedule an Examination When

  • Kneading begins suddenly in an older cat.
  • A cat that always kneaded stops and also moves, eats, or interacts differently.
  • The cat favors one paw, limps, resists jumping, or licks a joint.
  • Nails are thick, split, embedded, bleeding, or difficult to retract.
  • The cat chews or swallows fabric.
  • Kneading comes with vomiting, weight loss, appetite change, constipation, diarrhea, or abdominal pain.
  • The pattern is frantic, prolonged, or accompanied by hiding and irritability.
  • Genital licking, straining, frequent litter visits, or urine changes occur.
  • A previously social cat becomes touch-sensitive or aggressive.

Seek Urgent Care When

  • The cat repeatedly strains to urinate or produces little to no urine.
  • String or fabric may have been swallowed.
  • There is collapse, seizure activity, altered awareness, or inability to walk.
  • A paw is severely swollen, bleeding, cold, or trapped.
  • Breathing is difficult or open-mouthed.
  • The abdomen is painful or swollen with repeated vomiting.

Ordinary kneading does not cause these emergencies. The associated signs change the priority.

Paw, Nail, and Skin Safety

Nail Trimming

Trim only the translucent hook beyond the pink quick. Dark nails make the quick harder to see, so remove tiny amounts or ask a veterinary professional to demonstrate. A cat that resists may do better with one nail per session, food rewards, a nonslip surface, and stopping before struggle.

Older cats, cats with arthritis, and cats that do not scratch effectively may develop thick curved nails that grow into paw pads. Check every digit, including dewclaws. An embedded nail needs veterinary treatment for pain, infection risk, and safe removal.

Protecting Human Skin

Use a folded blanket, cushion, thick trousers, or a nearby cat bed. If kneading starts on bare skin, stay still, place a barrier without grabbing the paws, and reward the cat for moving onto it. People who are immunocompromised, take anticoagulants, have fragile skin, or are at high infection risk should be especially careful.

Wash scratches promptly with soap and water. Seek human medical advice for deep punctures, increasing redness, swelling, pain, discharge, fever, or scratches near an eye. Cat-associated infections are a human healthcare question, not something to treat with pet medication.

Protecting the Cat's Skin

Repeated kneading on rough carpet, wire, a heated surface, or chemically treated fabric can damage pads. Inspect the chosen surface. Avoid essential-oil sprays and deterrent chemicals; some are irritating or toxic to cats. A heated pad should be pet-safe, thermostatically controlled, covered, and arranged so the cat can move away.

How to Redirect Kneading Humanely

Kneading is a normal behavior in most contexts. The goal is not to eliminate it but to give it a safe outlet and change painful details.

Step 1: Identify the Pattern

For one week, record where, when, and after what event kneading occurs. Common triggers include sitting under a particular blanket, evening rest, returning home, early-morning feeding, or petting on the sofa. Note the earliest cue before claws reach skin.

Step 2: Put the Right Surface in the Right Place

Fold a washable blanket over the lap or place a padded bed beside you before the cat arrives. Rub it with the cat's familiar bedding rather than adding fragrance. Reward investigation and settling. Do not repeatedly carry the cat to it.

Step 3: Reinforce a Compatible Alternative

Teach a mat behavior with small treats or part of the daily food ration. Mark and reward stepping onto the mat, then lying down, then remaining there. If the cat begins painful kneading, cue the well-practiced mat behavior before moving or feeding. Merck describes response substitution and reinforcement as useful behavior tools [4][5].

Step 4: Change Reinforcement for Wake-Up Kneading

If kneading wakes the owner and produces breakfast, the behavior works. Use a timed feeder, avoid immediate feeding after kneading, and reinforce quiet waiting at a later time. Change gradually and ensure the cat's medical and nutritional needs are met. Night waking with increased hunger or vocalization in an older cat also warrants screening for hyperthyroidism, diabetes, hypertension, pain, cognitive change, or other disease.

Step 5: Avoid Punishment

Water spraying, shouting, scruffing, striking, or pushing paws away can create fear and defensive behavior. Punishment also fails to provide a safe alternative. Environmental management and reinforcement preserve trust and are consistent with feline behavior guidance [4][11].

Environmental Needs That Support Healthy Behavior

The AAFP and ISFM feline environmental-needs guidelines organize care around a safe place, separated key resources, play and predatory opportunities, positive predictable human interaction, and respect for feline scent [11]. These needs matter whether a cat kneads or not.

Safe Places

Offer elevated and enclosed resting choices in quiet locations. A kneading blanket inside a preferred bed can become part of settling. In multicat homes, one cat should not have to pass another to reach safety.

Separated Resources

Provide multiple water stations, food locations where appropriate, litter trays, scratching surfaces, beds, and resting perches. Separation reduces competition. The traditional litter-tray starting point is one per cat plus one extra, distributed rather than lined up as one station, but the household and cats determine the final arrangement.

Play and Predatory Sequence

Use wand toys that permit stalking, chasing, pouncing, and capture, followed by a small food reward or meal. Never use hands as prey. Rotate toys and end before exhaustion. Scheduled play can reduce attention-seeking conflict but should not be used to “wear out” a painful or medically ill cat.

Positive Human Interaction

Let the cat initiate when possible. Offer the hand, use brief cheek or temporal-area contact when welcomed, and pause. The interaction study that tested cat-centered guidelines found more affiliative behavior and fewer conflict signs when people allowed choice and control [2].

Scent Continuity

Avoid washing every bed at once or using strong fragrance throughout the cat's core area. Leave familiar scent on some safe objects. Synthetic pheromone products may help selected stress-related situations but are not substitutes for resource distribution, pain treatment, or a behavior plan.

Common Myths About Cat Kneading

Documenting a New Kneading Pattern for the Veterinary Visit

A short home record can separate an ordinary routine from a broader health change. Film one or two spontaneous episodes from a distance, including the cat's face, tail, all four limbs, and the surface. Do not create the episode by pressing on the cat, presenting a feared object, or withholding a needed resource.

Write down the start and stop time, what happened immediately beforehand, whether a person or animal was present, and what the cat did afterward. Record appetite, water intake, litter-box output, sleep, jumping, stair use, grooming, scratching, vocalization, and medication changes. For fabric-directed behavior, photograph damage and note whether material is missing. For limb asymmetry, film ordinary walking and jumping only when safe.

Bring the cat's complete diet and supplement list, including treats and flavored medication. Bring dates of flea control and any recent boarding, construction, visitors, new pets, moves, or schedule changes. This does not assume the problem is stress. It lets the veterinarian consider medical and environmental factors together.

At the appointment, the clinician may examine nails, paw pads, joints, spine, skin, mouth, abdomen, neurologic function, and urinary system. Testing is selected from the history and examination rather than from kneading alone. An older cat with weight loss and increased appetite needs a different workup from a young cat that swallows fleece, and both differ from a cat that suddenly avoids one paw.

Do not give sedatives, pain medicine, or behavior medication borrowed from another pet. Human pain relievers can be severely toxic to cats. If travel stress makes examination difficult, ask the clinic in advance about carrier conditioning and a patient-specific pre-visit plan.

“Kneading Always Means the Cat Is Happy”

It often occurs during relaxed or affiliative interaction, but no single behavior proves an emotional state. Purring, drooling, and kneading can also occur during arousal or stress. Read the entire cat and context [1][2][6].

“The Cat Thinks You Are Its Mother”

Adult kneading likely has roots in the nursing context, but science cannot show that a cat literally categorizes a human as its mother. Familiar attachment and retained juvenile behavior can coexist without that claim.

“Only Early-Weaned Cats Knead”

Cats with many developmental histories knead. The behavior alone does not prove early weaning, maternal loss, or trauma.

“Kneading Marks Ownership”

Paw scent may transfer during contact, but the communicative role of scent in kneading has not been established as strongly as scent marking through facial rubbing, urine, or scratching. “Claiming” is an oversimplification.

“You Should Stop the Claws With Declawing”

Declawing removes the last bone of each toe and is disproportionate to a manageable normal behavior. Use barriers, trimming, scratching resources, and reinforcement.

“A Cat That Never Kneads Is Unhappy”

Kneading frequency varies. A cat can be socially secure and healthy without displaying it. Welfare assessment includes appetite, body condition, rest, play, grooming, elimination, mobility, social choice, and medical findings.

Frequently Asked Questions

Why do cats make biscuits?

Cats “make biscuits” because kneading is a normal motor pattern that begins during nursing and often persists in relaxed, social, or settling contexts. Its exact adult function is not proven to be one single thing.

Why does my cat knead me?

Your cat may choose you because you are warm, familiar, soft, and associated with positive interaction. Kneading on you is compatible with affiliation but is not a precise verbal message [1][2].

Why do cats knead blankets?

Blankets provide the soft resistance, warmth, odor, and location often associated with kneading and sleep. Texture and learned routine probably contribute.

Why do cats purr while kneading?

Purring and kneading frequently occur together during settling or social contact, but both can appear in more than one emotional or physical state. Check posture and context rather than treating purring as proof of happiness.

Why does my cat use claws while kneading?

Claw extension accompanies normal digit spreading and pressure. Use a thick blanket and maintain the nails rather than punishing the cat.

Why does my cat bite a blanket while kneading?

Blanket biting can accompany suckling, high arousal, or sexual behavior. It becomes medically concerning if the cat chews off or swallows material.

Is excessive kneading a sign of anxiety?

Not by itself. Frequency, triggers, body language, ability to stop, physical safety, and other behavior changes determine whether stress, reinforcement, pain, or illness needs investigation.

When should kneading worry me?

Seek veterinary advice when kneading changes suddenly, causes injury, includes fabric eating, becomes prolonged or frantic, or occurs with pain, urinary signs, appetite loss, vomiting, weakness, or another major change.

Related Veterinary Guides

References

[1] Vitale Shreve KR, Udell MAR. Conspecific and human sociality in the domestic cat: consideration of proximate mechanisms, human selection and implications for cat welfare. Animals. 2022. https://pmc.ncbi.nlm.nih.gov/articles/PMC8833732/

[2] Finka LR, Ward J, Farnworth MJ, Mills DS. Providing humans with practical best-practice handling guidelines during human-cat interactions increases cats' affiliative behaviour and reduces aggression and signs of conflict. Frontiers in Veterinary Science. 2021. https://pmc.ncbi.nlm.nih.gov/articles/PMC8381768/

[3] Merck Veterinary Manual. Management of Reproduction of Cats. https://www.merckvetmanual.com/cat-owners/reproductive-disorders-of-cats/management-of-reproduction-of-cats

[4] Merck Veterinary Manual. Behavior Problems in Cats, Pet Owner Version. https://www.merckvetmanual.com/cat-owners/behavior-of-cats/behavior-problems-in-cats

[5] Merck Veterinary Manual. Behavior Problems of Cats, Professional Version. https://www.merckvetmanual.com/behavior/behavior-of-cats/behavior-problems-of-cats

[6] d'Ingeo S, Nolè M, Straziota V, et al. Human recognition of feline stress-related behavioral states from visual cues depends on observer characteristics. Scientific Reports. 2026. https://pubmed.ncbi.nlm.nih.gov/41876603/

[7] Bennett D, Morton C. A study of owner-observed behavioural and lifestyle changes in cats with musculoskeletal disease before and after analgesic therapy. Journal of Feline Medicine and Surgery. 2009. https://pubmed.ncbi.nlm.nih.gov/19910231/

[8] Gruen ME, et al. Behaviors suggestive of pain: the perceptions and veterinary-related decisions of cat guardians in the USA. Journal of Feline Medicine and Surgery. 2024. https://pubmed.ncbi.nlm.nih.gov/39387159/

[9] Mills DS, Demontigny-Bédard I, Gruen M, et al. Pain and problem behavior in cats and dogs. Animals. 2020. https://pubmed.ncbi.nlm.nih.gov/32085528/

[10] Saito A, Shinozuka K. Vocal recognition of owners by domestic cats. Animal Cognition. 2013. https://pubmed.ncbi.nlm.nih.gov/23525707/

[11] Ellis SLH, Rodan I, Carney HC, et al. AAFP and ISFM Feline Environmental Needs Guidelines. Journal of Feline Medicine and Surgery. 2013. https://pmc.ncbi.nlm.nih.gov/articles/PMC11383066/

[12] Gourkow N, Phillips CJC. Effect of interactions with humans on behaviour, mucosal immunity and upper respiratory disease of shelter cats rated as contented on arrival. Preventive Veterinary Medicine. 2015. https://pubmed.ncbi.nlm.nih.gov/26342792/