Premenstrual Syndrome and Laughter Yoga

The Effect of Laughter Yoga on Premenstrual Syndrome in Adolescents

In addition to physical and emotional effects, premenstrual syndrome can negatively affect the participation in classes, school success, social activities and family relationships of young adolescents in high school. Many non-pharmacological treatments have been found to improve premenstrual syndromes in adolescents. Laughter yoga, one of these methods, is a practice consisting of deep breathing exercises and laughter exercises. Laughter yoga has been studied in different sample groups (elderly people, nurses, dialysis patients, etc.) and positive results have been obtained. In this study, the effect of laughter yoga on premenstrual symptoms in adolescents will be examined.

Study Overview

• Status: Not yet recruiting
• Conditions: Premenstrual Syndrome; Laughter
• Intervention / Treatment: Other: Laughter yoga

Detailed Description

According to the Nursing Interventions Classification (NIC), laughter therapy, one of the interventions used in nursing care, appears as a universal approach. Laughter therapy is defined as facilitating the patient's perception, appreciation, and expression of what is funny, entertaining, or ridiculous in order to build relationships, reduce tension, release anger, facilitate learning, or cope with painful emotions. Laughter therapy, which is applied without using humor, generally includes exercises such as clapping, dancing, and vocalizing laughter-like sounds such as "hoho-hahaha", but it can also include non-laughter elements such as breathing and relaxation exercises. Laughter Yoga is a specific example of non-humorous laughter therapy; It includes yoga exercises such as laughing exercises, clapping, breathing and relaxation exercises. In studies conducted in the pediatric population, laughter yoga has been shown to improve stress, pain, self-esteem , anxiety, hopelessness. Has been found to provide positive improvements in depression and psychological resilience.

The menstrual cycle, which is one of the most important signs of the functioning of the reproductive system, is associated with signs and symptoms that cause physical and psychological problems. Premenstrual Syndrome (PMS) refers to a set of recurrent symptoms that begin at the end of the luteal phase of the menstrual cycle (5-7 days before menstruation) and end in the follicular phase (2-4 days after menstruation). Many women cannot cope with symptoms such as emotional changes, irritability, lack of concentration, depressive mood or insomnia that occur during this period. For this reason, premenstrual symptoms can negatively affect adolescents' participation in classes, school success, social activities and family relationships. In addition to pharmacological agents, non-pharmacological methods such as reflexology, acupuncture, acupressure, cognitive-behavioral approaches and massage therapy have been used in recent years to cope with premenstrual syndrome.

PMS is an important health problem that includes complex symptoms and negatively affects women's quality of life. In order to cope with these symptoms, PMS needs to be addressed multidimensionally. This study aimed to investigate the effect of laughter therapy in coping with premenstrual syndrome.

• Study Type: Interventional
• Enrollment (Estimated): 68
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Agreeing to participate in the research
• Having a regular menstrual cycle (menstruation every 21-35 days and without complaints of intermittent bleeding) for the last 6 months
• Not receiving medical treatment for PMS

Exclusion Criteria:

• Not agreeing to participate in the research
• Having had any surgical operation in the last 3 months
• Presence of a chronic disease (asthma, DM, etc.)
• Presence of gynecological disease
• Using hormonal contraception (such as oral contraceptives and injections).

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Laughter yoga; Premenstrual syndrome scale will be applied to adolescents as a pre-test. 34 randomly selected students who pass the cutoff score on this scale will form the experimental group. A total of 10 sessions of laughter yoga will be performed for this group, twice a week for 5 weeks. At the end of the tenth session, the premenstrual syndrome scale will be re-applied to the experimental group as a post-test.	Other: Laughter yoga; This practice, which includes deep breathing exercises and laughter exercises, takes approximately 45 minutes. The sessions will be conducted by the principal investigator.
No Intervention: Control; Premenstrual syndrome scale will be applied to adolescents as a pre-test. 34 randomly selected students who pass the cutoff score on this scale will form the control group. No intervention will be applied to this group. At the end of five weeks, the premenstrual syndrome scale will be applied again to the control group as a post-test.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Premenstrual Symptom Scale	Premenstrual Syndrome Scale is a five-point Likert type scale with 44 items. In the application of PMSS, as stated in the instruction at the beginning, after reading the item, marking is made according to whether this situation is "one week before menstruation", taking into account the degrees to the right of the relevant item. In scoring the scale, the "Never" option is evaluated as 1 point, the "Very little" option is evaluated as 2 points, the "Sometimes" option is evaluated as 3 points, the "Often" option is evaluated as 4 points and the "Always" option is evaluated as 5 points. The scale has a total of nine subscales: Depressive Affect, Anxiety, Fatigue, Irritability, Depressive Thoughts, Pain, Appetite Changes, Sleep Changes and Bloating. The higher the score, the more intense the premenstrual syndrome symptoms are considered.	5 weeks

Collaborators and Investigators

• Sponsor: Pamukkale University

Study record dates

Study Major Dates

• Study Start (Estimated): April 26, 2024
• Primary Completion (Estimated): May 24, 2024
• Study Completion (Estimated): May 24, 2025

Study Registration Dates

• First Submitted: April 20, 2024
• First Submitted That Met QC Criteria: April 20, 2024
• First Posted (Actual): April 24, 2024

Study Record Updates

• Last Update Posted (Actual): April 24, 2024
• Last Update Submitted That Met QC Criteria: April 20, 2024
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Keywords: Adolescent; Laughter Yoga; Premenstrual Syndrome
• Additional Relevant MeSH Terms: Pathologic Processes; Disease; Menstruation Disturbances; Syndrome; Premenstrual Syndrome
• Other Study ID Numbers: PamukkaleU-SBE-BB-01

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No