The effects of laughter therapy on general health of elderly people referring to jahandidegan community center in shiraz, iran, 2014: a randomized controlled trial

Fariba Ghodsbin, Zahra Sharif Ahmadi, Iran Jahanbin, Farkhondeh Sharif, Fariba Ghodsbin, Zahra Sharif Ahmadi, Iran Jahanbin, Farkhondeh Sharif

Abstract

Background: Aging and its social-biological process naturally impair the functions of different body organs and cause progressive disabilities in managing personal affairs and performing social roles. Laughter therapy is an important strategy which has been recommended by experts for increasing health promotion in older adults. Therefore, we aimed to investigate the effect of laughter therapy program on public health of senior citizens.

Methods: In a randomized controlled trial, we enrolled 72 senior citizens aged 60 and over referring to Jahandidegan (Khold-e-Barin) retirement community center in Shiraz, southwest Iran during January to February 2014. The participants were assigned into experimental (N=36) and control (N=36) groups. Data were collected using General Health Questionnaire (GHQ-28) and demographic questionnaire. The participants of experimental group attended a laughter therapy program consisting of two 90-minute sessions per week lasting for 6 weeks.

Results: We found a statistically significant correlation between laughter therapy program and factors such as general health (P=0.001), somatic symptoms (P=0.001), insomnia and anxiety (P=0.001). However, there was no statistically significant correlation among laughter therapy, social dysfunction (P=0.28) and depression (P=0.069).

Conclusion: We concluded that laughter therapy can improve general health and its subscales in elderly people.

Trial registration number: IRCT2014061111691N4.

Keywords: Elderly; General health; Laughter therapy.

Figures

Figure 1
Figure 1
Diagram of the participants in the study

References

    1. Troisi J. Ageing in the Mediterranean. London: Policy Press; 2013. pp. 41–50.
    1. Noorbala AA, BagheriYazdi SA, Yasamy MT, Mohammad K. Mental health survey of the adult population in Iran. The British Journal of Psychiatry. 2004;184:70–3.
    1. Jones ED, Beck-Little R. The use of reminiscence therapy for the treatment of depression in rural-dwelling older adults. Issues in Mental Health Nursing. 2002;23:279–90.
    1. Fries JF. Aging, natural death, and the compression of morbidity. Bulletin of the World Health Organization. 2002;80:245–50.
    1. Jongenelis K, Pot AM, Eisses AM, et al. Prevalence and risk indicators of depression in elderly nursing home patients: the AGED study. Journal of affective disorders. 2004;83:135–42.
    1. Tsaousis I, Nikolaou I. Exploring the relationship of emotional intelligence with physical and psychological health functioning. Stress and Health. 2005;21:77–86.
    1. Bennett MP, Lengacher C. Humor and laughter may influence health: III. Laughter and health outcomes. Evidence-Based Complementary and Alternative Medicine. 2008;5:37–40.
    1. Low LF, Goodenough B, Fletcher J, et al. The effects of humor therapy on nursing home residents measured using observational methods: the SMILE cluster randomized trial. Journal of the American Medical Directors Association. 2014;15:564–9.
    1. Mora-Ripoll R. Potential health benefits of simulated laughter: A narrative review of the literature and recommendations for future research. Complementary Therapies in Medicine. 2011;19:170–7.
    1. Capps D. The psychological benefits of humor. Pastoral Psychology. 2006;54:393–411.
    1. Bast ES, Berry EM. Laugh Away the Fat? Therapeutic Humor in the Control of Stress-induced Emotional Eating. Rambam Maimonides Medical Journal. 2014;5:e0007.
    1. Ko HJ, Youn CH. Effects of laughter therapy on depression, cognition and sleep among the community-dwelling elderly. Geriatrics & Gerontology International. 2011:267–74.
    1. Shahidi M, Mojtahed A, Modabbernia A, et al. Laughter yoga versus group exercise program in elderly depressed women: a randomized controlled trial. International Journal of Geriatric Psychiatry. 2011;26:322–7.
    1. Mohammad K, Bagheri Yazdi SA, Noorbala A. The Validation of General Health Questionnaire- 28 as a Psychiatric Screening Tool. Hakim Research Journal. 2009;11:47–53. [In Persian]
    1. Malakouti SK, Fatollahi P, Mirabzadeh A, Zandi T. Reliability, validity and factor structure of the GHQ-28 used among elderly Iranians. International Psychogeriatrics. 2007;19:623–34.
    1. Behzadi A. Assessment of laugter therapy on rate of General health in men older in Hasheminezhad Hospital [thesis] Tehran (Iran): School of Psychology,Tabatabaie University; 2010.
    1. Ramazani S. The effect of education on mental health practices and coping humor oriented nurses working in emergency departments of hospitals of Shiraz University of Medical Sciences [thesis] Shiraz (Iran): Shiraz university of medical Sicence; 2005.
    1. SaifieZarie B. The effect of laughter on blood pressure in patients with essential hypertension [thesis] Babol (Iran): Babol University of Medical Sciences; 2009.
    1. Erdman L. Laughter therapy for patients with cancer. Journal of PsychosocialOncology. 1994;11:55–67.
    1. Houston DM, McKee KJ, Carroll L, Marsh H. Using humor to promote psychological wellbeing in residential homes for older people. Aging & Mental Health. 1998;2:328–32.
    1. Bennett MP, Zeller JM, Rosenberg L, McCann J. The effect of mirthful laughter on stress and natural killer cell activity. Alternative therapies in health and medicine. 2003;9:38–45.
    1. Dixon C. Having a Laugh, Having a Fight: masculinity and the conflicting needs of the self in Design and Technology. International Studies in Sociology of Education. 1996;6:147–66.
    1. Thorson JA, Powell FC. Relationships of death anxiety and sense of humor. Psychological Reports. 1993;72:1364–6.
    1. Carroll J, Shmidt JL Jr. Correlation between humorous coping style and health. Psychological Reports. 1992;70:402.
    1. Mora-Ripoll R. The therapeutic value of laughter in medicine. Alternative Therapies in Health and Medicine. 2010;16:56–64.
    1. Goodheart A. Laughter Therapy: How To Laugh About Everything In Your Life That Isn’t Really Funny Author: Annette Goodheart. NJ: Less Stress Press; 1994.
    1. Hasan H, Hasan TF. Laugh yourself into a healthier person: a cross cultural analysis of the effects of varying levels of laughter on health. International Journal of Medical Sciences. 2009;6:200–11.

Source: PubMed

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