J Korean Acad Community Health Nurs.  2013 Jun;24(2):205-213. 10.12799/jkachn.2013.24.2.205.

Effects of Visiting Laughter Therapy on Depression and Insomnia among the Vulnerable Elderly

• Park E

• KMID: 2292763
• DOI: http://doi.org/10.12799/jkachn.2013.24.2.205

Abstract

PURPOSE
The purpose of this study is to investigate the effects of visiting laughter therapy on depression and insomnia in the vulnerable elderly.
METHODS
A quasi-experimental nonequivalent control group pretest-posttest design was used for this study. The participants were 87 elderly who were registered in the Tailored Visiting Health Program of public health centers. Data were collected from September to November 2010. The experimental group received visiting laughter therapy froma visiting nurse who had taken laughter training provided by laughter therapy experts. The experimental group received 10~15 min of laughter therapy once a week for 8 weeks. The instruments included Geriatric Depression Scale and Insomnia Severity Index to measure depression and sleep problems before and after the laughter therapy.
RESULTS
The results showed that visiting laughter therapy was effective in decreasing depression and insomnia among the vulnerable elderly.
CONCLUSION
These findings indicate that laughter therapy may be an effective nursing intervention to improve depression and insomnia Further studies would be needed to identify the difference of effects according to time, interval, or period of visiting laughter therapy and to evaluate the lasting effect of visiting laughter therapy.

Keyword

Laughter therapy; Depression; Sleep initiation and maintenance disorders; Aged

MeSH Terms

Aged
Community Health Nursing
Depression
Humans
Laughter
Laughter Therapy
Public Health
Sleep Initiation and Maintenance Disorders

Reference

1. Bastien CH, Vallieres A, Morin CM. Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Med. 2001. 2(4):297–307. http://dx.doi.org/10.1016/S1389-945(00)00065-4.

2. Bennett MJ, Lengacher C. Humor and laughter may influence health: I. History and backgrounds. Evid Based Complement Alternat Med. 2006. 3(1):61–63. http://dx.doi.org/10.1093/ecam/nek015.

3. Buysse DJ. Insomnia, depression, and aging. Assessing sleep and mood interactions in older adults. Geriatrics. 2004. 59:47–51.

4. Cho EA, Oh HE. Effects of laughter therapy on depression, quality of life, resilience and immune responses in breast cancer survivors. J Korean Acad Nurs. 2011. 41(3):285–293. http://dx.doi.org/10.4040/jkan.2011.41.3.285.

5. Cho KB. Korea suffering from depression, 2,560 thousands patients, medical cost 1,118 billion Won. Kukminilbo. 2011. 05. 31. Retrieved January 2, 2012. from http://news.kukinews.com/article/view.asp?page=1&gCode=kmi&arcid=1306859251&cp=nv.

6. Cho YW. Sleep scale and sleep hygiene. J Korean Sleep Res Soc. 2004. 1(1):12–23.

7. Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G^*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009. 41(4):1149–1160. http://dx.doi.org/doi/10.3758/BRM.41.4.1149.

8. Hyun HJ. The effect of laughter therapy on the blood pressure, perceived stress and depression. 2010. Seoul: Seoul National University;Unpublished master's thesis.

9. Kee BS. A preliminary study for the standardization of Geriatric Depression Scale Short Form-Korea Version. J Korean Neuropsychiatr Assoc. 1996. 35(2):298–307.

10. Ko HJ, Youn CH. Effects of laughter therapy on depression, cognition and sleep among the community-dwelling elderly. Geriatr Gerontol Int. 2011. 11(3):267–274. http://dx.doi.org/10.1111/j.1447-0594. 2010. 00680.x.

11. Lee JS, Kim KS, Kim MY, Oh SM, Oh SH, Lee HS. Effects of laughter therapy on depression and sleep among hemodialysis patients. Clin Nurs Res. 2006. 9:107–150.

12. Lee KI, Eun Y. Effect of laughter therapy on pain, depression and sleep with elderly patients in long term care facility. J Muscle Joint Health. 2011. 18(1):28–38.

13. Lee Y, Choi K, Lee YK. Association of comorbidity with depressive symptoms in community-dwelling older persons. Gerontology. 2001. 47(5):254–262. http://dx.doi.org/doi/10.1159/000052809.

14. Lustberg L, Reynolds CF III. Depression and insomnia: Questions of cause and effect. Sleep Med Rev. 2000. 4(3):253–262. http://dx.doi.org/10.1053/smrv.1999.0075.

15. Martin R. Humor, laughter, and physical health: Methodological issues and research findings. Psychol Bull. 2001. 127(4):504–519. http://dx.doi.org/10.1037/0033-2909.127.4.504.

16. Ministry of Health and Welfare & Center for Disease Control. Korean Health Statistics 2009: Korean National Health and Nutrition Examination Survey (KNHANES IV-3). 2010. Retrieved January 2, 2012. Seoul: Ministry of Health and Welfare · Center for Disease Control;from http://knhanes.cdc.go.kr.

17. Ministry of Health and Welfare & Managing Center for Health Promotion. 2009 Annual report of tailored home visiting health program in Korea. 2010. Seoul: Ministry of Health and Welfare & Managing Center for Health Promotion.

18. Myung SY. The effects of the laughter therapy program on the elderly. 2010. Seoul: Hanyang University;Unpublished master's thesis.

19. Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clin Gerontol. 1986. 5:165–173. http://dx.doi.org/10.1300/J018v05n01_09.

20. Shin HS, Ryu KH, Song YA. Effects of laughter therapy on postpartum fatigue and stress responses of postpartum women. J Korean Acad Nurs. 2011. 41(3):294–301. http://dx.doi.org/10.4040/jkan.2011.41.3.294.

21. Statistics Korea. Social indicators in Kore 2010. 2011. Daejeon: National Statistical Office.

22. Strean WB. Laughter prescription. Can Fam Physician. 2009. 55:965–967.

23. Taylor DJ, Lichstein KL, Durrence HH, Reidel BW, Bush AJ. Epidemiology of insomnia, depression, and anxiety. Sleep. 2005. 28(11):1457–1464.

24. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey MB, et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res. 1982-1983. 17(1):37–49. http://dx.doi.org/10.1016/0022-3956(82)90033-4.