幽默疗法缓解老年人心理问题效果的Meta分析

doi:10.3969/j.issn.1003-9198.2023.01.014

Abstract

Abstract: Objective To explore the effects of humor therapy in alleviating the psychological problems of the elderly, and to provide reference for the clinical adjuvant treatment for the patients with mental diseases. Methods VIP database, Wanfang Digital Journal Full-text Database, CNKI full-text database, Wiley Online Library, PubMed, Web of Science, EBSCO were searched for the literatures published from the establishment of the database to December 30, 2021. All randomized and semi-randomized controlled trials were conducted to analyze the effects of laughter therapy or humor therapy on alleviating anxiety, depression and other psychological problems in the elderly. Revman 5.3 software was used to conduct meta-analysis. Results Eight randomized controlled trials with a total of 587 cases were enrolled in this study. Compared with conventional intervention or blank control, humor therapy was significantly associated with depression score(SMD=-0.76, 95%CI :-1.04 - -0.27, Z=5.46, P<0.001), loneliness score (SMD=-1.43, 95%CI:-2.58 - -0.28, Z=2.43, P<0.05) and quality of life score(SMD=0.77, 95%CI:0.45-1.09, Z=4.68, P<0.001). Conclusions Humor therapy can effectively alleviate the depression, anxiety and loneliness of the elderly and improve their quality of life. It plays an important role in the treatment of mental diseases and is worth popularizing.

Key words: smile therapy, humor therapy, depression, anxiety, mental illness, systematic review

CLC Number:

R 943

HE Lu-sheng, ZHANG Li, NIE Chen-cong, CHEN Jia-zeng, YANG Ting, ZHOU Rui-yi. A meta-analysis of the effects of humor therapy in alleviating psychological problems in the elderly[J]. Practical Geriatrics, 2023, 37(1): 56-61.

References

[1] PARTRIDGE L, DEELEN J, SLAGBOOM P E. Facing up to the global challenges of ageing[J]. Nature, 2018, 561(7721): 45-56.
[2] 国务院第七次全国人口普查领导小组办公室. 2020年第七次全国人口普查主要数据[M]. 北京: 中国统计出版社,2021:22.
[3] PARALIKAS T, MARIA M, DIMITRIOS T, et al. Physical and mental health level of the elderly living in central Greece[J]. Mater sociomed, 2021, 33(1): 16-20.
[4] 陈晓磊, 徐世芬. 针刺治疗老年抑郁症的临床思路和机制研究进展[J]. 老年医学与保健, 2019, 25(4): 544-547.
[5] 王小艳, 张瑞凤, 张芳. 认知行为团体治疗对社区老年人焦虑及抑郁情绪的影响[J]. 中国社区医师, 2021, 37(5): 73-74.
[6] MORA-RIPOLL R. Potential health benefits of simulated laughter: a narrative review of the literature and recommendations for future research[J]. Complement Ther Med, 2011, 19(3): 170-177.
[7] YIM J. Therapeutic benefits of laughter in mental health: A theoretical review[J]. Tohoku J Exp Med, 2016, 239(3): 243-249.
[8] HIGGINS J P T,ALTMAN D G,STERNE J A C.Chapter8:assessing risk of bias in Included studies.In:Higgins JPT,Green S,eds.Cochrane Handbook for Systematic Reviews of Interventions Version5.1.0(updated March 2011)[EB/OL].The Cochrane Collaboration,2011. www.eochrane-handbook.org. 2011.
[9] 姚莉珮. 小丑照护在养老机构老年人群中的应用研究[D]. 太原:山西医科大学, 2020.
[10] HEIDARI M, GHODUSI BORUJENI M, REZAEI P, et al. Effect of laughter therapy on depression and quality of life of the elderly living in nursing homes[J]. Malays J Med Sci, 2020, 27(4): 119-129.
[11] KURU ALICI N, ZORBA BAHCELI P, EMIROGLU O N. The preliminary effects of laughter therapy on loneliness and death anxiety among older adults living in nursing homes: a nonrandomised pilot study[J]. Int J Older People Nurs, 2018, 13(4): e12206.
[12] HAN J H, PARK K M, PARK H. Effects of laughter therapy on depression and sleep among patients at long-term care hospitals[J]. Kore J Adu Nurs, 2017, 29(5): 560.
[13] HSIEH C J, CHANG C, TSAI G, et al. Empirical study of the influence of a laughing Qigong program on long-term care residents[J]. Geriatr Gerontol Int, 2015, 15(2): 165-173.
[14] PARK E. Effects of visiting laughter therapy on depression and insomnia among the vulnerable elderly[J]. J Kore Acade Comm Heal Nurs, 2013, 24(2): 205.
[15] LEE H K, BYEON D H, PARK Y S, et al. Effects of the laughter therapy on blood pressure, depression and quality of life in rural elderly women[J]. J Kore Acade Ind Soci, 2013, 14(4): 1810-1819.
[16] KONRADT B, HIRSCH R D, JONITZ M F, et al. Evaluation of a standardized humor group in a clinical setting: a feasibility study for older patients with depression[J]. Int J Geriatr Psychiatry, 2013, 28(8): 850-857.
[17] BENNETT P N, HUSSEIN W F, REITERMAN M, et al. The effects of laughter therapy on depression symptoms in patients undergoing center hemodialysis: a pragmatic randomized controlled trial[J]. Hemodial Int, 2020, 24(4): 541-549.
[18] DEMIR DOGAN M. The effect of laughter therapy on anxiety: a meta-analysis[J]. Holist Nurs Pract, 2020, 34(1): 35-39.
[19] BROWN A S, GERSHON S. Dopamine and depression[J]. J Neural Transm Gen Sect, 1993, 91(2/3): 75-109.
[20] VLACHOPOULOS C, XAPLANTERIS P, ALEXOPOULOS N, et al. Divergent effects of laughter and mental stress on arterial stiffness and central hemodynamics[J]. Psychosom Med, 2009, 71(4): 446-453.
[21] PÉREZ-ARANDA A, HOFMANN J, FELIU-SOLER A, et al. Laughing away the pain: a narrative review of humour, sense of humour and pain[J]. Eur J Pain, 2019, 23(2): 220-233.
[22] LIPTAK A, TATE J, FLATT J, et al. Humor and laughter in persons with cognitive impairment and their caregivers[J]. J Holist Nurs, 2014, 32(1): 25-34.
[23] GREENE C M, MORGAN J C, TRAYWICK L S, et al. Evaluation of a laughter-based exercise program on health and self-efficacy for exercise[J]. Gerontologist, 2017, 57(6): 1051-1061.
[24] OZER Z, ATES S. Effects of laughter yoga on hemodialysis patients’ plasma-beta endorphin levels, pain levels and sleep quality: a randomized controlled trial[J]. Complement Ther Clin Pract, 2021, 43:101382.
[25] 张波静. 表演式健康教育对老年人不良饮食行为的干预效果[J]. 中外医疗, 2012, 31(12): 130-131.
[26] KONTOS P, MILLER K L, COLOBONG R, et al. Elder-clowning in long-term dementia care: results of a pilot study[J]. J Am Geriatr Soc, 2016, 64(2): 347-353.
[27] ARMAT M R, EMAMI ZEYDI A, MOKARAMI H, et al. The impact of laughter yoga on depression and anxiety among retired women: a randomized controlled clinical trial[J]. J Women Aging, 2020, 34(1):1-12.
[28] ELLIS J M, BEN-MOSHE R, TESHUVA K. Laughter yoga activities for older people living in residential aged care homes: a feasibility study[J]. Australas J Ageing, 2017, 36(3): E28-E31.

A meta-analysis of the effects of humor therapy in alleviating psychological problems in the elderly

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