Asian Oncology Nursing (종양간호연구)

Korean Oncology Nursing Society (대한종양간호학회)
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The Effects of Laughter Therapy on Stress Responses in Patients with Preoperative Breast Cancer

일회성 웃음 요법이 수술 전 유방암 환자의 스트레스 반응에 미치는 효과

  • Received : 2011.01.21
  • Accepted : 2011.07.28
  • Published : 2011.08.31
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Abstract

The purpose of this study was to examine the effects of laughter therapy on mood, state anxiety, and serum cortisol based on a Stress-Coping Model for preoperative breast cancer patients. Methods: The study used a nonequivalent control group pretest-posttest design. The participants were 40 breast cancer patients who were admitted to one general hospital for surgery in 2009 (experimental group 23, control group 17). The experimental group received one hour laughter therapy consisting of dance, lots of laughter techniques, and meditation. Results: The mean ages were 47 years (experimental group) and 49 years (control group). There were no significant differences in demographic and disease-related characteristics between the two groups. After the intervention, the scores of mood and state-anxiety of experimental group were significantly improved than those of control group. However, no difference was found in serum cortisol. Conclusion: The laughter therapy was partially effective in improving stress response in patients with breast cancer. Further research is needed to develop and evaluate the longer periods of interventions to testify the effects on serum cortisol, and other biochemical variables.

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References

  1. Kim SH, Kim YH, Kim, HJ, Lee SN, Yu, SO. The effects of laughter therapy on depression, anxiety, and stress in patients with breast cancer undergoing radiotherapy. J Korean Oncol Nurs 2009;9:155-62.
  2. Kim KH, Lee MH. Effects of humor intervention program on anxiety, depression, and coping of humor in hemodialysis patients. Korean J Rehabil Nurs 1999;2:95-108.
  3. Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A. Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ 2005;330:702-5. https://doi.org/10.1136/bmj.38343.670868.D3
  4. Kim HJ, Suh MJ. Effect of humor video tape on an anxiety, depression and coping of the imparied mobility patient. Seoul Journal of Nursing 1996;10:203-17.
  5. Larson MR, Duberstein PR, Talbot NL, Caldwell C, Moynihan JA. A presurgical intervention for breast cancer patients: psychological distress and the immune response. J Psychosom Res 2000;48:187-94. https://doi.org/10.1016/S0022-3999(99)00110-5
  6. Kim YS, Jun SS. The influence of one-time laughter therapy on stress response in the elderly. J Korean Acad Psychiatr Ment Health Nurs 2009;18:269-77.
  7. Level S, Rosenberger Z, Edgar L, Devins GM. Predicting stress-related problems in long-term breast cancer survivors. J Psychol 2006;65:513-23.
  8. Lazarus RS, Folkman S. Psychological stress and the coping process. New York: Springer;1984.
  9. Clark A, Seidler A, Miller M. Inverse association between sense of humor and coronary heart disease. Int J Cardiol 2001;80:87-8. https://doi.org/10.1016/S0167-5273(01)00470-3
  10. Fry WF. The biology of humor. HUMOR 1994;7:111-26.
  11. Johnson P. The use of humor and its influences on spirituality and coping in breast cancer survivors. Oncol Nurs Forum 2002;29:691-5. https://doi.org/10.1188/02.ONF.691-695
  12. Lebowiz KR. The effects of humor on cardiopulmonary functioning, psychological well-being and health status among older adults with chronic obstructive pulmonary disease. [Unpublished doctoral disseratation], Columbus, USA:Ohio University;2002.
  13. Hajime K. Reduction of plasma levels of neurotrophins by laughter in patient with atopic dermatitis. Pediatr Allergy Immunol 2004;17:131-5. https://doi.org/10.1089/0883187041269869
  14. Bennett MP, Zeller JM, Rosenberg L, McCann J. The effect of mirthful laughter on stress and natural killer cell activity. Altern Ther Health Med 2003;9:38-44.
  15. Marie G, Angela C, Sallie D, Patricia B, Deborah W. Study confirms belief that laughter is the best medicine. AORN J 2004;80:241.
  16. Kim JT, Sin DG. A study based on the standardization of the STAI for Korea. Choisineuihag 1978;21:1220-3.
  17. Hur EH. Effects of laughter therapy on mood, stress and quality of life in patients with hemodialysis [Unpublished master thesis]. Kyungi:Cha Medical University;2007.
  18. Kim KS, Lee SW, Choe MA., Yi MS, Choi S, Kwon SH. Effects of abdominal breathing training using biofeedback on stress, immune response and quality of life in patients with a mastectomy for breast cancer. J Korean Acad Nurs 2005;35:1295-303.
  19. Berk LS, David L, Felton S, Tan A, Barry B, Bittman JW. Modulation of neuroimmune parameters during the eustress of humor-associated mirthful laughter. Altern Ther Health Med 2001;7(2):62-76.
  20. Balick MJ, Lee R. The role of laughter in traditional medicine and its relevance to the clinical setting: healing with ha! Altern Ther Health Med 2003;9(4):88-91.
  21. Kim YS, Jun SS. The influence of one-time laughter therapy on stress response in the elderly. J Korean Acad Psychiatr Ment Health Nurs 2009;18:269-77.
  22. Cline ME, Herman JA, Shaw ER, Morton RD. Standardization of the visual analogue scale. Nurs Res 1992;41:378-9.
  23. Ganz PA, Schag AC, Lee JJ, Polinsky ML, Tan SJ. Breast conservation versus mastectomy. Is there a difference in psychological adjustment or quality of life in the year after surgery? Cancer 1992;69:1729-38. https://doi.org/10.1002/1097-0142(19920401)69:7<1729::AID-CNCR2820690714>3.0.CO;2-D
  24. Cohen J. Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale NJ:Erlbaum;1988.
  25. Spielberger CD. Anxiety: state trate process in stress and anxiety. NewYork:John Wiley and Sons;1975;3-26.
  26. Hassed C. How humor helps keep you well. Aust Fam Physician 2001;30:25-8.
  27. Lengacher CA, Bennett MP, Kip KE, Keller R, LaVance MS, Smith LS, et al. Frequency of use of complementary and alternative medicine in women with breast cancer. Oncol Nurs Forum 2002;29:445-52. https://doi.org/10.1188/02.ONF.445

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