Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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Effects of Visiting Laughter Therapy on Depression and Insomnia among the Vulnerable Elderly

방문웃음요법이 취약계층 노인의 우울과 불면증에 미치는 효과

  • Park, Eunok (College of Nursing, Jeju National University)
  • Received : 2012.07.21
  • Accepted : 2013.06.18
  • Published : 2013.06.30
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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.

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References

  1. Bastien, C. H., Vallieres, A., & Morin, C. M. (2001). Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Medicine, 2 (4), 297-307. http://dx. doi.org/10.1016/S1389-945(00)00065-4
  2. Bennett, M. J., & Lengacher, C. (2006) Humor and laughter may influence health: I. History and backgrounds. Evidence Based Complement Alternative Medicine, 3 (1), 61-63. http://dx.doi.org/10.1093/ecam/nek015
  3. Buysse, D. J. (2004). Insomnia, depression, and aging. Assessing sleep and mood interactions in older adults. Geriatrics, 59, 47-51.
  4. Cho, E. A., & Oh, H. E. (2011). Effects of laughter therapy on depression, quality of life, resilience and immune responses in breast cancer survivors. Journal of Korean Academy Nursing, 41 (3), 285-293. http://dx.doi.org/10.4040/jkan. 2011.41.3.285
  5. Cho, K. B. (2011, May 31). Korea suffering from depression, 2,560 thousands patients, medical cost 1,118 billion Won. Kukminilbo. Retrieved January 2, 2012, from http://news. kukinews.com/article/view.asp?page=1&gCode=kmi&ar cid=1306859251&cp=nv
  6. Cho, Y. W. (2004). Sleep scale and sleep hygiene. Journal of Korean Sleep Research Society, 1 (1) 12-23.
  7. Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41 (4), 1149-1160. http://dx.doi.org/doi/10.3758/BRM.41.4.1149
  8. Hyun, H. J. (2010). The effect of laughter therapy on the blood pressure, perceived stress and depression. Unpublished master's thesis, Seoul National University, Seoul.
  9. Kee, B. S. (1996). A preliminary study for the standardization of Geriatric Depression Scale Short Form-Korea Version. Journal of Korean Neuropsychiatric Association, 35 (2), 298-307.
  10. Ko, H. J., & Youn, C. H. (2011). Effects of laughter therapy on depression, cognition and sleep among the community-dwelling elderly. Geriatrics and Gerontology International, 11 (3), 267-274. http://dx.doi.org/10.1111/j.1447-0594. 2010.00680.x
  11. Lee, J. S., Kim, K. S., Kim, M. Y., Oh, S. M., Oh, S. H., & Lee, H. S. (2006). Effects of laughter therapy on depression and sleep among hemodialysis patients. Clinical Nursing Research, 9, 107-150.
  12. Lee, K. I., & Eun, Y. (2011). Effect of laughter therapy on pain, depression and sleep with elderly patients in long term care facility. Journal of Muscle and Joint Health, 18 (1), 28-38. https://doi.org/10.5953/JMJH.2011.18.1.028
  13. Lee, Y., Choi, K., & Lee, Y. K. (2001). Association of comorbidity with depressive symptoms in community-dwelling older persons. Gerontology, 47 (5), 254-262. http://dx.doi.org/doi/ 10.1159/000052809
  14. Lustberg, L., & Reynolds III, C. F. (2000). Depression and insomnia: Questions of cause and effect. Sleep Medicine Reviews, 4 (3), 253-262. http://dx.doi.org/10.1053/smrv.1999.0075
  15. Martin, R. (2001). Humor, laughter, and physical health: Methodological issues and research findings. Psychological Bulletin, 127 (4), 504-19. http://dx.doi.org/10.1037/0033-2909.127.4.504
  16. Ministry of Health and Welfare & Center for Disease Control. (2010). Korean Health Statistics 2009: Korean National Health and Nutrition Examination Survey (KNHANES IV-3). Seoul: Ministry of Health and Welfare.Center for Disease Control. Retrieved January 2, 2012, from http://knhanes.cdc.go.kr
  17. Ministry of Health and Welfare & Managing Center for Health Promotion. (2010). 2009 Annual report of tailored home visiting health program in Korea. Seoul: Author.
  18. Myung, S. Y. (2010). The effects of the laughter therapy program on the elderly. Unpublished master's thesis, Hanyang University, Seoul.
  19. Sheikh, J. I., & Yesavage J. A. (1986). Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontologist, 5, 165-173. http://dx.doi.org/10.1300/J018v05n01_09
  20. Shin, H. S., Ryu, K. H., & Song, Y. A. (2011). Effects of laughter therapy on postpartum fatigue and stress responses of postpartum women. Journal of Korean Academy Nursing, 41 (3), 294-301. http://dx.doi.org/10.4040/jkan.2011.41.3.294
  21. Statistics Korea. (2011). Social indicators in Kore 2010. Daejeon: National Statistical Office.
  22. Strean, W. B. (2009). Laughter prescription. Canadian Family Physician, 55, 965-967.
  23. Taylor, D. J., Lichstein, K. L., Durrence, H. H., Reidel, B. W., & Bush, A. J. (2005). Epidemiology of insomnia, depression, and anxiety. Sleep, 28 (11), 1457-1464.
  24. Yesavage, J. A., Brink, T. L, Rose, T. L., Lum, O., Huang, V., Adey, M. B., et al. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17 (1), 37-49. http://dx.doi.org/ 10.1016/0022-3956 (82)90033-4

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