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Literature analysis of humor therapy research

Laura E. Harkins

Abstract


Alternative therapies and creative facilitation techniques assist professionals in overcoming common client barriers such as boredom, passivity, and indifference or unresponsiveness to treatments. Humor therapy or therapeutic humor is one such facilitation technique that is no laughing matter, as research indicates its effectiveness extends much further than fun and smiles. Humor therapy is creating a humorous environment implemented through active and/or passive means to treat participants’ symptoms by eliciting laughter and joy. Little exists, however, that summarizes the status of data-based research on this topic. Therefore, the purpose of this article is to provide a literature analysis comprising the physiological and psychological benefits of humor therapy utilizing research published within the last 10 years. In addition, specific analysis of methodology, identification of limiting factors, exploration of future research implications, and practical recommendations for recreational therapy professionals are addressed.

Keywords


humor therapy, therapeutic humor, recreational therapy, mirth, literature analysis

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References


Dattilo J, Williams R: Therapeutic use of humor. In Dattilo J (ed.): Facilitation Techniques in Recreational Therapy. State College: Venture Publishing, Inc., 2000: 385-407.

Franzini L: Humor in therapy: The case for training therapists in its uses and risks. J Gen Psychol. 2001; 128: 170-194.

Dr. Patch Adams & The Gesundheit Institute: History: A hospital as home. Available at http://www.patchadams.org/. Accessed June 15, 2009.

Association for Applied and Therapeutic Humor: Available at http://www. aath.org/. Accessed June 22, 2009.

Centers for Medicare and Medicaid Services: Available at http://www.cms.hhs.gov/NursingHomeQualityInits/20_NHQIMDS 20.asp#TopOfPage. Accessed November 11, 2009.

National Council for Therapeutic Recreation Certification: Available at http://www.nctrc.org/ documents/CTRSProfile09-FINAL081809.pdf. Accessed November 11, 2009.

Kinney J, Kinney T, Witman J: TR modalities and facilitation techniques: A national study. Annu Recreational Ther. 2004; 13: 59-79.

Berk L, Tan S: Laughter remains good medicine. Science Daily. Available at http://www.sciencedaily.com/releases/2009/04/ 090417084115.htm. Accessed May 2, 2009.

Miller M, Mangano C, Park Y, et al.: Impact of cinematic viewing on endothelial function. Heart. 2006; 92: 261-262.

Overeem S, Taal W, Ocal Gezici E, et al.: Is motor inhibition during laughter due to emotional or respiratory influences? Psychophysiology. 2004; 41: 254-258.

Bennett M, Rosenberg L, Zeller J, et al.: The effect of mirthful laughter on stress and natural killer cell activity. Altern Ther Health Med. 2003; 9: 38-44.

Berk LS, Felten DL, Tan SA, et al.: Modulation of neuroimmune parameters during the eustress of humor-associated mirthful laughter. Altern Ther Health Med. 2001; 7: 62-72, 74-76.

Goodenough B, Ford J: Self-reported use of humor by hospitalized pre-adolescent children to cope with pain-related distress from a medical intervention. Humor. 2005; 18: 279-298.

Zweyer K, Velker B, Ruch W: Do cheerfulness, exhilaration, and humor production moderate pain tolerance? A FACS study. Humor. 2004; 17(1/2): 85-119.

Martin R, Dobbin J: Sense of humor, hassles, and immunoglobulin A: Evidence for a stressmoderating effect of humor. Int J Psychiatry Med. 1988; 18: 93-105.

Thorson J, Powell F: Development and validation of a multidimensional sense of humor scale. J Clin Psychol. 1993; 149: 13-23.

Bennett M: The Effect off Mirthful Laughter on Stress and Natural Killer Cell Cytotoxicity [Dissertation]. Chicago, IL: Rush-Presbyterian-St. Luke’s Medical Center, 1997.

Phipps S: Reduction of distress associated with paediatric bone marrow transplant: Complementary health promotion interventions. Pediatr Rehabil. 2002; 5: 223-234.

Ruch W, Köhler G, van Thriel C: Assessing the ‘‘humorous temperament’’: Construction of the facet and standard trait forms of the State-Trait-Cheerfulness-Inventory STCI. Humor. 1996; 9(3/4): 303-339.

McGrath PA, Seifert CE, Speechley KN, et al.: A new analogue scale for assessing children’s pain: An initial validation study. Pain. 1996; 64.

Reid GJ, Gilbert CA, McGrath PJ: The Pain Coping Questionnaire: Preliminary validation. Pain. 1998; 76: 83-96.

Dowling JS, Fain JA: A multidimensional sense of humor scale for school-aged children: Issues of reliability and validity. J Pediatr Nurs. 1999; 14: 38-43.

Goodenough B, Jones M, Taplin J, et al.: Children’s self-reported use of humor as a coping strategy for acute pain. Paper Presented at the 22nd Annual Scientific Meeting of the Australian Pain Society, Cairns, Queensland, Australia, 2001.

Abel M: Humor, stress, and coping strategies. Humor. 2002; 15: 365-381.

Szabo A: The acute effects of humor and exercise on mood and anxiety. J Leisure Res. 2003; 35: 152-162.

Szabo A, Ainsworth S, Danks P: Experimental comparison of the psychological benefits of aerobic exercise, humor, and music. Humor. 2005; 18: 235-246.

Mathieu S: Happiness and humor group promotes life satisfaction for senior center participants. Activities Adapt Aging. 2008; 32: 134-148.

Walter M, Hanni B H, aug M, et al.: Humor therapy in patients with late-life depression or Alzheimer’s disease: A pilot study. Int J Geriatr Psychiatry. 2006; 22: 77-83.

Olson M, Hugelshofer D, Kwon P, et al.: Rumination and dysphoria: The buffering role of adaptive forms of humor. Pers Individ Diff. 2005; 39: 1419-1428.

Higueras A, Carretero-Dios H, Muñoz J, et al.: Effects of a humor-centered activity on disruptive behavior in patients in a general hospital psychiatric ward. Int J Clin Health Psychol. 2006; 6: 53-64.

Henman L: Humor as a coping mechanism: Lessons from POWs. Humor. 2001; 14: 83-94.

Vilaythong AP, Arnau RC, Rosen DH, et al.: Humor and hope: Can humor increase hope? Humor. 2003; 16: 79-89.

Spielberger CD, Gorsuch RL, Luchene RE: Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists, 1970.

Grove JR, Prapavessis H: Preliminary evidence for the reliability and validity of an abbreviated profile of mood states. Int J Sport Psychol. 1992; 23: 93-109.

Cohen S, Kamarck T, Mermelstein R: A global measure of perceived stress. J Health Soc Behav. 1983; 24: 385-396.

Cohen S, Williamson G: Perceived stress in a probability sample of the United States. In Spacapan S, Oskamp S (eds.): The Social Psychology of Health. Newbury Park, CA: Sage, 1988: 31-67.

Burks N, Martin B: Everyday problems and life change events: Ongoing versus acute sources of stress. J Human Stress. 1985; 11: 27-35.

Folkman S, Lazarus RS, Dunkel-Schetter C, et al.: Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. J Pers Soc Psychol. 1986; 50: 992-1003.

Mackay C, Cox T, Burrows G, et al.: An inventory for the measurement of self-reported stress and arousal. Br J Soc Clin Psychol. 1978; 17: 283-284.

Bernheim J, Byse M: The anamnestic comparative self assessment (ACSA) for measuring the subjective quality of life of cancer patients. J Psychosoc Oncol. 1983; 1: 25.

Lohmann N: Assessment Tools for Recreation Therapy and Related Fields. Ravensdale, WA: Idyll Arbor, Inc., 1976.

The American Heritage® Dictionary of the English Language. Fourth Edition. Dysphoria (n.d.). Available at: http://dictionary.reference.com/browse/dysphoria. Accessed May 2, 2009.

Nolen-Hoeksema S, Morrow J: A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. J Pers Soc Psychol. 1991; 61: 115-121.

Martin RA, Puhlik-Doris P, Larsen G, et al.: Individual differences in uses of humor and their relation to psychological well-being: Development of the Humor Styles Questionnaire. J Res Pers. 2003; 37: 48-75.

Beck AT, Steer RA, Brown GK: Beck Depression Inventory Manual. 2nd ed. San Antonio, TX: Psychological Corporation, 1996.

McAuley E, Courneya KS: The Subjective Exercise Experience Scale (SEES): Development and preliminary validation. J Sport Exerc Psychol. 1994; 16: 163-177.

Yesavage JA, Brink TL, Rose TL, et al.: Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res. 1983; 17: 37-49.

Folstein MF, Folstein SE, McHugh PR: ‘Mini-mental state’. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12: 189-198.

Spiegel R, Brunner C, Ermini-Fünfschilling D, et al.: A new behavior assessment scale for geriatric out- and inpatients: The NOSGER (Nurses ‘Observation Scale for Geriatric Patients). J Am Geriatr Soc. 1991; 39: 339-347.

Thorson JA, Powell FC, Sarmany-Schuller I, et al. Psychological health and sense of humor. J Clin Psychol. 1997; 53: 605-619.

Towbes LC, Cohen LH: Chronic stress in the lives of college students: Scale development and prospective prediction of distress. J Youth Adolesc. 1996; 25: 199-217.

Snyder CR, Sympson SC, Ybasco FC, et al.: Development and validation of the state hope scale. J Pers Soc Psychol. 1996; 70: 321-335.

Bradley MM, Lang PJ: Measuring emotion: The self-assessment manikin and the semantic differential. J Behav Ther Exp Psychiatry. 1994; 25: 49-59.

Williams R: Humor as a recreational therapy intervention. 2002. Available at http://www.thefreelibrary.com/Humor+as+a+therapeutic+recreation+intervention.+(Therapeutic...-a086505433. Accessed April 19, 2009.

Laughter Yoga International Global Movement for Health Joy & World Peace: What is laughter yoga. Available at http://www.laughteryoga.org/index.php?option= com_content&vi ew=article&id=180.what-is-laughter-yoga&catid=85:about-laughter-yoga&Itemid=265. Accessed May 8, 2009.

American Therapeutic Recreation Association: American recreational therapy foundation: ATRA research agenda. Available at http://atra-online.com/cms/index.php?option=com_content&task=view&id=8&Itemid=29. Accessed May 8, 2009.




DOI: https://doi.org/10.5055/ajrt.2009.0026

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