Hirsch R D, Junglas K, Konradt B, Jonitz M F
Abteilung für Gerontopsychiatrie und -psychotherapie, LVR-Klinik Bonn, Kaiser-Karl-Ring 20, 53111, Bonn, Deutschland.
Z Gerontol Geriatr. 2010 Feb;43(1):42-52. doi: 10.1007/s00391-009-0086-9.
Positive effects of humor on older patients with depressive symptoms have been repeatedly reported. Empirical evidence, however, is rare. We investigated the effects of a standardized humor therapy group in a clinical context especially for older depressed patients.
For this purpose, an experimental group with treatment (52 patients participating in the humor group) was compared to a control group with no specific treatment (38 patients); all 90 participants had clinical depressive symptoms according to ICD-10 classification. Questionnaires (among them GDS, SF-12, State-Trait Cheerfulness Inventory, Satisfaction with Life Scale) were administered at two time points (pre- and post-treatment).
From pre- to post-measurement, significant improvements could be shown only in the experimental group for resilience and satisfaction with life (p<0.05). Analyses of the subgroups with at least medium to severe depression showed further significant effects for cheerfulness, seriousness, bad mood, and satisfaction with life (p<0.05). These severely affected patients seemed to profit best from humor therapy.
Our results indicate the efficacy of this specific therapeutic intervention for older depressed patients.
幽默对有抑郁症状的老年患者的积极影响已被多次报道。然而，实证证据却很少。我们在临床环境中研究了标准化幽默疗法组对老年抑郁症患者的影响。
为此，将接受治疗的实验组（52名参与幽默疗法组的患者）与未接受特定治疗的对照组（38名患者）进行比较；根据ICD - 10分类，所有90名参与者均有临床抑郁症状。在两个时间点（治疗前和治疗后）进行问卷调查（包括老年抑郁量表、简明健康调查量表、状态 - 特质愉悦性量表、生活满意度量表）。
从治疗前到治疗后，仅在实验组中，恢复力和生活满意度有显著改善（p<0.05）。对至少中度至重度抑郁的亚组分析显示，在愉悦性、严肃程度、坏情绪和生活满意度方面有进一步显著影响（p<0.05）。这些受影响严重的患者似乎从幽默疗法中获益最大。
我们的结果表明这种特定治疗干预对老年抑郁症患者有效。
