The Norwegian University of Science and Technology, Trondheim, Norway.
Int J Psychiatry Med. 2010;40(2):125-46. doi: 10.2190/PM.40.2.a.
To prospectively explore the significance of sense of humor for survival over 7 years in an adult county population.
Residents in the county of Nord-Trøndelag, Norway, aged 20 and older, were invited to take part in a public health survey during 1995-97 (HUNT-2), and 66,140 (71.2 %) participated. Sense of humor was estimated by responses to a cognitive (N = 53,546), social (N = 52,198), and affective (N = 53,132) item, respectively, taken from the Sense of Humor Questionnaire (SHQ). Sum scores were tested by Cox survival regression analyses applied to gender, age, and subjective health.
Hazard ratios were reduced with sense of humor (continuous scale: HR = 0.73; high versus low by median split: HR = 0.50) as contrasted with increase of HR with a number of classical risk factors (e.g., cardiovascular disease: HR = 6.28; diabetes: HR = 4.86; cancer: HR = 4.18; poor subjective health: HR = 2.89). Gender proved to be of trivial importance to the effect of sense of humor in survival. Subjective health correlated positively with sense of humor and therefore might have presented a spurious relation of survival with humor, but sense of humor proved to reduce HR both in individuals with poor and good subjective health. However, above age 65 the effect of sense of humor on survival became less evident.
Sense of humor appeared to increase the probability of survival into retirement, and this effect appeared independent of subjective health. Age under 65 mediated this effect, whereas it disappeared beyond this age.
前瞻性探讨幽默感对挪威诺尔兰郡成年人社区人群 7 年以上生存的意义。
邀请挪威诺尔兰郡 20 岁及以上的居民参加 1995-97 年的一项公众健康调查（HUNT-2），共有 66140 人（71.2%）参与。幽默感通过认知（N=53546）、社会（N=52198）和情感（N=53132）三个方面的幽默感问卷（SHQ）回答来评估。Cox 生存回归分析应用于性别、年龄和主观健康来检验总分。
与增加 HR 的多个经典危险因素（如心血管疾病：HR=6.28；糖尿病：HR=4.86；癌症：HR=4.18；主观健康状况不佳：HR=2.89）相比，幽默感降低了风险比（连续量表：HR=0.73；按中位数划分的高低分位比：HR=0.50）。性别对幽默感在生存中的作用影响甚微。主观健康与幽默感呈正相关，因此可能存在幽默感与生存的虚假关系，但幽默感在主观健康状况不佳和良好的个体中都能降低 HR。然而，65 岁以上，幽默感对生存的影响变得不那么明显。
幽默感似乎增加了退休后生存的可能性，且这种效果独立于主观健康。65 岁以下的年龄起到了中介作用，而超过这个年龄，这种效果就消失了。
