Department of Geriatric Psychiatry and Psychotherapy, LVR-Clinic Bonn, Germany.
Int J Geriatr Psychiatry. 2013 Aug;28(8):850-7. doi: 10.1002/gps.3893. Epub 2012 Nov 7.
Positive effects of humor on older patients with depressive symptoms have been repeatedly reported. Empirical evidence however is rare. We investigated the efficacy of a standardized humor therapy group in a clinical context especially for older depressed patients.
An experimental group with treatment (49 patients) was compared with a control group with no treatment (50 patients) in a semi-randomized design. Included were patients with major depression according to ICD-10. A set of questionnaires (Geriatric Depression Scale, Short Form Health Survey, State-Trait-Cheerfulness Inventory, and Satisfaction with Life Scale) was administered pretreatment and posttreatment.
Both groups showed improvement for depression, suicidal tendency, state cheerfulness, and state bad mood. Only participants of the humor group showed changes of state seriousness and satisfaction with life (p < 0.05). Further trends could be demonstrated for higher changes in state cheerfulness and resilience for the humor group.
Our results indicate an additional benefit of this specific therapeutic intervention for older depressed patients.
幽默对有抑郁症状的老年患者有积极影响，这一点已被反复报道。然而，实证证据却很少。我们在临床环境中调查了标准化幽默治疗小组对老年抑郁患者的疗效。
采用半随机设计，将实验组（49 例患者）与无治疗对照组（50 例患者）进行比较。纳入的患者均符合 ICD-10 中的重性抑郁障碍标准。在治疗前和治疗后，使用一套问卷（老年抑郁量表、健康调查简表、状态特质愉悦度量表和生活满意度量表）进行评估。
两组患者的抑郁、自杀倾向、状态愉悦度和状态不良情绪均有所改善。只有幽默组的参与者在状态认真度和生活满意度方面发生了变化（p<0.05）。幽默组的状态愉悦度和适应力有更高的变化趋势。
我们的结果表明，对于老年抑郁患者，这种特定的治疗干预具有额外的益处。
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