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幽默对老年人短期记忆的影响:全人健康的一个新要素。

The effect of humor on short-term memory in older adults: a new component for whole-person wellness.

作者信息

Bains Gurinder Singh, Berk Lee S, Daher Noha, Lohman Everett, Schwab Ernie, Petrofsky Jerrold, Deshpande Pooja

出版信息

Adv Mind Body Med. 2014 Spring;28(2):16-24.

Abstract

CONTEXT

For older adults, the damaging effects of aging and stress can impair the ability to learn and sustain memory. Humor, with its associated mirthful laughter, can reduce stress and cortisol, a stress hormone. Chronic release of cortisol can damage hippocampus neurons, leading to impairment of learning and memory.

OBJECTIVES

The primary goal of this study was to determine whether watching a humorous video had an effect on short-term memory in an older population.

DESIGN

The research team designed a randomized, controlled trial.

SETTING

The study took place at Loma Linda University in Loma Linda, California.

PARTICIPANTS

The research team recruited 20 normal, healthy, older adults, 11 males and 9 females.

INTERVENTION

The humor group (n = 10, mean = 69.3 ± 3.7 y) self-selected 1 of 2 humorous videos--a Red Skelton comedy or a montage of America's Funniest Home Videos--and watched it for 20 min. A control group (n = 10, mean = 68.7 ± 5.5 y) sat calmly for 20 min and were not allowed to read, sleep, or talk on a cell phone.

OUTCOME MEASURES

The Rey Auditory Verbal Learning Test was used to assess short-term memory--learning ability, delayed recall, and visual recognition. Salivary cortisol levels were measured at predetermined times.

RESULTS

Learning ability improved by 38.5% and 24.0% in the humor and control groups, respectively (P = .014). Delayed recall improved by 43.6% and 20.3% in the humor and control groups, respectively (P =.029). Within the humor group, delayed recall (43.6%) was significant compared with learning ability (38.5%) (P = .002). At 3 predetermined time points, significant decreases in salivary cortisol were observed in the humor group (P = .047, P = .046, and P = .062, respectively).

CONCLUSION

The study's findings suggest that humor can have clinical benefits and rehabilitative implications and can be implemented in programs that support whole-person wellness for older adults. Learning ability and delayed recall are important to these individuals for a better quality of life--considering mind, body, spirit, social, and economic aspects. Older adults may have age-associated memory deficiencies. However, medical practitioners now can offer positive, enjoyable, and beneficial humor therapies to improve these deficiencies.

摘要

背景

对于老年人来说,衰老和压力的破坏性影响会损害学习和维持记忆的能力。幽默及其相伴的欢笑能够减轻压力和皮质醇(一种应激激素)。皮质醇的长期释放会损害海马体神经元,导致学习和记忆受损。

目的

本研究的主要目标是确定观看幽默视频是否会对老年人群的短期记忆产生影响。

设计

研究团队设计了一项随机对照试验。

地点

该研究在加利福尼亚州洛马林达的洛马林达大学进行。

参与者

研究团队招募了20名正常、健康的老年人,其中11名男性,9名女性。

干预措施

幽默组(n = 10,平均年龄 = 69.3 ± 3.7岁)从2部幽默视频中自行选择1部——一部雷德·斯克尔顿喜剧或一段《美国搞笑家庭录像集锦》——并观看20分钟。对照组(n = 10,平均年龄 = 68.7 ± 5.5岁)安静地坐20分钟,不允许阅读、睡觉或用手机通话。

结果测量

使用雷伊听觉词语学习测验来评估短期记忆——学习能力、延迟回忆和视觉识别。在预定时间测量唾液皮质醇水平。

结果

幽默组和对照组的学习能力分别提高了38.5%和24.0%(P = 0.014)。幽默组和对照组的延迟回忆分别提高了43.6%和20.3%(P = 0.029)。在幽默组中,延迟回忆(43.6%)与学习能力(38.5%)相比有显著差异(P = 0.002)。在3个预定时间点,幽默组的唾液皮质醇显著下降(分别为P = 0.047、P = 0.046和P = 0.062)。

结论

该研究结果表明,幽默具有临床益处和康复意义,可应用于支持老年人全面健康的项目中。考虑到心理、身体、精神、社会和经济等方面,学习能力和延迟回忆对这些个体提高生活质量很重要。老年人可能存在与年龄相关的记忆缺陷。然而,现在医学从业者可以提供积极、有趣且有益的幽默疗法来改善这些缺陷。

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