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[笑疗法对肥胖女性感知压力及心理-神经-内分泌-免疫反应的影响]

[The Effects of Laughter Therapy Program on Perceived Stress, and Psycho-Neuro-Endocrino-Immuno Responses in Obese Women].

作者信息

Lee Do Young, Hyun Myung Sun

机构信息

Department of Nursing, Changshin University, Changwon, Korea.

College of Nursing · Institute of Nursing Science, Ajou University, Suwon, Korea.

出版信息

J Korean Acad Nurs. 2018 Jun;48(3):298-310. doi: 10.4040/jkan.2018.48.3.298.

Abstract

PURPOSE

The purpose of this study was to examine the effects of the laughter therapy program on perceived stress and psycho-neuro-endocrine-immune responses in obese women.

METHODS

A nonequivalent control group with a pretest-posttest design was used. The participants (n=60), whose age ranged from 30 to 50 years (pre-menopausal and body mass index of over 25 kg/m²), were assigned to the experimental group (n=24) or control group (n=26). The experimental group was provided with the laughter therapy program (12 sessions) for 6 weeks.

RESULTS

There were significant differences in perceived stress, psychological stress response, fasting blood sugar, interleukin-6, and tumor necrosis factor alpha between the two groups after the program. However, there were no significant differences in normalized low frequency (norm LF), normalized high frequency (norm HF), LF/HF ratio, and cortisol between the two groups after the program.

CONCLUSION

It was found that the laughter therapy program had positive effects on some variables in terms of perceived stress and psycho-neuro-endocrine-immuno responses. It is suggested that the laughter therapy in this study can provide the direction for developing a program for obese women.

摘要

目的

本研究旨在探讨笑声疗法对肥胖女性感知压力及心理-神经-内分泌-免疫反应的影响。

方法

采用非等组前后测设计。参与者年龄在30至50岁之间(绝经前且体重指数超过25kg/m²),共60人,被分为实验组(n = 24)和对照组(n = 26)。实验组接受为期6周的笑声疗法(共12节课程)。

结果

课程结束后,两组在感知压力、心理应激反应、空腹血糖、白细胞介素-6和肿瘤坏死因子α方面存在显著差异。然而,课程结束后,两组在归一化低频(norm LF)、归一化高频(norm HF)、LF/HF比值和皮质醇方面无显著差异。

结论

研究发现,笑声疗法在感知压力及心理-神经-内分泌-免疫反应方面对某些变量有积极影响。建议本研究中的笑声疗法可为肥胖女性项目的开发提供方向。

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