Lee Do Young, Hyun Myung Sun
Department of Nursing, Changshin University, Changwon, Korea.
College of Nursing · Institute of Nursing Science, Ajou University, Suwon, Korea.
J Korean Acad Nurs. 2018 Jun;48(3):298-310. doi: 10.4040/jkan.2018.48.3.298.
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.
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.
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.
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.
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。
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）。
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。
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。
