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Effects on the Laughter Score, Cortisol and Immunoglobulin of Laughter Therapy in Middle Aged Women
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 Title & Authors
Effects on the Laughter Score, Cortisol and Immunoglobulin of Laughter Therapy in Middle Aged Women
Cha, Mi Youn; Hong, Hae-Sook;
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Purpose: In this study, the effects of laughter therapy on a laughter index, cortisol and immunoglobulin of middle aged women were examined. Methods: A quasi-experimental nonequivalent control group pre/post-test design were used. The participants (n=54) included 27 in the experimental group and 27 in the control group. The data were collected from February through March of 2013. The experimental group participated in laughter therapy for 40 minutes per session, five times a week for a period of 2 weeks. The tool was used to measure pre/post-test laughter index, cortisol and immunoglobulin of middle aged women. Results: The results showed that laughter therapy was effective in increasing the laughter index (p<.001), and immunoglobulin IgA (p<.001), IgG (p<.001), and IgM (p=.010). Also, the stress hormone, cortisol of middle aged women decreased but non-significantly (p=.158). Conclusion: The result of the study indicates that laughter therapy may have an influence on nursing intervention and treatment effects to improve the laughter index and immunoglobulin of middle aged women.
Laughter therapy;Middle aged women;Laughter index;Cortisol;Immunoglobulin;
 Cited by
Cha, M. Y., Na, Y. K., & Hong, H. S. (2012). An effect of optimism, self-esteem and depression on laughter therapy program of menopausal women. Jourmal of Korean Women Health Nursing, 18(4), 248-256. crossref(new window)

Chang, Y. S. (2006). Stress and allergy. Jourmal of Korean Stress Research, 14(4), 293-297.

Choi, J. H., Kim, K. H., Cha, S. J., Pyo, H. J., & Kim, Y. K. (2010). Effects of laughter therapy on mood, pain, and stress of mastectomy patients. Jourmal of Korean Clinical Nursing Research, 16(1), 83-93.

Cohen, J. (1998). Statistical power analysis for the behavioral sciences (2nd ed). Hillsdale, NJ: Lawrence Erlbaum Associates.

Dillon, K. M., Minchoff, B., & Baker, K. H. (1985). Positive emotional state and enhancement of the immune system. Internationa Journal Psychiatry in Medicine, 15, 13-17. crossref(new window)

Doosan Encyclopedia. (1996). Doosandonga publish.

Fry, W. F. (1992). The physiological effects of humor, mirth and laughter. The Journal of The American Medical Association, 267(13), 1857-1858. crossref(new window)

Han, K. S. (2007). Stress of the mid-life stag. Korean Journal Stress Research, 15(4).

Hyoung, H. K., & Kim, H. S. (2008). The effect of brisk walking exercise program on body composition, blood pressure, bleed glucose and blood lipid for middle aged woman with obesity. Korean Journal Biol nurs Science, 10(1), 62-68.

Karacabey, K., Saygin, O., Ozmerdivenli, R., Zorba, E., Godekmerdan, A., & Bulut, V. (2005). The effect of exercise on the immune system and stress hormones in sportswomen. Neuroendocrinology Letters, 26(4), 361-366.

Kim, D. H. (2008). An overview of psychoneuroimmunology. Jourmal of Korean Society of Biological Psychiatry, 15(3).

Kim, H. S., & Lee, E. J. (2006). A study on the relation of laughter index, depression and anxiety in middle-aged women. Jourmal of Korean Rehabil Nurs, 9(2), 126-133.

Kim, Y. J., Park, T. Y., & Kim, J. H. (1998). Effects of mountain-climbing on immunogloblin in middle-aged women. Journal of Sports Sience Research, 16, 233-236.

Kim, Y. S., & Jun, S. S. (2009). The influence of one-time laughter therapy on stress response in the elderly. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 18(3), 269-277.

Koh, K. B. (2008). Stress and immunity. Korean Journal Stress Research, 16(2), 155-159.

Kwon, Y. C., KIm, E. H., Kwak, B. C., Suh, J. M., & Park, S. G. (2003). Effect of the immune system various exercise methods. Journal of Sports Science and Research, 21, 11-15.

Levinson, D. J. (1986). A conception of adult development. American Psychologist, 41(1), 3-13. doi: 10.1037/0003-066X.41.1.3 crossref(new window)

Lin, J. Y., Lu, S., Liou, Y. L., & Liou, H. (2006). Increased IgA and IgG serum levels using a novel yam-boxthorn noodle in a BALB/c mouse model. Food and Chemical Toxicology, 44(2), 170-178. crossref(new window)

Marieb, E. N. (1998). Human anatomy & physiology, california. Benjamin/Cummings publishing Co., 723-725.

McEwen, B. S., Biron, C. A., Brunson, K. W., Bulloch, K., Chambers, W. H., Dhabhar, F. S., et al. (1997). The role of adrenocorticoids as modulators of immune function in health and disease: Neural, endocrine and immune interactions. Brain Res Review, 3(1-2), 79-133. crossref(new window)

Min, K. H., & Lee, S. I. (2008). Estimation of the energy deficiency of ballet dancers from the assay of serum DHEAS and cortisol. Dance Research Journal of Korea, 54.

Park, B. J. (2011). The study of yoga program of 12week on the immunoglobulin, adiponetin and body composition in women. Jourmal of Korean Sports Science, 20(6), 1307-1317.

Park, C. S. (2010). A study on the changes in happiness index through laughter program. Unpublished Master's Thesis, University of Sangmyung, Seoul.

Rod, A. M. (2002). Is Laughter the best medicine? Humor, laughter, and physical health. Current Directions in Psychological Science, 11(6), 216-220. crossref(new window)

Provine, R. R. (1996). Laughter. American Scientis, 84(1), 38-47. URL:

Seol, K. M. (2010). A study on natural healing through mind - Focused on treating allergy and atopy through NLP & hypnosis. Journal of oriental Academia, 3(1), 63-75.

Stojanovich, L., & Marisavljevich, D. (2008). Stress as a trigger of autoimmune disease. Autoimmun Rev, 7, 209-213. crossref(new window)

Van Santen, A., Vreeburg, S. A., Van der Does, A. J., Spinhoven, P., Zitman, F. G., & Penninx, B. W. (2011). Psychological traits and the cortisol awakening response: Results from the netherlands study of depression and anxiety. Psychoneuroendocrinology, 36, 240-248. crossref(new window)

Vasiliadis, H. M., Forget, H., & Preville, M. (2013). The association between self-reported daily hassles and cortisol levels in depression and anxiety in community living older adults. International Journal of Geriatric Psychiatry, 28 (10), 991-7. DOI: crossref(new window)

Walter, M., Haug, M., Amrhein, I., Krebs-Roubic, E., Muller-Spahn, F., & Savaskan, E. (2007). Humour therapy in patients with late-life depression or Alzheimer's disease. International Jourmal Geriatric Psychiatry, 22(1), 77-83. crossref(new window)