Effect and Path Analysis of Laughter Therapy on Serotonin, Depression and Quality of Life in Middle-aged Women
Journal of Korean Academy of Nursing
; : 221-230, 2015.
Article
en Ko
| WPRIM
| ID: wpr-34128
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: This study was done to examine how laughter therapy impacts serotonin levels, QOL and depression in middle-aged women and to perform a path analysis for verification of the effects. METHODS: A quasi-experimental study employing a nonequivalent control group and pre-post design was conducted. Participants were 64 middle-aged women (control=14 and experimental=50 in 3 groups according to level of depression). The intervention was conducted five times a week for a period of 2 weeks and the data analysis was conducted using repeated measures ANOVA, ANCOVA and LISREL. RESULTS: Results showed that pre serotonin and QOL in women with severe depression were the lowest. Serotonin in the experimental groups increased after the 10th intervention (p=.006) and the rise was the highest in the group with severe depression (p=.001). Depression in all groups decreased after the 5th intervention (p=.022) and the biggest decline was observed in group with severe depression (p=.007). QOL of the moderate and severe groups increased after the 10th intervention (p=.049), and the increase rate was highest in group with severe depression (p<.006). Path analysis revealed that laughter therapy did not directly affect depression, but its effect was indirectly meditated through serotonin variation (p<.001). CONCLUSION: Results indicate that serotonin activation through laughter therapy can help middle-aged women by lessening depression and providing important grounds for depression control.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Calidad de Vida
/
Índice de Severidad de la Enfermedad
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Serotonina
/
Encuestas y Cuestionarios
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Risoterapia
/
Depresión
Límite:
Adult
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Female
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Humans
Idioma:
Ko
Revista:
Journal of Korean Academy of Nursing
Año:
2015
Tipo del documento:
Article