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Stress
The International Journal on the Biology of Stress
Volume 24, 2021 - Issue 1
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Original Research Reports

Laughter yoga reduces the cortisol response to acute stress in healthy individuals

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Pages 44-52 | Received 21 Oct 2019, Accepted 03 May 2020, Published online: 26 May 2020

References

  • Ali, N., Nitschke, J. P., Cooperman, C., & Pruessner, J. C. (2017). Suppressing the endocrine and autonomic stress systems does not impact the emotional stress experience after psychosocial stress. Psychoneuroendocrinology, 78, 125–130. https://doi.org/10.1016/j.psyneuen.2017.01.015
  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory-II. The Psychological Corporation.
  • Beckman, H., Regier, N., & Young, J. (2007). Effect of Workplace Laughter Groups on Personal Efficacy Beliefs. The Journal of Primary Prevention, 28(2), 167–182. https://doi.org/10.1007/s10935-007-0082-z
  • Bressington, D., Yu, C., Wong, W., Ng, T. C., & Chien, W. T. (2018). The effects of group-based Laughter Yoga interventions on mental health in adults: A systematic review. Journal of Psychiatric and Mental Health Nursing, 25(8), 517–527. https://doi.org/10.1111/jpm.12491
  • Campbell, J., & Ehlert, U. (2012). Acute psychosocial stress: Does the emotional stress response correspond with physiological responses? Psychoneuroendocrinology, 37(8), 1111–1134. https://doi.org/10.1016/j.psyneuen.2011.12.010
  • Chang, C., Tsai, G., & Hsieh, C.-J. (2013). Psychological, immunological and physiological effects of a Laughing Qigong Program (LQP) on adolescents. Complementary Therapies in Medicine, 21(6), 660–668. https://doi.org/10.1016/j.ctim.2013.09.004
  • Cohen, J. (1973). Eta-squared and partial eta-squared in fixed factor anova designs. Educational and Psychological Measurement, 33(1), 107–112. https://doi.org/10.1177/001316447303300111
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed). L. Erlbaum Associates.
  • Creswell, J. D., Pacilio, L. E., Lindsay, E. K., & Brown, K. W. (2014). Brief mindfulness meditation training alters psychological and neuroendocrine responses to social evaluative stress. Psychoneuroendocrinology, 44, 1–12. https://doi.org/10.1016/j.psyneuen.2014.02.007
  • Damasio, A. R., Everitt, B. J., & Bishop, D. (1996). The somatic marker hypothesis and the possible functions of the prefrontal cortex [and discussion]. Philosophical Transactions: Biological Sciences, 351, 1413–1420.
  • Dickerson, S. S., Gruenewald, T. L., & Kemeny, M. E. (2004). When the social self is threatened: Shame, physiology, and health. Journal of Personality, 72(6), 1191–1216. https://doi.org/10.1111/j.1467-6494.2004.00295.x
  • Dickerson, S. S., & Kemeny, M. E. (2004). Acute stressors and cortisol responses: A theoretical integration and synthesis of laboratory research. Psychological Bulletin, 130(3), 355–391. https://doi.org/10.1037/0033-2909.130.3.355
  • Dickinson, P., Looper, K. J., & Groleau, D. (2011). Patients diagnosed with nonepileptic seizures: Their perspectives and experiences. Epilepsy & Behavior : E&B, 20(3), 454–461. https://doi.org/10.1016/j.yebeh.2010.12.034
  • Ditzen, B., Neumann, I. D., Bodenmann, G., von Dawans, B., Turner, R. A., Ehlert, U., & Heinrichs, M. (2007). Effects of different kinds of couple interaction on cortisol and heart rate responses to stress in women. Psychoneuroendocrinology, 32(5), 565–574. https://doi.org/10.1016/j.psyneuen.2007.03.011
  • Farifteh, S., Mohammadi-Aria, A., Kiamanesh, A., & Mofid, B. (2014). The impact of laughter yoga on the stress of cancer patients before chemotherapy. Iranian Journal of Cancer Prevention, 7(4), 179–183.
  • Fox, J., & Weisberg, S. (2011). An {R} companion to applied regression. 2nd ed. Sage. http://socserv.socsci.mcmaster.ca/jfox/Books/Companion
  • Fox, J., & Weisberg, S. (2019). An {R} companion to applied regression. 3rd ed. Sage. http://tinyurl.com/carbook
  • Fujisawa, A., Ota, A., Matsunaga, M., Li, Y., Kakizaki, M., Naito, H., & Yatsuya, H. (2018). Effect of laughter yoga on salivary cortisol and dehydroepiandrosterone among healthy university students: A randomized controlled trial. Complementary Therapies in Clinical Practice, 32, 6–11. https://doi.org/10.1016/j.ctcp.2018.04.005
  • Gruenewald, T. L., Kemeny, M. E., Aziz, N., & Fahey, J. L. (2004). Acute threat to the social self: Shame, social self-esteem, and cortisol activity. Psychosomatic Medicine, 66(6), 915–924. https://doi.org/10.1097/01.psy.0000143639.61693.ef
  • Hammerfald, K., Eberle, C., Grau, M., Kinsperger, A., Zimmermann, A., Ehlert, U., & Gaab, J. (2006). Persistent effects of cognitive-behavioral stress management on cortisol responses to acute stress in healthy subjects-a randomized controlled trial. Psychoneuroendocrinology, 31(3), 333–339. https://doi.org/10.1016/j.psyneuen.2005.08.007
  • Häusser, J. A., Kattenstroth, M., van Dick, R., & Mojzisch, A. (2012). “We” are not stressed: Social identity in groups buffers neuroendocrine stress reactions. Journal of Experimental Social Psychology, 48(4), 973–977. https://doi.org/10.1016/j.jesp.2012.02.020
  • Heinrichs, M., Baumgartner, T., Kirschbaum, C., & Ehlert, U. (2003). Social support and oxytocin interact to suppress cortisol and subjective responses to psychosocial stress. Biological Psychiatry, 54(12), 1389–1398. https://doi.org/10.1016/S0006-3223(03)00465-7
  • Heo, E. H., Kim, S., Park, H.-J., & Kil, S. Y. (2016). The effects of a simulated laughter programme on mood, cortisol levels, and health-related quality of life among haemodialysis patients. Complementary Therapies in Clinical Practice, 25, 1–7. https://doi.org/10.1016/j.ctcp.2016.07.001
  • Hothorn, T., Bretz, F., & Westfall, P. (2008). Simultaneous inference in general parametric models. Biometrical Journal. Biometrische Zeitschrift, 50(3), 346–363. https://doi.org/10.1002/bimj.200810425
  • Kalia, M. (2002). Assessing the economic impact of stress-the modern day hidden epidemic. Metabolism: Clinical and Experimental, 51(6 Suppl 1), 49–53. https://doi.org/10.1053/meta.2002.33193
  • Kirschbaum, C., Klauer, T., Filipp, S.-H., & Hellhammer, D. H. (1995). Sex-specific effects of social support on cortisol and subjective responses to acute psychological stress. Psychosomatic Medicine, 57(1), 23–31. https://doi.org/10.1097/00006842-199501000-00004
  • Kirschbaum, C., Pirke, K.-M., & Hellhammer, D. H. (1993). The ‘Trier Social Stress Test’—a tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology, 28(1–2), 76–81. https://doi.org/10.1159/000119004
  • Klaperski, S., von Dawans, B., Heinrichs, M., & Fuchs, R. (2013). Does the level of physical exercise affect physiological and psychological responses to psychosocial stress in women? Psychology of Sport and Exercise, 14(2), 266–274. https://doi.org/10.1016/j.psychsport.2012.11.003
  • Kuiper, N. A., & Martin, R. A. (1998). Laughter and stress in daily life: relation to positive and negative affect. Motivation and Emotion, 22(2), 133–153. https://doi.org/10.1023/A:1021392305352
  • Lakens, D. (2013). Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs. Frontiers in Psychology, 4, 863. https://doi.org/10.3389/fpsyg.2013.00863
  • Levine, T. R., & Hullett, C. R. (2002). Eta squared, partial eta squared, and misreporting of effect size in communication research. Human Communication Research, 28(4), 612–625. https://doi.org/10.1111/j.1468-2958.2002.tb00828.x
  • Martin, R. A. (2001). Humor, laughter, and physical health: Methodological issues and research findings. Psychological Bulletin, 127(4), 504–519. https://doi.org/10.1037/0033-2909.127.4.504
  • Matousek, R. H., Pruessner, J. C., & Dobkin, P. L. (2011). Changes in the cortisol awakening response (CAR) following participation in Mindfulness-Based Stress Reduction in women who completed treatment for breast cancer. Complementary Therapies in Clinical Practice, 17(2), 65–70. https://doi.org/10.1016/j.ctcp.2010.10.005
  • Miller, M., & Fry, W. F. (2009). The effect of mirthful laughter on the human cardiovascular system. Medical Hypotheses, 73(5), 636–639. https://doi.org/10.1016/j.mehy.2009.02.044
  • Mora-Ripoll, R. (2011). Potential health benefits of simulated laughter: A narrative review of the literature and recommendations for future research. Complementary Therapies in Medicine, 19(3), 170–177. https://doi.org/10.1016/j.ctim.2011.05.003
  • Polheber, J. P., & Matchock, R. L. (2014). The presence of a dog attenuates cortisol and heart rate in the Trier Social Stress Test compared to human friends. Journal of Behavioral Medicine, 37(5), 860–867. https://doi.org/10.1007/s10865-013-9546-1
  • Pollatos, O., Schandry, R., Auer, D. P., & Kaufmann, C. (2007). Brain structures mediating cardiovascular arousal and interoceptive awareness. Brain Research, 1141, 178–187. https://doi.org/10.1016/j.brainres.2007.01.026
  • Provine, R. R. (1992). Contagious laughter: Laughter is a sufficient stimulus for laughs and smiles. Bulletin of the Psychonomic Society, 30(1), 1–4. https://doi.org/10.3758/BF03330380
  • Proyer, R. T., Ruch, W., & Rodden, F. A. (2012). Letter on Shahidi et al. (2011): “Laughter Yoga versus group exercise program in elderly depressed women: A randomized controlled trial” I - First things first! Caveats in research on “Laughter yoga”. International Journal of Geriatric Psychiatry, 27(8), 873–874. https://doi.org/10.1002/gps.2793
  • Pruessner, J. C., Kirschbaum, C., Meinlschmid, G., & Hellhammer, D. H. (2003). Two formulas for computation of the area under the curve represent measures of total hormone concentration versus time-dependent change. Psychoneuroendocrinology, 28(7), 916–931. https://doi.org/10.1016/S0306-4530(02)00108-7
  • R Core Team (2019). R: A language and environment for statistical computing. R Foundation for Statistical Computing. https://www.R-project.org/
  • RStudio Team (2016). RStudio: Integrated development for R [Computer Software]. URL http://www.rstudio.com/. Boston, MA: RStudio, Inc.
  • Ruch, W., & Ekman, P. (2001). The expressive pattern of laughter. In A. Kaszniak (Ed.), Emotions, qualia, and consciousness (pp. 426–443). World Scientific Publisher. https://doi.org/10.1142/9789812810687_0033
  • Savage, B. M., Lujan, H. L., Thipparthi, R. R., & DiCarlo, S. E. (2017). Humor, laughter, learning, and health! A brief review. Advances in Physiology Education, 41(3), 341–347. https://doi.org/10.1152/advan.00030.2017
  • Skoluda, N., Strahler, J., Schlotz, W., Niederberger, L., Marques, S., Fischer, S., Thoma, M. V., Spoerri, C., Ehlert, U., & Nater, U. M. (2015). Intra-individual psychological and physiological responses to acute laboratory stressors of different intensity. Psychoneuroendocrinology, 51, 227–236. https://doi.org/10.1016/j.psyneuen.2014.10.002
  • Smoski, M., & Bachorowski, J.-A. (2003). Antiphonal laughter between friends and strangers. Cognition & Emotion, 17(2), 327–340. https://doi.org/10.1080/02699930302296
  • Spielberger, C. D., Sydeman, S. J., Owen, A. E., & Marsh, B. J. (1999). Measuring anxiety and anger with the State-Trait Anxiety Inventory (STAI) and the State-Trait Anger Expression Inventory (STAXI). Lawrence Erlbaum Associates Publishers.
  • Tanaka, A., Tokuda, N., & Ichihara, K. (2018). Psychological and physiological effects of laughter yoga sessions in Japan: A pilot study. Nursing & Health Sciences, 20(3), 304–312. https://doi.org/10.1111/nhs.12562
  • von Dawans, B., Kirschbaum, C., & Heinrichs, M. (2011). The Trier Social Stress Test for Groups (TSST-G): A new research tool for controlled simultaneous social stress exposure in a group format. Psychoneuroendocrinology, 36(4), 514–522. https://doi.org/10.1016/j.psyneuen.2010.08.004
  • Weinberg, M. K., Hammond, T. G., & Cummins, R. A. (2013). The impact of laughter yoga on subjective wellbeing: A pilot study. European Journal of Humour Research, 1(4), 25–34. https://doi.org/10.7592/EJHR2013.1.4.weinberg
  • Wickham, H. (2016). ggplot2: Elegant graphics for data analysis. Springer-Verlag.
  • Yim, J. (2016). Therapeutic benefits of laughter in mental health: A theoretical review. The Tohoku Journal of Experimental Medicine, 239(3), 243–249. https://doi.org/10.1620/tjem.239.243

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