Vol 5, No 2 (2019)
Review paper
Published online: 2019-06-26

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Humor i śmiech jako metody terapeutyczne

Eugeniusz Józef Kucharz1
Forum Reumatol 2019;5(2):74-80.

Abstract

Humor i śmiech od dawna są uważane za czynniki sprzyjające zdrowiu. Dopiero jednak w drugiej połowie XX wieku rozpoczęto badania fizjologicznych skutków humoru i śmiechu oraz możliwości ich zastosowania w lecznictwie. Opisano wiele korzystnych efektów humoru i śmiechu, w tym rozszerzenie naczyń, zmiany tętna i ciśnienia tętniczego krwi, a także zmiany immunologiczne, takie jak zmniejszenie stężenia w surowicy interleukiny-6 u chorych na reumatoidalne zapalenie stawów. Są to jednak tylko krótkotrwałe skutki. Nie zmienia to faktu, że poprawa nastroju, tak zwany dobry humor i śmiech, są pożądane, jako działania pomocnicze w procesie leczenia wielu chorób.


Forum Reumatol. 2019, tom 5, nr 2: 74–80

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References

  1. Kleisiaris CF, Sfakianakis C, Papathanasiou IV. Health care practices in ancient Greece: The Hippocratic ideal. J Med Ethics Hist Med. 2014; 7: 6.
  2. Savage BM, Lujan HL, Thipparthi RR, et al. Humor, laughter, learning, and health! A brief review. Adv Physiol Educ. 2017; 41(3): 341–347.
  3. Rusek A. Wielowymiarowość humoru. Innowacje Psychologiczne. 2012; 1: 117–127.
  4. Scheel T. Definitions, theories and measurement of humor. In: Scheel T, Gockel C. ed. Humor at work in teams, leadership, negotiations, learning and health. Springer Briefs in Psychology, Springer, Berlin 2017: 9–29.
  5. Long D, Graesser A. Wit and humor in discourse processing. Discourse Processes. 1988; 11(1): 35–60.
  6. Ruch W, Ekman P. The expressive pattern of laughter. In: Kaszniak AW. ed. Emotion, qualia, and consciousness. World Scientific Publishers, Tokyo 2001: 426–443.
  7. FRY W. The biology of humor. Humor - International Journal of Humor Research. 1994; 7(2).
  8. Toda M, Kusakabe S, Nagasawa S, et al. Effect of laughter on salivary endocrinological stress marker chromogranin A. Biomed Res. 2007; 28(2): 115–118.
  9. Toda M, Ichikawa H. Effect of laughter on salivary flow rates and levels of chromogranin A in young adults and elderly people. Environ Health Prev Med. 2012; 17(6): 494–499.
  10. Berk LS, Felten DL, Tan SA, et al. Modulation of neuroimmune parameters during the eustress of humor-associated mirthful laughter. Altern Ther Health Med. 2001; 7(2): 62–72, 74.
  11. Mora-Ripoll R. Potential health benefits of simulated laughter: a narrative review of the literature and recommendations for future research. Complement Ther Med. 2011; 19(3): 170–177.
  12. Atsumi T, Tonosaki K, Fujisawa S. Salivary free radical-scavenging activity is affected by physical and mental activities. Oral Dis. 2008; 14(6): 490–496.
  13. Miller M, Fry WF. The effect of mirthful laughter on the human cardiovascular system. Med Hypotheses. 2009; 73(5): 636–639.
  14. Bennett MP. Health benefits of humor, physical. In: Attardo SP. ed. Encyclopedia of humor studies. Saga, Los Angeles 2014: 277–280.
  15. Dionigi A. Clowning as a Complementary Approach for Reducing Iatrogenic Effects in Pediatrics. AMA J Ethics. 2017; 19(8): 775–782.
  16. Vagnoli L, Caprilli S, Robiglio A, et al. Clown doctors as a treatment for preoperative anxiety in children: a randomized, prospective study. Pediatrics. 2005; 116(4): e563–e567.
  17. Koller D, Gryski C. The life threatened child and the life enhancing clown: towards a model of therapeutic clowning. Evid Based Complement Alternat Med. 2008; 5(1): 17–25.
  18. Wolyniez I, Rimon A, Scolnik D, et al. The effect of a medical clown on pain during intravenous access in the pediatric emergency department: a randomized prospective pilot study. Clin Pediatr (Phila). 2013; 52(12): 1168–1172.
  19. Weintraub Y, Rabinowicz N, Hanuka P, et al. Medical clowns facilitate nitrous oxide sedation during intra-articular corticosteroid injection for juvenile idiopathic arthritis. Isr Med Assoc J. 2014; 16(12): 771–773.
  20. Yoshino S, Fujimori J, Kohda M. Effects of mirthful laughter on neuroendocrine and immune systems in patients with rheumatoid arthritis. J Rheumatol. 1996; 23(4): 793–794.
  21. Nakajima A, Hirai H, Yoshino S. Reassessment of mirthful laughter in rheumatoid arthritis. J Rheumatol. 1999; 26(2): 512–513.
  22. Ishigami S, Nakajima A, Tanno M, et al. Effects of mirthful laughter on growth hormone, IGF-1 and substance P in patients with rheumatoid arthritis. Clin Exp Rheumatol. 2005; 23(5): 651–657.
  23. Matsuzaki T, Nakajima A, Ishigami S, et al. Mirthful laughter differentially affects serum pro- and anti-inflammatory cytokine levels depending on the level of disease activity in patients with rheumatoid arthritis. Rheumatology (Oxford). 2006; 45(2): 182–186.
  24. Moura CS, Li R, Lawrie S, et al. Humor in systemic lupus erythematosus. Eur J Rheumatol. 2015; 2(1): 5–9.
  25. Vlachopoulos C, Xaplanteris P, Alexopoulos N, et al. Divergent effects of laughter and mental stress on arterial stiffness and central hemodynamics. Psychosom Med. 2009; 71(4): 446–453.
  26. Sugawara J, Tarumi T, Tanaka H. Effect of mirthful laughter on vascular function. Am J Cardiol. 2010; 106(6): 856–859.
  27. Boone T, Hansen S, Erlandson A. Cardiovascular responses to laughter: a pilot project. Appl Nurs Res. 2000; 13(4): 204–208.
  28. Law MM, Broadbent EA, Sollers JJ. A comparison of the cardiovascular effects of simulated and spontaneous laughter. Complement Ther Med. 2018; 37: 103–109.
  29. Simon JM. Humor techniques for oncology nurses. Oncol Nurs Forum. 1989; 16(5): 667–670.
  30. Kim SoH, Kook JR, Kwon M, et al. The effects of laughter therapy on mood state and self-esteem in cancer patients undergoing radiation therapy: a randomized controlled trial. J Altern Complement Med. 2015; 21(4): 217–222.
  31. van Dorn A. Laughter is the best form of therapy. Lancet Oncol. 2015; 16(16): 1601.
  32. Christie W, Moore C. The impact of humor on patients with cancer. Clin J Oncol Nurs. 2005; 9(2): 211–218.
  33. Sakai Y, Takayanagi K, Ohno M, et al. A trial of improvement of immunity in cancer patients by laughter therapy. Jpn Hosp. 2013(32): 53–59.
  34. Lebowitz KR, Suh S, Diaz PT, et al. Effects of humor and laughter on psychological functioning, quality of life, health status, and pulmonary functioning among patients with chronic obstructive pulmonary disease: a preliminary investigation. Heart Lung. 2011; 40(4): 310–319.
  35. Chang C, Tsai G, Hsieh CJ. Psychological, immunological and physiological effects of a Laughing Qigong Program (LQP) on adolescents. Complement Ther Med. 2013; 21(6): 660–668.
  36. Kim S, Kim SJ, Dukyoo J, et al. The Effects of a Humor Intervention on the Physiological, Physical, and Psychological Responses of School-aged Children With Atopic Dermatitis in South Korea: A Pilot Study. J Pediatr Nurs. 2018; 39: e21–e29.
  37. Sim InOk. Humor intervention program for children with chronic diseases. Appl Nurs Res. 2015; 28(4): 404–412.
  38. Hayashi T, Murakami K. The effects of laughter on post-prandial glucose levels and gene expression in type 2 diabetic patients. Life Sci. 2009; 85(5-6): 185–187.
  39. Noureldein MH, Eid AA. Homeostatic effect of laughter on diabetic cardiovascular complications: The myth turned to fact. Diabetes Res Clin Pract. 2018; 135: 111–119.
  40. Ganz FD, Jacobs JM. The effect of humor on elder mental and physical health. Geriatr Nurs. 2014; 35(3): 205–211.
  41. Bennett PN, Parsons T, Ben-Moshe R, et al. Laughter and humor therapy in dialysis. Semin Dial. 2014; 27(5): 488–493.
  42. Gonot-Schoupinsky FN, Garip G. Laughter and humour interventions for well-being in older adults: A systematic review and intervention classification. Complementary Therapies in Medicine. 2018; 38: 85–91.
  43. Ripoll RM, Casado IQ. Laughter and positive therapies: modern approach and practical use in medicine. Rev Psiquiatr Salud Ment. 2010; 3(1): 27–34.
  44. Ganz FD, Jacobs JM. The effect of humor on elder mental and physical health. Geriatr Nurs. 2014; 35(3): 205–211.
  45. Shahidi M, Mojtahed A, Modabbernia A, et al. Laughter yoga versus group exercise program in elderly depressed women: a randomized controlled trial. Int J Geriatr Psychiatry. 2011; 26(3): 322–327.