Kahkaha Terapisinin Depresyon Üzerindeki Etkisinin İncelenmesi
Öz
Kahkaha, olumlu duyguların bir dışa vurumudur. Stresin üstesinden gelmek için yararlı ve sağlıklı bir yol gibi görünmektedir. Kahkaha terapisi, fiziksel, psikolojik, sosyal ilişkileri sağlıklı hale getirebilen ve nihayetinde yaşam kalitesini iyileştirebilen bir tür bilişsel davranışçı temelli terapi yöntemidir. Kahkaha terapisinin, farmakolojik olmayan, alternatif bir tedavi olarak psikolojik sağlık üzerinde olumlu bir etkiye sahip olduğu bilinmektedir. Ayrıca kahkaha terapisi, uygun tesisler ve ekipman gibi özel hazırlıklar gerektirmez, kolayca erişilebilir ve kabul edilebilirdir. Kahkaha, kanda bulunan stres yapıcı hormonları azaltarak, stresin etkilerini azaltabilir. Depresyon, beyindeki norepinefrin, dopamin ve serotonin gibi nörotransmitterlerin azaldığı, beynin duygudurum kontrol devresinde bir sorun olduğu bir hastalıktır. Kahkaha dopamin ve serotonin aktivitesini değiştirebilir. Ayrıca, kahkaha tarafından salgılanan endorfinler, insanlar rahatsız olduğunda veya morali bozuk olduğunda yardımcı olabilir. Kahkaha terapisi, zihinsel sağlık üzerinde olumsuz etkisi olan depresyon için alternatif bir tedavi yöntemidir. Bu doğrultuda yapılan çalışmada kahkaha terapisinin depresyon üzerindeki etkisi incelenmiştir. Araştırmada, “Ön Test- Son Test –İzleme Testli Kontrol Gruplu Yarı Deneysel Desen” kullanılmıştır. Araştırma, İstanbul ilinde Beyoğlu ilçesinde bulunan Psikoloji ve Psikiyatri Kliniğine başvuran katılımcılardan gönüllü katılım onay izni alınarak yapılmıştır. Merkezlerden hangisinin deney hangisinin kontrol grubu olacağı random yoluyla belirlenmiştir. Çalışma grubu 15 katılımcıdan oluşurken, kontrol grubu 15 katılımcıdan oluşmuştur. Araştırmaya dahil edilen bireylerin katılımı gönüllülük temelinde olmuştur. Deney grubuna 4 haftalık “Kahkaha Terapi Uygulaması” yapılırken, kontrol grubuna iki oturumluk “Kahkaha Terapisi” eğitimi verilmiştir. Araştırmada kişisel bilgi formu ve Beck Depresyon Ölçeği (BDI) kullanılmıştır. Elde edilen veriler kahkaha terapisi katılımcıların depresyon düzeyini azaltmada etkili olduğunu göstermiştir.
Anahtar Kelimeler Kahkaha, kahkaha terapisi, depresyon
Abstract
Laugher Theraphy Depression Treatments Inspiration of Inclusion Effects
Laughter positive emotion, helpful, healthy way to deal with stress. Laughter therapy is a cognitive-behavioral therapy that can make physical, psychological; social relationships healthy improve quality of life. Laughter therapy positive effect on mental health alternative therapy. Laughter therapy does not require special preparations, such as appropriate facilities equipment easily accessible. Laughter reduces stress-producing hormones in the blood, can reduce the effects of stress. Depression is a disorder in which neurotransmitters such as norepinephrine, dopamine, serotonin is reduced brain. Problem mood control circuit of the brain. Laughter can alter dopamine serotonin activity. The endorphins released by laughter can be helpful when people are upset or depressed. Laughter therapy alternative treatment for depression that harms mental health. Examined the effect of laughter therapy on depression was in this study. In the research, it was used as "Pretest-Posttest-Semi-Experimental Design with Follow-Up Test Control Group." The study was conducted by obtaining a work permit from the participants who applied to the Psychology, Psychiatry Clinic in the Beyoğlu district of Istanbul. It was determined randomly which of the centers would be the experimental group the control group. While the study group consisted of 15 participants, the control group consisted of 15 participants. Participation of individuals included in the study was voluntary basis. While the experimental group received a 4-week "Laughter Therapy Practice," the control group received a placebo-like two-session training. Used personal information form Beck Depression Inventory. As a result, the depression levels of the participants who were treated with laughter therapy decreased.
Keywords Laugh, laugher therapy, depression
Kaynakça
- Arden, J. B. (2021). Brain2Brain. İstanbul: Sola Unitas.
- Arminen, I. ve Halonen, M. (2007). Laughing With and At Patients: The Roles of Laughter in Confrontations In Addiction Group Therapy. The Qualitative Report, 12, 484-513.
- Ashby, F. G., Isen, A. M. ve Turken, A. U. (1999). A Neuropsychological Theory of Positive Affect and Its Influence on Cognition. Psychol. Rev, 106, 529-550. DOI: https://doi.org/10.1037/0033-295X.106.3.529
- Aydemir, Ö., Köroğlu, E. (2007). Psikiyatride Kullanılan Klinik Ölçekler. Ankara, Hekimler Yayın Birliği.
- Bains, G.S., Berk, L S., Lohman, E., Daher, N., Petrofsky, J., Schwab, E. ve Deshpande, P. (2015). Humors Effect on Short-term Memory in Healthy And Diabetic Older Adults. Altern Ther Health Med, 21, 16-25.
- Beck, J. S. (2011). Cognitive Therapy: Basic and Beyond. New York, NY: Guilford Press.
- Bennett, H. J. (2003). Humor In Medicine. South. Med. J., 96, 1257-1261. DOI: https://doi.org/10.1097/01.SMJ.0000066657.70073.14
- Bennett, M. P. ve Lengacher, C. (2006). Humor And Laughter May İnfluence Health: II. Complementary Therapies and Humor in A Clinical Population. Evid Based Complement Alternat Med, 3, 187-190. DOI: https://doi.org/10.1093/ecam/nel014
- Brown, A. S. ve Gershon, S. (1993). Dopamine And Depression. J. Neural Transm Gen Sect, 91, 75-109 DOI: https://doi.org/10.1007/BF01245227
- Büyüköztürk, Ş., Kılıç-Çakmak, E, Akgün Ö. Erkan; Karadeniz, Şirin ve Demirel, Funda (2008). Eğitimde Bilimsel Araştırma Yöntemleri. Ankara: Pegem Akademi.
- Büyüköztürk, Ş., Kılıç-Çakmak, E., Akgün, Ö. E., Karadeniz, Ş. ve Demirel, F. (2017). Bilimsel Araştırma Yöntemleri. Ankara: Pegem Akademi DOI: https://doi.org/10.14527/9789944919289
- Caspi, A., Sugden, K., Moffitt, T. E., Taylor, A., Craig, I. W., Harrington, H., McClay, J., Mill, J., Martin, J., Braithwaite, A. ve Poulton, R. (2003). Influence Of Life Stress on Depression: Moderation by A Polymorphism In The 5-HTT Gene. Science, 301, 386-389. DOI: https://doi.org/10.1126/science.1083968
- Cha, M. Y. ve Hong, H. S. (2015). Effect And Path Analysis of Laughter Therapy On Serotonin, Depression And Quality Of Life In Middle-Aged Women. J Korean Acad. Nurs, 45, 221-230. DOI: https://doi.org/10.4040/jkan.2015.45.2.221
- Cho, E. A. ve Oh, H. E. (2011) Effects of Laughter Therapy On Depression, Quality Of Life, Resilience And Immune Responses In Breast Cancer Survivors. J. Korean Acad. Nurs., 41, 285-293. DOI: https://doi.org/10.4040/jkan.2011.41.3.285
- Colom, G. G., Alcover, C. T., Sanchez-Curto, C. ve Zarate-Osuna, J. (2011). Study Of the Effect of Positive Humour As A Variable That Reduces Stress. Relationship Of Humour with Personality and Performance Variables. Psychology in Spain, 15(1), 9–21.
- Çakar, M., Kınacı, E., ve Ataoğlu, S. (2021). Ağrı Yönetiminde Alternatif Bir Yaklaşım: Kahkaha Terapisi. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 11(1), 108-114. DOI: https://doi.org/10.33631/duzcesbed.773239
- Fredrickson, B. L. (2001). The Role of Positive Emotions in Positive Psychology: The Broaden-And-Build Theory Of Positive Emotions. American Psychologist, 56(3), 218-226. DOI: https://doi.org/10.1037/0003-066X.56.3.218
- Freud, S. (1928). On Humor. The Psychoanalytic Review (1913- 1957), 15, 85.
- Goodheart, A. (1994). Laughter Therapy. Santa Barbara, CA: Less Stress Press.
- Hatzipapas, I., Visser, M. J. ve Janse van Rensburg, E. (2017). Laughter Therapy as An Intervention To Promote Psychological Well-Being Of Volunteer Community Care Workers Working With HIV-Affected Families. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 14(1), 202–212. DOI: https://doi.org/10.1080/17290376.2017.1402696
- Hisli, N. (1989). Beck Depresyon Envanterinin Üniversite Öğrencileri İçin Geçerliği Güvenirliği. Psikoloji Dergisi, 23, 3-13.
- Isen, A. M. ve Means, B. (1983). The Influence of Positive Affect on Decision-Making Strategy. Soc. Cogn., 2, 18-31. DOI: https://doi.org/10.1521/soco.1983.2.1.18
- Kataria M. (2018). Laughter yoga: Daily laughter practices for health and happiness. India: Penguin Random House India Private Limited; Penguin Books.
- Keith, P. S. (1972). Early Conceptions of Humor: Varieties and Issues. New York, NY: Academic Press.
- Kim S, Kim Y., ve Kim H. (2015). Laughter and stress relief in cancer patients: A pilot study. Evidence-Based Complementary and Alternative Medicine. 2015; 1-6. doi: 10.1155/2015/864739. DOI: https://doi.org/10.1155/2015/864739
- Ko, H. J. ve Youn, C. H. (2011). Effects Of Laughter Therapy on Depression, Cognition and Sleep Among the Community-Dwelling Elderly. Geriatr. Gerontol. Int., 11, 267-274. DOI: https://doi.org/10.1111/j.1447-0594.2010.00680.x
- Lebowitz, K. R. (2002). The Effects of Humor on Cardiopulmonary Functioning, Psychological Well-Being, And Health Status Among Older Adults with Chronic Obstructive Pulmonary Disease. Columbus: The Ohio State University.
- Lefcourt, H. M. ve Martin, R. A. (2012). Humor And Life Stress: Antidote to Adversity. New York: Springer.
- MacGhee, P. E. ve Pistolesi, E. (1979). Humor: Its Origin and Development. San Francisco, CA: W.H. Freeman and Company.
- Martin, R. A. (2010). The Psychology of Humor: An Integrative Approach. Cambridge, Massachusetts: Academic Press.
- Mora, R. R. (2010) The Therapeutic Value of Laughter İn Medicine. Altern Ther Health Med, 16, 56-64.
- Morreall, J. (1983). Taking Laughter Seriously. Albany: State University of New York Press.
- Morreall, J. (1986). The Philosophy of Laughter and Humor. Albany: State University of New York Press.
- Nagendra H, Chaya M, Nagarathna R, Kataria M, Manjunath M., ve Raghavendra R. (2007). The efficacy of Laughter Yoga on IT professionals to overcome professional stress. Laughter Yoga International: Mumbai, India.
- Özer, Z., ve Ateş, S. (2021). Geleneksel ve Tamamlayıcı Tip Uygulamalarının Gülen Yüzü: Kahkaha Yogası. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 24(1), 108-116. DOI: https://doi.org/10.17049/ataunihem.500301
- Öztürk, Ö. Ö. ve Tezel, A. (2021) Kahkaha Yogası ve Hemşirelik. STED/Sürekli Tıp Eğitimi Dergisi, 30(2), 144-151. DOI: https://doi.org/10.17942/sted.863483
- Richman, J. (2006). The Role of Psychotherapy and Humor For Death Anxiety, Death Wishes, And Aging. Omega, 54, 41-51. DOI: https://doi.org/10.2190/D0NX-7V03-W1H0-4614
- Ripoll RM., ve Casado IQ. (2010). Laughter and positive therapies: Modern approach and practical use in medicine. Rev Psiquiatr Salud Ment, 3(1): 27- 34. doi: 10.1016/S1888-9891(10)70006-9
- Ripoll, R. M., Casado, I. Q. (2010). Laughter and positive therapies: modern approach and practical use in medicine. Rev Psiquiatr Salud Ment, 3, 27-34. DOI: https://doi.org/10.1016/S2173-5050(10)70006-6
- Seligman, M.E.P. (2002). Authentic happiness: Using the new positive psychology to realise your potential for lasting fulfilment. New York, NY: Free Press.
- Shahidi, M., Mojtahed, A., Modabbernia, A., Mojtahed, M., Shafiabady, A., Delavar, A. ve Honari, H. (2011). Laughter Yoga Versus Group Exercise Program in Elderly Depressed Women: A Randomized Controlled Trial. Int. J. Geriatr. Psychiatry, 26, 322-327. DOI: https://doi.org/10.1002/gps.2545
- Wooten, P. (1996). Humor: An Antidote for Stress. Holist Nurs Pract, 10, 49-56. DOI: https://doi.org/10.1097/00004650-199601000-00007
- Yazdani M, Esmaeilzadeh M, Pahlavanzadeh S.İ., ve Khaledi F. (2014). The effect of laughter yoga on general health among nursing students. Iran J Nurs Midwifery Res, 19: 36-40.
- Yim, J. (2016). Therapeutic Benefits of Laughter in Mental Health: A Theoretical Review. The Tohoku Journal of Experimental Medicine, 239(3), 243-249. DOI: https://doi.org/10.1620/tjem.239.243