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Article

Effectiveness of Integrative Laughter Therapy to Reduce Anxiety, Improve Self-Esteem and Increase Happiness: A Naturalistic Study at a Day Hospital for Addictive Disorders

1
Escola Universitària d’Infermeria de l’Hospital de la Santa Creu i Sant Pau (EUI Sant Pau), Universitat Autònoma de Barcelona (UAB), 08025 Barcelona, Spain
2
Unitat de Conductes Addictives, Servei de Psiquiatria, Hospital de la Santa Creu i Sant Pau, 08025 Barcelona, Spain
3
Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain
4
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), 28029 Madrid, Spain
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(21), 4194; https://doi.org/10.3390/ijerph16214194
Received: 8 October 2019 / Accepted: 28 October 2019 / Published: 30 October 2019
(This article belongs to the Special Issue Mental Health Nursing)
Little is known about the effectiveness of laughter therapy as an adjunctive treatment for patients with addictive disorders. This study aims to evaluate the benefits of integrative laughter therapy (ILT) on levels of self-esteem, anxiety, and happiness in patients treated for addiction at a day hospital (DH). A prospective, naturalistic study with a pre-post design was conducted. All 185 participants received the standard, multicomponent treatment at the DH (treatment as usual; TAU). The participants were also invited to attend weekly ILT sessions. Upon completion of the 2-month DH treatment program, patients were classified according to their attendance at the ILT sessions: patients who attended ≥80% constituted the experimental group (TAU + ILT group) while those who attended <80% were considered controls. Although both groups achieved statistically significant increases in self-esteem and happiness with a decrease in trait anxiety, the improvement on these variables was significantly greater in the TAU + ILT group. Subject to the limitations inherent to quasi-experimental research, the findings of the present study suggest that the addition of an ILT module to the standard treatment in a DH for addictive disorders may yield greater improvement in self-esteem, anxiety, and happiness compared to TAU. View Full-Text
Keywords: laughter therapy; addictive disorders; day hospital treatment; mental health nursing; self-esteem; happiness; satisfaction with life; anxiety; quasi-experimental design laughter therapy; addictive disorders; day hospital treatment; mental health nursing; self-esteem; happiness; satisfaction with life; anxiety; quasi-experimental design
MDPI and ACS Style

De Francisco, S.; Torres, C.; De Andrés, S.; Millet, A.; Ricart, M.T.; Hernández-Martínez-Esparza, E.; Abades, M.; Trujols, J. Effectiveness of Integrative Laughter Therapy to Reduce Anxiety, Improve Self-Esteem and Increase Happiness: A Naturalistic Study at a Day Hospital for Addictive Disorders. Int. J. Environ. Res. Public Health 2019, 16, 4194. https://doi.org/10.3390/ijerph16214194

AMA Style

De Francisco S, Torres C, De Andrés S, Millet A, Ricart MT, Hernández-Martínez-Esparza E, Abades M, Trujols J. Effectiveness of Integrative Laughter Therapy to Reduce Anxiety, Improve Self-Esteem and Increase Happiness: A Naturalistic Study at a Day Hospital for Addictive Disorders. International Journal of Environmental Research and Public Health. 2019; 16(21):4194. https://doi.org/10.3390/ijerph16214194

Chicago/Turabian Style

De Francisco, Seyla, Cristina Torres, Sandra De Andrés, Ana Millet, M. T. Ricart, Elvira Hernández-Martínez-Esparza, Mercedes Abades, and Joan Trujols. 2019. "Effectiveness of Integrative Laughter Therapy to Reduce Anxiety, Improve Self-Esteem and Increase Happiness: A Naturalistic Study at a Day Hospital for Addictive Disorders" International Journal of Environmental Research and Public Health 16, no. 21: 4194. https://doi.org/10.3390/ijerph16214194

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