test Humor in aging: is it able to enhance wellbeing in community dwelling older adults?|Psychology: the Journal of the Hellenic Psychological Society

Humor in aging: is it able to enhance wellbeing in community dwelling older adults?


Published: Nov 22, 2020
Keywords:
aging humor positive psychology positive psychological intervention well-being
Maria Giapraki
Despina Moraitou
Christos Pezirkianidis
Anastassios Stalikas
Abstract
The present study aimed at examining the effects of humor on community-dwelling older adults’ wellbeing. A humor-based intervention was introduced to older adults - members of the Open Care Center for Older Adults, in order to enhance five components of wellbeing as psychological flourishing (positive emotions, engagement, relationships, meaning, accomplishment). The sample consisted of 40 (20 male, 20 female) participants aged 65-91 years old, screened for depressive symptomatology and objective cognitive impairment. Participants were randomly divided into two groups (experimental / control group), matched in age, gender, and education, and were assigned two different researcher-administered tasks (recollection of humorous events / recollection of early memories) respectively. The Positive Psychological Intervention (PPI) of humor and the control condition lasted one month. Wellbeing was measured by the PERMA Profiler instrument at three times (pretest, posttest, follow-up). The results regarding the specific components of wellbeing as psychological flourishing showed that only the participants in the experimental condition tended to score higher in the posttest assessment compared to the pretest measurement and these results remained relatively unaffected one month after the intervention (follow-up). Hence a humor-based intervention could indeed contribute to the improvement of wellbeing as psychological flourishing in aging.
Article Details
  • Section
  • SPECIAL SECTION
Downloads
Download data is not yet available.
References
Auerbach, S., Ruch, W., & Fehling, A. (2016). Positive emotions elicited by clowns and nurses: An experimental study in a hospital setting. Translational Issues in Psychological Science, 2(1), 14–24. https://doi.org/10.1037/tps0000055
Berk, R. (2001). The active ingredients in humor: Psychophysiological benefits and risks for older adults. Educational Gerontology, 27(3-4), 323–339. https://doi.org/10.1080/036012701750195021
Brown, K. W., & Ryan, M. R. (2003). The benefits of being present: Mindfulness and its role in psychological wellbeing. Journal of Personality and Social Psychology, 84(4), 822-848. https://doi.org/10.1037/0022-3514.84.4.822
Butler, J., & Kern, M. L. (2016). The PERMA-profiler: A brief multidimensional measure of flourishing. International Journal of Wellbeing, 6(3), 1-48. https://doi.org/10.5502/ijw.v6i3.526
Cann, A., & Etzel, K. (2008). Remembering and anticipating stressors: Positive personality mediates the relationship with sense of humor. Humor: International Journal of Humor Research, 21(2), 157-178. https://doi.org/10.1515/HUMOR.2008.008
Celso, B. G., Ebener, D. J. & Burkhead, E. J. (2003). Humor coping, health status, and life satisfaction among older adults residing in assisted living facilities. Aging & Mental Health, 7(6), 438–445. https://doi.org/10.1080/13607860310001594691
Crawford, S. A., & Caltabiano, N. J. (2011). Promoting emotional well-being through the use of humor. The Journal of Positive Psychology, 6(3), 237-252. https://doi.org/10.1080/17439760.2011.577087
Csikszentmihalyi, M. (1990). Flow: The psychology of optimal experience. Harper and Row.
Damianakis, T., & Marziali, E. (2011). Community-dwelling older adults' contextual experiencing of humour. Ageing & Society, 31(1), 110-124. https://doi.org/10.1017/S0144686X10000759
Darby, D., & Walsh, K. W. (2005). Walsh’s neuropsychology: A clinical approach. Churchill Livingstone.
Efklides, A., & Moraitou, D. (2013a). Introduction: Looking at quality of life and well-being from a positive psychology perspective. In A. Efklides & D. Moraitou. (Εds.), A positive psychology perspective on quality of life. Social indicators research series (pp. 1-15). Springer. https://doi.org/10.1007/978-94-007-4963-4_1
Efklides, A., & Moraitou, D. (Eds.) (2013b). A positive psychology perspective on quality of life. Social indicators research series (51). Springer. https://doi.org/10.1007/978-94-007-4963-4
Falkenberg, I., Buchkremer, G., Bartels, M., & Wild, B. (2011). Implementation of a manual-based training of humor abilities in patients with depression: A pilot study. Psychiatry Research, 186(2-3), 454–457. https://doi.org/10.1016/j.psychres.2010.10.009
Fountoulakis, K. N., Tsolaki, M., Iacovides, A., Yesavage, J., O'Hara, R., Kazis, A., & Ierodiakonou, Ch. (1999). The validation of the short form of the geriatric depression scale (GDS) in Greece. Aging: Clinical and Experimental Research, 11(6), 367-372. https://doi.org/10.1007/BF03339814
Fredrickson, B. L. (2004). The broaden-and-build theory of positive emotions. Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences, 359(1449), 1367–1378. https://doi.org/10.1098/rstb.2004.1512
Fredrickson, B. L. (2005). The broaden-and-build theory of positive emotions. In F. A. Huppert, N. Baylis & B. Keverne (Εds.), The science of well-being (pp. 217-238). Oxford University Press. https://doi.org/10.1098/rstb.2004.1512
Galloway, G. (2010). Individual differences in personal humor styles: Identification of prominent patterns and their associates. Personality and Individual Differences, 48(5), 563-567. https://doi.org/10.1016/j.paid.2009.12.007
Gander, F., Proyer, R. T., Ruch, W., & Wyss, T. (2013). Strength-based positive interventions: Further evidence for their potential in enhancing well-being and alleviating depression. Journal of Happiness Studies, 14(4), 1241–1259. https://doi.org/10.1007/s10902-012-9380-0
Greengross, G. (2013). Humor and aging - A mini-review. Gerontology, 59(5), 448-453. https://doi.org/10.1159/000351005
Gremigni, P. (2013). Is humor the best medicine?. In P. Gremigni (Ed.), Health psychology research focus. Humor and health promotion (pp. 149-171). Nova Biomedical Books.
Goldstein, J., & Ruch, W. (2018). Paul McGhee and humor research. HUMOR, 31(2), 169-181. https://doi.org/10.1515/humor-2018-0031
Hirsch, R. D., Junglas, K., Konradt, B., & Jonitz M. F. (2010). Humortherapie bei alten Menschen mit einer Depression: Ergebnisse einer empirischen Untersuchung [Humor therapy in the depressed elderly: Results of an empirical study]. Zeitschrift für Gerontologie und Geriatrie, 43(1), 42–52. https://doi.org/10.1007/s00391-009-0086-9
Kim, S. H., Kim, Y. H., & Kim, H. J. (2015). Laughter and stress relief in cancer patients: A pilot study. Evidence-Based Complementary and Alternative Medicine, 1-6. https://doi.org/10.1155/2015/864739
Konradt, B., Hirsch, R. D., Jonitz, M. F., & Junglas K. (2013). Evaluation of a standardized humor group in a clinical setting: A feasibility study for older patients with depression: Humor therapy for older patients with depression. International Journal of Geriatric Psychiatry, 28(8), 850–857. https://doi.org/10.1002/gps.3893
Kuiper, N.A. (2012). Humor and resiliency: Towards a process model of coping and growth. Europe's Journal of Psychology, 8(3), 475-491. https://doi.org/10.5964/ejop.v8i3.464
Kuiper, N. A., Kirsh, G. A., & Leite, C. (2010). Reactions to humorous comments and implicit theories of humor styles. Europe's Journal of Psychology, 6(3), 236-266. https://doi.org/10.5964/ejop.v6i3.215
Lebowitz, K. R., Suh, S., Diaz, P. T., & Emery, C. F. (2011). 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, the Journal of Acute and Critical Care, 40(4), 310-319. https://doi.org/10.1016/j.hrtlng.2010.07.010
Leist, A. K., & Müller, D. (2013). Humor types show different patterns of self-regulation, self-esteem, and well-being. Journal of Happiness Studies, 14(2), 551-569. https://doi.org/10.1007/s10902-012-9342-6
Linge-Dahl, L., Heintz, S., Ruch, W., & Radbruch, L. (2018). Humor assessment and interventions in palliative care: A systematic review. Frontiers in Psychology, 9, 890. https://doi.org/10.3389/fpsyg.2018.00890
Low, L.-F., Brodaty, H., Goodenough, B., Spitzer, P., Bell, J.-P., Fleming, R., & Chenoweth, L. (2013). The Sydney multisite intervention of laughter bosses and elder clowns (SMILE) study: Cluster randomised trial of humour therapy in nursing homes. BMJ Open, 3(1), e002072. https://doi.org/10.1136/bmjopen-2012-002072
Lurie, A., & Monahan, K. (2015). Humor, aging, and life review: Survival through the use of humor. Social Work in Mental Health, 13(1), 82-91. https://doi.org/10.1080/15332985.2014.884519
Lyubomirsky, S. (2001). Why are some people happier than others? The role of cognitive and motivational processes in well-being. American Psychologist, 56(3), 239–249. https://doi.org/10.1037/0003-066X.56.3.239
Mahony D. L., Burroughs W. J. & Hieatt A. C. (2001). The effects of laughter on discomfort thresholds: Does expectation become a reality?. Journal of General Psychology, 128(2), 217–226. https://doi.org/10.1080/00221300109598909
Mak, W., & Carpenter, B. D. (2007). Humor comprehension in older adults. Journal of the International Neuropsychological Society, 13, 606–614. https://doi.org/10.1017/S1355617707070750
Martin, G. N. (2006). Human neuropsychology. Pearson Education
Martin, R. A. (2003). Sense of humor. In S. J. Lopez & C. R. Snyder (Eds.), Positive psychological assessment: A handbook of models and measures. American Psychological Association. https://doi.org/10.1037/10612-020
Martin, R., & Kuiper, N. A. (2016). Three decades investigating humoMr and laughter: An interview with professor Rod Martin. Europe’s Journal of Psychology, 12(3), 498-512. https://doi.org/10.5964/ejop.v12i3.1119
Martin, R. A., Puhlik-Doris, P., Larsen, G., Gray, J., & Weir, K. (2003). Individual differences in uses of humor and their relation to psychological well-being: Development of the humor styles questionnaire. Journal of Research in Personality, 37(1), 48-75. https://doi.org/10.1016/S0092-6566(02)00534-2
Marziali, E., McDonald, L., & Donahue, P. (2008). The role of coping humor in the physical and mental health of older adults. Aging Mental Health, 12(6), 713–718. https://doi.org/10.1080/13607860802154374
Mathieu, S. I. (2008). Happiness and humor group promotes life satisfaction for senior center participants. Journal Activities, Adaptation & Aging, 32(2), 134-148. https://doi.org/10.1080/01924780802143089
McCreaddie, M., & Wiggins, S. (2008). The purpose and function of humour in health, health care and nursing: A narrative review. Journal of Advanced Nursing, 61(6), 584-595. https://doi.org/10.1111/j.1365-2648.2007.04548.x
McGhee, P. E. (2010a). Humor as survival training for a stressed-out world: The 7 humor habits program. AuthorHouse.
McGhee, P. E. (2010b). Humor: The lighter path to resilience and health. AuthorHouse.
Monahan, K. (2015). The use of humor with older adults aging in place. Social Work in Mental Health, 13(1), 61-69. https://doi.org/10.1080/15332985.2014.918922
Nasreddine, Z. S., Phillips, N. A., Bedirian, V., Charbonneau, S., Whitehead, V., Collin, I., Cummings, J.L., & Chertkow, H. (2005) The Montreal cognitive assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695–699. https://doi.org/10.1111/j.1532-5415.2005.53221.x
Pallant, J. F. (2000). Development and validation of a scale to measure perceived control of internal states. Journal of Personality Assessment, 75(2), 308–337. https://doi.org/10.1207/S15327752JPA7502_10
Peterson, C., Park, N., & Seligman, M. E. P. (2006). Greater strengths of character and recovery from illness. The Journal of Positive Psychology, 1, 17–26. https://doi.org/10.1080/17439760500372739
Peterson, C., & Seligman, M. E. P. (2004). Character strengths and virtues: A classification and handbook. Oxford University Press.
Pezirkianidis, C., Stalikas, A., Lakioti, A., & Yotsidi, V. (2019). Validating a multidimensional measure of wellbeing in Greece: Translation, factor structure, and measurement invariance of the PERMA Profiler. Current Psychology, 1-18. https://doi.org/10.1007/s12144-019-00236-7
Poptsi, E., Moraitou, D., Eleftheriou, M., Kounti-Zafeiropoulou, F., Papasozomenou, C., Agogiatou, C., Bakoglidou, E., Batsila, E., Liapi, D., Markou, N., Nikolaidou, E., Ouzouni, F., Soumpourou, A., Vasiloglou, M., & Tsolaki, M. (2019). Normative data for the Montreal cognitive assessment in Greek older adults with subjective cognitive decline, mild cognitive impairment and dementia. Journal of Geriatric Psychiatry and Neurology, 32(5), 265-274. https://doi.org/10.1177/0891988719853046
Proyer, R. T., Gander, F., Wellenzohn, S., & Ruch, W. (2014). Positive psychology interventions in people aged 50–79 years: Long-term effects of placebo-controlled online interventions on well-being and depression. Aging & Mental Health, 18, 997-1005. https://doi.org/10.1080/13607863.2014.899978
Proyer, R. T., Ruch, W., & Müller, L. (2010). Sense of humor among the elderly: Findings with the German version of the SHS. Zeitschrift für Gerontologie und Geriatrie, 43(1), 19-24. https://doi.org/10.1007/s00391-009-0082-0
Rowe, J. W., & Kahn, R. L. (1987). Human aging: Usual and successful. Science, 237(4811), 143-149. https://doi.org/10.1126/science.3299702
Ruch, W. (Ed.). (1998). The sense of humor: Explorations of a personality characteristic. Mouton de Gruyter.
Ruch, W. & Heintz, S. (2013). Humour styles, personality and psychological well‐being: What's humour got to do with it?. European Journal of Humour Research, 1(4), 1–24. https://doi.org/10.7592/EJHR2013.1.4.ruch
Ruch, W., Heintz, S., Platt, T., Wagner, L., & Proyer, R. T. (2018). Broadening humor: Comic styles differentially tap into temperament, character, and ability. Frontiers in Psychology, 9. https://doi.org/10.3389/fpsyg.2018.00006
Ruch, W., & Hofmann, J. (2017). Fostering humour. In C. Proctor (Ed.), Positive psychology interventions in practice (pp. 65–80). Springer International Publishing. https://doi.org/10.1007/978-3-319-51787-2_5
Ruch, W., Proyer, R. T., & Weber, M. (2010). Humor as character strength among the elderly: Empirical findings on age-related changes and its contribution to satisfaction with life. Zeitschrift für Gerontologie und Geriatrie, 43(1), 13–18. https://doi.org/10.1007/s00391-009-0090-0
Ruch, W., Wagner, L., & Heintz, S. (2018). Humor, the PEN model of personality, and subjective well-being: Support for differential relationships with eight comic styles. Rivista Italiana di Studi sull'Umorismo, 1, 31–44. https://doi.org/10.5167/uzh-147388
Sanchez, A., & Vazquez, C. (2014). Looking at the eyes of happiness: Positive emotions mediate the influence of life satisfaction on attention to happy faces. The Journal of Positive Psychology, 9(5), 435–448. https://doi.org/10.1080/17439760.2014.910827
Schaufeli, W. B., Bakker, A. B., & Salanova, M. (2006). The measurement of work engagement with a short questionnaire: A cross-national study. Educational and Psychological Measurement, 66(4), 701-716. https://doi.org/10.1177/0013164405282471
Seligman, M. E. P. (2011). Flourish: A visionary new understanding of happiness and well-being. Free Press.
Shammi, P., & Stuss D.T. (2003). The effects of normal aging on humor appreciation. Journal of the International Neuropsychological Society, 9(6), 855-863. https://doi.org/10.1017/S135561770396005X
Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: A practice-friendly meta-analysis. Journal of Clinical Psychology, 65(5), 467–487. https://doi.org/10.1002/jclp.20593
Stanley, J. T., Lohani, M., & Isaacowitz, D. M. (2014). Age-related differences in judgments of inappropriate behavior are related to humor style preferences. Psychology and Aging, 29(3), 528-541. https://doi.org/10.1037/a0036666
Steger, M. F. (2012). Experiencing meaning in life: Optimal functioning at the nexus of spirituality, psychopathology, and wellbeing. In P. T. P. Wong (Ed.), The human quest for meaning (2nd ed., pp. 165–184). Routledge. https://doi.org/10.5502/ijw.v2i.i3.2
Tse, M. M., Lo, A. P., Cheng, T. L., Chan, E. K., Chan, A. H., & Chung, H. S. (2010). Humor therapy: Relieving chronic pain and enhancing happiness for older adults. Journal of Aging Research, 1-9. https://doi.org/10.4061/2010/343574
Turner, J., Greenawalt, K., Goodwin, S., Rathie, E., & Orsega-Smith, E. (2017). The development and implementation of the art of happiness intervention for community-dwelling older adults. Educational Gerontology, 43(12), 1-12. https://doi.org/10.1080/03601277.2017.1380894
Wadlinger, H. A., & Isaacowitz, D. M. (2011). Fixing our focus: Training attention to regulate emotion. Personality and Social Psychology Review, 15(1), 75–102. https://doi.org/10.1177/1088868310365565
Wanzer, M. (2014). Aging and humor. In S. Attardo (Ed.), Encyclopedia of humor studies (pp. 20-21). SAGE Publications.
Wellenzohn, S., Proyer, R. T., & Ruch, W. (2016a). How do positive psychology interventions work? A short-term placebo-controlled humor-based study on the role of the time focus. Personality and Individual Differences, 96, 1–6. https://doi.org/10.1016/j.paid.2016.02.056
Wellenzohn, S., Proyer, R. T., & Ruch, W. (2016b). Humor-based online positive psychology interventions: A randomized placebo-controlled long-term trial. Journal of Positive Psychology, 11(6), 584–594. https://doi.org/10.1080/17439760.2015.1137624
Wilkins, J., & Eisenbraun, A. J. (2009). Humor theories and the physiological benefits of laughter. Advances in Mind Body Medicine, 24(2), 8-12. https://doi.org/10.1097/HNP.0b013e3181bf37ad
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey. M., & Leirer, V.O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49. https://doi.org/10.1016/0022-3956(82)90033-4

Similar Articles

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)