[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Journal Information::
Articles archive::
For Authors::
For Reviewers::
Contact us::
Site Facilities::
Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
:: Volume 30, Issue 3 (Fall 2020) ::
MEDICAL SCIENCES 2020, 30(3): 287-298 Back to browse issues page
The effect of employee's humor training on depression, anxiety and stress of the elderly residents in Tehran's nursing homes: a randomized clinical trial
Tannaz Taheri Gharagzlu1 , Mahboubeh Safavi 2, Mohammad Fesharaki3
1- MSc in Psychiatric Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
2- Assistant Professor, PhD in Health Services Management, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran , msafavi@iautmu.ac.ir
3- Associate Professor, PhD in Biostatistics, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
Abstract:   (3165 Views)
Background: Nowadays, elderly has a high prevalence and older people face psychological problems. Educational interventions of nursing homes` staff can affect their satisfaction and performance. In this study, the effect of employees' humorous intervention on depression, anxiety and stress among elderly residents in selected nursing homes in Tehran was investigated in 2018.
Materials and methods: This randomized clinical trial study was performed on two groups of 30 elderly people in Tohid (intervention) and Farzanegan (control) nursing homes. The staff of the Tohid center received the training of humor in 7 sessions of 90 minutes. Demographic questionnaire and Depression, Anxiety and Stress Questionnaire (DASS-21) were used for data gathering. Data analysis was performed using SPSS-v23.
Results: The two groups did not differ significantly in terms of demographic variables and depression, anxiety, and stress in the pretest stage (p>0.05). In the intervention group, there was a significant decrease in anxiety and stress in the elderly (p<0.05). The results of covariance analysis indicated the efficacy of intervention in reducing anxiety and stress, so that 43% of variation of anxiety and 25% of variation of stress were due to independent variable.
Conclusion: According to our findings, staff humor training is effective in reducing the anxiety and stress of the elderly. Because of its low cost, its capability and safety, it is recommended that the conditions for using this intervention are provided in the nursing homes.
Keywords: Humor, Depression, Anxiety, Stress, Elderly, Nursing home
Full-Text [PDF 391 kb]   (1433 Downloads)    
Semi-pilot: Controlled/Randomized clinical trial | Subject: Nursing
Received: 2019/04/19 | Accepted: 2019/07/23 | Published: 2020/09/20
1. 1. WHO. World report on ageing and health. Geneva: World Health Organization; 2015.
2. Lyons AC, Grable JE, Joo S-H. A cross-country analysis of population aging and financial security. Agricultural and Consumer Economics 2018; 12:96-117. [DOI:10.1016/j.jeoa.2018.03.001]
3. Lee RD, Mason A. Population aging and the generational economy: a global perspective. New York: Edward Elgar Publishing; 2011. [DOI:10.4337/9780857930583]
4. Gavrilov L, Heuveline P. Aging of population. In: Demeny P, McNicoll G, Eds. The encyclopedia of population. New York: Macmillan Reference USA; 2003.
5. Bloom DE, Canning D, Fink G. Population aging and economic growth. Globalization and Growth 2010; 297. [DOI:10.3386/w16705]
6. Hetzel L, Smith A. 65 years and over population: 2000: Census 2000 Brief. USA: DIANE Publishing; 2008.
7. Leila V, Abolghasem P, Batoul A, Ali AS. Quality assessment tools and Management for medication prescription in elderly. Hospital J 2013;11:4-12.
8. Mirzaie M, Darabi S. Population Aging in Iran and Rising Health Care Costs. Iranian Journal of Ageing 2017;12:156-169. [In Persian] [DOI:10.21859/sija-1202156]
9. Hao G, Bishwajit G, Tang S, Nie C, Ji L, Huang R. Social participation and perceived depression among elderly population in South Africa. Clin Interv Aging 2017;12:971. [DOI:10.2147/CIA.S137993]
10. Ahern J, Matthay EC, Goin DE, Farkas K, Rudolph KE. Acute changes in community violence and increases in hospital visits and deaths from stress-responsive diseases. Epidemiology 2018;29:684-691. [DOI:10.1097/EDE.0000000000000879]
11. Hawkley LC, Kocherginsky M. Transitions in loneliness among older adults: A 5-year follow-up in the National Social Life, Health, and Aging Project. Res Aging 2018;40:365-387. [DOI:10.1177/0164027517698965]
12. Shahboulaghi M, Moghaddam AG, Khoshnou H, Karbalaee Z, Mohammadi M. mental health in the elderly and its predictive factors. World Family Medicine Journal 2017;7:314. [DOI:10.5742/MEWFM.2017.93181]
13. Ghafari M, Sharifirad G, Zanjani S, AH. Stress, Anxiety and Depression Levels Among Elderly Referrals to Tehran Elderly Club. Iranian Journal of Ageing 2012;7:53-59. [In Persian]
14. Christiansen J, Larsen FB, Lasgaard M. Do stress, health behavior, and sleep mediate the association between loneliness and adverse health conditions among older people? Soc Sci Med 2016;152:80-86. [DOI:10.1016/j.socscimed.2016.01.020]
15. Gharanjik A, Mohammadi Shahbolaghi F, Ansari G, Najafi F, Ghaderi S, Ashrafi K, et al. The Prevalence of Depression in Older Turkmen Adults in 2010. Iranian Journal of Ageing 2010;6:34-39. [In Persian]
16. Liu L, Gou Z, Zuo J. Social support mediates loneliness and depression in elderly people. J Health psychol 2016;21:750-758. [DOI:10.1177/1359105314536941]
17. Keshavarzi S, Ahmadi SM, Lankarani KB. The impact of depression and malnutrition on health-related quality of life among the elderly Iranians. Glob J Health Sci 2015;7:161. [DOI:10.5539/gjhs.v7n3p161]
18. Schak KM, Vande Voort JL, Johnson EK, Kung S, Leung JG, Rasmussen KG, et al. Potential risks of poorly monitored ketamine use in depression treatment. Am J Psychiatry 2016;173:215-218. [DOI:10.1176/appi.ajp.2015.15081082]
19. Shulman B, Dueck R, Ryan D, Breau G, Sadowski I, Misri S. Feasibility of a mindfulness-based cognitive therapy group intervention as an adjunctive treatment for postpartum depression and anxiety. J Affect Disord 2018;235:61-67. [DOI:10.1016/j.jad.2017.12.065]
20. Wellenzohn S, Proyer RT, Ruch W. Humor-based online positive psychology interventions: a randomized placebo-controlled long-term trial. J Posit Psychol 2016;11:584-594. [DOI:10.1080/17439760.2015.1137624]
21. Randler C, Wüst-Ackermann P, Demirhan E. Humor reduces anxiety and disgust in anticipation of an educational dissection in teacher students. Int J Environ Sci Educ 2016;11:421-432.
22. Martin RA, Ford T, Eds. The psychology of humor: an integrative approach. Cambridge, Massachusetts: Academic press; 2018. [DOI:10.1016/B978-0-12-812143-6.00004-7]
23. Savage BM, Lujan HL, Thipparthi RR, DiCarlo SE. Humor, laughter, learning, and health! A brief review. Adv Physiol Educ 2017;41:37-41. [DOI:10.1152/advan.00030.2017]
24. Torgheh M, Alipour A. Effect of humour on burnout and resiliency of nurses. Journal of Holistic Nursing and Midwifery 2015;25:57-64. [In Persian]
25. Pérez‐Aranda A, Hofmann J, Feliu‐Soler A, Ramírez‐Maestre C, Andrés‐Rodríguez L, Ruch W, et al. Laughing away the pain: A narrative review of humour, sense of humour and pain. Eur J Pain 2019;23:220-233. [DOI:10.1002/ejp.1309]
26. Yasuda M, Sakakibara H. Care staff training based on person-centered care and dementia care mapping, and its effects on the quality of life of nursing home residents with dementia. Aging Ment Health 2017;21:991-996. [DOI:10.1080/13607863.2016.1191056]
27. Robert C, Da Motta Veiga S. Conversational humor and job satisfaction at work: exploring the role of humor production, appreciation, and positive affect. Humor 2017; 4:417-438. [DOI:10.1515/humor-2017-0034]
28. Mahbobeh S, Rostambeygi P, Barkhordary M, Roshandel A. Effect of humor training on social function in nursing student of Islamic Azad University of Estahban. International Research Journal of Applied and Basic Sciences 2013;4:348-352. [In Persian]
29. Plaku-Alakbarova B, Punnett L, Gore R. Nursing home employee and resident satisfaction and resident care outcomes. Saf Health Work 2018:408-415. [DOI:10.1016/j.shaw.2017.12.002]
30. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther 1995;33:335-343. [DOI:10.1016/0005-7967(94)00075-U]
31. Sahebi A, Asghari MJ, Salari RS. Validation of depression anxiety and stress scale (DASS-21) for an Iranian population. Iran Psychol 2005;4:299-313.
32. Asghari A, Saed F, Dibajnia P. Psychometric properties of the Depression Anxiety Stress Scales-21 (DASS-21) in a non-clinical Iranian sample. Int J Psychol 2008;2:82-102.
33. Zhang C, Xue Y, Zhao H, Zheng X, Zhu R, Du Y, et al. Prevalence and related influencing factors of depressive symptoms among empty-nest elderly in Shanxi, China. J Affect Disord 2019;245:750-756. [DOI:10.1016/j.jad.2018.11.045]
34. Rathod MS, Dixit JV, Goel AD, Yadav V. Prevalence of depression in an urban geriatric population in Marathwada region of Western India. Indian J Psychol Med 2019;41:32. [DOI:10.4103/IJPSYM.IJPSYM_234_18]
35. Sarokhani D, Parvareh M, Dehkordi AH, Sayehmiri K, Moghimbeigi A. Prevalence of depression among Iranian elderly: systematic review and meta-analysis. Iran J Psychol 2018;13:55.
36. Baharlooei O, Alavi M, Adelmehraban M. Psychosocial factors predicting length of hospitalization in elderly individuals with diabetes in selected hospitals of Isfahan University of Medical Sciences, Isfahan, Iran, in 2015. ARYA atheroscler 2017;13:103-108.
37. Lim GY, Tam WW, Lu Y, Ho CS, Zhang MW, Ho RC. Prevalence of Depression in the Community from 30 Countries between 1994 and 2014. Sci Rep 2018;8:2861. [DOI:10.1038/s41598-018-21243-x]
38. Gök Ugur H, Yaman Aktaş Y, Orak OS, Saglambilen O, Aydin Avci İ. The effect of music therapy on depression and physiological parameters in elderly people living in a Turkish nursing home: a randomized-controlled trial. Aging Ment Health 2017;21:1280-1286. [DOI:10.1080/13607863.2016.1222348]
39. Babazadeh T, Sarkhoshi R, Bahadori F, Moradi F, Shariat F, Sherizadeh Y. Prevalence of depression, anxiety and stress disorders in elderly people residing in Khoy, Iran (2014-2015). J Anal Res Clin Med 2016;4:122-128. [DOI:10.15171/jarcm.2016.020]
40. Zeraati M, Haghani Zemeidani M, Khodadadi Sangdeh J. The comparison of depression and death anxiety among nursing home resident and non-resident elderlies. Iran J Nurs 2016;29:45-54. [DOI:10.29252/ijn.29.102.45]
41. Azadi A, Taghinezhad H, Bastami M, Bastami A, Pashaei sabet F. The study amount of anxiety and depression among elderly diabetic patients referred to Shahid Mostafa Khomeini in Ilam and Shohada Ashayer Hospitals in Khoramabad, 2015. Iran J Nurs 2016;11:1-9.
42. Elias S. Prevalence of loneliness, anxiety, and depression among older people living in long-term care: a review. International Journal of Care Scholars 2018;1:39-43.
43. Kivimäki M, Steptoe A. Effects of stress on the development and progression of cardiovascular disease. Nat Rev Cardiol 2018;15:215. [DOI:10.1038/nrcardio.2017.189]
44. Arman M. The comparison of depression, anxiety and stress between active and inactive old women in Isfahan. J Rehab Med 2014;3:82-88. [In Persian]
45. Zaki M, Ahmed F, Sayed F. Effect of guided imagery in reduction of stress among elderly people in geriatric homes. Am J Nurs 2018;6:380-387.
46. Oktug Z. The moderating role of employees' humor styles on the relationship between job stress and emotional exhaustion. Int Bus Res 2017;10:131. [DOI:10.5539/ibr.v10n4p131]
47. Chipps J, Jarvis M. Social capital and mental well-being of older people residing in a residential care facility in Durban, South Africa. Aging Ment Health 2016;20:1264-1270. [DOI:10.1080/13607863.2015.1105196]
48. Wijewardena N, Samaratunge R, Härtel CEJ, Eds. Managing with humor; a novel approach to building positive employee emotions and psychological resources. Singapore: Springer, Singapore 2019:141-153. [DOI:10.1007/978-981-13-3636-2_6]
49. Safavi M, Abdollahi SM, Salmani MM, Rahimi H, Nasirizade M. Relationship between nurses' quality performance and their job satisfaction. J Nurs Manag 2017; 6:53-61. [DOI:10.29252/ijnv.6.1.53]
Send email to the article author

Add your comments about this article
Your username or Email:


XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Taheri Gharagzlu T, Safavi M, Fesharaki M. The effect of employee's humor training on depression, anxiety and stress of the elderly residents in Tehran's nursing homes: a randomized clinical trial. MEDICAL SCIENCES 2020; 30 (3) :287-298
URL: http://tmuj.iautmu.ac.ir/article-1-1812-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 30, Issue 3 (Fall 2020) Back to browse issues page
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی واحد پزشکی تهران Medical Science Journal of Islamic Azad Univesity - Tehran Medical Branch
Persian site map - English site map - Created in 0.08 seconds with 37 queries by YEKTAWEB 4645