Volume 29, Issue 1 (1-2019)                   J Holist Nurs Midwifery 2019, 29(1): 15-21 | Back to browse issues page

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Atadokht A, Ebrahimzadeh S, Mikaeeli N. The Effectiveness of Humor Skills Training on Positive and Negative Symptoms of Chronic Schizophrenia Spectrum. J Holist Nurs Midwifery. 2019; 29 (1) :15-21
URL: http://hnmj.gums.ac.ir/article-1-658-en.html
1- Associate Professor, Department of Psychology, School of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran. , ak_atadokht@yahoo.com
2- Psychology (MA.), School of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
3- Associate Professor, Department of Psychology, School of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
Abstract:   (617 Views)

Introduction: Although humor plays an important role in improving people’s mental and physical health, empirical studies on the effectiveness of humor skills training to improve the symptoms of the patients with schizophrenia are scarce.
Objective: This study aimed to determine the effectiveness of humor skills training on positive and negative symptoms in male patients with chronic schizophrenia spectrum.
Materials and Methods: This research has a quasi-experimental design with pretest-posttest and control group. The statistical population consisted of male patients with chronic schizophrenia admitted to rehabilitation centers in Ardabil City, Iran. A sample of 30 patients were selected with cluster random sampling method and randomly divided into two groups of experimental (n=15) and control (n=15). Members of both groups were pretested and humor skills training program using the McGee 8-step plan was administered to the experimental group for 8 sessions. To collect the data, the Positive and Negative Syndrome Scale (PANSS) was used. The obtained data were analyzed using Analysis of Covariance (ANCOVA).
Results: Positive and negative symptoms scores significantly decreased after 8 sessions of humor skills training in the experimental group (P=0.001) while there was no significant difference between pretest and posttest scores in the control group (P>0.05).
Conclusion: Humor skills training decreased positive and negative symptoms in patients with schizophrenia. Therefore, using this program is recommended to reduce the problems of patients with schizophrenia.

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Article Type : Research | Subject: Special
Received: 2018/03/15 | Accepted: 2018/08/27 | Published: 2019/01/1

1. Halgin R. Abnormal Psychology: Clinical Perspectives on Psychological Disorders [Y Seyed Mohammadi, Persian Trans.]. Tehran: Ravan Publisher; 2014.
2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. [Y Seyed Mohammadi, Persian Trans.]. Tehran: Ravan Publisher; 2013.
3. Jianhuai CH, Zhijian YA, Jiaolong QI, Rui YA, Lingling HU, Qing LU. Abnormal inter-and intra-hemispheric integration in male paranoid schizophrenia: A graph-theoretical analysis. Shanghai Archives of Psychiatry. 2015; 27(3):158-66.[PMID] [PMCID]
4. Ghaemmagham Farahani Z, Khodabakhshei Kollai A, Barati Sedah F. [Treatment and rehabilitation schizophrenia (Persian)]. Tehran: Roshd Publisher; 2009.
5. Peyvaste Negar M. [Diagnosis of schizophrenia and clinical applications of psychological tests (Persian)]. Tehran: Avaye Noor Publisher; 2012.
6. Ellenbroek BA. Psychopharmacological treatment of schizophrenia: What do we have, and what could we get. Neuropharmacology. 2012; 62(3):1371-80. [DOI:10.1016/j.neuropharm.2011.03.013] [PMID] [DOI:10.1016/j.neuropharm.2011.03.013]
7. Ettinger U, Meyhofer I, Steffens M, Wagner M, Koutsouleris N. Genetics, cognition, and neurobiology of schizotypal personality: A review of the overlap with schizophrenia. Frontiers in Psychiatry. 2014; 5(18):1-16. [DOI:10.3389/fpsyt.2014.00018] [DOI:10.3389/fpsyt.2014.00018]
8. Bobes J, Arango C, Garcia-Garcia M, Rejas J. Prevalence of negative symptoms in outpatients with schizophrenia spectrum disorders treated with antipsychotics in routine clinical practice: Findings from the CLAMORS study. Journal of Clinical Psychiatry. 2010; 71(3):280-6. [DOI:10.4088/JCP.08m04250yel] [PMID] [DOI:10.4088/JCP.08m04250yel]
9. Kane J. Commentary: Consensus statement on negative symptoms. Schizophrenia Bulletin. 2006; 32(2):223-4. [DOI:10.1093/schbul/sbj010] [PMID] [PMCID] [DOI:10.1093/schbul/sbj010]
10. Kirkpatrick B, Fenton WS, CarpenterJr WT, Marder SR. The NIMH MATRICS consensus statement on negative symptoms. Schizophrenia Bulletin. 2006; 32(2):214-9. [DOI:10.1093/schbul/sbj053] [PMID] [PMCID] [DOI:10.1093/schbul/sbj053]
11. Mohammadi J, Narimani M, Bagyan, M. [Effects of cognitive-behavioral therapy on positive symptoms of schizophrenia (Persian)]. Urmia Medical Journal. 2014; 25(3):182-90.
12. Peng SM, Koo M, Kuo JC. Effect of group music activity as an adjunctive therapy on psychotic symptoms in patients with acute schizophrenia. Archives of Psychiatric Nursing. 2010; 24(6):347-429. [DOI:10.1016/j.apnu.2010.04.001] [PMID] [DOI:10.1016/j.apnu.2010.04.001]
13. Mapar M, Golshokoh F. [The effect of music therapy on positive symptoms of schizophrenia Shafa Center in Dezful (Persian)]. New Findings in Psychology. 2009; 2(7):8-22.
14. Shiou-Fang L, Chi-Hui K, Huei-Chuan S, Tsung-Cheng H, Shun-Chieh Y, Shu-Chuan Ch. Effects of group music intervention on psychiatric symptoms and depression in patient with schizophrenia. Complementary Therapies in Medicine. 2013; 21(6):682-8. [DOI:10.1016/j.ctim.2013.09.002] [PMID] [DOI:10.1016/j.ctim.2013.09.002]
15. Wichrowski M, Whiteson J, Haas F, Mola A, Rey MJ. Effects of horticultural therapy on mood and heart rate in patients participating in an inpatient cardiopulmonary rehabilitation program. Journal of Cardiopulmonary Rehabilitation. 2005; 25(5):270-4. [DOI:10.1097/00008483-200509000-00008] [PMID] [DOI:10.1097/00008483-200509000-00008]
16. Parvin N, Rafiee Vardanjani L, Nikfarjam M, Mohammadi A, Mahmoudi A, Deris F. [The effect of agriculture activity on quality of life in chronic schizophrenic patients (Persian)]. Iranian Journal of Psychiatric Nursing. 2014; 2(3):70-6.
17. Gelkopf M, Gonen B, Kurs R, Melamed Y, Bleich A. The effect of humorous movies on in patients with chronic schizophrenia. Journal of Nervous and Mental Disease. 2006; 194(11):880-3. [DOI:10.1097/01.nmd.0000243811.29997.f7] [PMID] [DOI:10.1097/01.nmd.0000243811.29997.f7]
18. Lysaker PH, Glynn SM, Wilkniss SM, Silverstein SM. Psychotherapy and recovery from schizophrenia: A review of potential applications and need for future study. Psychological Services. 2010; 7(2):75-91. [DOI:10.1037/a0019115] [PMID] [PMCID] [DOI:10.1037/a0019115]
19. Joshua AM, Cotroneo A, Clarke S. Humor and oncology. Journal of Clinical Oncology. 2005; 23(3):645-8. [DOI:10.1200/JCO.2005.09.064] [PMID] [DOI:10.1200/JCO.2005.09.064]
20. Levenson RW, Miller BM. Loss of cells loss of self Frontotemporal lobar degeneration and human emotion. Current Directions Psychological Science. 2007; 15(1):289-94. [DOI:10.1111/j.1467-8721.2007.00523.x] [DOI:10.1111/j.1467-8721.2007.00523.x]
21. Khoshoi M. [Relation beetween sense of humor and mental disorder in students in pre-university period in Isfahan city (Persian)]. Journal of Psychology of Tabriz University. 2008; 3(9):45-64.
22. Bahadori-Khosroshahi J, Khanjani Z. [Relationship of humor and negative life events with depression among students (Persian)]. Zahedan Journal of Research in Medical Sciences. 2012; 14(2):96-100.
23. Gelkopf M. The use of humor in serious mental illness: A review. Evidence-Based Complementary and Alternative Medicine. 2011; 2011:342837. [DOI:10.1093/ecam/nep106] [PMID] [PMCID] [DOI:10.1093/ecam/nep106]
24. Cai C, Yu L, Rong L, Zhong H. Effectiveness of humor intervention for patients with schizophrenia: A randomized controlled trial. Journal of Psychiatric Research. 2014; 59:174-8. [DOI:10.1016/j.jpsychires.2014.09.010] [PMID]
25. Beh-Pajooh A, Jahangiri M, Zahrakar K. [Homor skills training and reducing depression in patients with spinal cord injury (Persian)]. Developmental Psychology. 2010; 6(23):227-36.
26. Shams S, Hashemyan K, Shafiabadi A. [Effectiveness of teaching methods sense of humor on despair and social adjustment depressed students in Tehran (Persian)]. Journal of Modern Thoughts in Education. 2007; 3(1):82-99.
27. Narimani M, Maleki Pirbazari M, Keykhosrovani M, Barkordari F. [Applied mental tests (Persian)]. Ardabil: Mohaghegh Ardabili; 2014.
28. Abolghasemi A. [The relationship metacognitive belives with positive and negative symptoms in patients with schizophrenia (Persian)]. Daneshvar-e Raftar Journal. 2007; 16(2):85-98.
29. Falkenberg I, Buchkremer G, Bartels M, Wild B. Implementation of a manual-based training of humor abilities in patients with depression: A pilot study. Psychiatry Research. 2011; 186(2-3):454-7. [DOI:10.1016/j.psychres.2010.10.009] [DOI:10.1016/j.psychres.2010.10.009]
30. Amminger GP, Schäfer MR, Papageorgiou K, Klier CM, Schlögelhofer M, Mossaheb N, et al. Emotion recognition in individuals at clinical high-risk for schizophrenia. Schizophrenia Bulletin. 2011; 38(5):1030-9. [DOI:10.1093/schbul/sbr015] [DOI:10.1093/schbul/sbr015]
31. Poladie Reyshahri A, Golestane M. [Psychology humor, creativity and mental health (Persian)]. Tehran: Nasl-e Noandish Publisher; 2008.
32. McGhee P. Understanding and promoting the development of children's humor. New York: Kendall/Hunt Publishing Company; 2002.
33. Abolghasemi A. [The relationship between non-verbal behaviors, emotional processing and recognition with positive and negative symptoms in pietients with schizophrenia patient (Persian)]. Journal of Rafsanjan University of Medical Sciences. 2013; 12(2):89-102.
34. Rosenhan DL, Seligman MEP. Abnormal psychology: Revised in line with the new DSM-IV manual, this edition of Abnormal. New York: Norton; 2008.
35. Argyle M. The psychology of happiness [F Bahrami, H Palahang, H Taher Neshat doost, M Gohari, Persian trans.]. Isfahan: Jahad Daneshghahi Isfahan Publisher; 2007.
36. Erickson SJ, Feldstein SW. Adolescent humor and its relationship tocoping, defense strategies, psychological distress and well-being. Child Psychiatry & Human Development. 2006; 37(3):255-71. [DOI:10.1007/s10578-006-0034-5] [PMID] [DOI:10.1007/s10578-006-0034-5]
37. Lovorn MG. Humor in the home and in the classroom: The benefits of laughing while we learn. Journal of Education and Human Development. 2008; 20(1):123-33.

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