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Laughter yoga reduces the cortisol response to acute stress in healthy individuals.

Stress (Amsterdam, Netherlands)
January 1, 2021
Maria Meier et al. (4 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether a single session of laughter yoga could attenuate the autonomic, endocrine, and psychological stress response compared to relaxation breathing and a non-intervention control.

Results Summary

Laughter yoga did not affect subjective stress or salivary alpha amylase but significantly attenuated the cortisol stress response compared to relaxation breathing and the control group. The study suggests laughter yoga may help buffer endocrine stress responses.

Population

35 healthy subjects (51% female)

Effective Dosage

Single 30-minute session

Duration

30 minutes

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Laughter yoga (LY)
decrease
stress
-
-
is hypothesized to buffer negative effects of
#1
a single 30-min LY session
no change
salivary cortisol, alpha amylase or subjective stress reactivity
healthy subjects
-
did not differ in
#2
LY
decrease
cortisol stress response
healthy subjects
-
showed an attenuated
#3
relaxation breathing
no change
cortisol stress response
healthy subjects
-
did not show an attenuated
#4
control condition
no change
cortisol stress response
healthy subjects
-
did not show an attenuated
#5
laughter yoga
no change
how stressful a situation was perceived
-
-
did not change
#6
laughter yoga
decrease
stress hormones that were released
-
-
reduced the amount of
#7
Abstract

Stress is one of the foremost contributors to the development of psychiatric diseases. Since the prevalence of stress-related complaints is increasing, we are in need for affordable and effective treatment alternatives. Laughter yoga (LY), a popular method encouraging participants to simulate laughter and participate in yogic breathing exercises, is hypothesized to buffer negative effects of stress. Although widely practiced, empirical evidence for beneficial effects of LY is scarce. We investigated the acute effects of a single 30-min LY session on the autonomic, endocrine and psychological response to a standardized psychosocial stressor. Thirty-five healthy subjects (51% female) were randomly assigned to experience either a LY (n = 11), a relaxation breathing (n = 12) or a (non-intervention) control (n = 12) session prior to their exposure to the Trier Social Stress Test for Groups (TSST-G). Salivary cortisol, salivary alpha amylase, and subjective stress were assessed repeatedly throughout the experiment. We expected that LY and relaxation breathing group each show a downregulation of stress response indices compared to the control group. Further, we expected that LY has beneficial effects compared to relaxation breathing. The groups did not differ in salivary cortisol, alpha amylase or subjective stress reactivity during the 30-min intervention. However, in response to the TSST-G, the LY, but neither the relaxation breathing, nor the control condition, showed an attenuated cortisol stress response. These findings highlight the potential of LY to buffer the endocrine stress response. Therefore, LY could be used as a cheap and easily-to-implement add-on to more traditional stress interventions. LAY SUMMARY In recent years, more and more people have reported to feel stressed. Although our body is well equipped to deal with acute stress, chronic stress can tire our system and contribute to illness in the long run. Therefore, we need affordable and effective measures to reduce stress. In this study we have investigated whether a single laughter yoga session can help us to deal with acute stress. Although laughter yoga did not change how stressful a situation was perceived, it reduced the amount of stress hormones that were released in response to the situation. As such, laughter yoga might be a cheap and easily-to-implement add-on to more traditional stress reduction interventions.

Medical Subject Headings (MeSH)
EmotionsFemaleHumansHydrocortisoneLaughter TherapyMaleSalivaStress, PsychologicalYoga
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations16
Citations/Year4.0
Relative Citation Ratio2.03
NIH Percentile75%
Research Impact Scores
APT Score0.75
Weight Score2.65
Normalized Score0.67
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