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Moon H, Journ S, Lee S. Effect of Laughter Therapy on Mood Disturbances, Pain, and Burnout in Terminally Ill Cancer Patients and Family Caregivers. Cancer Nurs 2024; 47:3-11. [PMID: 36066344 DOI: 10.1097/ncc.0000000000001162] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Humor has been commonly used in palliative care and identified as a coping strategy of palliative care patients and family caregivers. However, the use of humor or laughter in palliative care settings is still limited. OBJECTIVE The aim of this study was to examine the effect of laughter therapy involving spontaneous laughter on mood disturbances and pain in terminally ill patients with cancer and mood disturbances and the levels of burnout in family caregivers. METHODS This quasi-experimental study used a nonequivalent control group pretest-posttest design. The laughter therapy developed was provided for 20 to 30 minutes a day for 5 consecutive days. Twenty-six pairs of terminally ill cancer patients and family caregivers in the intervention group and 23 pairs in the comparison group from the hospice ward of a tertiary teaching hospital participated in this study. The data were collected using structured questionnaires and analyzed using descriptive statistics and 2-way repeated-measures analysis of variance. RESULTS There were significant decreases in mood disturbances in the patients ( P < .001) and family caregivers ( P < .001), pain in the patients ( P < .001), and levels of burnout in the caregivers ( P < .001) in the intervention group. CONCLUSION Laughter therapy can be an alternative intervention to support both terminally ill patients with cancer and their family caregivers experiencing multidimensional distress in palliative care settings. IMPLICATIONS FOR PRACTICE The appropriate use of laughter or humor therapy needs to be encouraged as a support tool in palliative care. Palliative care teams must be properly trained to provide spontaneous laughter therapy or planned humor therapy.
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Affiliation(s)
- Hee Moon
- Author Affiliations: Department of Nursing, Sunchon National University (Dr Moon); Chonnam National University Hwasun Hospital (Ms Journ), Gwangju; and College of Nursing, Chonnam National University (Dr Lee), Gwangju, Republic of Korea
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Shi H, Wu Y, Wang L, Zhou X, Li F. Effects of Laughter Therapy on Improving Negative Emotions Associated with Cancer: A Systematic Review and Meta-Analysis. Oncology 2023; 102:343-353. [PMID: 37906984 PMCID: PMC10994600 DOI: 10.1159/000533690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 08/15/2023] [Indexed: 11/02/2023]
Abstract
INTRODUCTION With aging and growth of the population, the risk of cancer incidence and mortality is rapidly increasing. However, psychosocial treatment has been seriously neglected in many healthcare settings. Laughter therapy is a therapeutic program to improve emotional wellbeing and health which has been applied as a complementary treatment. We aim to explore effects of laughter therapy for patients with cancer on their negative emotions such as depression, anxiety, stress, pain, and fatigue. METHODS We searched the Cochrane Library, Embase, PubMed, Scopus, Web of Science, WANFANG data, Weipu (VIP), Chinese National Knowledge Infrastructure (CNKI) and independently rated the risk of bias in every article using the Cochrane Collaboration's Risk of Bias Assessment Tool. Review Manager and STATA software were used to pool the individually included studies. RESULTS Seven studies were found eligible to be included in the present review. Overall, study quality was relatively high. Our findings suggest that laughter therapy might have a positive effect on improving emotional response in cancer patients. Arguably, laughter therapy, whether humor or laughter, has a positive effect on anxiety, stress, pain feeling, fatigue, and depression in cancer patients. CONCLUSIONS Laughter therapy is a convenient, multi-modality, flexible-duration therapy to improve negative emotions in cancer patients, regardless of their gender, age, and type of cancer.
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Affiliation(s)
- Hongyu Shi
- Nursing School, Changchun University of Chinese Medicine, Changchun, China
- School of Nursing, Jilin University, Changchun, China
| | - Yuejin Wu
- School of Nursing, Jilin University, Changchun, China
| | - Lu Wang
- School of Nursing, Jilin University, Changchun, China
| | - Xiuling Zhou
- Nursing School, Changchun University of Chinese Medicine, Changchun, China
| | - Feng Li
- School of Nursing, Jilin University, Changchun, China
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Botman F, Brown PR, van Meggelen M, Sonke GS, Buiting HM. Balancing proximity and distance in oncology during COVID-19 times and beyond. Eur J Oncol Nurs 2023; 66:102379. [PMID: 37517340 DOI: 10.1016/j.ejon.2023.102379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 06/13/2023] [Accepted: 06/29/2023] [Indexed: 08/01/2023]
Affiliation(s)
- Femke Botman
- University of Amsterdam, Department of Anthropology, Amsterdam, the Netherlands; Amsterdam UMC, Department of Medical Oncology, Amsterdam, the Netherlands
| | - Patrick R Brown
- University of Amsterdam, Department of Sociology, Amsterdam, the Netherlands
| | | | - Gabe S Sonke
- Antoni van Leeuwenhoek, Department of Medical Oncology, Amsterdam, the Netherlands; University of Amsterdam, Amsterdam, the Netherlands
| | - Hilde M Buiting
- Antoni van Leeuwenhoek, Department of Medical Oncology, Amsterdam, the Netherlands; University of Amsterdam, Amsterdam, the Netherlands; O2PZ, Platform of Palliative care, Amsterdam, the Netherlands.
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Zheng X, Chen J, Yu Q, Xiong Q, Zhang L, Li C, Shi S. Associations Between Peer Victimization and Problematic Internet Use Among Adolescents: Humor Makes a Difference. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:7911-7940. [PMID: 36722327 DOI: 10.1177/08862605221150463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
With the increasing development of science and technology, the Internet has become an essential part of people's daily lives providing great convenience. However, the Internet also leads to problematic Internet use (PIU) among adolescents, which has attracted increasing attention from the academic community. Peer victimization is a pervasive stressor among adolescents and has been proven to lead to a series of mental health challenges. Although the association between peer victimization and PIU has been well documented, the underlying mechanism remains unclear. This study aimed to understand how and when peer victimization increases the risk of PIU among adolescents. Building on Agnew's general strain theory, this study hypothesized that depression mediates the relationship between peer victimization and PIU and humor moderates the mediating model. To examine these hypotheses, 469 middle school students were recruited to complete a series of questionnaires on peer victimization, depression, humor, and PIU. The results showed that depression partially mediated the relationship between peer victimization and PIU. A moderated mediation analysis indicated that humor moderated the indirect pathway, consistent with the reverse stress-buffering model, the relationship between peer victimization and depression was stronger for adolescents with high humor. However, the relationship between depression and PIU was weaker in adolescents with high humor, which is in line with the stress-buffering model. These findings could be of significance in understanding the underlying mechanism of PIU associated with peer victimization and provide a new perspective for preventing PIU among adolescents, especially those experiencing peer victimization. The limitations and considerations for future research are discussed.
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Affiliation(s)
- Xintong Zheng
- Huazhong University of Science and Technology, Wuhan, China
| | - Jianwen Chen
- Huazhong University of Science and Technology, Wuhan, China
| | - Quanlei Yu
- Central China Normal University, Wuhan, China
- East China Normal University, Shanghai, China
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, China
| | - Qing Xiong
- Jiangxi University of Finance and Economics, Nanchang, China
| | - Lin Zhang
- Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Congcong Li
- Central China Normal University, Wuhan, China
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Buiting HM, Botman F, van der Velden LA, Brom L, van Heest F, Bolt EE, de Mol P, Bakker T. Clinicians' experiences with cancer patients living longer with incurable cancer: a focus group study in the Netherlands. Prim Health Care Res Dev 2023; 24:e29. [PMID: 37114726 PMCID: PMC10156464 DOI: 10.1017/s1463423622000500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2023] Open
Abstract
AIM To explore (1) experiences of primary care physicians (PCPs) and oncological medical specialists about providing care to patients living longer with incurable cancer, and (2) their preferences concerning different care approaches (palliative support, psychological/survivorship care support). BACKGROUND At present, oncological medical specialists as well as PCPs are exploring how to improve and better tailor care to patients living longer with incurable cancer. Our previous study at the in-patient oncology unit showed that patients living longer with incurable cancer experience problems in how to deal with a prognosis that is insecure and fluctuating. To date, it could be argued that treating these patients can be done with a 'palliative care' or a 'survivorship/psychosocial care' approach. It is unknown what happens in actual medical practice. METHODS We performed multidisciplinary group meetings: 6 focus groups (3 homogenous groups with PCPs (n = 15) and 3 multidisciplinary groups (n = 17 PCPs and n = 6 medical specialists) across different parts of the Netherlands. Qualitative data were analysed with thematic analysis. FINDINGS AND CONCLUSIONS In the near future, PCPs will have an increasing number of patients living longer with incurable cancer. However, in a single PCP practice, the experience with incurable cancer patients remains low, partly because patients often prefer to stay in contact with their medical specialist. PCPs as well as medical specialists show concerns in how they can address this disease phase with the right care approach, including the appropriate label (e.g. palliative, chronic, etc.). They all preferred to be in contact early in the disease process, to be able to discuss and take care for the patients' physical and psychological well-being. Medical specialists can have an important role by timely referring their patients to their PCPs. Moreover, the disease label 'chronic' can possibly assist patients to live their life in the best possible way.
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Affiliation(s)
- Hilde M Buiting
- Netherlands Cancer Institute, Antoni van Leeuwenhoek, Department of Medical Oncology, Head & Neck Surgery, and Thoracic Oncology, Amsterdam, the Netherlands
- University of Amsterdam, Amsterdam, the Netherlands
- O2PZ, Platform of Palliative Care, Amsterdam, the Netherlands
| | - Femke Botman
- Amsterdam UMC, VUmc, Department of Medical Oncology, Amsterdam, the Netherlands
| | - Lilly-Ann van der Velden
- Netherlands Cancer Institute, Antoni van Leeuwenhoek, Department of Head and Neck Oncology, Amsterdam, the Netherlands
| | - Linda Brom
- Netherlands Comprehensive Cancer Organisation, Department of Research, Utrecht, the Netherlands
| | | | - Eva E Bolt
- Amsterdam UMC, VUmc, Department of Public and Occupational Health, Amsterdam, the Netherlands
| | - Pieter de Mol
- Hospital Gelderse Vallei, Department of Medical Oncology, Ede, the Netherlands
| | - Ton Bakker
- Science in Balance Foundation, Rotterdam, the Netherlands
- Rotterdam University of Applied Sciences, Rotterdam, the Netherlands
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van Eijk M, de Vries DH, Sonke GS, Buiting HM. Friendship during patients' stable and unstable phases of incurable cancer: a qualitative interview study. BMJ Open 2022; 12:e058801. [PMID: 36400727 PMCID: PMC9677003 DOI: 10.1136/bmjopen-2021-058801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Accepted: 02/17/2022] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES Little is known about the added value of friendship during the care of intensive cancer disease trajectories. Friends, however, can play an important (caring-)role to increase their friends' (mental) well-being. We explored the experiences and desires of friends while their ill friends were-most of the time-in a stable phase of incurable cancer. DESIGN Qualitative study in the Netherlands based on 14 in-depth interviews with friends of patients living with incurable cancer. Interviews were performed at the home setting or the friend's office. Data gathering was inspired by grounded theory and analysed with a thematic analysis. SETTING The home setting/friend's office. RESULTS Friends reported to experience difficulties in how and how often they wanted to approach their ill friends. They emphasised the ever-present knowledge of cancer inside their friends' body as a 'time bomb'. They seemed to balance between the wish to take care for their ill friend, having a good time and not knowing what their ill friend desired at specific times. Some friends felt burdened with or forced to provide more care than they could, although they acknowledged that this relationship provided space to reflect about their own life. CONCLUSIONS Friends are constantly negotiating and renegotiating their relationship depending on the severity of the disease, transparency of patients about their illness, their previous experiences and personal circumstances in life. Although a decrease in friendship may impact a patient's quality of life, friends also need to be protected against providing more care than they are willing or able to give. Healthcare professionals, being aware of this phenomenon, can assist in this.
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Affiliation(s)
- Michelle van Eijk
- Faculty of Social and Behavioural Science, Department of Sociology and Anthropology, University of Amsterdam, Amsterdam, The Netherlands
- Netherlands Cancer Institute / Antoni van Leeuwenhoek, Amsterdam, The Netherlands
| | - Daniel H de Vries
- Faculty of Social and Behavioural Science, Department of Sociology and Anthropology, University of Amsterdam, Amsterdam, The Netherlands
| | - Gabe S Sonke
- Department of Medical Oncology, Antoni van Leeuwenhoek/Netherlands Cancer Institute, Amsterdam, The Netherlands
- University of Amsterdam, Amsterdam, The Netherlands
| | - Hilde M Buiting
- University of Amsterdam, Amsterdam, The Netherlands
- Antoni van Leeuwenhoek/Netherlands Cancer Institute, Amsterdam, The Netherlands
- University Medical Center Utrecht, Utrecht, The Netherlands
- O2PZ Platform of Palliative care, Amsterdam, The Netherlands
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Finlay KA, Madhani A, Anil K, Peacock SM. Patient-to-Patient Interactions During the Pain Management Programme: The Role of Humor and Venting in Building a Socially Supportive Community. FRONTIERS IN PAIN RESEARCH 2022; 3:875720. [PMID: 35571144 PMCID: PMC9091594 DOI: 10.3389/fpain.2022.875720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 03/21/2022] [Indexed: 11/20/2022] Open
Abstract
Objectives Social support is most positively perceived when there is an optimal match between a patient's need for communication and the purpose of their interaction. Maladaptive communication patterns may inhibit social bonding or mutual support, negatively impacting clinical outcomes. This study aimed to identify how people with chronic pain naturalistically converse together about their pain in the context of a Pain Management Programme (PMP). Methods Seven participants (4 females; 3 males) with ongoing chronic pain who were attending a PMP in a regional hospital in the United Kingdom were audio/video recorded during breaks in their PMP. Interactions were transcribed using Jeffersonian Transcription and analyzed using Conversation Analysis. Results Two conversational mechanisms were identified: (1) Conversational humor; and (2) A venting cycle. Participants used their pain-related experiences construct a motive for a joke, then proceeded to deliver the joke, which initiated a joke return from observers. The sequence was completed by a collaborative punchline. In the venting cycle, an initial complaint was escalated by the sharing of comparable experiences, after which the vent was concluded through a joke punchline, acting as a pivot to move the conversation forwards, terminating the venting. Conclusions Humorous interpersonal interactions about chronic pain provided a forum for social support-building within the PMP. Humor was affiliative and built social collaboration, helping individuals to together make sense of their pain in a prosocial atmosphere, approaching pain-related experiences with levity. Patient-to-patient interactions within the PMP were strongly prosocial and inclusive, potentially facilitating enhanced PMP clinical outcomes through collaboration.
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Affiliation(s)
- Katherine A. Finlay
- School of Psychology and Clinical Language Sciences, University of Reading, Reading, United Kingdom
- *Correspondence: Katherine A. Finlay
| | - Adam Madhani
- School of Psychology and Clinical Language Sciences, University of Reading, Reading, United Kingdom
| | - Krithika Anil
- Peninsula Allied Health Centre, School of Health Professions, University of Plymouth, Plymouth, United Kingdom
| | - Sue M. Peacock
- Pain in the Mind, Independent Practice, The Saxon Clinic, Milton Keynes, United Kingdom
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Heinsch M, Cootes H, Wells H, Tickner C, Sampson D, Kay-Lambkin F. "It's Hard, but We Could Kind of Laugh About It": Exploring the Role of Humor in Brain Cancer Caregiving. QUALITATIVE HEALTH RESEARCH 2022; 32:744-754. [PMID: 35152801 DOI: 10.1177/10497323211069339] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Research exploring the benefits of humor for caregivers is limited and, to date, no qualitative studies have explored the role of humor in brain cancer caregiving. To address this gap, we analyzed transcripts from twenty-one in-depth telephone interviews conducted with brain cancer caregivers from a strengths perspective. Thematic analysis using Braun and Clarke's method revealed that humor functions as (1) an innate element of the self and relationship, (2) an expression of mutual connection and understanding, (3) a way of managing difficult or awkward moments, (4) a form of avoidance or a welcome distraction, and may be (5) helpful, or unhelpful, depending on where someone is in the brain cancer trajectory. Findings suggest that humor represents an important yet complex individual and family strength for health service providers to identify and build upon.
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Affiliation(s)
- Milena Heinsch
- Centre for Brain and Mental Health Research, 5982University of Newcastle, Callaghan, NSW, Australia
| | - Hannah Cootes
- Centre for Brain and Mental Health Research, 5982University of Newcastle, Callaghan, NSW, Australia
| | - Hannah Wells
- Centre for Brain and Mental Health Research, 5982University of Newcastle, Callaghan, NSW, Australia
| | - Campbell Tickner
- Centre for Brain and Mental Health Research, 5982University of Newcastle, Callaghan, NSW, Australia
| | - Dara Sampson
- Centre for Brain and Mental Health Research, 5982University of Newcastle, Callaghan, NSW, Australia
| | - Frances Kay-Lambkin
- Centre for Brain and Mental Health Research, 5982University of Newcastle, Callaghan, NSW, Australia
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Decker VB, Tofthagen C. Depression: Screening, Assessment, and Interventions in Oncology Nursing. Clin J Oncol Nurs 2021; 25:413-421. [PMID: 34269343 DOI: 10.1188/21.cjon.413-421] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND A high prevalence of depression exists among individuals with cancer, which negatively affects their health outcomes, quality of life, and adherence to cancer treatment. OBJECTIVES This article provides an overview and synthesis of depression screening, assessment, and nonpharmacologic treatments to help oncology nurses in their practices. METHODS Key insights are presented from a synthesized literature review regarding patients with cancer with depression. Resources for patient treatment and nurse training are also provided. FINDINGS To improve patient outcomes, nurses need to understand and follow a process that addresses the screening, assessment, and nonpharmacologic treatment of depression in patients with cancer.
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Stegmann ME, Geerse OP, van Zuylen L, Nekhlyudov L, Brandenbarg D. Improving Care for Patients Living with Prolonged Incurable Cancer. Cancers (Basel) 2021; 13:2555. [PMID: 34070954 PMCID: PMC8196984 DOI: 10.3390/cancers13112555] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 05/18/2021] [Accepted: 05/19/2021] [Indexed: 12/17/2022] Open
Abstract
The number of patients that can no longer be cured but may expect to live with their cancer diagnosis for a substantial period is increasing. These patients with 'prolonged incurable cancer' are often overlooked in research and clinical practice. Patients encounter problems that are traditionally seen from a palliative or survivorship perspective but this may be insufficient to cover the wide range of physical and psychosocial problems that patients with prolonged incurable cancer may encounter. Elements from both fields should, therefore, be delivered concordantly to further optimize care pathways for these patients. Furthermore, to ensure future high-quality care for this important patient population, enhanced clinical awareness, as well as further research, are urgently needed.
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Affiliation(s)
- Mariken E. Stegmann
- Department of General Practice & Elderly Care Medicine, University Medical Center Groningen, University of Groningen, 9700 CC Groningen, The Netherlands; (M.E.S.); (D.B.)
| | - Olaf P. Geerse
- Academic Medical Center, Department of Pulmonary Medicine, Amsterdam University Medical Center, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands
| | - Lia van Zuylen
- Amsterdam University Medical Center, Department of Medical Oncology, 1105 AZ Amsterdam, The Netherlands;
| | - Larissa Nekhlyudov
- Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USA;
| | - Daan Brandenbarg
- Department of General Practice & Elderly Care Medicine, University Medical Center Groningen, University of Groningen, 9700 CC Groningen, The Netherlands; (M.E.S.); (D.B.)
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