Effectiveness of Integrative Laughter Therapy to Reduce Anxiety, Improve Self-Esteem and Increase Happiness: A Naturalistic Study at a Day Hospital for Addictive Disorders
Date: June 16, 2025
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Effectiveness of Integrative Laughter Therapy  to Reduce Anxiety, Improve Self-Esteem and Increase Happiness: A Naturalistic Study at a Day Hospital for Addictive Disorders

Who Did the Study, Where and When?

  • Conducted by: Mental health professionals and researchers from:
    • Universitat Autònoma de Barcelona (Spain)
    • Hospital de la Santa Creu i Sant Pau, Barcelona
    • IIB Sant Pau and CIBERSAM (research centers)
  • Published: October 30, 2019
  • Location: Barcelona, Spain
  • Participants: Adults (aged 24–70) receiving treatment for:
    • Substance Use Disorders (alcohol, cocaine, cannabis, opioids)
    • Gambling Addiction

 

 Purpose of the Study (Objectives)

The researchers wanted to know if adding Integrative Laughter Therapy (ILT) to regular hospital treatment would help patients:

  • Feel better about themselves (self-esteem)
  • Feel less anxious
  • Feel happier and more satisfied with life

They focused on measuring improvements using standardized mental health questionnaires.

Methodology (What They Did)

Participants:

  • 185 patients started the study
  • 117 patients completed the 2-month program (37 women and 80 men)

 Group Division:

  • TAU Group (Control): Got only regular hospital treatment
  • TAU + ILT Group (Experimental): Got regular treatment plus 9 laughter sessions (one per week, 90 minutes)

ILT Session Format (same for all sessions):

  1. Ice-breakers & games to help participants relax
  2. Creative activities to develop humor and playfulness
  3. Laughter Yoga exercises (e.g., wave laughter, partner laughter)
  4. Relaxation + sharing feelings at the end

Each session had a unique theme, such as:

  • Self-esteem
  • Managing emotions
  • Letting go of internal blocks
  • Creativity
  • Building trust

Results (What Happened After 2 Months?)

1. Self-Esteem Increased

  • TAU group: No major change
  • TAU + ILT group: Significant increase from 27.67 → 31.23

2. Anxiety Decreased

  • TAU group: Little improvement
  • TAU + ILT group: Clear drop from 7.19 → 6.07 (on a 10-point scale)

3. Happiness Improved

  • SHS (Subjective Happiness): 3.86 → 4.60
  • SWLS (Life Satisfaction): 17.68 → 21.62

PHI (Overall happiness): 5.56 → 6.81

What the Graph Above Shows

The bar graph you saw earlier compares these before-and-after scores in the TAU + ILT group. It shows visible improvements in every area due to laughter therapy.

Study Limitations

  • It was not a randomized trial, meaning people chose whether to attend ILT or not.
  • The group sizes were uneven (99 vs. 18).
  • Results only apply to day hospital settings in Spain—not necessarily to outpatient or residential rehab.

Conclusions in Simple Words

  • This study proves that laughter therapy really works as an added tool in addiction recovery. It helps patients feel:

  • More confident
  • Less anxious
  • Happier and hopeful

Adding laughter to regular treatment amplifies the healing process.

Please click on the link to get the original research study
https://pmc.ncbi.nlm.nih.gov/articles/PMC6862057/