Evidence map›Paper›PMID 40170014›Full record

Trial reportBMC complementary medicine and therapies2025

Effects of laughter on focus and stress in middle-aged adults: a single-blind, randomized controlled trial.

Tatsuya Yamakoshi, Ryo Sakamoto, Takafumi Fukuda, Ayana Kanatome, Atsuko Koyama, Yasuhisa Ano

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC complementary medicine and therapies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. The Role of Humor in Inoculation Theory.Behavioral sciences (Basel, Switzerland) · 2026
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tatsuya YamakoshiKirin Central Institute, Kirin Holdings Company, Limited, 2-26-1, Muraoka-Higashi, Fujisawa-Shi, Kanagawa, 251-8555, Japan. Tatsuya_Yamakoshi@kirin.co.jp.
Ryo SakamotoSakai City Medical Center, Psychosomatic Medicine, Sakai City, Japan.
Takafumi FukudaKirin Central Institute, Kirin Holdings Company, Limited, 2-26-1, Muraoka-Higashi, Fujisawa-Shi, Kanagawa, 251-8555, Japan.
Ayana KanatomeKirin Central Institute, Kirin Holdings Company, Limited, 2-26-1, Muraoka-Higashi, Fujisawa-Shi, Kanagawa, 251-8555, Japan.
Atsuko KoyamaPsychosomatic Medicine, Shiroyama Hospital, Osaka, Japan.
Yasuhisa AnoKirin Central Institute, Kirin Holdings Company, Limited, 2-26-1, Muraoka-Higashi, Fujisawa-Shi, Kanagawa, 251-8555, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisorders associated with mental health significantly impact disability-adjusted life year values and represent an ongoing problem in stressed societies. Worsening mental health also affects cognitive function and quality of life. Increasing attention has thus been attracted to preventive measures for mental and brain health in daily life. This has created a growing interest in care using laughter. This study assessed the effects of a short-term, laughter-based intervention on the mental health and cognitive functions of middle-aged adults.

methodsThe study applied a single-blind, crossover-controlled trial design. Cognitive tasks (e.g., digit vigilance) were performed after participants viewed a video clip of approximately four minutes (comedic or control video), and the resulting scores were treated as the primary endpoint. The secondary endpoints included cerebral blood flow in the dorsolateral prefrontal cortex (measured using NIRS), heart rate variability (calculated from ECG), subjective mood assessment, and salivary stress biomarkers (e.g., α-amylase activity).

resultsThe study was conducted on 25 healthy Japanese-speaking adults aged 40 to 65. Results revealed a significant increase in digit vigilance scores. Compared to viewing the control video, participants evinced a trend toward an increase in serial seven subtraction scores after viewing the comedic video. No significant differences were found for other cognitive tasks. The cerebral blood flow was also significantly higher in the dorsolateral prefrontal cortex during the cognitive tasks performed after the participants viewed the comedic video compared to the control video. The outcomes of heart rate variability, subjective mood state assessment, and salivary stress markers also suggested that the comedic video intervention could subsequently contribute to the activation of parasympathetic activity and reduce psychological stress levels.

conclusionsThe outcomes indicated that interventions using short comedic videos can improve focus and may reduce psychological stress. These results support the clinical benefits of humor, which can be utilized as a simple, non-invasive approach to promoting the health of middle-aged adults.

trial registrationThe study was approved by the ethics committee of Kirin Holdings Company (No. 2020-014) and registered in the University Hospital Medical Information Network (UMIN) database (Registration No. UMIN000043332; http://www.umin.ac.jp/ctr/ ) on February 15, 2021.

Indexed as

CognitionLaughterLaughter TherapyStress, PsychologicalAdultAgedCross-Over StudiesFemaleHeart RateHumansMaleMiddle AgedSingle-Blind MethodCerebral blood flowFocused attentionHumorLaughterMental healthParasympathetic activityPsychological stressWell-being

Identifiers

PMID40170014
PMCPMC11959982

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.