Evidence map›Paper›PMID 41469986›Full record

Trial reportBMC complementary medicine and therapies2025

Effect of laughter yoga on anxiety and depression in people with Parkinson's disease: a randomized controlled trial.

Qingnv Xu, Xiaoyun Nian, Yuxin Pan, Lan Zhang, Suping Lin, Siyu Zheng, Chunxiu Xiao

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 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Qingnv Xu *School of Nursing, Fujian Medical University, No.1 Xuefu North Road, Fuzhou, Fujian, China.
Xiaoyun Nian *Nursing Department, Fujian Medical University Union Hospital, No.29 Xinquan Road, Fuzhou, Fujian, China.
Yuxin PanSchool of Nursing, Fujian Medical University, No.1 Xuefu North Road, Fuzhou, Fujian, China.
Lan ZhangSchool of Nursing, Fujian Medical University, No.1 Xuefu North Road, Fuzhou, Fujian, China.
Suping LinSchool of Nursing, Fujian Medical University, No.1 Xuefu North Road, Fuzhou, Fujian, China.
Siyu ZhengSchool of Nursing, Fujian Medical University, No.1 Xuefu North Road, Fuzhou, Fujian, China.
Chunxiu XiaoSchool of Nursing, Fujian Medical University, No.1 Xuefu North Road, Fuzhou, Fujian, China. 1435335080@qq.com.

Funding

National Key Research and Development Program of China No.2020YFC2008500
6 · The paper itself

Abstract

backgroundThe large number of people with Parkinson’s disease (PD) with anxiety or depression in China is a cause of concern. Sustained aerobic exercise is a promising therapy for delaying motor disabilities in people with PD. Laughter yoga is an aerobic training program that has proven to be beneficial in affecting the mental and physical aspects of healthy individuals, but its effect on anxiety and depression in people with PD has not been studied in controlled trials. The aim of this study was to assess the effectiveness of laughter yoga on anxiety, depression, sleep quality, and quality of life in people with PD.

methodsA randomized controlled trial design was used in this study. Ninety-four participants were randomly divided into two groups: 47 in the control group and 47 in the laughter yoga group. All participants received disease-related health education. The intervention group performed laughter yoga exercises, which consisted of two team exercises and five autonomous exercises per week. Participants exercised 20 min per session for 8 weeks. The primary outcomes were the Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) scores. The secondary outcomes were Parkinson’s Disease Sleep Scale (PDSS) and Parkinson’s Disease Quality of Life Scale-39 (PDQ-39) scores.

resultsNinety-four participants were included in the study. At baseline, there were no significant differences between the groups in terms of any demographic, anthropometric, clinical, or outcome characteristics. After intervention, the HAMA and HAMD scores were significantly lower in the laughter yoga group than in the control group (P < 0.05). Additionally, the PDQ-39 score was significantly lower in the laughter yoga group than in the control group (P < 0.05). There was no significant difference in the PDSS scores between the laughter yoga and control groups (P > 0.05).

conclusionsThe study results indicate that laughter yoga is an effective intervention for reducing anxiety and depression symptoms and improving the quality of life in people with PD.

trial registrationThe trial was registered retrospectively on May 30, 2022 (ChiCTR2200060401).

Indexed as

AnxietyDepressionLaughterLaughter TherapyParkinson DiseaseYogaAgedFemaleHumansMaleMiddle AgedQuality of LifeSleep QualityAnxietyDepressionLaughter yogaParkinson’s diseaseQuality of lifeSleep

Identifiers

PMID41469986
PMCPMC13003622

What OpenQuestion holds

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Registered trials

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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.