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AzTrials

PostpartumNCT06917417

The Effect of Laughter Therapy on Marital Adjustment, Life Satisfaction and Maternal Attachment Level in Mothers

A study testing Laughter Therapy in people with Postpartum and Mothers, run by Selcuk University at 1 site in Turkey (Türkiye).

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The postnatal period is a fragile period with physical and psychological changes as well as hormonal changes in the mother. Mind-body based complementary practices such as yoga, meditation, relaxation exercises can be used to improve well-being and facilitate adaptation to the changes experienced during this period. Read more about this study

Who is it for?
Ages 18 years and older, women onlyHealthy volunteers can take part
Conditions the study is for
Postpartum, Mothers
What is being tested?
Laughter Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
90 participants
Where
1 siteTurkey (Türkiye)
Study dates
1 Mar 2025to 25 Jun 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • At least primary school graduate
  • Over 18 years of age
  • Volunteer to participate in the research
  • Heterosexual
  • With a spouse or partner
  • At term
Show all 10Show fewer
  • With a single, healthy baby
  • Have not had any intra-abdominal surgery
  • With a 1-12 month postpartum baby
  • Women who can use the Zoom program

Who cannot join

  • Those who do not speak Turkish,
  • Those with hearing and visual impairments,
  • Those with mental disabilities,
  • Those diagnosed with known psychiatric diseases,
  • Mothers of babies with disabilities and chronic health problems
  • Women with physical illnesses that prevent them from participating in Laughter Yoga sessions (breathing difficulties, persistent cough, vertigo, severe heart disease, hemorrhoids, any type of hernia such as neck, waist or inguinal hernia, severe back pain, urinary incontinence, epilepsy, etc.)
  • Women who develop an acute health problem for themselves or their babies, who have had their mothers or babies suddenly hospitalized, who have lost their babies, who have separated from their spouses or partners, who do not attend laughter therapy sessions regularly, and who cannot be reached after the application will be excluded from the study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Havva Tokgöz Kekeç, PhD Student contact

+905061550317

havvatokgoz9142@gmail.com

Hacer ALAN DİKMEN, (Associate Professor) contact

+905449491300

dikmenha42@gmail.com

Turkey (Türkiye)1 site, 1 recruiting
  • Selçuk University Faculty of Medicine Hospital

    Konya, Selçuklu, 42250

    Havva Tokgöz Kekeç, 05061550317, havvatokgoz9142@gmail.com

    Havva Tokgöz Kekeç, master's degree midwife

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of Laughter Therapy Given to Mothers in the Postpartum Period on Marital Adjustment, Life Satisfaction and Maternal Bonding Levels in Mothers; A Randomized Controlled Trial

The postnatal period is a fragile period with physical and psychological changes as well as hormonal changes in the mother. Mind-body based complementary practices such as yoga, meditation, relaxation exercises can be used to improve well-being and facilitate adaptation to the changes experienced during this period. Among these practices, laughter yoga is new, simple, cost-effective, non-invasive, widely available online and easily applicable/accessible. In studies, individuals in different populations from children to the elderly have proven that laughter therapy interventions cause improvement in mood and life satisfaction. Looking at the literature, studies on laughter therapy in Turkey are limited and no study has been found on this subject. Therefore, the present study aims to investigate the effect of laughter therapy given to mothers in the postnatal period on partner adjustment, life satisfaction and maternal attachment level in mothers. It is thought that this study will make a very important contribution to the literature.

Read the detailed description

The postnatal period is a fragile period with physical and psychological changes as well as hormonal changes in the mother. In the transition to parenthood in the postnatal period, expectant parents experience changes that have important effects on the couple's relationship, the baby-parent relationship and the development of the baby. The positive relationship and harmony of the spouses are important in raising a child. Maternal attachment starts in the prenatal period and reaches the highest level in the postnatal period. It is known that inadequate maternal attachment to the baby poses a threat to the healthy development and well-being of the baby. Therefore, it is important to evaluate the psycho-social welfare of the mother in the postnatal period, to evaluate the level of mother-infant attachment and to make effective midwifery interventions.

Studies in the literature have documented the positive role of laughter in improving quality of life. In addition, it was determined that laughter therapy intervention during pregnancy increased the mental well-being of pregnant women and positively affected prenatal attachment levels. Laughter therapy can be used for both preventive and therapeutic purposes. Poor mental health of the mother poses a danger to the baby and the mother. Studies on laughter therapy are limited in Turkey. In order to increase evidence-based data, there is a need to investigate the potential effectiveness of laughter therapy interventions in terms of mothers' health. It is thought that this study will make a very important contribution to the literature.

Conditions
Postpartum, Mothers
Being tested
Laughter Therapy
Keywords
postpartum period, maternal attachment, life satisfaction, laughter therapy
Medical subject headings
Personal Satisfaction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Laughter TherapyBehavioural

    A laughter yoga session; It is approximately 30 minutes and consists of four parts. These sections; hand clapping and warm-up exercises, deep breathing exercises, childish games and laughter exercises. In each laughter yoga session, the first three parts are the same, but the laughter exercises in the fourth part vary. In the first session of each new group, the introduction of laughter yoga, its purpose and objectives will be discussed. 10 minutes will be allocated for this section in the first session of each group. Therefore, the first session is planned to be 40 minutes in each group and all subsequent sessions are planned to be 30 minutes.

Study groups in NCT06917417
Study groupRoleWhat they receive
laughter therapy groupExperimentalAfter randomization, a WhatsApp group will be established with the mothers in the laughter therapy group. Before starting the application, the "Zoom" program will be downloaded to the phone or computer of the mothers in the laughter therapy group. Groups will be formed with at least 5-10 people, and a total of 10 sessions of laughter therapy will be applied to the groups, 2 sessions per week for 5 weeks.
Receives: Behavioral: Laughter Therapy
control groupNo interventionThe control group will not be subjected to any intervention and will be asked to fill out the questionnaire forms simultaneously.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Revised Dyadic Adjustment Scale

    RDAS is the final 14-item form of the 32-item DAS, developed by Spanier (1976), and revised by Busby et al. (1995). Turkish validity and reliability study of the scale was conducted by Gündoğdu Psychometric evaluations of the scale in the Northern Cyprus sample were re-conducted by Bayraktaroğlu and Çakıcı. The scale was developed to assess the quality of relationships between couples who are married or in a marriage-like relationship. This questionnaire includes three subscales that are consensus (items 1, 2, 3, 4, 5, and 6), satisfaction (items 7, 9, 11, 12, and 13), and conflict (items 8, 10, and 14). The scale is 5-point Likert type and coded as 1 = Never, 2 = Rarely, 3 = Sometimes, 4 = Often, and 5 = Always. Items 7, 8, 9, and 10 of the scale are reverse scored. Scores on the RDAS range from 0 to 70 with higher scores indicating greater relationship satisfaction and lower scores indicating greater relationship distress.

    Measured: 1st Time: Day 1, 2nd Time: Day 45, 3rd Time: Day 75

  2. Life Satisfaction Scale

    It is a self-assessment scale developed by Diener et al. The scale consists of five items and is unidimensional. The scale has a Likert-type rating scale with options from 1 to 7 ranging from 'not at all appropriate' to 'very appropriate'. The scale was translated and adapted into Turkish by Köker. The highest score that can be obtained from the Life Satisfaction Scale is 35 and the lowest score is 5. A high score on the scale indicates a high degree of satisfaction and a low score indicates a low degree of satisfaction.

    Measured: 1st Time: Day 1, 2nd Time: Day 45, 3rd Time: Day 75

  3. Maternal Attachment Inventory

    Maternal Attachment ınventory was originally developed by Mary E. Muller in 1994 for the assessment of maternal attachment. The validity and reliability of the Turkish form was done by Kavlak and Şirin (2009). The scale has no sub-dimensions. Maternal attachment inventory, an indicator of and measuring affection, is a self-administered scale and can only be administered to literate women who can read and write and understand what they read. Each item is in a 4-point Likert type ranging from "always" to "never." Each item contains statements and points, showing a = 4 (always), b = 3 (often), c = 2 (sometimes), and d = 1 (never). An overall score is obtained from the sum of all items. A high score indicates a high level of maternal attachment. The lowest score to be obtained from the scale is 26, while the highest score is 104. The scale has no cutoff score. The Maternal Attachment Scale is administered to mothers who have a baby of at least 1-month old. It is not applied to pregnant wo

    Measured: 1st Time: Day 1, 2nd Time: Day 45, 3rd Time: Day 75

  4. Personal Information Form

    Personal Information Form It consists of 16 questions developed by the researcher as a result of literature reviews. It consists of 11 questions about the socio-demographic characteristics of the mothers (age, education level, income status, presence of social security, etc.) and 5 questions about obstetric characteristics (number of pregnancies, parity status, etc.).

    Measured: 1st time: Day 1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Apr 2025
  2. Study start1 Mar 2025
  3. Primary completion25 May 2025 (estimated)
  4. Study completion25 Jun 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
After randomisation, a WhatsApp group will be established with the mothers in the laughter therapy group. Before starting the application, the 'Zoom' programme will be downloaded to the phone or computer of the mothers in the laughter therapy group. A WhatsApp group will be formed with at least 5-10 people, and a total of 10 sessions of laughter therapy will be applied with the groups for 5 weeks, 2 sessions per week. No intervention will be made to the control group, and they will be asked to fill in the questionnaire forms simultaneously.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
90 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06917417
Sponsor's protocol ID
2024/617
Status last verified
Apr 2025
First submitted
1 Apr 2025
Last updated
8 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • van der Wal CN, Kok RN. Laughter-inducing therapies: Systematic review and meta-analysis. Soc Sci Med. 2019 Jul;232:473-488. doi: 10.1016/j.socscimed.2019.02.018. Epub 2019 Mar 5.

    PubMed 31029483
  • Spanier GB (1976). Measuring dyadic adjustment: A newscales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family; 38: 15-28.

  • Scott JK, Nelson JA, Dix T. Interdependence among mothers, fathers, and children from early to middle childhood: Parents' sensitivity and children's externalizing behavior. Dev Psychol. 2018 Aug;54(8):1528-1541. doi: 10.1037/dev0000525. Epub 2018 Jun 21.

    PubMed 29927264
  • Quick AD, Tung I, Keenan K, Hipwell AE. Psychological Well-being across the Perinatal Period: Life Satisfaction and Flourishing in a Longitudinal Study of Black and White American Women. J Happiness Stud. 2023 Mar;24(3):1283-1301. doi: 10.1007/s10902-023-00634-6. Epub 2023 Mar 13.

    PubMed 37273506
  • Pu DF, Rodriguez CM. Spillover and Crossover Effects: Mothers' and Fathers' Intimate Partner Violence, Parent-Child Aggression Risk, and Child Behavior Problems. Child Maltreat. 2021 Nov;26(4):420-430. doi: 10.1177/1077559520985936. Epub 2021 Jan 13.

    PubMed 33438464
  • Namazinia M, Mazlum SR, Mohajer S, Lopez V. Effects of laughter yoga on health-related quality of life in cancer patients undergoing chemotherapy: a randomized clinical trial. BMC Complement Med Ther. 2023 Jun 12;23(1):192. doi: 10.1186/s12906-023-04028-2.

    PubMed 37303065
  • Muller ME. Prenatal and postnatal attachment: a modest correlation. J Obstet Gynecol Neonatal Nurs. 1996 Feb;25(2):161-6. doi: 10.1111/j.1552-6909.1996.tb02420.x.

    PubMed 8656307
  • Küçükkelepçe, DŞ, Ünver H, & Kurt N. (2024). Kahkaha Yogasının Emzirme Öz-Yeterliliği Üzerine Etkisinin İncelenmesi: Randomize Kontrollü Çalışma, Journal of Academic Research in Nursing (JAREN), 10(1).

  • Kumcağız H, Aydın Avci İ, Caner Ş. (2018). Yaşam doyumu, postpartum depresyon ve özkıyım olasılığı arasındaki ilişki. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 21(1):1-9.

  • Köker S. (1991). Normal ve Sorunlu Ergenlerin Yaşam Doyumu Düzeyinin Karşılaştırılması. Ankara Üniversitesi Sosyal Bilimler Enstitüsü. Ankara. Yayımlanmamış Yüksek Lisans Tezi.

  • Ko Y, Park S. A pilot randomized controlled trial of distance laughter therapy for mothers' level of depression, anxiety, and parental stress during the COVID-19 pandemic. PLoS One. 2023 Jul 14;18(7):e0288246. doi: 10.1371/journal.pone.0288246. eCollection 2023.

    PubMed 37450484
  • Kilic S, Can R, Yilmaz SD. Spousal support and dyadic adjustment in the early postpartum period. Women Health. 2024 Feb 7;64(2):121-130. doi: 10.1080/03630242.2024.2304891. Epub 2024 Jan 30.

    PubMed 38221674
  • Kekec HT, Dikmen HA. The relationship of social support perceived by mothers and fathers and dyadic adjustment with maternal and paternal attachment in the postpartum period. Dev Psychobiol. 2023 Jan;65(1):e22358. doi: 10.1002/dev.22358.

    PubMed 36567652
  • Kavlak O, Şirin A. (2009). Maternal Bağlanma Ölçeği'nin Türk toplumuna uyarlanması. Uluslararası İnsan Bilimleri Dergisi; 6:188-202.

  • Holmes EK, Sasaki T, & Hazen NL. (2013). Smooth versus rocky transitions to parenthood: Family systems in developmental context. Family Relations, 62, 824-837. 10.1111/fare.12041

Questions about this trial

What is this clinical trial studying?

A study testing Laughter Therapy in people with Postpartum and Mothers, run by Selcuk University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 8 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Havva Tokgöz Kekeç, PhD Student (+905061550317, havvatokgoz9142@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Revised Dyadic Adjustment Scale (time frame: 1st Time: Day 1, 2nd Time: Day 45, 3rd Time: Day 75). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06917417, which also lists 22 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Apr 2025.

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