Startseite Humor styles moderate the association between health difficulties and quality of life in individuals diagnosed with a chronic disease
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Humor styles moderate the association between health difficulties and quality of life in individuals diagnosed with a chronic disease

  • Sarah A. Schall

    Sarah A. Schall, PsyD, is a graduate of the Doctoral Program in Clinical Psychology from the University of La Verne. She specializes in the assessment and treatment of Obsessive-compulsive Disorder (OCD) and has extensive experience working in partial hospitalization (PHP), residential, and inpatient settings. In addition, Dr. Schall maintains a private outpatient practice located in Newport Beach, CA where she provides outpatient therapy to individuals diagnosed with OCD.

    , Luci A. Martin

    Luci A. Martin, PhD is Professor Emeritus at the University of La Verne. Her research interests are in the area of Clinical and Health Psychology.

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    , Jerry L. Kernes

    Jerry L. Kernes is Associate Dean of the College of Health and Community Well-Being, Program Chair and Dct of the Psyd Program, and Professor of Psychology at the University of La Verne. His research interests are in positive psychology.

    und Catherine Powers

    Catherine Powers, PhD is an Assistant Professor at The University of Texas MD Anderson Cancer Center. Her research interests are in the area of lifestyle change and coping with oncology patients.

Veröffentlicht/Copyright: 8. Januar 2025
HUMOR
Aus der Zeitschrift HUMOR Band 38 Heft 1

Abstract

Chronic disease leads to death, disability, and costs. Humor has been studied as an emotion-focused way of coping with chronic disease; however, it is unclear whether type of humor used moderates the relationship between health difficulties and quality of life. The purpose of this study was to explore the relationships between four types of humor (i.e., affiliative, self-enhancing, aggressive, and self-defeating humor), health difficulties and quality of life in individuals diagnosed with a chronic disease (n = 195; mean age = 34.14, SD = 9.06; 56.7 % male; 74.1 % White/European American) using a cross-sectional, correlational design. Utilizing hierarchical multiple regression and controlling for demographic and lifestyle variables, four humor styles (affiliative, self-enhancing, aggressive and self-defeating) moderated the relationships between health difficulties and quality of life. As health difficulties increased, greater use of self-enhancing, aggressive and self-defeating humor was associated with greater quality of life, while affiliative humor was associated with lower quality of life. Clinical and research applications that implement humor as a coping strategy may help to decrease the burden of living with a chronic disease.


Corresponding author: Luci A. Martin, Professor Emeritus of Psychology, University of La Verne, 1950 Third Street, La Verne, CA 91750, USA, E-mail:

About the authors

Sarah A. Schall

Sarah A. Schall, PsyD, is a graduate of the Doctoral Program in Clinical Psychology from the University of La Verne. She specializes in the assessment and treatment of Obsessive-compulsive Disorder (OCD) and has extensive experience working in partial hospitalization (PHP), residential, and inpatient settings. In addition, Dr. Schall maintains a private outpatient practice located in Newport Beach, CA where she provides outpatient therapy to individuals diagnosed with OCD.

Luci A. Martin

Luci A. Martin, PhD is Professor Emeritus at the University of La Verne. Her research interests are in the area of Clinical and Health Psychology.

Jerry L. Kernes

Jerry L. Kernes is Associate Dean of the College of Health and Community Well-Being, Program Chair and Dct of the Psyd Program, and Professor of Psychology at the University of La Verne. His research interests are in positive psychology.

Catherine Powers

Catherine Powers, PhD is an Assistant Professor at The University of Texas MD Anderson Cancer Center. Her research interests are in the area of lifestyle change and coping with oncology patients.

References

Abel, Millicent. 2002. Humor, stress, and coping strategies. Humor: International Journal of Humor Research 15(4). 365–381. https://doi.org/10.1515/humr.15.4.365.Suche in Google Scholar

Aiken, Leona & Stephen West. 1991. Multiple regression: Testing and interpreting interactions. Sage 2. 103–135.Suche in Google Scholar

Bishop, Malachy. 2005. Quality of life and psychosocial adaptation to chronic disease and acquired disability: A conceptual and theoretical synthesis. Journal of Rehabilitation 71(2). 5–13.Suche in Google Scholar

Buttorff, Christine, Teague Ruder & Melissa Bauman. 2017. Multiple chronic conditions in the United States. Santa Monica, CA: RAND.10.7249/TL221Suche in Google Scholar

Cann, Arnie, Kelly Stilwell & Kanako Taku. 2010. Humor styles, positive personality and health. Europe’s Journal of Psychology 3. 213–235. https://doi.org/10.5964/ejop.v6i3.214.Suche in Google Scholar

Centers for Disease Control and Prevention. 2023. CDC Available at: https://www.cdc.gov/chronicdisease/about/costs/index.htm.Suche in Google Scholar

Centers for Disease Control and Prevention. 2024. CDC Available at: https://www.cdc.gov/chronic-disease/about/index.htmlSuche in Google Scholar

Chuang, Shu Ping, Jo Yung Wei Wu & Chien Shu Wang. 2021. Humor styles moderate the relationship between rumination and mental health in community residents. Sage Open 11(4). https://doi.org/10.1177/21582440211054477.Suche in Google Scholar

Curry, Oliver Scott, Lee A. Rowland, Caspar J. Van Lissa, Sally Zlotowitz, John McAlaney & Harvey Whitehouse. 2018. Happy to help? A systematic review and meta-analysis of the effects of performing acts of kindness on the well-being of the actor. Journal of Experimental Social Psychology 76. 320–329. https://doi.org/10.1016/j.jesp.2018.02.014.Suche in Google Scholar

Drake, Aaron C. & Christopher R. Sears. 2023. Do humour styles moderate the association between hopelessness and suicide ideation? A comparison of student and community samples. PLoS One 18(12). e0295995. https://doi.org/10.1371/journal.pone.0295995.Suche in Google Scholar

Ferrans, Carol & Marjorie Powers. 1985. Quality of life index: Development and psychometric properties. Advances in Nursing Science 8. 15–24. https://doi.org/10.1097/00012272-198510000-00005.Suche in Google Scholar

Ferrans, Carol E. & Marjorie J. Powers. 1992. Psychometric assessment of the quality of life index. Research in Nursing & Health 15(1). 29–38. https://doi.org/10.1002/nur.4770150106.Suche in Google Scholar

Ferrans, Carole. 2024. Ferrans and Powers quality of life index. Available at: https://qli.uic.edu/.Suche in Google Scholar

Fox, Claire, Sarah Dean & Kerri Lyford. 2013. Development of a humor styles questionnaire for children. Humor: International Journal of Humor Research 26. 259–319. https://doi.org/10.1515/humor-2013-0018.Suche in Google Scholar

Fox, Claire, Simon Hunter & Sian Jones. 2016. Children’s humor types and psychosocial adjustment. Personality and Individual Differences 89. 86–91. https://doi.org/10.1016/j.paid.2015.09.047.Suche in Google Scholar

Fritz, Heidi L., Leslie N. Russek & Melissa M. Dillon. 2017. Humor use moderates the relation of stressful life events with psychological distress. Personality and Social Psychology Bulletin 43(6). 845–859. https://doi.org/10.1177/0146167217699583.Suche in Google Scholar

Gonot-Schoupinsky, Freda N., Gulcan Garip & David Sheffield. 2020. Laughter and humour for personal development: A systematic scoping review of the evidence. European Journal of Integrative Medicine 37. 101144. https://doi.org/10.1016/j.eujim.2020.101144.Suche in Google Scholar

Hayes, Andrew F. 2024. A PROCESS macro for SPSS, SAS and R. https://www.processmacro.org/index.html (Accessed 10 August 2024).Suche in Google Scholar

Heintz, Sonja & Willibald Ruch. 2015. An examination of the convergence between the conceptualization and the measurement of humor styles: A study of the construct validity of the humor styles questionnaire. Humor 28(4). 611–633. https://doi.org/10.1515/humor-2015-0095.Suche in Google Scholar

Heintz, S. & W. Ruch. 2018. Can self-defeating humor make you happy? Cognitive interviews reveal the adaptive side of the self-defeating humor style. Humor 31(3). 451–472. https://doi.org/10.1515/humor-2017-0089.Suche in Google Scholar

Jiang, Feng, Su Lu, Tonglin Jiang & Heqi Jia. 2020. Does the relation between humor styles and subjective well-being vary across culture and age? A meta-analysis. Frontiers in Psychology 11. 2213. https://doi.org/10.3389/fpsyg.2020.02213.Suche in Google Scholar

Kuiper, Nicholas A., Sandra D. McKenzie & Kristine A. Belanger. 1995. Cognitive appraisals and individual differences in sense of humor: Motivational and affective implications. Personality and Individual Differences 19(3). 359–372. https://doi.org/10.1016/0191-8869(95)00072-e.Suche in Google Scholar

Kuiper, Nicholas, Rod Martin & Joan Olinger. 1993. Coping humor, stress, and cognitive appraisals. Canadian Journal of Behavioural Science 25. 81–96. https://doi.org/10.1037/h0078791.Suche in Google Scholar

Lazarus, Richard & Susan Folkman. 1984. Stress, appraisal, and coping. New York: Springer.Suche in Google Scholar

Lefcourt, Herbert. 2001. Humor: The psychology of living buoyantly. New York, NY: Kluwer Academic/Plenum.Suche in Google Scholar

Martin, Rod, Patricia Puhlik-Doris, Gwen Larsen, Jeanette Gray & Kelly Weir. 2003. Individual differences in uses of humor and their relation to psychological well-being: Development of the humor styles questionnaire. Journal of Research in Personality 37(1). 48–75. https://doi.org/10.1016/S0092-6566(02)00534-2.Suche in Google Scholar

National health expenditure data: Historical. 2021. Center for Medicare & Medicaid Services. Available at: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical.Suche in Google Scholar

Oktug, Zeynep. 2017. The moderating role of employees’ humor styles on the relationship between job stress and emotional exhaustion. International Business Research 10(4). 131–138. https://doi.org/10.5539/ibr.v10n4p131.Suche in Google Scholar

Olah, Andrew R. & Thomas E. Ford. 2021. Humor styles predict emotional and behavioral responses to COVID-19. Humor 34(2). 177–199. https://doi.org/10.1515/humor-2021-0009.Suche in Google Scholar

Papousek, Ilona. 2018. Humor and well-being: A little less is quite enough. Humor 31(2). 311–327. https://doi.org/10.1515/humor-2016-0114.Suche in Google Scholar

Perchtold, Corinna M., Elisabeth M. Weiss, Christian Rominger, Kurt Feyaerts, Willibald Ruch, Andreas Fink & Ilona Papousek. 2019. Humorous cognitive reappraisal: More benign humour and less “dark” humour is affiliated with more adaptive cognitive reappraisal strategies. PLoS One 14(1). e0211618. https://doi.org/10.1371/journal.pone.0211618.Suche in Google Scholar

Phyo, Aung Zaw Zaw, Joanne Ryan, David A. Gonzalez-Chica, Robyn L. Woods, Christopher M. Reid, Mark R. Nelson, Anne M. Murray, Danijela Gasevic, Nigel P. Stocks & Rosanne Freak-Poli & ASPREE Investigator Group. 2021. Health-related quality of life and all-cause mortality among older healthy individuals in Australia and the United States: A prospective cohort study. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation 30(4). 1037–1048. https://doi.org/10.1007/s11136-020-02723-y.Suche in Google Scholar

Richards, Kirsten & Gert Kruger. 2017. Humor styles as moderators in the relationship between perceived stress and physical health. Sage Open 7(2). https://doi.org/10.1177/2158244017711485.Suche in Google Scholar

Samson, Andrea, C. & James, J. Gross. 2014. The dark and light sides of humor. Positive emotion: Integrating the light sides and dark sides, 169.10.1093/acprof:oso/9780199926725.003.0010Suche in Google Scholar

Schneider, Martha, Martin Voracek & Ulrich S. Tran. 2018. “A joke a day keeps the doctor away?” Meta-analytical evidence of differential associations of habitual humor styles with mental health. Scandinavian Journal of Psychology 59(3). 289–300. https://doi.org/10.1111/sjop.12432.Suche in Google Scholar

Silvia, Paul J. & Rebekah M. Rodriguez. 2020. Time to renovate the humor styles questionnaire? An item response theory analysis of the HSQ. Behavioral Sciences 10(11). 173. https://doi.org/10.3390/bs10110173.Suche in Google Scholar

Umucu, Emre & Beatrice Lee. 2020. Examining the impact of COVID-19 on stress and coping strategies in individuals with disabilities and chronic conditions. Rehabilitation Psychology 65(3). 193. https://doi.org/10.1037/rep0000328.Suche in Google Scholar

U.S. Centers for Medicare & Medicaid Services. 2017. Chronic conditions. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/CC_Main.html (Accessed 10 March 2018).Suche in Google Scholar

World Health Organization. 2017. WHO disability assessment schedule 2.0 (WHODAS 2.0). Available at: http://www.who.int/classifications/icf/more_whodas/en/.Suche in Google Scholar

Wu, Xiaofei, Tingting Guo, Chao Zhang, Tzu-Yi Hong, Chou-Ming Cheng, Ping Wei, Jen-Chuen Hsieh & Jing Luo. 2021. From “Aha!” to “Haha!” using humor to cope with negative stimuli. Cerebral Cortex 31(4). 2238–2250. https://doi.org/10.1093/cercor/bhaa357.Suche in Google Scholar

Received: 2023-06-07
Accepted: 2024-11-25
Published Online: 2025-01-08
Published in Print: 2025-02-25

© 2024 Walter de Gruyter GmbH, Berlin/Boston

Heruntergeladen am 8.9.2025 von https://www.degruyterbrill.com/document/doi/10.1515/humor-2024-0017/html
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