The Effect of Laughter Therapy for Depression Level among Geriatric Patients at Pangesti Lawang Nursing Home


  • Wahyu Dwi Ari WIbowo Poltekkes Kemenkes Palembang
  • Susmini
  • Sapondra Wijaya
  • Nindya Amelia



Depression; Laughter Therapy; Classical Music Therapy; Nursing Home.


Background: The elderly will experience decreased organ function and social changes experienced. 1 in 5 elderly suffers from mental or neurological disorders. Depression is underdiagnosed and undertreated in primary care settings because they appear together with other elderly problems. Depression in the elderly can reduce the quality of life and increases the risk of suicide. As a non-pharmacological alternative treatment, laughter and classical music therapy positively affect mental health, especially depression. Methods: The Design of this study is a quasi-experimental research with pre and post-test control group design. Data were collected with a short-form GDS questionnaire 15 Statements. Results: A total of 32 participants were from the elderly at the PangestiLawang Nursing Home. Laughter Therapy showed a significant GDS score before and after being given therapy p-value = 0.000. Classical Music Therapy also showed a significant GDS score before and after given therapy p-value = 0.002. In the comparison between both therapies, there was no significant difference between the treatment p-value = 0.541. Conclusion: There was a difference GDS before and after the elderly were given laughter therapy and classical music therapy, but there was no significant difference in GDS score between laughter therapy and classical music therapy, Both of them were given the same effect on decreasing GDS Score for the Elderly at PangestiLawang Nursing Home


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World Health Organization (WHO). DATA LANSIA DEPRESI WHO.pdf [Internet]. WHO. 2017 [cited 2019 Sep 28]. Available from:

Barua A, Ghosh MK, Kar N, Basilio MA. Depressive disorders in elderly: An estimation of this public health problem. J Int Med Sci Acad. 2011;24(4):193–4.

RISKESDAS. Laporan_Nasional_RKD2018_FINAL.pdf [Internet]. Riskesdas. Kementerian Kesehatan Republik Indonesia; 2018. p. 198. Available from:

Avasthi A, Grover S. Clinical Practice Guidelines for Management of Depression in Elderly. Indian J Psychiatry [Internet]. 2018 Feb 1 [cited 2021 Aug 31];60(Suppl 3):S341. Available from: /pmc/articles/PMC5840909/

Raden Siti Maryam, MF Ekasari, Rosidawati, A Jubaedi IB. Menengenal Usia Lanjut dan Perawatannya - Google Buku [Internet]. Jakarta salemba Medika. 2011 [cited 2019 Sep 28]. 55–60 p. Available from: lansia&f=false

Nikmat AW, Hashim NA, Omar SA, Razali S. Depression and Loneliness/Social Isolation Among Patients With Cognitive Impairment in Nursing Home. ASEAN J Psychiatry. 2015;16(2):222–31.

Hedayati HR, Hadi N, Mostafavi L, Akbarzadeh A, Akbarzadeh A, Montazeri A. Quality of life among nursing home residents compared with the elderly at home. Shiraz E Med J. 2014;15(4):1–9.

Sherry A. Greenberg. Royal College of Psychiatrists, 2014.pdf. Best Pract Nurs Care to Older Adults [Internet]. 2012;(Number 4). Available from:

Cruwys T, Dingle GA, Haslam C, Haslam SA, Jetten J, Morton TA. Social group memberships protect against future depression, alleviate depression symptoms and prevent depression relapse. Soc Sci Med [Internet]. 2013;98:179–86. Available from:

Royal College of Psychiatrists [Internet]. Royal College of Psychiatrists. 2014. Available from:

Seema boresa DK. Compare the effect of music therapy and laughter therapy on decreasing the level of depression. IJRAR- Int J Res Anal Rev. 2018;5(4):i530–3.

Yim JE. Therapeutic benefits of laughter in mental health: A theoretical review. Tohoku J Exp Med. 2016;239(3):243–9.

Yoshikawa Y, Ohmaki E, Kawahata H, Maekawa Y, Ogihara T, Morishita R, et al. Beneficial effect of laughter therapy on physiological and psychological function in elders. Nurs Open. 2019;6(1):93–9.

Suidah H, Agus Cahyono E. Intervensi Terapi Musik Klasik Sebagai Penanganan Depresi Pada Lansia. J Keperawatan. 2015;9–16.

Ulahannan MA, Xavier MS. ' The Effect of Laughter Therapy on Depression In Elderly Residents Of Selected Old Age Home From Maharashtra .' Sinhgad Coll Nurs. 2017; VII(I):15–9.

Nurwela TS, Mahajudin MS, Adiningsih S. Efektivitas Terapi Tawa Untuk Menurunkan Tingkat Depresi Pada Lanjut UsiaTrifonia. Ilm Kedokt. 2015;4(1):62–76.

Mikhaline C, Hafizah R, Dewi AP. Pengaruh Terapi Tertawa Terhadap Penurunan Skor Depresi Pada Lanjut Usia (Lansia) Di Panti Graha Werdha Marie Joseph Kota Pontianak. J ProNers. 2015;3(1).

Marzuki MB, Lestari P. Pengaruh Terapi Musik Klasik Terhadap Tingkat Depresi Pada Lansia di Unit Rehabilitasi Sosial Wening Wardoyo Kecamatan Ungaran Kabupaten Semarang. Keperawatan Komunitas [Internet]. 2014;2(2):81–6. Available from:

Klassen JA, Liang Y, Tjosvold L, Klassen TP, Hartling L. Music for Pain and Anxiety in Children Undergoing Medical Procedures: A Systematic Review of Randomized Controlled Trials. Ambul Pediatr. 2008;8(2):117–28.

Nilsson U. The Anxiety- and Pain-Reducing Effects of Music Interventions: A Systematic Review. AORN J. 2008;87(4).

Irna susiati. Perbandingan pengaruh terapi musik tradisional dan terapi tawa terhadap penurunan tekanan darah pada penderita hipertensi di panti werdha mojopahit mojokerto [internet]. Universitas muhammadiyah yogyakarta; 2016. Available from:

Farifteh S, Mohammadi-Aria A, Kiamanesh A, Mofid B. The impact of laughter yoga on the stress of cancer patients before chemotherapy. Iran J Cancer Prev. 2014;7(4):179–83.

Kaplan and Sadock’s. Kaplan and Sadock’s Study Guide and Self-examination Review in Psychiatry - Google Books [Internet]. 2007 [cited 2021 Aug 31]. 358–359 p. Available from:,+2007+ISOLATION&ots=koFxnhhAyD&sig=YAdhGnhzbo-BlcQHv9j-qmEHshs&redir_esc=y#v=onepage&q=DECREASE SOCIAL INTRACTION&f=false