Item type:Thesis, Open Access

Vergleich der Humorproduktion bei Patient*innen mit Schizophrenie vor und nach einem gezielten Humorfähigkeitentraining

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Philipps-Universität Marburg

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Abstract

Examining the humor production in patients with schizophrenia can help to better understand the relationship between symptomatology, social functioning, and the humor of those affected. In this study, patients with schizophrenia and healthy individuals were compared in terms of their humor production, and the effects of a humor skills training on humor production, symptomatology, and social functioning in patients were examined. The humor skills training by Falkenberg et al. (2013) used in this study by aims to show patients techniques for better coping with stress in the long term, and to improve social functioning, which, in a study by Cai et al. (2014), was shown to help reduce symptoms. In this study, patients were asked to produce the most humorous ideas possible regarding different objects at two time points. Between the measurements, one group underwent the 7- week humor ability training according to the manual by Falkenberg et al. (2013). The control group completed a Social Competence Training according to Hinsch und Pfingsten (2007) during the same period. A group of healthy individuals also produced ideas at the two time points without participating in any intervention. Subsequently, the ideas were evaluated by external blinded participants in terms of their humor and other variables. This allowed for an examination of the humor production of patients compared to healthy individuals. It was also possible to compare the effects of the humor skills training versus the social competence training on humor production, symptomatology, and social functioning. The ideas produced by patients, compared to those of healthy individuals before the intervention, were rated significantly less funny and less original by the external participants. Additionally, the patients produced significantly fewer ideas. Humor production thus appears to be impaired by the illness. A significant effect of humor ability training compared to social competence training could not be detected in terms of the evaluation variables after the intervention. Patients showed a significant reduction in symptomatology after humor ability training, as measured by the SANS/SAPS total score compared to the control group. Both the HT and SKT groups showed an improvement in social functioning, as measured by the SOFA score. Funnier ideas at T1 were significantly correlated with lower values in the SANS area and, at both T1 and T2, with higher values in the SOFAS area. Thus, humor skills training may have a positive effect on the symptomatology of patients and has a comparable effect on improving social functioning as social competence training. This study had an exploratory character. In the future, further studies could use the existing findings in the area of humor production in patients with schizophrenia and investigate the relationships between the illness and the sense of humor, as well as the implementation of humor skills training in therapy. Of particular interest would be further clarification of the relationship between humor production and the cognitive impairments of patients, as well as symptomatology. Moreover, longer observation periods could investigate the question of long-term changes in patients sense of humor, social functioning, and sustained symptom reduction.

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Preiß, Viktor: Vergleich der Humorproduktion bei Patient*innen mit Schizophrenie vor und nach einem gezielten Humorfähigkeitentraining. : Philipps-Universität Marburg 2025-06-23. DOI: https://doi.org/10.17192/z2025.0303.

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This item has been published with the following license: In Copyright