Abstract The study tested effectiveness and feasibility of a humor training for members of a community mental health center suffering from schizophrenia, personality disorders, depression, or anxiety. The training group (n=28) was compared to a treatment-as-usual control group (n=26). Outcomes were divided into primary (coping humor and cheerfulness) and secondary ones (well-being, depression, anxiety, and symptomatology), and were assessed prior to and after treatment and at a six-week follow-up. Additionally, gelotophobia was explored as a confounding variable of the training outcome. Linear mixed models showed improvements in coping humor and cheerfulness compared to the control group. However, effects did not remain stable at follow-up, and secondary outcomes were unaffected by the training. Interestingly, people with higher levels in gelotophobia tended to score worse on many outcomes before training. These differences disappeared after completion but recurred in the follow-up. Feedback indicated feasibility of the training within the institution. Summarizing the results, this is one of the first studies that tried to implement humor training in a routine care setting for people with mental disorders. Results are promising, however further research is needed to investigate humor trainings in clinical samples more profoundly.

中文翻译：

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在精神障碍患者的日常护理环境中进行幽默训练的有效性和可行性

摘要 该研究测试了对患有精神分裂症、人格障碍、抑郁症或焦虑症的社区心理健康中心成员进行幽默训练的有效性和可行性。将训练组 (n=28) 与照常治疗的对照组 (n=26) 进行比较。结果分为主要的（应对幽默和快乐）和次要的（幸福感、抑郁、焦虑和症状），并在治疗前后和六周的随访中进行评估。此外，凝胶恐惧症被视为训练结果的混杂变量。与对照组相比，线性混合模型在应对幽默和开朗方面有所改善。然而，随访时效果并不稳定，次要结果不受培训的影响。有趣的是，恐惧症水平较高的人在训练前在许多结果上的得分往往更差。这些差异在完成后消失，但在随访中再次出现。反馈表明该机构内培训的可行性。总结结果，这是第一批尝试在精神障碍患者的常规护理环境中实施幽默训练的研究之一。结果是有希望的，但是需要进一步的研究来更深入地研究临床样本中的幽默训练。这是首批尝试在精神障碍患者的日常护理环境中实施幽默训练的研究之一。结果是有希望的，但是需要进一步的研究来更深入地研究临床样本中的幽默训练。这是尝试在精神障碍患者的常规护理环境中实施幽默训练的首批研究之一。结果是有希望的，但是需要进一步的研究来更深入地研究临床样本中的幽默训练。