Physiological and emotional responses of disabled children to therapeutic clowns: A pilot study

Evidence-based Complementary and Alternative Medicine

Volumn 2011, Issue , 2011, Pages

  Kingsnorth, Shauna ^a,b,c   Blain, Stefanie ^a,d   McKeever, Patricia ^a,b,e  

^a University of Toronto   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c UNIVERSITY OF TORONTO   (Canada)

^d UNIVERSITY OF TORONTO   (Canada)

^e HOSPITAL FOR SICK CHILDREN RESEARCH INSTITUTE   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; BEHAVIOR; CHILD; CLINICAL ARTICLE; CLOWN INTERVENTION; CONTROLLED STUDY; DISABILITY; FACIAL EXPRESSION; FEMALE; HUMAN; MALE; MOOD; PHYSIOLOGICAL PROCESS; PRESCHOOL CHILD; PRIORITY JOURNAL; SELF REPORT; TELEVISION VIEWING; THERAPY; THERAPY EFFECT; VOCALIZATION;

EID: 79955092575     PISSN: 1741427X     EISSN: 17414288     Source Type: Journal    
DOI: 10.1093/ecam/neq008     Document Type: Article

References (54)

1. Big Apple Circus. Hospital program,. July 2009, http://www. bigapplecircus.com/corporate/template.aspx?id=3586
2. Oppenheim D., Simonds C., Hartmann O., Clowning on children's wards The Lancet 1997 350 9094 1838 1840 (Pubitemid 28036530)
3. Rambam Health Care Campus, Novel idea: medical clowns for premature infants. July 2009, http://www.rambam.org.il/Home+Page/About+Us/ News+and+Events/Novel+idea+medical+clowns+for+premature+infants.htm
4. World Clown, A history of caring clowning in Canada. July 2009, http://www.worldclown.com/files/HistoryofCaringClowninginCanada.pdf
5. Doutores Da Alegria, Clowns in hospitals. July 2009, http://www. doutoresdaalegria.org.br/download/PesqIntenglish.pdf
6. Koller D., Gryski C., The life threatened child and the life enhancing clown: towards a model of therapeutic clowning Evidence-Based Complementary and Alternative Medicine 2008 5 1 17 25 (Pubitemid 351301958)
7. Linge L., Hospital clowns working in pairsin synchronized communication with ailing children International Journal of Qualitative Studies on Health and Well-Being 2008 3 1 27 38
8. Schwebke S., Gryski C., Klein A. J., Gravity and levitypain and play: the child and the clown in the pediatric health care setting Humor in Children's Lives. A Guidebook for Practitioners 2003 Westport, Conn, USA Praeger 49 68
9. Masetti M., Transforming Realities in Hospitals [Soluces de palhacos: transformaces na realidade hospitalar] 1997 So Paulo, Brazil Palas Athena
10. Masetti M., Good Mixtures: The Ethics of Happiness in The Context of The Hospital [Boas misturas] 2003 So Paulo, Brazil Palas Athena
11. Weaver K., Prudhoe G., Battrick C., Glasper E. A., Sick children's perceptions of clown doctor humour International Journal of Qualitative Studies on Health and Well-Being 2008 1 359 365
12. Battrick C., Glasper E. A., Prudhoe G., Weaver K., Clown humour: the perceptions of doctors, nurses, parents, and children Journal of Children's and Young People's Nursing 2007 1 174 179
13. de Lima R. A., Azevedo E. F., Nascimento L. C., Rocha S. M., The art of clown theater in care for hospitalized children Revista da Escola de Enfermagem da USP 2009 43 1 186 193
14. Wild B., Wetzel P., Gottwald U., Buchkremer G., Wormstall H., Clowns in der psychiatrie: ein pilot project [A pilot project with clowns in psychiatric clinics] Der Nervenarzt 2007 78 571 574 (Pubitemid 47019695)
15. Higueras A., Carretero-Dios H., Muoz J. P., Idini E., Ortiz A., Rincn F., Prieto-Merino D., Rodrguez del guila M. M., Effects of a humor-centered activity on disruptive behavior in patients in a general hospital psychiatric ward International Journal of Clinical and Health Psychology 2006 6 1 53 64 (Pubitemid 43299675)
16. Northern Hospital, Humour for good health in the ED and CAHU (The Clown Doctor project). July 2009, http:// www.humourfoundation.com.au/pageassets/ HumourforGHealthreport.pdf
17. Golan G., Tighe P., Dobija N., Perel A., Keidan I., Clowns for the prevention of preoperative anxiety in children: a randomized controlled trial Paediatric Anaesthesia 2009 19 3 262 266
18. Canto M. A., Quiles J. M., Vallejo O. G., Pruneda R. R., Morote J. S., Pinera M. J., Evaluation of the effect of hospital clown's performance about anxiety in children subjected to surgical intervention Ciruga Peditrica 2008 21 195 198
19. Vagnoli L., Caprilli S., Robiglio A., Messeri A., Clown doctors as a treatment for preoperative anxiety in children: a randomized, prospective study Pediatrics 2005 116 4 e563 e567
20. Gorfinkle K. S., Slater J. A., Bagiella E., Tager F. A., Labinsky E. B., Child behavioral distress during invasive oncologic procedures and cardiac catheterization with the Big Apple Circus Clown Care Unit 55 Pediatric Research 1998 43 12
21. Hart D., Bossert E., Self-reported fears of hospitalized school-age children Journal of Pediatric Nursing 1994 9 2 83 90
22. Bossert E., Stress appraisals of hospitalized school-age children Children's Health Care 1994 23 1 33 49
23. Bennett M. P., Zeller J. M., Rosenberg L., McCann J., The effect of mirthful laughter on stress and natural killer cell activity Alternative Therapies in Health and Medicine 2003 9 2 38 42 (Pubitemid 36286405)
24. Berk L. S., Tan S. A., Fry W. F., Napier B. J., Lee J. W., Hubbard R. W., Lewis J. E., Eby W. C., Neuroendocrine and stress hormone changes during mirthful laughter American Journal of the Medical Sciences 1989 298 6 390 396 (Pubitemid 20026473)
25. Stuber M., Hilber S. D., Mintzer L. L., Castaneda M., Glover D., Zeltzer L., Laughter, humor and pain perception in children: a pilot study Evidence-Based Complementary and Alternative Medicine 2009 6 2 271 276
26. Bennett M. P., Lengacher C. A., Humor and laughter may influence health. I. History and background Evidence-Based Complementary and Alternative Medicine 2006 3 1 61 63 (Pubitemid 43999652)
27. Bennett M. P., Lengacher C., Humor and laughter may influence health: II. Complementary therapies and humor in a clinical population Evidence-Based Complementary and Alternative Medicine 2006 3 2 187 190
28. Bennett M. P., Lengacher C., Humor and laughter may influence health: III. Laughter and health outcomes Evidence-Based Complementary and Alternative Medicine 2008 5 1 37 40 (Pubitemid 351301962)
29. Bennett M. P., Lengacher C., Humor and laughter may influence health IV. humor and immune function Evidence-Based Complementary and Alternative Medicine 2009 6 2 159 164
30. Dillon C. M., Carr J. E., Assessing indices of happiness and unhappiness in individuals with developmental disabilities: a review Behavioral Interventions 2007 22 3 229 244 (Pubitemid 47123339)
31. Murphy J., Tester S., Hubbard G., Downs M., MacDonald C., Enabling frail older people with a communication difficulty to express their views: the use of Talking Mats as an interview tool Health and Social Care in the Community 2005 13 2 95 107 (Pubitemid 40322615)
32. Rabiee P., Sloper P., Beresford B., Doing research with children and young people who do not use speech for communication Children and Society 2005 19 5 385 396 (Pubitemid 41704348)
33. Bauer R. M., Physiologic measures of emotion Journal of Clinical Neurophysiology 1998 15 5 388 396 (Pubitemid 28515975)
34. Picard R. W., Vyzas E., Healey J., Toward machine emotional intelligence: analysis of affective physiological state IEEE Transactions on Pattern Analysis and Machine Intelligence 2001 23 10 1175 1191 (Pubitemid 33047955)
35. Blain S., Chau T., Mihailidis A., Peripheral autonomic signals as access pathways for individuals with severe disabilities: a literature appraisal The Open Rehabilitation Journal 2008 1 27 37
36. Ekman P., Levenson R. W., Friesen W. V., Autonomic nervous system activity distinguishes among emotions Science 1983 221 4616 1208 1210 (Pubitemid 13001240)
37. Collet C., Vernet-Maury E., Delhomme G., Dittmar A., Autonomic nervous system response patterns specificity to basic emotions Journal of the Autonomic Nervous System 1997 62 1-2 45 57 (Pubitemid 27043083)
38. Vetrugno R., Liguori R., Cortelli P., Montagna P., Sympathetic skin response: basic mechanisms and clinical applications Clinical Autonomic Research 2003 13 4 256 270 (Pubitemid 37153771)
39. Boucsein W., Electrodermal Activity 1992 New York, NY, USA Plenum Press
40. Hales J. R. S., Johansen K., Burggren W. W., Skin arteriovenous anastomoses, their control and role in thermoregulation Cardiovascular Shunts. Alfred Benzon Symposium 21 1985 Copenhagen, Denmark Denmark7 Munksgaard 433 451
41. Katsis C. D., Ganiatsas G., Fotiadis D. I., An integrated telemedicine platform for the assessment of affective physiological states Diagnostic Pathology 2006 1 1, article 16
42. Christie I. C., Friedman B. H., Autonomic specificity of discrete emotion and dimensions of affective space: a multivariate approach International Journal of Psychophysiology 2004 51 2 143 153 (Pubitemid 38018963)
43. Lisetti C. L., Nasoz F., Using noninvasive wearable computers to recognize human emotions from physiological signals EURASIP Journal on Applied Signal Processing 2004 2004 11 1672 1687
44. Logan L. R., Hickman R. R., Harris S. R., Heriza C. B., Single-subject research design: recommendations for levels of evidence and quality rating Developmental Medicine and Child Neurology 2008 50 2 99 103
45. Nagengast S. L., Baun M. M., Megel M., Leibowitz J. M., The effects of the presence of a companion animal on physiological arousal and behavioral distress in children during a physical examination Journal of Pediatric Nursing 1997 12 6 323 330
46. Lohaus A., Klein-Hebling J., Vgele C., Psychophysiological effects of relaxation training in children British Journal of Health Psychology 2001 6 2 197 206 (Pubitemid 32458689)
47. McManis M. H., Bradley M. M., Berg W. K., Cuthbert B. N., Lang P. J., Emotional reactions in children: verbal, physiological, and behavioral responses to affective pictures Psychophysiology 2001 38 2 222 231 (Pubitemid 32267765)
48. Gilissen R., Koolstra C. M., van Ijzendoorn M. H., Bakermans-Kranenburg M. J., van der Veer R., Physiological reactions of preschoolers to fear-inducing film clips: effects of temperamental fearfulness and quality of the parent-child relationship Developmental Psychobiology 2007 49 2 187 195 (Pubitemid 46474326)
49. Hot P., Naveteur J., Leconte P., Sequeira H., Diurnal variations of tonic electrodermal activity International Journal of Psychophysiology 1999 33 3 223 230 (Pubitemid 29433802)
50. Green C. W., Reid D. H., Defining, validating, and increasing indices of happiness among people with profound multiple disabilities Journal of Applied Behavior Analysis 1996 29 1 67 78 (Pubitemid 126416796)
51. Green C. W., Reid D. H., A behavioral approach to identifying sources of happiness and unhappiness among individuals with profound multiple disabilities Behavior Modification 1999 23 2 280 293 (Pubitemid 29153034)
52. Beder J., Identify emotions using feeling faces cards. June 2009, http://www.feelingfacescards.com/
53. QSR International. NVivo8,. July 2009, http://www.qsrinternational.com/ default.aspx
54. Hergenrder H., Blank R., Subjective well-being and satisfaction with life in adults with spastic cerebral palsy: a pilot study of a randomized sample Developmental Medicine and Child Neurology 2009 51 5 389 396