{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:50:21Z","timestamp":1792093821596,"version":"4.4.0"},"reference-count":44,"publisher":"SLACK, Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Psychosoc Nurs Ment Health Serv"],"abstract":"\n Purpose:<\/jats:title>\n To evaluate the effectiveness of a humor-integrated cognitive-behavioral therapy (CBT)\u2013based psychoeducation program in reducing depressive symptoms and improving self-esteem, sense of humor, and adaptive coping in outpatients diagnosed with major depressive disorder (MDD).<\/jats:p>\n <\/jats:sec>\n \n Method:<\/jats:title>\n \n Sixty outpatients with MDD were randomized to an experimental group (\n n<\/jats:italic>\n = 30) receiving an eight-session nurse-delivered program or a control group (\n n<\/jats:italic>\n = 30) receiving standard psychiatric care. Assessments were conducted at baseline, postintervention, and 1- and 3-month follow up.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The experimental group demonstrated significant improvements in all outcomes (\n p<\/jats:italic>\n < .05), with large effect sizes for humor measures (Multidimensional Sense of Humor Scale: \u03b7\n 2<\/jats:sup>\n = 0.572,\n d<\/jats:italic>\n = 2.31; Coping Humor Scale: \u03b7\n 2<\/jats:sup>\n = 0.665,\n d<\/jats:italic>\n = 2.82) and moderate-to-large effects for depression (Beck Depression Inventory: \u03b7\n 2<\/jats:sup>\n = 0.400,\n d<\/jats:italic>\n = 1.63) and self-esteem (Rosenberg Self-Esteem Scale: \u03b7\n 2<\/jats:sup>\n = 0.119,\n d<\/jats:italic>\n = 0.74), all maintained at follow up.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n A humor-integrated CBT\u2013based psychoeducation program delivered by specialist psychiatric nurses effectively reduced depressive symptoms and improved adaptive coping among outpatients with MDD.<\/jats:p>\n <\/jats:sec>","DOI":"10.3928\/02793695-20261007-04","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:31:06Z","timestamp":1792092666000},"page":"1-11","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of a Humor-Integrated Cognitive-Behavioral Psychoeducation Program for Depression: A Randomized Controlled Trial"],"prefix":"10.3928","author":[{"given":"Fat\u0131ma \u00d6zdemir","family":"\u015ei\u011fva","sequence":"first","affiliation":[{"name":"Department of Medical Services and Techniques\/First and Emergency Aid Program, Mardin Artuklu University, Mardin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurg\u00fcl","family":"\u00d6zdemir","sequence":"additional","affiliation":[{"name":"Department of Psychiatric Nursing, Faculty of Health Sciences, Gaziantep University, Gaziantep"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Timu\u00e7in","family":"Atayo\u011flu","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Faculty of Medicine, Istanbul Hali\u00e7 University, \u0130stanbul, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.46237\/amusbfd.732067"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.70755"},{"key":"e_1_3_2_4_1","volume-title":"Psychiatric-mental health nursing: Scope and standards of practice","author":"American Nurses Association, American Psychiatric Nurses Association, & International Society of Psychiatric-Mental Health Nurses","year":"2022","unstructured":"American Nurses Association, American Psychiatric Nurses Association, & International Society of Psychiatric-Mental Health Nurses. (2022). Psychiatric-mental health nursing: Scope and standards of practice(3rd ed.). American Nurses Association.","edition":"3"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","unstructured":"American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders(5th ed.). 10.1176\/appi.books.9780890425596","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41811-023-00160-6"},{"issue":"1","key":"e_1_3_2_7_1","first-page":"33","article-title":"\u00c7ok boyutlu mizah duygusu \u00f6l\u00e7e\u011fi: Fakt\u00f6r yap\u0131s\u0131, g\u00fcvenirlik ve ge\u00e7erlik \u00e7al\u0131\u015fmas\u0131 [Multidimensional sense of humor, reliability, validity, factor structure]","volume":"7","author":"Aslan S. H.","year":"1999","unstructured":"Aslan, S. H., Alparslan, Z. N., Evlice, Y. E., Aslan, R. O., & Cenkseven, F. (1999). \u00c7ok boyutlu mizah duygusu \u00f6l\u00e7e\u011fi: Fakt\u00f6r yap\u0131s\u0131, g\u00fcvenirlik ve ge\u00e7erlik \u00e7al\u0131\u015fmas\u0131 [Multidimensional sense of humor, reliability, validity, factor structure]. Psikiyatri, Psikoloji ve Psikofarmakoloji Dergisi, 7(1), 33\u201339. https:\/\/psikiyatridizini.net\/makale\/cok-boyutlumizah-duygusu-olcegi-faktor-yapisi-guvenirlik-ve-gecerlik-calismasi\/","journal-title":"Psikiyatri, Psikoloji ve Psikofarmakoloji Dergisi"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.29252\/jrh.8.3.278"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.29263"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.18863\/pgy.689943"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.1213"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2024.101026"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12337"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tics.2010.06.007"},{"key":"e_1_3_2_16_1","volume-title":"Ad\u00f6lesanlarda benlik sayg\u0131s\u0131","author":"\u00c7uhadaro\u011flu F","year":"1986","unstructured":"\u00c7uhadaro\u011flu, F. (1986). Ad\u00f6lesanlarda benlik sayg\u0131s\u0131[Self-esteem in adolescents] [Unpublished specialist thesis]. Hacettepe \u00dcniversitesi."},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21069"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291709006114"},{"issue":"2","key":"e_1_3_2_19_1","first-page":"132","article-title":"Bili\u015fsel-davran\u0131\u015f\u00e7\u0131 terapi teknikleri ve psikiyatri hem\u015fireli\u011fi uygulamas\u0131 [Cognitive behavioral therapy techniques and psychiatric nursing]","volume":"8","author":"Demiralp M.","year":"2007","unstructured":"Demiralp, M., & Oflaz, F. (2007). Bili\u015fsel-davran\u0131\u015f\u00e7\u0131 terapi teknikleri ve psikiyatri hem\u015fireli\u011fi uygulamas\u0131 [Cognitive behavioral therapy techniques and psychiatric nursing]. Anadolu Psikiyatri Dergisi, 8(2), 132\u2013139. https:\/\/search.trdizin.gov.tr\/tr\/yayin\/detay\/65593\/bilisseldavranisci-terapi-teknikleri-ve-psikiyatrihemsireligi-uygulamasi","journal-title":"Anadolu Psikiyatri Dergisi"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.26559\/mersinsbd.1156801"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/1053-0479.18.2.137"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.56.3.218"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000502"},{"issue":"3","key":"e_1_3_2_24_1","first-page":"13","article-title":"Validity and reliability of Beck Depression Inventory in university students","volume":"7","author":"Hisli N.","year":"1989","unstructured":"Hisli, N. (1989). Validity and reliability of Beck Depression Inventory in university students. 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(2009). \u00dcniversite \u00f6\u011frencilerinin mizah tarzlar\u0131ile alg\u0131lanan stres kayg\u0131ve depresyon d\u00fczeyleri aras\u0131ndaki ili\u015fkinin incelenmesi [Investigation of the relationship between university students' humor styles and their perceived stress anxiety and depression levels] [Doctoral dissertation Thesis No. 241451]. \u00c7ukurova \u00dcniversitesi Adana. https:\/\/tez.yok.gov.tr\/UlusalTezMerkezi\/TezGoster?key=CwVIqqBuz1VkysVpueogAeSh_rYLx1o6QbujO8Ojzw8ffl-VqxSLOKb3sgzRZ_7w"},{"key":"e_1_3_2_43_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs14070604"},{"key":"e_1_3_2_44_1","doi-asserted-by":"publisher","DOI":"10.2466\/07.02.PR0.115c18z6"},{"key":"e_1_3_2_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14000"}],"container-title":["Journal of Psychosocial Nursing and Mental Health Services"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:31:08Z","timestamp":1792092668000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/02793695-20261007-04"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,19]]},"references-count":44,"alternative-id":["10.3928\/02793695-20261007-04"],"URL":"https:\/\/doi.org\/10.3928\/02793695-20261007-04","relation":{},"ISSN":["0279-3695","1938-2413"],"issn-type":[{"value":"0279-3695","type":"print"},{"value":"1938-2413","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,19]]}}}