Abstract
As concern for student well-being grows, this research strived to investigate a cost-effective, engaging method to alleviate stress while enhancing mental health. Although peer-reviewed research on Laughter Yoga is limited, findings suggest benefits including stress reduction, improved mental well-being, and positive physiological effects. This study evaluated the effects of 14 online Laughter Yoga sessions (curated YouTube videos, maximum of one a day) on perceived stress, happiness, and mindfulness among university students. The participants (n = 75) followed sessions led by certified Laughter Yoga instructors: 31 students completed them in 2–3 weeks, while 44 took more than 3 weeks. Data was acquired from the Perceived Stress Scale (PSS), the Oxford Happiness Questionnaire (OHQ), and the Mindful Attention Awareness Scale (MAAS) both before and after the intervention. Paired samples t-tests revealed significant improvements across all measures, no matter how long was taken to watch all 14. Participants reported lower PSS scores and greater happiness and mindfulness post-intervention. Correlational analyses suggested that stress reductions were strongly associated with increased happiness and mindfulness. This study is one of the first to provide evidence for the utility of Laughter Yoga as an online, individual and low-cost intervention in post-secondary settings and suggests it could be integrated in future student wellness programmes.
References
American Psychological Association. (2019). Mindfulness meditation: A research-proven way to reduce stress https://www.apa.org/topics/mindfulness/meditation
Aiken, R. (2018). Universities have a responsibility to care for students’ mental health. The Queen’s University Journal. https://www.queensjournal.ca/universities-have-a-responsibility-to-care-for-students-mental-health/
Bal, B., Demirci, C., & Kilicli, G. G. (2024). The effects of laughter yoga on happiness and stress in nursing students going into clinical practice for the first time. Journal of Holistic Nursing, 43(2), 159–169. https://doi.org/10.1177/08980101241237928
Bennett, M. P., & Lengacher, C. (2009). Humor and laughter may influence health IV. Humor and immune function. Evidence-based Complementary and Alternative Medicine, 6(2), 159-164. https://doi.org/10.1093/ecam/nem149
Breit, S., Kupferberg, A., Rogler, G., & Hasler, G. (2018). Vagus nerve as modulator of the brain–gut axis in psychiatric and inflammatory disorders. Frontiers in Psychiatry, 9(44). https://doi.org/10.3389/fpsyt.2018.00044
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848. https://doi.org/10.1037/0022-3514.84.4.822
Chan, J. W. (2019). Laughter Yoga as a school-based wellness programme: Supporting the well-being of Nishnawbe youth. Canadian Journal for New Scholars in Education/ Revue Canadienne Des Jeunes Chercheures et Chercheurs En Éducation, 10(2). https://journalhosting.ucalgary.ca/index.php/cjnse/article/view/68533
Cho, E. A., & Hyun, E. O. (2011). Effects of laughter therapy on depression, quality of life, resilience and immune responses in breast cancer survivors. Journal of Korean Academy of Nursing, 41(3), 285–293. https://doi.org/10.4040/jkan.2011.41.3.285
Chu, B., Marwaha, K., Sanvictores, T., Awosika, A. O., & Ayers, D. (2025). Physiology, Stress Reaction. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK541120/
Cosentino, S., Sessa, S., & Takanishi, A. (2016). Quantitative laughter detection, measurement, and classification-a critical survey. IEEE Reviews in Biomedical Engineering, 9, 148–162. https://doi.org/10.1109/RBME.2016.2527638
Davidson, R. J., & Kaszniak, A. W. (2015). Conceptual and methodological issues in research on mindfulness and meditation. American Psychologist, 70(7), 581-592. https://doi.org/10.1037/a0039512
Dunbar, R. I. M., Baron, R., Frangou, A., Pearce, E., van Leeuwen, E. J. C., Stow, J., Partridge, G., MacDonald, I., Barra, V., & van Vugt, M. (2012). Social laughter is correlated with an elevated pain threshold. Proceedings. Biological Sciences, 279(1731), 1161–1167. https://doi.org/10.1098/rspb.2011.1373
Dunbar, R. I. M., Frangou, A., Grainger, F., & Pearce, E. (2021). Laughter influences social bonding but not prosocial generosity to friends and strangers. PLOS ONE, 16(8), e0256229. https://doi.org/10.1371/journal.pone.0256229
Filippelli, M., Pellegrino, R., Iandelli, I., Misuri, G., Rodarte, J. R., Duranti, R., Brusasco, V., & Scano, G. (2001). Respiratory dynamics during laughter. Journal of Applied Physiology, 90(4), 1441–1446. https://doi.org/10.1152/jappl.2001.90.4.144 1
Gallo, G. G., Curado, D. F., Machado, M. P. A., Espíndola, M. I., Scattone, V. V., & Noto, A. R. (2023). A randomized controlled trial of mindfulness: Effects on university students’ mental health. International Journal of Mental Health Systems, 17(1), 32. https://doi.org/10.1186/s13033-023-00604-8
Harris, K. M., Gaffey, A. E., Schwartz, J. E., Krantz, D. S., & Burg, M. M. (2023). The Perceived Stress Scale as a measure of stress: Decomposing score variance in longitudinal behavioural medicine studies. Annals of Behavioural Medicine: A Publication of the Society of Behavioural Medicine, 57(10), 846–854. https://doi.org/10.1093/abm/kaad015
Hills, P., & Argyle, M. (2002). The Oxford Happiness Questionnaire: A compact scale for the measurement of psychological well-being. Personality and Individual Differences, 33(7), 1073–1082. https://doi.org/10.1016/S0191-8869(01)00213-6
Hölzel, B. K., Carmody, J., Vangel, M., Congleton, C., Yerramsetti, S. M., Gard, T., & Lazar, S. W. (2011). Mindfulness practice leads to increases in regional brain gray matter density: A longitudinal study. Psychiatry Research: Neuroimaging, 191(1), 36–43. https://doi.org/10.1016/j.pscychresns.2010.08.006
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156. https://doi.org/10.1093/clipsy.bpg016
Kataria, M., Ben-Moshe, R., & Gonot-Schoupinsky, F. (2023). Laughter and mental health: A case study of Dr Madan Kataria. Mental Health and Social Inclusion, 27(3), 220–229. https://doi.org/10.1108/mhsi-03-2023-0032
Kataria, M. (2002). Laugh for no reason (2nd ed.). Madhuri International. https://laughteryogawithalexa.com/wp-content/uploads/2017/11/Laugh-for-no-Reason-e-BOOK.pdf
Kaya, K. Ç., Özkan, Ç. G., & Ağiş, D. (2025). Effects of laughter yoga practiced by the first year nursing students before clinical practice on their perceptions of stress and meaning of life: A randomized controlled trial. BMC Nursing, 24(1), 41. https://doi.org/10.1186/s12912-024-02642-0
Ko, H. J., & Youn, C. H. (2011). Effects of laughter therapy on depression, cognition, and sleep among the community-dwelling elderly. Geriatric Gerontology International, 11(3), 267-274. https://doi.org/10.1111/j.1447-0594.2010.00673.x
Kramer, C. K., & Leitao, C. B. (2023). Laughter as medicine: A systematic review and meta-analysis of interventional studies evaluating the impact of spontaneous laughter on cortisol levels. PLOS ONE, 18(5), e0286260. https://doi.org/10.1371/journal.pone.0286260
Maher, C. (2021). The benefits of mindfulness for university students. Building Healthy Academic Communities Journal, 5(1), 42-57. https://doi.org/10.18061/bhac.v5i1.7735
Meier, M., Wirz, L., Dickinson, P., & Pruessner, J. C. (2020). Laughter yoga reduces the cortisol response to acute stress in healthy individuals. Stress, 24(1), 44–52. https://doi.org/10.1080/10253890.2020.1766018
Miller, K. (2024, December 4). The Mindful Attention Awareness Scale (MAAS). PositivePsychology. https://positivepsychology.com/mindful-attention-awareness-scale-maas/
Pascoe, M. C., Thompson, D. R., Jenkins, Z. M., & Ski, C. F. (2017). Yoga, mindfulness-based stress reduction and stress-related physiological measures: A meta-analysis. Psychoneuroendocrinology, 86, 152–168. https://doi.org/10.1016/j.psyneuen.2017.08.008
Rahman, M. S., & Wali, F. B. (2022). The effect of laughter yoga on working memory: a pilot study. The European Journal of Humour Research, 10(3), 78-87. https://doi.org/10.7592/EJHR.2022.10.3.597
Rosner, F. (2002). Therapeutic efficacy of laughter in medicine: OP–ED. Cancer Investigation, 20(3), 434–436. https://doi.org/10.1081/CNV-120001187
Si̇s Çeli̇k, A., & Kılınç, T. (2022). The effect of laughter yoga on perceived stress, burnout, and life satisfaction in nurses during the pandemic: A randomized controlled trial. Complementary Therapies in Clinical Practice, 49, 101637. https://doi.org/10.1016/j.ctcp.2022.101637
Smith, A. M. (2023). Who Knew! Neuroscience and Mindfulness take on Stress in the Real World and Win!. Amazon.ca https://who-knew.ca
Son, C., Hegde, S., Smith, A., Wang, X., & Sasangohar, F. (2020). Effects of COVID-19 on college students’ mental health in the United States: Interview survey study. Journal of Medical Internet Research, 22(9), e21279. https://doi.org/10.2196/21279
University of Ottawa Integrated Neurocognitive and Social Psychophysiology Interdisciplinary Research Environment (INSPIRE) Core Facility (RRID:SCR_027487)
Vogel, K. (2022). The difference between mindfulness and Dispositional Mindfulness. Psych Central.https://psychcentral.com/blog/dispositional-mindfulness-noticing-what-you-notice#mindfulness-vs-dispositional-mindfulness
Weinberg, M. K., Hammond, T. G., & Cummins, R. A. (2013). The impact of laughter yoga on subjective wellbeing: A pilot study. The European Journal of Humour Research, 1(4), Article 4. https://doi.org/10.7592/EJHR2013.1.4.weinberg
Wilson-Barlow, L., Wyman-Chick, K., Levine, B. A., (2019, September 27). The physiological effects of laughter - find a psychologist. Find a Psychologist - Find a licensed psychologist that’s right for you. https://www.findapsychologist.org/the-physiological-effects-of-laughter-by-lindsay-wilson-barlow/
Wu, L., & Yuen, M. (2025). Effectiveness of laughter therapies on students’ mental health: A meta-analytic review. British Journal of Guidance & Counselling, 1-17. https://doi.org/10.1080/03069885.2024.2449013
Yim, J.E. (2016). Therapeutic benefits of laughter in mental health: A theoretical review. The Tohoku Journal of Experimental Medicine, 239, 243-249. https://doi.org/10.1620/tjem.239.243

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