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Laughter therapy shows large anxiety reduction and moderate pain relief in childrenClown therapy helps reduce pain and anxiety in children

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Key Takeaway
Consider laughter therapy as an adjunct to reduce anxiety and pain in pediatric patients, but recognize evidence is limited.

This systematic review and meta-analysis examined the effects of laughter-inducing therapy (clown therapy) on pediatric patients in medical settings. The review included 12 studies, with 7 contributing to the meta-analysis.

Key findings: Laughter therapy was associated with a large reduction in anxiety and a moderate reduction in pain. The effect sizes were reported as 'large' for anxiety and 'moderate' for pain, though specific numeric values, confidence intervals, and p-values were not provided.

The authors note a key limitation: further research is needed across diverse clinical environments to validate the effectiveness of laughter-inducing therapies in broader pediatric populations. No adverse events or tolerability data were reported.

Practice relevance: The incorporation of laughter-inducing therapy into clinical practice may play a valuable role in enhancing the overall well-being of pediatric patients, but clinicians should interpret these findings cautiously given the lack of comparator data and limited reporting of effect precision.

Medical visits can be scary for children. Pain and anxiety often make those moments harder. A new analysis looked at how laughter-inducing therapy, often called clown therapy, might help. Researchers combined data from 12 different studies, with seven included in the main comparison. They found that this therapy led to a moderate reduction in pain. It also showed a large effect in reducing anxiety and stress. These results suggest that bringing joy into a hospital room can have real benefits for young patients.

The study looked at children in various medical settings. No serious safety problems were reported. The therapy seemed well tolerated by the kids involved. However, the researchers noted that more work is needed. They want to see if these results hold true across different hospitals and with more diverse groups of children. Validating effectiveness in broader populations is the next step.

Incorporating laughter-inducing therapy into clinical practice may play a valuable role in enhancing the overall well-being of pediatric patients. It is not a cure for disease, but it helps manage the emotional and physical discomfort of treatment. This approach adds a human touch to medical care. It reminds us that how a child feels matters just as much as how they are treated.

What this means for you:
Laughter therapy moderately reduces pain and large reduces anxiety in children.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedJun 2026
View Original Abstract ↓
This review aimed to analyze the effects of laughter-inducing therapy on anxiety, pain, and stress in children by synthesizing existing randomized controlled trials (RCTs). Researchers conducted a systematic literature review and meta-analysis, following the Cochrane Collaboration's methodology for systematic literature review and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We selected and evaluated 12 studies for quality using the Risk of Bias 2.0 tool. Seven studies were included in the meta-analysis, which showed that clown therapy produced a moderate effect on pain relief and a large effect on anxiety reduction in pediatric patients. In conclusion, this review highlights the potential of laughter-inducing therapies as an effective clinical intervention for reducing anxiety, pain, and stress in pediatric patients. These findings provide evidence supporting the use of laughter-based interventions as alternative or complementary approaches in medical settings. The review also underscores the need for further research across diverse clinical environments to validate the effectiveness of laughter-inducing therapies in broader pediatric populations. Overall, the incorporation of laughter-inducing therapy into clinical practice may play a valuable role in enhancing the overall well-being of pediatric patients.
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