Anger ProblemsNCT06827015
Laughter Yoga's Impact on Children's Anger and Well-Being
A study testing Laughter-Based Anger Reduction Program in people with Anger Problems and Spiritual Well-being, run by Mersin University at 2 sites in Turkey (Türkiye).
Trial summary
This study aims to evaluate the effects of laughter yoga on anger levels and mental well-being in schoolchildren. Research indicates that laughter yoga has the potential to reduce stress and improve communication skills. Read more about this study
- Who is it for?
- Ages 8 to 11 years
- Conditions the study is for
- Anger Problems, Spiritual Well-being
- What is being tested?
- Laughter-Based Anger Reduction Program
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 96 participants
- Where
- 2 sitesTurkey (Türkiye)
- Study dates
- 16 Mar 2025to 25 May 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 8 to 11 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Being between the ages of 8-11,
- Being a student who regularly attends the school where the study is conducted between February 3 and June 6, when research data is collected,
- Having written consent from a parent/guardian to participate in the study,
- Being willing to participate in the study, and
- Scoring above the median on the Emotion Regulation Scale for Children.
Who cannot join
- Having a diagnosed health problem that could interfere with laughter exercises (respiratory issues, heart conditions, musculoskeletal problems),
- Having undergone psychological treatment in the last 3 months,
- Currently participating in another psychological support program, and
- Scoring below the median on the Emotion Regulation Scale for Children.
- The criteria for termination of the intervention are not attending two consecutive sessions and non-compliance with the study protocol.
Trial locations and contacts
2 sites in 1 country.
Turkey (Türkiye)2 sites
Ahmet Mete Işıkara Primary School
Akdeniz, Mersin, 33010
Hurriyet Primary School
Akdeniz, Mersin, 33010
About this study
Official title: The Effect of Laughter Yoga on Anger Levels and Subjective Well-Being in School-Aged Children
This study aims to evaluate the effects of laughter yoga on anger levels and mental well-being in schoolchildren. Research indicates that laughter yoga has the potential to reduce stress and improve communication skills. There have been few studies specifically targeting children with high anger levels and low mental well-being. This study focuses on children under stress or with limited social support. Laughter yoga is a fun and effective technique that can be easily integrated into children's daily lives. The study is expected to provide positive contributions to the educational environment and reduce behavioral issues.
Read the detailed description
This study is a randomized controlled trial aimed at evaluating the effects of laughter yoga on school-aged children's anger levels and mental well-being. The research encompasses a total of 2958 students from two primary schools in Mersin Akdeniz, using 396 fourth-grade students as the sample. Specifically, this research targets children exposed to stress or limited social support, as there are few studies focusing on children with high anger levels and low mental well-being. Children will be assigned to intervention and delay groups based on simple randomization of their anger scores. This process will be conducted branch-based with the assistance of another researcher, and neither participants nor statisticians will have access to group information. The research will collect data in four stages: pre-test, intervention process, post-test, and a follow-up one month later. At each stage, the Emotion Regulation Scale for Children and the Mental Well-Being Questionnaire will be used. Participants will fill in the Mental Well-Being Questionnaire every night before bed during the intervention period, allowing us to evaluate the study's effects. In the long term, it is expected that integrating laughter yoga into children's daily lives in a fun and effective way will provide positive contributions in educational settings and reduce behavioral problems. Research also indicates that laughter yoga has the potential for stress reduction and enhancing communication skills.
- Conditions
- Anger Problems, Spiritual Well-being
- Being tested
- Laughter-Based Anger Reduction Program
- Keywords
- ANGER, LAUGHTER YOGA, SPIRITUAL WELL-BEING, SCHOOL AGE CHILDREN
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Laughter-Based Anger Reduction ProgramBehavioural
This intervention involves structured Laughter Yoga sessions lasting 40 minutes each, conducted twice a week. It specifically targets students with high anger levels. The program combines breathing exercises, playful laughter activities, and relaxation techniques to reduce stress and promote emotional regulation. Unlike other interventions, this program uniquely emphasizes laughter as a tool for managing anger and enhancing overall well-being.
| Study group | Role | What they receive |
|---|---|---|
| Group Receiving Laughter Yoga | Experimental | Eight Laughter Yoga Sessions, Each Lasting 40 Minutes, Conducted Twice a Week, for Students with High Anger Levels Receives: Behavioral: Laughter-Based Anger Reduction Program |
| Group Without Any Intervention | No intervention | Participants Receiving No Intervention to Assess Baseline Anger Levels |
What is being measured
The primary outcome is the main question the study is designed to answer.
Emotion Regulation Scale for Children (ÇDDÖ)
Emotion Regulation Scale for Children (ÇDDÖ) is designed to assess emotion regulation skills in children aged 8-12. The scale consists of four subscales: Anger (9 items), Excitement (5 items), Fear (8 items), and Sadness (7 items). Each item is rated using a 4-point Likert scale ranging from 1 (does not describe me at all) to 4 (describes me completely). In the reliability and validity study of the Turkish version, the Cronbach's Alpha coefficient was found to be 0.85 for the overall scale. Additionally, there are reverse-scored items (Anger items: 2, 9; Excitement items: 4, 5; Fear items: 3, 6, 7).An increase in the total score indicates an improvement in emotion regulation levels. The average score is 79.50 ± 11.11. Scores below 68.39 indicate poor emotion regulation skills, while scores above 90.61 indicate a positive condition. The ÇDDÖ is planned to be administered on three different occasions: as a pre-test,post-test, and one-month follow-up.
Measured: 2 MONTHS
Mental Well-Being Survey
This survey study aims to evaluate children's daily emotional states using a visual tool. Every day before going to bed, children select the expression that best reflects their emotional state. For evaluation, five facial expressions rated from 1 (very sad) to 5 (very happy) will be used. The scores of the facial expressions selected each day will be collected over a period of 30 days.
The collected scores will help determine whether a child's mood trends positively or negatively. In the planned study, the minimum score will be 5, and the maximum score will be 25. Based on these scores, values above the average will be considered indicators of a positive mood, while values below the average will be viewed as signs of a negative emotional state.
The study is planned to include a 4-week measurement and subsequently the first-month measurements.
Measured: 2 Months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Feb 2025
- Study start16 Mar 2025
- Primary completion16 May 2025
- Study completion25 May 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Anger ProblemsStudies of the same condition, open and under way.
- More trials run by Mersin UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants will be randomly assigned to intervention (laughter yoga) and control groups. Intervention effects will be measured at baseline and end.
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Outcomes assessor
- Enrolment
- 96 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mersin University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Şirin İnanç, Mersin University
- Investigators
- Emine Öncü, Advisor, Study director, Mersin University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06827015
- Sponsor's protocol ID
- 2024/1224
- Status last verified
- Feb 2026
- First submitted
- 10 Feb 2025
- Last updated
- 27 Feb 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: If someone wants to use the data, they will request permission, and it will be shared based on suitability.
Study at a glance
From the registry record, last updated by the sponsor on 27 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Laughter Yoga on Anger Levels and Subjective Well-Being in School-Aged Children
- ClinicalTrials.gov ID
- NCT06827015
- Acronym / sponsor ID
- 2024/1224
- Conditions
- Anger Problems, Spiritual Well-being
- Keywords
- ANGER, LAUGHTER YOGA, SPIRITUAL WELL-BEING, SCHOOL AGE CHILDREN
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 96 participants (actual)
- Lead sponsor
- Mersin UniversityUniversity, hospital or other
- Study start
- 16 Mar 2025 (actual)
- Primary completion
- 16 May 2025 (actual)
- Study completion
- 25 May 2025 (actual)
- First posted
- 14 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to evaluate the effects of laughter yoga on anger levels and mental well-being in schoolchildren. Research indicates that laughter yoga has the potential to reduce stress and improve communication skills. There have been few studies specifically targeting children with high anger levels and low mental well-being. This study focuses on children under stress or with limited social support. Laughter yoga is a fun and effective technique that can be easily integrated into children's daily lives. The study is expected to provide positive contributions to the educational environment and reduce behavioral issues.
Detailed description
This study is a randomized controlled trial aimed at evaluating the effects of laughter yoga on school-aged children's anger levels and mental well-being. The research encompasses a total of 2958 students from two primary schools in Mersin Akdeniz, using 396 fourth-grade students as the sample. Specifically, this research targets children exposed to stress or limited social support, as there are few studies focusing on children with high anger levels and low mental well-being. Children will be assigned to intervention and delay groups based on simple randomization of their anger scores. This process will be conducted branch-based with the assistance of another researcher, and neither participants nor statisticians will have access to group information. The research will collect data in four stages: pre-test, intervention process, post-test, and a follow-up one month later. At each stage, the Emotion Regulation Scale for Children and the Mental Well-Being Questionnaire will be used. Participants will fill in the Mental Well-Being Questionnaire every night before bed during the intervention period, allowing us to evaluate the study's effects. In the long term, it is expected that integrating laughter yoga into children's daily lives in a fun and effective way will provide positive contributions in educational settings and reduce behavioral problems. Research also indicates that laughter yoga has the potential for stress reduction and enhancing communication skills.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, outcomes assessor)
- Number of arms
- 2
- Model description
- Participants will be randomly assigned to intervention (laughter yoga) and control groups. Intervention effects will be measured at baseline and end.
| Arm | Type | Receives |
|---|---|---|
| Group Receiving Laughter Yoga | Experimental | Behavioral: Laughter-Based Anger Reduction ProgramEight Laughter Yoga Sessions, Each Lasting 40 Minutes, Conducted Twice a Week, for Students with High Anger Levels |
| Group Without Any Intervention | No intervention | –Participants Receiving No Intervention to Assess Baseline Anger Levels |
Who may qualify
- Ages
- 8 to 11 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (5 listed)
- Being between the ages of 8-11,
- Being a student who regularly attends the school where the study is conducted between February 3 and June 6, when research data is collected,
- Having written consent from a parent/guardian to participate in the study,
- Being willing to participate in the study, and
- Scoring above the median on the Emotion Regulation Scale for Children.
Key exclusion criteria (5 listed)
- Having a diagnosed health problem that could interfere with laughter exercises (respiratory issues, heart conditions, musculoskeletal problems),
- Having undergone psychological treatment in the last 3 months,
- Currently participating in another psychological support program, and
- Scoring below the median on the Emotion Regulation Scale for Children.
- The criteria for termination of the intervention are not attending two consecutive sessions and non-compliance with the study protocol.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Laughter-Based Anger Reduction ProgramThis intervention involves structured Laughter Yoga sessions lasting 40 minutes each, conducted twice a week. It specifically targets students with high anger levels. The program combines breathing exercises, playful laughter activities, and relaxation techniques to reduce stress and promote emotional regulation. Unlike other interventions, this program uniquely emphasizes laughter as a tool for managing anger and enhancing overall well-being. | Behavioural | Group Receiving Laughter Yoga |
Primary outcome
Emotion Regulation Scale for Children (ÇDDÖ)
Time frame: 2 MONTHS
Emotion Regulation Scale for Children (ÇDDÖ) is designed to assess emotion regulation skills in children aged 8-12. The scale consists of four subscales: Anger (9 items), Excitement (5 items), Fear (8 items), and Sadness (7 items). Each item is rated using a 4-point Likert scale ranging from 1 (does not describe me at all) to 4 (describes me completely). In the reliability and validity study of the Turkish version, the Cronbach's Alpha coefficient was found to be 0.85 for the overall scale. Additionally, there are reverse-scored items (Anger items: 2, 9; Excitement items: 4, 5; Fear items: 3, 6, 7).An increase in the total score indicates an improvement in emotion regulation levels. The average score is 79.50 ± 11.11. Scores below 68.39 indicate poor emotion regulation skills, while scores above 90.61 indicate a positive condition. The ÇDDÖ is planned to be administered on three different occasions: as a pre-test,post-test, and one-month follow-up.
Mental Well-Being Survey
Time frame: 2 Months
This survey study aims to evaluate children's daily emotional states using a visual tool. Every day before going to bed, children select the expression that best reflects their emotional state. For evaluation, five facial expressions rated from 1 (very sad) to 5 (very happy) will be used. The scores of the facial expressions selected each day will be collected over a period of 30 days. The collected scores will help determine whether a child's mood trends positively or negatively. In the planned study, the minimum score will be 5, and the maximum score will be 25. Based on these scores, values above the average will be considered indicators of a positive mood, while values below the average will be viewed as signs of a negative emotional state. The study is planned to include a 4-week measurement and subsequently the first-month measurements.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Feb 2026.
- Individual participant dataSharing planned: No. If someone wants to use the data, they will request permission, and it will be shared based on suitability.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Emine Öncü, Advisor study director
Mersin University
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Laughter-Based Anger Reduction Program in people with Anger Problems and Spiritual Well-being, run by Mersin University at 2 sites in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Emotion Regulation Scale for Children (ÇDDÖ) (time frame: 2 MONTHS). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Feb 2026.