The Effect of Humorous Stimuli on Alleviating Pain during Mammography: A Preliminary Study

Abstract

Mammography is widely performed as a standardized procedure for breast cancer screening; however, women often feel some degree of pain during this procedure. Currently, there are limited options available for alleviating pain related to mammography. A non-medicinal approach to the alleviation of pain involves the effects of laughter on physical and psychological wellbeing. We therefore examined the possibility that humorous stimuli would alleviate the physical burden on women undergoing mammography. We assessed 29 women, 15 women received only conventional mammography (neutral group), while 14 women (humor group) watched a funny video during the same examination. The intensity of pain experienced during mammography was assessed by visual analogue scale (VAS) and the VAS results showed a statistically significant difference (P = 0.007) between the two groups, with the humor group experiencing less pain. In an additional experiment, 14 women in the humor group also underwent conventional mammography without exposure to the funny video and pain was assessed by VAS. We found that the pain experienced during conventional mammography without the funny video was significantly greater than the pain experienced during the same mammography but with the funny video (P = 0.047). These findings suggested the possibility of alleviating pain during mammography by humorous stimuli.

Share and Cite:

Lee, Y. and Uchiyama, M. (2015) The Effect of Humorous Stimuli on Alleviating Pain during Mammography: A Preliminary Study. Health, 7, 659-664. doi: 10.4236/health.2015.76078.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Drukker, B.H. (1997) Breast Disease: A Primer on Diagnosis and Management. International Journal of Fertility and Women’s Medicine, 42, 278-287.
[2] Kerlikowske, K., Grady, D., Rubin, S.M., Sandrock, C. and Ernster, V.L. (1995) Efficacy of Screening Mammography. A Meta-Analysis. Journal of the American Medical Association, 273, 149-154.
http://dx.doi.org/10.1001/jama.1995.03520260071035
[3] Aro, A.R., Absetz-Ylostalo, P., Eerola, T., Pamilo, M. and Lonnqvist, J. (1996) Pain and Discomfort during Mammography. European Journal of Cancer, 32, 1674-1679.
http://dx.doi.org/10.1016/0959-8049(96)00140-2
[4] Kornguth, P.J., Keefe, F.J. and Conaway, M.R. (1996) Pain during Mammography: Characteristics and Relationship to Demographic and Medical Variables. Pain, 66, 187-194.
http://dx.doi.org/10.1016/0304-3959(96)03057-6
[5] Asghari, A. and Nicholas, M.K. (2004) Pain during Mammography: The Role of Coping Strategies. Pain, 108, 170-179.
http://dx.doi.org/10.1016/j.pain.2003.12.022
[6] Hafslund, B. (2000) Mammography and the Experience of Pain and Anxiety. Radiography, 6, 269-272.
http://dx.doi.org/10.1053/radi.2000.0281
[7] Sapir, R., Patlas, M., Strano, S.D., Hadas-Halpern, I. and Cherny, N.I. (2003) Does Mammography Hurt? Journal of Pain and Symptom Management, 25, 53-63.
http://dx.doi.org/10.1016/S0885-3924(02)00598-5
[8] Haus, A.G. (2002) Historical Technical Developments in Mammography. Technology in Cancer Research and Treatment, 1, 119-126.
http://dx.doi.org/10.1177/153303460200100204
[9] Ng, K.H., Jamal, N. and De Werd, L. (2006) Global Quality Control Perspective for the Physical and Technical Aspects of Screen-Film Mammography—Image Quality and Radiation Dose. Radiation Protection Dosimetry, 121, 445- 451.
http://dx.doi.org/10.1093/rpd/ncl051
[10] Robson, K.J. (2010) Advances in Mammographic Imaging. British Journal of Radiology, 83, 273-275.
http://dx.doi.org/10.1259/bjr/97865299
[11] Yamada, T. (2010) Current Status and Issues of Screening Digital Mam-mography in Japan. Breast Cancer, 17, 163- 168. http://dx.doi.org/10.1007/s12282-009-0191-z
[12] Davey, B. (2007) Pain during Mammography: Possible Risk Factors and Ways to Alleviate Pain. Radiography, 13, 229-234.
http://dx.doi.org/10.1016/j.radi.2006.03.001
[13] Sharp, P.C., Michielutte, R., Freimanis, R., Cunningham, L., Spangler, J. and Burnette, V. (2003) Reported Pain Following Mammography Screening. Archives of Internal Medicine, 163, 833-836.
http://dx.doi.org/10.1001/archinte.163.7.833
[14] Keel, K.D. (1948) The Pain Chart. Lancet, 2, 6-8.
http://dx.doi.org/10.1016/S0140-6736(48)91787-5
[15] Turk, D.C. and Melzack. R. (2001) Handbook of Pain Assessment. 2nd Edition, The Guilford Press, New York.
[16] Merzack, R. (1975) The McGill Pain Questionnaire: Major Properties and Scoring Methods. Pain, 1, 277-299.
http://dx.doi.org/10.1016/0304-3959(75)90044-5
[17] Majani, G., Tiengo, M., Giardini, A., Calori, G., De Micheli, P. and Battaglia, A. (2003) Relationship between MPQ and VAS in 962 Patients. A Rationale for Their use. Minerva Anestesiologica, 69, 67-73.
[18] Uchiyama, M., Lee, Y., Sadakata, M., Sayama, M. and Tsai, D.Y. (2012) Measurement of Muscle Activities for Evaluating Physical Burden and Pain during Mammography Positioning. Tohoku Journal of Experimental Medicine, 228, 53-58.
[19] Uchiyama, M., Lee, Y., Sadakata, M., Tsai, D.Y. and Sayama, M. (2015) Quantification of the Pain and Physical Burden Experienced during Positioning for Craniocaudal Imaging in Mammography, Evaluated by Measurement of Muscle Activity. Health, 7, 23-34.
http://dx.doi.org/10.4236/health.2015.71004
[20] Uchiyama, M., Lee, Y., Sadakata, M., Kazama, K., Minagawa, Y. and Tsurumaki, M. (2013) Effects of Mammography Positioning on the Autonomic Nervous Function. Health, 5, 1335-1341.
http://dx.doi.org/10.4236/health.2013.58181
[21] Tabar, L., Lebovic, G.S., Hermann, G.D., Kaufman, C.S., Alexander, C. and Sayre, J. (2004) Clinical Assessment of a Radiolucent Cushion for Mammography. Acta Radiologica, 45, 154-158.
[22] Markle, L., Roux, S. and Sayre, J.W. (2004) Reduction of Discomfort during Mammography Utilizing a Radiolucent Cushioning Pad. Breast Journal, 10, 345-349.
http://dx.doi.org/10.1111/j.1075-122X.2004.21352.x
[23] Kornguth, P.J., Rimer, B.K., Conaway, M.R., Sullivan, D.C., Catoe, K.E., Stout, A.L. and Brackett, J.S. (1993) Impact of Patient-Controlled Compression on the Mammography Experience. Radiology, 186, 99-102.
http://dx.doi.org/10.1148/radiology.186.1.8416595
[24] Cousins, N. (1976) Anatomy of an Illness (as Perceived by the Patient). New England Journal of Medicine, 295, 1458-1463.
http://dx.doi.org/10.1056/NEJM197612232952605
[25] Martin, R.A. (2001) Humor, Laughter, and Physical Health: Methodological Issues and Research Findings. Psychological Bulletin, 127, 504-519.
http://dx.doi.org/10.1037/0033-2909.127.4.504
[26] Mora-Ripoll, R. (2010) The Therapeutic Value of Laughter in Medicine. Alternative Therapies in Health and Medicine, 16, 56-64.
[27] Adams, E.R. and McGuire, F.A. (1986) Is Laughter the Best Medicine? A Study of the Effects of Humor on Perceived Pain and Affect. Activities, Adaptation and Aging, 8, 157-175.
http://dx.doi.org/10.1300/J016v08n03_17
[28] Rotton, J. and Shats, M. (1996) Effects of State Humor, Expectancies, and Choice on Postsurgical Mood and Self-Medication: A Field Experiment. Journal of Applied Social Psychology, 26, 1775-1794.
http://dx.doi.org/10.1111/j.1559-1816.1996.tb00097.x
[29] Nove, O., Keinan, G. and Teshimovssky, A.M. (1993) Humor and Pain Tolerance. Humor: International Journal of Humor Research, 6, 71-88.
[30] Weisenberg, M., Tepper, I. and Schwarzwald, J. (1995) Humor as a Cognitive Technique for Increasing Pain Tolerance. Pain, 63, 207-212.
http://dx.doi.org/10.1016/0304-3959(95)00046-U

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.