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CLINICAL TRIAL STUDY Laughter in Combination with Yoga Exercises: Changes in Psychological Distress and Quality of Life in Patients with Coronary Heart Disease (CHD) Shima Rouhi , Soraya Etemadi and Mehrnoosh Pooraghajan Department of Psychology, University of Tehran, Tehran, Iran Department of Psychology, University of Tehran, Tehran, Iran Department of Psychology, Khatam University, Tehran, Iran