Effect of aromatherapy on sleep quality of adults and elderly people: A systematic literature review and meta-analysis

Purpose: The purpose of this study was to characterize studies on aromatherapy and sleep quality and to identify the measurable effects of aromatherapy on the sleep quality of adults and elderly people. Methods: We searched eight electronic databases for relevant studies published between January 20...

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Main Authors: Jihoo Her, Mi-Kyoung Cho
Format: Article
Language:English
Published: Elsevier 2021-08-01
Series:Complementary Therapies in Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0965229921000807
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author Jihoo Her
Mi-Kyoung Cho
author_facet Jihoo Her
Mi-Kyoung Cho
author_sort Jihoo Her
collection DOAJ
description Purpose: The purpose of this study was to characterize studies on aromatherapy and sleep quality and to identify the measurable effects of aromatherapy on the sleep quality of adults and elderly people. Methods: We searched eight electronic databases for relevant studies published between January 2011 and December 2019 using the medical subheadings, “adult or elderly,” “aromatherapy or aroma intervention,” and “sleep quality or sleep satisfaction.” Statistical analyses of the combined effect sizes, homogeneity, heterogeneity, and trim-and-fill method were performed using MIX 2.0 Pro. Results: Based on the combined results of the 30 included studies, the overall effect size of sleep quality was 0.74, which was statistically significant. A subgroup analysis was performed to assess the overall improvement in sleep quality based on country, study design, and type of intervention: the effect size of aromatherapy in East Asia, quasi-experimental studies, and aroma massage therapy studies was 1.02, 1.24, and 1.30, respectively, with higher sleep quality in each subgroup. The effect size was 0.86 and 0.80 for ≤12 interventions and for an intervention period of ≤4 weeks, respectively. Aromatherapy interventions lasting >20 min per session had an effect size of 1.28, with no significant difference in sleep quality. Quality evaluation revealed that the sleep quality after aromatherapy was significantly high in studies with methodological quality scores >8, with an effect size of 0.93. Moreover, significant combined effects of aromatherapy were observed with other variables such as stress, pain, anxiety, depression, and fatigue. Conclusion: Aromatherapy improves sleep quality and reduces stress, pain, anxiety, depression, and fatigue in adults and elderly people.
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spelling doaj.art-cf7b9359519a406084120535812a0aee2022-12-21T22:45:49ZengElsevierComplementary Therapies in Medicine0965-22992021-08-0160102739Effect of aromatherapy on sleep quality of adults and elderly people: A systematic literature review and meta-analysisJihoo Her0Mi-Kyoung Cho1Seoul National University Bundang Hospital, 82, Gumi-ro, 173 beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, Republic of KoreaDepartment of Nursing Science, College of Medicine, Chungbuk National University, 1, Chungdae-ro, Seowon-gu, Cheonju-si, Chungcheongbuk-do, 28644, Republic of Korea; Corresponding author.Purpose: The purpose of this study was to characterize studies on aromatherapy and sleep quality and to identify the measurable effects of aromatherapy on the sleep quality of adults and elderly people. Methods: We searched eight electronic databases for relevant studies published between January 2011 and December 2019 using the medical subheadings, “adult or elderly,” “aromatherapy or aroma intervention,” and “sleep quality or sleep satisfaction.” Statistical analyses of the combined effect sizes, homogeneity, heterogeneity, and trim-and-fill method were performed using MIX 2.0 Pro. Results: Based on the combined results of the 30 included studies, the overall effect size of sleep quality was 0.74, which was statistically significant. A subgroup analysis was performed to assess the overall improvement in sleep quality based on country, study design, and type of intervention: the effect size of aromatherapy in East Asia, quasi-experimental studies, and aroma massage therapy studies was 1.02, 1.24, and 1.30, respectively, with higher sleep quality in each subgroup. The effect size was 0.86 and 0.80 for ≤12 interventions and for an intervention period of ≤4 weeks, respectively. Aromatherapy interventions lasting >20 min per session had an effect size of 1.28, with no significant difference in sleep quality. Quality evaluation revealed that the sleep quality after aromatherapy was significantly high in studies with methodological quality scores >8, with an effect size of 0.93. Moreover, significant combined effects of aromatherapy were observed with other variables such as stress, pain, anxiety, depression, and fatigue. Conclusion: Aromatherapy improves sleep quality and reduces stress, pain, anxiety, depression, and fatigue in adults and elderly people.http://www.sciencedirect.com/science/article/pii/S0965229921000807AromatherapySleep qualityEssential oilsMeta-analysisLavender oilAlternative therapy
spellingShingle Jihoo Her
Mi-Kyoung Cho
Effect of aromatherapy on sleep quality of adults and elderly people: A systematic literature review and meta-analysis
Complementary Therapies in Medicine
Aromatherapy
Sleep quality
Essential oils
Meta-analysis
Lavender oil
Alternative therapy
title Effect of aromatherapy on sleep quality of adults and elderly people: A systematic literature review and meta-analysis
title_full Effect of aromatherapy on sleep quality of adults and elderly people: A systematic literature review and meta-analysis
title_fullStr Effect of aromatherapy on sleep quality of adults and elderly people: A systematic literature review and meta-analysis
title_full_unstemmed Effect of aromatherapy on sleep quality of adults and elderly people: A systematic literature review and meta-analysis
title_short Effect of aromatherapy on sleep quality of adults and elderly people: A systematic literature review and meta-analysis
title_sort effect of aromatherapy on sleep quality of adults and elderly people a systematic literature review and meta analysis
topic Aromatherapy
Sleep quality
Essential oils
Meta-analysis
Lavender oil
Alternative therapy
url http://www.sciencedirect.com/science/article/pii/S0965229921000807
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