Relieving psychological stress and improving sleep quality by bergamot essential oil use before bedtime and upon awakening: A randomized crossover trial

Objectives: The COVID-19 pandemic increased psychological stress and decreased sleep quality, especially among young people. Aromatherapy alleviates psychological stress, and bergamot essential oil helps improve depression. This study aimed to verify whether bergamot essential oil use alleviates psy...

Full description

Bibliographic Details
Main Authors: Nobuyuki Wakui, Chikako Togawa, Kotoha Ichikawa, Raini Matsuoka, Mai Watanabe, Aika Okami, Shunsuke Shirozu, Miho Yamamura, Yoshiaki Machida
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Complementary Therapies in Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0965229923000638
_version_ 1797685333512421376
author Nobuyuki Wakui
Chikako Togawa
Kotoha Ichikawa
Raini Matsuoka
Mai Watanabe
Aika Okami
Shunsuke Shirozu
Miho Yamamura
Yoshiaki Machida
author_facet Nobuyuki Wakui
Chikako Togawa
Kotoha Ichikawa
Raini Matsuoka
Mai Watanabe
Aika Okami
Shunsuke Shirozu
Miho Yamamura
Yoshiaki Machida
author_sort Nobuyuki Wakui
collection DOAJ
description Objectives: The COVID-19 pandemic increased psychological stress and decreased sleep quality, especially among young people. Aromatherapy alleviates psychological stress, and bergamot essential oil helps improve depression. This study aimed to verify whether bergamot essential oil use alleviates psychological stress due to the COVID-19 pandemic and improves sleep quality and morning wakefulness. Design: A placebo-controlled, randomized, open-label, two-arm, two-period crossover trial. Interventions: Each intervention period was 1 week, with a 1-week washout period between the two periods. Participants used a bergamot or placebo spray before bedtime and upon awakening in each period. Main outcome measures: The primary outcome measures were sleep quality and morning wakefulness, assessed using the Ogri-Shirakawa-Azumi sleep inventory MA version (OSA-MA). The secondary outcome measures were depression, anxiety, and stress, assessed using the Depression Anxiety Stress Scales-21 (DASS-21). Results: A total of 48 university students participated in the study. A significant improvement was observed in “sleepiness on rising,” “refreshing on rising,” and “sleep length” in the bergamot group. Additionally, a significant improvement was observed in depression, anxiety, and stress. Conclusion: Using bergamot essential oil before bedtime helps relax the mind and body and provides sound sleep. It also improves mood and wakefulness when used upon awakening. Using aromatic essential oils is expected to relieve psychological stress and improve sleep quality and morning wakefulness.
first_indexed 2024-03-12T00:42:40Z
format Article
id doaj.art-e20f701cbe534ca4b2ad3921fe1cae16
institution Directory Open Access Journal
issn 0965-2299
language English
last_indexed 2024-03-12T00:42:40Z
publishDate 2023-10-01
publisher Elsevier
record_format Article
series Complementary Therapies in Medicine
spelling doaj.art-e20f701cbe534ca4b2ad3921fe1cae162023-09-15T04:39:07ZengElsevierComplementary Therapies in Medicine0965-22992023-10-0177102976Relieving psychological stress and improving sleep quality by bergamot essential oil use before bedtime and upon awakening: A randomized crossover trialNobuyuki Wakui0Chikako Togawa1Kotoha Ichikawa2Raini Matsuoka3Mai Watanabe4Aika Okami5Shunsuke Shirozu6Miho Yamamura7Yoshiaki Machida8Corresponding author.; Division of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo 142-8501, JapanDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo 142-8501, JapanDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo 142-8501, JapanDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo 142-8501, JapanDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo 142-8501, JapanDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo 142-8501, JapanDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo 142-8501, JapanDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo 142-8501, JapanDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo 142-8501, JapanObjectives: The COVID-19 pandemic increased psychological stress and decreased sleep quality, especially among young people. Aromatherapy alleviates psychological stress, and bergamot essential oil helps improve depression. This study aimed to verify whether bergamot essential oil use alleviates psychological stress due to the COVID-19 pandemic and improves sleep quality and morning wakefulness. Design: A placebo-controlled, randomized, open-label, two-arm, two-period crossover trial. Interventions: Each intervention period was 1 week, with a 1-week washout period between the two periods. Participants used a bergamot or placebo spray before bedtime and upon awakening in each period. Main outcome measures: The primary outcome measures were sleep quality and morning wakefulness, assessed using the Ogri-Shirakawa-Azumi sleep inventory MA version (OSA-MA). The secondary outcome measures were depression, anxiety, and stress, assessed using the Depression Anxiety Stress Scales-21 (DASS-21). Results: A total of 48 university students participated in the study. A significant improvement was observed in “sleepiness on rising,” “refreshing on rising,” and “sleep length” in the bergamot group. Additionally, a significant improvement was observed in depression, anxiety, and stress. Conclusion: Using bergamot essential oil before bedtime helps relax the mind and body and provides sound sleep. It also improves mood and wakefulness when used upon awakening. Using aromatic essential oils is expected to relieve psychological stress and improve sleep quality and morning wakefulness.http://www.sciencedirect.com/science/article/pii/S0965229923000638BergamotAroma sprayEssential oilOSA-MADASS-21
spellingShingle Nobuyuki Wakui
Chikako Togawa
Kotoha Ichikawa
Raini Matsuoka
Mai Watanabe
Aika Okami
Shunsuke Shirozu
Miho Yamamura
Yoshiaki Machida
Relieving psychological stress and improving sleep quality by bergamot essential oil use before bedtime and upon awakening: A randomized crossover trial
Complementary Therapies in Medicine
Bergamot
Aroma spray
Essential oil
OSA-MA
DASS-21
title Relieving psychological stress and improving sleep quality by bergamot essential oil use before bedtime and upon awakening: A randomized crossover trial
title_full Relieving psychological stress and improving sleep quality by bergamot essential oil use before bedtime and upon awakening: A randomized crossover trial
title_fullStr Relieving psychological stress and improving sleep quality by bergamot essential oil use before bedtime and upon awakening: A randomized crossover trial
title_full_unstemmed Relieving psychological stress and improving sleep quality by bergamot essential oil use before bedtime and upon awakening: A randomized crossover trial
title_short Relieving psychological stress and improving sleep quality by bergamot essential oil use before bedtime and upon awakening: A randomized crossover trial
title_sort relieving psychological stress and improving sleep quality by bergamot essential oil use before bedtime and upon awakening a randomized crossover trial
topic Bergamot
Aroma spray
Essential oil
OSA-MA
DASS-21
url http://www.sciencedirect.com/science/article/pii/S0965229923000638
work_keys_str_mv AT nobuyukiwakui relievingpsychologicalstressandimprovingsleepqualitybybergamotessentialoilusebeforebedtimeanduponawakeningarandomizedcrossovertrial
AT chikakotogawa relievingpsychologicalstressandimprovingsleepqualitybybergamotessentialoilusebeforebedtimeanduponawakeningarandomizedcrossovertrial
AT kotohaichikawa relievingpsychologicalstressandimprovingsleepqualitybybergamotessentialoilusebeforebedtimeanduponawakeningarandomizedcrossovertrial
AT rainimatsuoka relievingpsychologicalstressandimprovingsleepqualitybybergamotessentialoilusebeforebedtimeanduponawakeningarandomizedcrossovertrial
AT maiwatanabe relievingpsychologicalstressandimprovingsleepqualitybybergamotessentialoilusebeforebedtimeanduponawakeningarandomizedcrossovertrial
AT aikaokami relievingpsychologicalstressandimprovingsleepqualitybybergamotessentialoilusebeforebedtimeanduponawakeningarandomizedcrossovertrial
AT shunsukeshirozu relievingpsychologicalstressandimprovingsleepqualitybybergamotessentialoilusebeforebedtimeanduponawakeningarandomizedcrossovertrial
AT mihoyamamura relievingpsychologicalstressandimprovingsleepqualitybybergamotessentialoilusebeforebedtimeanduponawakeningarandomizedcrossovertrial
AT yoshiakimachida relievingpsychologicalstressandimprovingsleepqualitybybergamotessentialoilusebeforebedtimeanduponawakeningarandomizedcrossovertrial