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The Effects of Aromatherapy on Anxiety and Depression in People With Cancer: A Systematic Review and Meta-Analysis

BACKGROUND: Anxiety and depression are highly prevalent in people with cancer. Medical therapies are usually prescribed to alleviate anxiety and depression, but they are associated with a variety of adverse effects. Recently, aromatherapy showed potential as a complementary medicine to improve psych...

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Autores principales: Li, Dan, Li, Yuxin, Bai, Xue, Wang, Meijuan, Yan, Jingzheng, Cao, Yingjuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9215260/
https://www.ncbi.nlm.nih.gov/pubmed/35757624
http://dx.doi.org/10.3389/fpubh.2022.853056
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author Li, Dan
Li, Yuxin
Bai, Xue
Wang, Meijuan
Yan, Jingzheng
Cao, Yingjuan
author_facet Li, Dan
Li, Yuxin
Bai, Xue
Wang, Meijuan
Yan, Jingzheng
Cao, Yingjuan
author_sort Li, Dan
collection PubMed
description BACKGROUND: Anxiety and depression are highly prevalent in people with cancer. Medical therapies are usually prescribed to alleviate anxiety and depression, but they are associated with a variety of adverse effects. Recently, aromatherapy showed potential as a complementary medicine to improve psychological health and wellbeing. However, its effectiveness on relieving anxiety and depression has not been established. OBJECTIVE: This study explored the beneficial effects of aromatherapy on psychological symptoms such as anxiety and depression in people with cancer. METHODS: We searched international databases including PubMed, Web of Science, Cochrane Library, Embase, Medline, Ebscohost, ProQuest and Scopus from inception to 31 May 2021. The risk of bias was assessed using the Cochrane Collaboration's tool for assessing risk of bias. The systematic review and meta-analysis were performed according to the PRISMA guidelines. Quantitative analysis was performed on the studies that met our inclusion criteria, and Meta-analysis was performed on the studies with available data by RevMan software. RESULTS: The quality of the literatures were assessed carefully by two researchers, a total of 17 studies were included in the systematic review and 10 articles were conducted in meta-analysis. The aromatherapy was effective in relieving anxiety (SMD = −0.49, p < 0.05) in people with cancer. Subgroup analysis suggested that most effective methods were aromatic massage (SMD = −0.70, p < 0.005), aromatherapy with lavender essential oils (SMD = −1.12, p < 0.01), short-time interventions (duration < 4weeks) (SMD = −0.87, p < 0.05) and studies in Asia (SMD = −0.83, p < 0.05). Regarding depression and psychological wellbeing, there were no difference between aromatherapy and control groups. CONCLUSION: In cancer patients, the aromatherapy was effective for relieving anxiety. However, there was no beneficial effect on depression and psychological wellbeing. SYSTEMATIC REVIEW REGISTRATION: PROSPERO, identifier: CRD42021272465.
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spelling pubmed-92152602022-06-23 The Effects of Aromatherapy on Anxiety and Depression in People With Cancer: A Systematic Review and Meta-Analysis Li, Dan Li, Yuxin Bai, Xue Wang, Meijuan Yan, Jingzheng Cao, Yingjuan Front Public Health Public Health BACKGROUND: Anxiety and depression are highly prevalent in people with cancer. Medical therapies are usually prescribed to alleviate anxiety and depression, but they are associated with a variety of adverse effects. Recently, aromatherapy showed potential as a complementary medicine to improve psychological health and wellbeing. However, its effectiveness on relieving anxiety and depression has not been established. OBJECTIVE: This study explored the beneficial effects of aromatherapy on psychological symptoms such as anxiety and depression in people with cancer. METHODS: We searched international databases including PubMed, Web of Science, Cochrane Library, Embase, Medline, Ebscohost, ProQuest and Scopus from inception to 31 May 2021. The risk of bias was assessed using the Cochrane Collaboration's tool for assessing risk of bias. The systematic review and meta-analysis were performed according to the PRISMA guidelines. Quantitative analysis was performed on the studies that met our inclusion criteria, and Meta-analysis was performed on the studies with available data by RevMan software. RESULTS: The quality of the literatures were assessed carefully by two researchers, a total of 17 studies were included in the systematic review and 10 articles were conducted in meta-analysis. The aromatherapy was effective in relieving anxiety (SMD = −0.49, p < 0.05) in people with cancer. Subgroup analysis suggested that most effective methods were aromatic massage (SMD = −0.70, p < 0.005), aromatherapy with lavender essential oils (SMD = −1.12, p < 0.01), short-time interventions (duration < 4weeks) (SMD = −0.87, p < 0.05) and studies in Asia (SMD = −0.83, p < 0.05). Regarding depression and psychological wellbeing, there were no difference between aromatherapy and control groups. CONCLUSION: In cancer patients, the aromatherapy was effective for relieving anxiety. However, there was no beneficial effect on depression and psychological wellbeing. SYSTEMATIC REVIEW REGISTRATION: PROSPERO, identifier: CRD42021272465. Frontiers Media S.A. 2022-05-30 /pmc/articles/PMC9215260/ /pubmed/35757624 http://dx.doi.org/10.3389/fpubh.2022.853056 Text en Copyright © 2022 Li, Li, Bai, Wang, Yan and Cao. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Li, Dan
Li, Yuxin
Bai, Xue
Wang, Meijuan
Yan, Jingzheng
Cao, Yingjuan
The Effects of Aromatherapy on Anxiety and Depression in People With Cancer: A Systematic Review and Meta-Analysis
title The Effects of Aromatherapy on Anxiety and Depression in People With Cancer: A Systematic Review and Meta-Analysis
title_full The Effects of Aromatherapy on Anxiety and Depression in People With Cancer: A Systematic Review and Meta-Analysis
title_fullStr The Effects of Aromatherapy on Anxiety and Depression in People With Cancer: A Systematic Review and Meta-Analysis
title_full_unstemmed The Effects of Aromatherapy on Anxiety and Depression in People With Cancer: A Systematic Review and Meta-Analysis
title_short The Effects of Aromatherapy on Anxiety and Depression in People With Cancer: A Systematic Review and Meta-Analysis
title_sort effects of aromatherapy on anxiety and depression in people with cancer: a systematic review and meta-analysis
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9215260/
https://www.ncbi.nlm.nih.gov/pubmed/35757624
http://dx.doi.org/10.3389/fpubh.2022.853056
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