Aromatherapy in nursing and mental health care
Gillian van der Watt
School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth WA
Aleksandar Janca
School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth WA
PP: 69 - 75
Abstract
There is well documented evidence for the increasing and widespread use of complementary and alternative medicine in the treatment of symptoms of both physical and mental disorders within Western populations. This paper aims to provide a focused review of recent literature on the use of one of these therapies, namely aromatherapy, in nursing and mental health care of people suffering from anxiety and depressive disorders.
The evidence base for the efficacy of aromatherapy used to treat these conditions remains poor with a particular paucity of methodologically rigorous studies. However, there are some promising results which suggest that further research is warranted to investigate the potential of essential oils in treating anxiety, depression and symptoms of stress.
The experimentally designed inhalation studies are of particular importance as both health professionals and consumers demand more accurate and scientifically based information about the effects and safety of essential oils.
Keywords
aromatherapy, complementary medicine, alternative medicine, anxiety, depression, nursing care
References
Ballard CG, O'Brien JT, Reichelt KK and Perry EK (2002) Aromatherapy as a safe and effective treatment for the management of agitation in severe dementia: the results of a double-blind, placebo-controlled trial with Melissa, The Journal of Clinical Psychiatry 63(7): 553-558.
Buchbauer G and Jirovetz L (1994) Aromatherapy - use of fragrances and essential oils as medicants, Flavour and Fragrance Journal 9: 217-222.
Cooke B and Ernst E (2000) Aromatherapy: a systematic review, The British Journal of General Practice 50(455): 493-496.
Dunn C, Sleep J and Collett D (1995) Sensing an improvement: An experimental study to evaluate the use of aromatherapy, massage and periods of rest in an intensive care unit, Journal of Advanced Nursing 21(1): 34-40.
Edge J (2003) A pilot study addressing the effect of aromatherapy massage on mood, anxiety and relaxation in adult mental health, Complementary Therapies in Nursing & Midwifery 9(2): 90-97.
Edris AE (2007) Pharmaceutical and therapeutic potentials of essential oils and their individual volatile constituents: A review, Phytotherapy Research 21(4): 308-323.
Graham PH, Browne L, Cox H and Graham J (2003) Inhalation aromatherapy during radiotherapy: results of a placebo-controlled double-blind randomized trial, Journal of Clinical Oncology 21(12): 2372-2376.
Hardy M, Kirk-Smith M and Stretch D (1995) Replacement of drug treatment for insomnia by ambient odour, The Lancet 346 (8976): 701.
Haze S (2002) Effects of Fragrance Inhalation on Sympathetic Activity in Normal Adults, The Japanese Journal of Pharmacology 90(3): 247-253.
Heubergber E, Hongratanaworakit T, Bohm C, Weber R and Buchbauer G (2001) Effects of chiral fragrances on human autonomic nervous system parameters and self-evaluation, Chemical Senses 26(3): 281-292.
Hicks G (1998) Aromatherapy as an adjunct to care in a mental health day hospital, Journal of Psychiatric and Mental Health Nursing 5(4): 317.
Hongratanaworakit T, Heuberger E and Buchbauer G (2004) Evaluation of the effects of East Indian sandalwood oil and alpha-santalol on humans after transdermal absorption, Planta Medica 70(1): 3-7.
Hongratanaworakit T and Buchbauer G (2004) Evaluation of the harmonizing effect of ylang-ylang oil on humans after inhalation, Planta Medica 70(7): 632-636.
Hongratanaworakit T and Buchbauer G (2006) Relaxing effect of ylang ylang oil on humans after transdermal absorption, Phytotherapy Research 20(9): 758-763.
Itai T, Amayasu H, Kuribayashi M, Kawamura N, Okada M, Momose A, Tateyama T, Narumi K, Uematsu W and Kaneko S (2000) Psychological effects of aromatherapy on chronic hemodialysis patients, Psychiatry and Clinical Neurosciences 54(4): 393-397.
Keegan L (2003) Alternative and complementary modalities for managing stress and anxiety, Critical Care Nurse 20(3): 93-96.
Maddocks-Jennings W and Wilkinson JM (2004) Aromatherapy practice in nursing: literature review, Integrative Literature Reviews and Meta-analyses 48(1): 93-103.
Perry N and Perry E (2006) Aromatherapy in the management of psychiatric disorders: clinical and neuropharmacological perspectives, CNS Drugs 20(4): 257-280.
Pilkington K, Rampes H and Richardson J (2006) Complementary medicine for depression, Expert Review of Neurotherapeutics 6(11): 1741-1751.
Stevensen C (1994) The psychophysiological effects of aromatherapy massage following cardiac surgery, Complementary Therapies in Medicine 2(1): 27.
Thorgrimsen L, Spector A, Wiles A and Orrell M (2003) Aroma therapy for dementia, Cochrane Database of Systematic Reviews 3.
Tisserand R and Balacs T (1995) Essential oil safety: A guide for health care professionals, Edinburgh, Churchill Livingstone.
Wilkinson SM, Love SB, Westcombe AM, Gambles MA, Burgess CC, Cargill A, Young T, Maher EJ and Ramirez AJ (2007) Effectiveness of aromatherapy massage in the management of anxiety and depression in patients with cancer: A multicenter randomized controlled trial, Journal of Clinical Oncology 25(5): 532-539.
Wolfe N and Herzberg J (1996) Can Aromatherapy Oils Promote Sleep in Severely Demented Patients? International Journal of Geriatric Psychiatry 11: 926-927.
World Health Organization (2002) WHO Traditional Medicines Strategy 2002-2005, WHO, Geneva, accessed at http://www.who.int./en/ on 17 October 2007.

eContent Home



