Expectancies, not aroma, explain impact of lavender aromatherapy on psychophysiological indices of relaxation in young healthy women.

OBJECTIVES In aromatherapy, lavender aroma is reputed to assist with relaxation. However, while there is much anecdotal evidence to that effect, the empirical literature is very inconsistent. Failure to employ adequate placebos, proper blinding, objective measures, or screening of prior beliefs about aromatherapy means that many previous findings could have been influenced by expectancy biases. The present study sought to establish whether lavender aroma and/or expectancies affect post-stress relaxation. DESIGN A double-blind, 3 (aroma) x 3 (instruction) x 10 (time in minutes) mixed-factorial placebo-controlled trial. METHOD In a laboratory, 96 healthy undergraduate women were exposed to lavender, placebo, or no aroma during physiologically assessed relaxation after an arousing cognitive task. Where an aroma was presented, an instructional priming procedure was used to manipulate participants' expectancies about the aroma's likely impact on their ability to relax. RESULTS Results showed no effect of aroma on galvanic skin response during relaxation. However, the nature of instructional prime was associated with relaxation patterns: when expecting the aroma to inhibit them, participants relaxed more; when expecting facilitation, participants relaxed less. The effect was not seen with regard to self-reported relaxation (as represented by changes in state anxiety) and was independent of ratings of attitudes towards aromatherapy. CONCLUSIONS The findings imply that the previous associations of lavender aroma with assisted relaxation may have been influenced by expectancy biases, and that the relevant expectancies are easily manipulable.

[1]  Tohru Fushiki,et al.  Sedative effects of the jasmine tea odor and (R)-(−)-linalool, one of its major odor components, on autonomic nerve activity and mood states , 2005, European Journal of Applied Physiology.

[2]  Robert A. Baron,et al.  A Whiff of Reality , 1994 .

[3]  Kristina M Burnett,et al.  Scent and Mood State following an Anxiety-Provoking Task , 2004, Psychological reports.

[4]  William R. Klemm,et al.  Topographical EEG maps of human responses to odors , 1992 .

[5]  Tyler S. Lorig,et al.  EEG activity during administration of low-concentration odors , 1990 .

[6]  T. Field,et al.  EEG during lavender and rosemary exposure in infants of depressed and non-depressed mothers , 2004 .

[7]  D. Rezek Olfactory deficits as a neurologic sign in dementia of the Alzheimer type. , 1987, Archives of neurology.

[8]  M. Diego,et al.  Aromatherapy positively affects mood, EEG patterns of alertness and math computations. , 1998, The International journal of neuroscience.

[9]  Tyler S. Lorig,et al.  Brain and odor: I. Alteration of human EEG by odor administration , 1988, Psychobiology.

[10]  J. Harsh,et al.  Responsiveness to olfactory stimuli presented in sleep , 1990, Physiology & Behavior.

[11]  Claire Copland,et al.  Aromatherapy and behaviour disturbances in dementia: a randomized controlled trial , 2001, International journal of geriatric psychiatry.

[12]  R. Tisserand The Art Of Aromatherapy , 1977 .

[13]  M. Hyland,et al.  Attitudes to and use of complementary medicine among physicians in the United Kingdom. , 2000, Complementary therapies in medicine.

[14]  W. Jäger,et al.  Fragrance compounds and essential oils with sedative effects upon inhalation. , 1993, Journal of pharmaceutical sciences.

[15]  O. Van den Bergh,et al.  Generalization of Acquired Somatic Symptoms in Response to Odors: A Pavlovian Perspective on Multiple Chemical Sensitivity , 2000, Psychosomatic medicine.

[16]  T. Field,et al.  Lavender Fragrance Cleansing Gel Effects on Relaxation , 2005, The International journal of neuroscience.

[17]  R. Lennox,et al.  Conventional wisdom on measurement: A structural equation perspective. , 1991 .

[18]  M. Torre Integrated Perspectives: Aromatherapy and the Use of Scents in Psychotherapy , 2008 .

[19]  M. Serby,et al.  The nature and course of olfactory deficits in Alzheimer's disease. , 1991, The American journal of psychiatry.

[20]  Noah J. Goldstein,et al.  Social influence: compliance and conformity. , 2004, Annual review of psychology.

[21]  T. Field,et al.  EEG ASYMMETRY RESPONSES TO LAVENDER AND ROSEMARY AROMAS IN ADULTS AND INFANTS , 2002, The International journal of neuroscience.

[22]  Jason Brandt,et al.  A controlled trial of aromatherapy for agitation in nursing home patients with dementia. , 2004, Journal of alternative and complementary medicine.

[23]  J. Aldridge,et al.  An evaluation of aromatherapy massage in palliative care , 1999, Palliative medicine.

[24]  S. Nitta,et al.  Autonomic nervous function and localization of cerebral activity during lavender aromatic immersion. , 2007, Technology and health care : official journal of the European Society for Engineering and Medicine.

[25]  J. S. Jellinek Psychodynamic odor effects and their mechanisms : Failure to identify the mechanism can lead to faulty conclusions in odor studies , 1997 .

[26]  Tyler S. Lorig,et al.  Human EEG and odor response , 1989, Progress in Neurobiology.

[27]  N. Motomura,et al.  Reduction of Mental Stress with Lavender Odorant , 2001, Perceptual and motor skills.

[28]  J. Buckle Clinical Aromatherapy in Nursing , 1997 .

[29]  Tyler S. Lorig,et al.  EEG Activity during Relaxation and Food Imagery , 1989 .

[30]  C. Eliopoulos,et al.  Aromatherapy , 2018, Integrating Complementary and Conventional Medicine.

[31]  R. d'Angelo Chapter 4 – Aromatherapy , 2002 .

[32]  S. Knasko,et al.  Ambient odor's effect on creativity, mood, and perceived health , 1992 .

[33]  G. Dodd,et al.  Fragrance : the psychology and biology of perfume , 1992 .

[34]  Scott Shannon,et al.  Handbook of complementary and alternative therapies in mental health , 2002 .

[35]  P. Morganti,et al.  Stratum corneum turnover time in aged skin , 1997 .

[36]  M. Levitt,et al.  Identification of gases responsible for the odour of human flatus and evaluation of a device purported to reduce this odour , 1998, Gut.

[37]  I. Romine,et al.  Lavender Aromatherapy in Recovery from Exercise , 1999, Perceptual and motor skills.

[38]  E. Crawley,et al.  Role of Suggestion in Odor-Induced Mood Change , 2004, Psychological reports.

[39]  R. Spiegel,et al.  Differences in olfactory test performance between normal aged, Alzheimer and vascular type dementia individuals , 1986 .

[40]  R. Fillingim,et al.  Sensory and Affective Pain Discrimination After Inhalation of Essential Oils , 2004, Psychosomatic medicine.

[41]  T. Atsumi,et al.  Smelling lavender and rosemary increases free radical scavenging activity and decreases cortisol level in saliva , 2007, Psychiatry Research.

[42]  Helen Sanderson,et al.  Aromatherapy and Occupational Therapy , 1992 .

[43]  C. Murphy,et al.  Nutrition and chemosensory perception in the elderly. , 1993, Critical reviews in food science and nutrition.

[44]  I. Spector,et al.  Cue-Controlled Relaxation and “Aromatherapy” in the Treatment of Speech Anxiety , 1993, Behavioural and Cognitive Psychotherapy.

[45]  Keith Wesnes,et al.  AROMAS OF ROSEMARY AND LAVENDER ESSENTIAL OILS DIFFERENTIALLY AFFECT COGNITION AND MOOD IN HEALTHY ADULTS , 2003, The International journal of neuroscience.

[46]  M. Lis‐Balchin,et al.  Jasmine absolute (Jasminum grandiflora L.) and its mode of action on guinea‐pig ileum in vitro , 2002, Phytotherapy research : PTR.

[47]  C. Lucas,et al.  A randomized controlled trial of aromatherapy massage in a hospice setting , 2004, Palliative medicine.

[48]  P. Warr,et al.  Copyright © The British Psychological Society Unauthorised use and reproduction in any form (including the internet and other electronic means) is prohibited without prior permission from the Society. , 2005 .

[49]  J. J. Ryan,et al.  Wechsler Adult Intelligence Scale-III , 2001 .

[50]  C. Holmes,et al.  Lavender oil as a treatment for agitated behaviour in severe dementia: a placebo controlled study , 2002, International journal of geriatric psychiatry.

[51]  T. Katsuura,et al.  [Responses of electroencephalogram to different odors]. , 1994, The Annals of physiological anthropology = Seiri Jinruigaku Kenkyukai kaishi.

[52]  O. Pollatos,et al.  On the relationship between interoceptive awareness, emotional experience, and brain processes. , 2005, Brain research. Cognitive brain research.

[53]  B. Cooke,et al.  Aromatherapy: a systematic review. , 2000, The British journal of general practice : the journal of the Royal College of General Practitioners.

[54]  E. Perry,et al.  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. , 2002, The Journal of clinical psychiatry.

[55]  R. Doty Influence of Age and Age‐Related Diseases on Olfactory Function a , 1989, Annals of the New York Academy of Sciences.

[56]  D. Brooker,et al.  Single case evaluation of the effects of aromatherapy and massage on disturbed behaviour in severe dementia. , 1997, The British journal of clinical psychology.

[57]  M. Okada,et al.  Psychological effects of aromatherapy on chronic hemodialysis patients , 2000, Psychiatry and clinical neurosciences.

[58]  Jennifer Edge A pilot study addressing the effect of aromatherapy massage on mood, anxiety and relaxation in adult mental health. , 2003, Complementary therapies in nursing & midwifery.

[59]  J. Young,et al.  Development of an aromatherapy service at a Cancer Centre , 1998, Palliative medicine.

[60]  D. Carlisle Children of the war. , 1993, Nursing times.