Effects of Aromatherapy Massage on Anxiety and Sleep Quality in Women

Authors

  • Risqi Wahyu Susanti Fakultas Sains dan Teknologi, Universitas Sembilanbelas November Kolaka
  • Abd. Gani Baeda Faculty of Science and Technology-Universitas Sembilanbelas November Kolaka

DOI:

https://doi.org/10.25077/njk.v22i2.434

Keywords:

anxiety, Aromatherapy Massage, Complementary Therapy, Lemongrass Aromatherapy, Sleep Quality

Abstract

Anxiety and sleep disturbances are common problems experienced by women and can negatively impact daily functioning and quality of life. Non-pharmacological interventions such as traditional massage and aromatherapy are increasingly used as complementary therapies. The purpose of this study was to compare the effects of aromatherapy massage and massage alone on anxiety levels and sleep quality in women. This study used a quasi-experimental design. Anxiety scores were assessed using the Hamilton Anxiety Rating Scale (HARS), and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analysed using a t-test. Both groups experienced a significant decrease in anxiety scores and sleep quality after the intervention. In the aromatherapy massage group, anxiety scores decreased from 16.10±7.06 to 10.80±8.82 (p<0.001), while in the massage alone group, anxiety scores decreased from 12.75±4.63 to 8.40±5.92 (p=0.002). The total sleep quality score in the aromatherapy massage group decreased from 11.05±3.22 to 6.60±3.17 (p<0.001), and in the massage-only group from 8.40±2.96 to 4.60±2.33 (p<0.001). However, there was no statistically significant difference between the two groups in either anxiety (p=0.889) or sleep quality (p=0.531), although clinically the aromatherapy massage group showed a greater decrease in the mean score. Traditional massage, both with and without lemongrass aromatherapy, was effective in reducing anxiety and improving sleep quality in woman. Although the addition of aromatherapy did not show a statistically significant difference between the groups, clinically, it provided greater improvement. It can be considered as a supportive therapy in nursing practice.  Traditional massage with or without lemongrass aromatheraphy, effectively reduce anxiety and improved sleep quality in women, with aromatherapy providing a clinically greater benefit despite no statistically significant differences between the groups.

References

Acharya, R., Blackwell, S., Simoes, J., Harris, B., Booth, L., Bhangu, A., & Glasbey, J. (2024). Non-pharmacological interventions to improve sleep quality and quantity for hospitalized adult patients—co-produced study with surgical patient partners: systematic review. BJS Open, 8(2). https://doi.org/10.1093/BJSOPEN/ZRAE018.

Anggraini, F. D., Abidah, S. N., Rahayu, E. P., & Nisa, F. (2022). Effect of aromatherapy blend essential oils (lemongrass and lemon) on sleep quality in pregnant women’s third trimester. Bali Medical Journal, 11(3), 1099–1102. https://doi.org/10.15562/BMJ.V11I3.3453.

Arroyo, K. J., Ramos-Torres, G., Mezones-Holguin, E., Blümel, J. E., Barón, G., Bencosme, A., … Chedraui, P. (2018). Association between waist-to-height ratio and anxiety in middle-aged women: a secondary analysis of a cross-sectional multicenter Latin American study. Menopause, 25(8), 904–911. https://doi.org/10.1097/GME.0000000000001089.

Ayik, C., & Özden, D. (2018). The effects of preoperative aromatherapy massage on anxiety and sleep quality of colorectal surgery patients: A randomized controlled study. Complementary Therapies in Medicine, 36, 93–99. https://doi.org/10.1016/J.CTIM.2017.12.002.

Blümel, J. E., Cano, A., Mezones-Holguín, E., Barón, G., Bencosme, A., Benítez, Z., … Chedraui, P. (2012). A multinational study of sleep disorders during female mid-life. Maturitas, 72(4), 359–366. https://doi.org/10.1016/j.maturitas.2012.05.011.

Chang, Y. Y., Lin, C. L., & Chang, L. Y. (2017). The effects of aromatherapy massage on sleep quality of nurses on monthly rotating night shifts. Evidence-Based Complementary and Alternative Medicine, 2017(1), 3861273. https://doi.org/10.1155/2017/3861273.

Cheraghbeigi, N., Modarresi, M., Rezaei, M., & Khatony, A. (2019). Comparing the effects of massage and aromatherapy massage with lavender oil on sleep quality of cardiac patients: A randomized controlled trial. Complementary Therapies in Clinical Practice, 35, 253–258. https://doi.org/10.1016/J.CTCP.2019.03.005.

Džudžević-čančar, H., Alispahić, A., Boškailo, E., & Dedić, A. (2025). The use of medicinal and aromatic plants in aromatherapy. Medicinal and Aromatic Plants: Pharmaceutical, Food, and Cosmetic Applications, 547–580. https://doi.org/10.1515/9783111469713-016.

Ghavami, H., Shamsi, S., Abdollahpoor, B., Radfar, M., & Khalkhali, H. (2019). Impact of hot stone massage therapy on sleep quality in patients on maintenance hemodialysis: A randomized controlled trial. Journal of Research in Medical Sciences, 24(1). https://doi.org/10.4103/JRMS.JRMS_734_18.

Goes, T. C., Ursulino, F. R. C., Almeida-Souza, T. H., Alves, P. B., & Teixeira-Silva, F. (2015). Effect of lemongrass aroma on experimental anxiety in humans. Journal of Alternative and Complementary Medicine (New York, N.Y.), 21(12), 766–773. https://doi.org/10.1089/ACM.2015.0099.

Hyndych, A., Koval, K., Dzeruzhynska, N., & Mader, E. C. (2025). Sleep and psychiatric disorders: Bidirectional interactions and shared neurobiological mechanisms. PLOS Mental Health, 2(12), e0000531. https://doi.org/10.1371/JOURNAL.PMEN.0000531.

Kaur, A., Das, M., Solanki, H. K., Awasthi, S., & Hyanki, A. (2021). Anxiety disorder in homemakers of Kumaon Region of Uttarakhand, India. International Journal of Preventive Medicine, 12(1). https://doi.org/10.4103/IJPVM.IJPVM_563_18.

Kripke, D. F. (2018). Hypnotic drug risks of mortality, infection, depression, and cancer: but lack of benefit. F1000Research 2018 5:918, 5, 918. https://doi.org/10.12688/f1000research.8729.3.

Kudo, Y., & Sasaki, M. (2020). Effect of a hand massage with a warm hand bath on sleep and relaxation in elderly women with disturbance of sleep: A crossover trial. Japan Journal of Nursing Science: JJNS, 17(3). https://doi.org/10.1111/JJNS.12327.

Kunikata, H., Watanabe, K., Miyoshi, M., & Tanioka, T. (2012). The effects measurement of hand massage by the autonomic activity and psychological indicators. The Journal of Medical Investigation: JMI, 59(1–2), 206–212. https://doi.org/10.2152/JMI.59.206.

Liashchenko, Y. V., & Yuryeva, L. M. (2021). The influence of the sleep disturbances on the quality of patients` life with anxiety-depressive disorders of neurotic and organic genesis. Psychiatry, Neurology and Medical Psychology, 2021(18), 25–31. https://doi.org/10.26565/2312-5675-2021-18-01.

Maybodi, F. R., Herandi, V., & Vaezpour, M. S. (2025). Effect of aromatherapy with lemongrass (Cymbopogon citratus) on the anxiety of patients undergoing scaling and root planning: a randomized clinical trial. BMC Complementary Medicine and Therapies, 25(1). https://doi.org/10.1186/S12906-025-04834-W.

Mendelevich, V. D., & Mendelevich, E. G. (2023). Insomnia in the context of affective disorders. Zhurnal Nevrologii i Psihiatrii Imeni S.S. Korsakova, 123(5–2), 43–48. https://doi.org/10.17116/JNEVRO202312305243.

Momeni, M., Arab, M., Dehghan, M., & Ahmadinejad, M. (2021). The effect of foot massage on the level of consciousness and delirium of intensive care patients: A randomized single-blind controlled trial. Journal of Bodywork and Movement Therapies, 27, 48–54. https://doi.org/10.1016/j.jbmt.2021.03.008.

Nadya, R., & Wati, L. (2023). Problematic internet use dan kualitas tidur pada dewasa awal. Journal of Social and Economics Research, 5(2), 412–419. https://doi.org/10.54783/JSER.V5I2.150.

Ntoumas, I., Karatzaferi, C., Giannaki, C. D., Papanikolaou, F., Pappas, A., Dardiotis, E., & Sakkas, G. K. (2025). The impact of relaxation massage prior to bedtime on sleep quality and quantity in people with symptoms of chronic insomnia: A home-based sleep study. Healthcare (Basel, Switzerland), 13(2). https://doi.org/10.3390/HEALTHCARE13020180.

Parsaik, A. K., Mascarenhas, S. S., Khosh-Chashm, D., Hashmi, A., John, V., Okusaga, O., & Singh, B. (2016). Mortality associated with anxiolytic and hypnotic drugs - A systematic review and meta-analysis. Australian and New Zealand Journal of Psychiatry, 50(6), 520–533. https://doi.org/10.1177/0004867415616695;JOURNAL:JOURNAL:ANPA;REQUESTEDJOURNAL:JOURNAL:ANPA;WGROUP:STRING:PUBLICATION.

Rachmawati, V., & Mustikasari, M. (2020). Tingkat kecemasan dan stres pada mahasiswa yang mengikuti objective structure clinical examination (OSCE). Jurnal Persatuan Perawat Nasional Indonesia (JPPNI), 3(3), 157–164. Retrieved from https://jurnal-ppni.org/ojs/index.php/jppni/article/view/166.

Revati, Ranjan, Mehendale, & Garg, B. S. (2017). An increasing health concern in women-a cross sectional study. Indian Journal of Public Health Research & Development, 8(4), 275–278. https://doi.org/10.5958/0976-5506.2017.00354.0.

Saporovskaia, M. V., Kryukova, T. L., Voronina, M. E., Tikhomirova, E. V., Samokhvalova, A. G., & Khazova, S. A. (2021). A decrease in psycho-emotional health in middle-aged Russian women associated with their lifestyle. International Journal of Environmental Research and Public Health, 18(2), 1–21. https://doi.org/10.3390/ijerph18020388.

Shen, Z., Yang, X., She, T., Zhao, G., Dou, Z., Luo, Y., … Yu, S. (2024). Deficits in brain default mode network connectivity mediate the relationship between poor sleep quality and anxiety severity. Sleep, 47(3). https://doi.org/10.1093/SLEEP/ZSAD296.

Shi, H., Liu, M., Fan, X., Peng, W., & Hu, Y. (2025). Effects of aromatherapy on sleep quality in patients: Protocol for an umbrella review. PloS One, 20(8). https://doi.org/10.1371/JOURNAL.PONE.0329928.

Tang, Y., Gong, M., Qin, X., Su, H., Wang, Z., & Dong, H. (2021). The therapeutic effect of aromatherapy on insomnia: A meta-analysis. Journal of Affective Disorders, 288, 1–9. https://doi.org/10.1016/J.JAD.2021.03.066.

Tsai, J., Chung, Y. C., Chen, F. P., & Yeh, M. L. (2020). Effect of aromatherapy on menopausal symptoms, heart rate variability, and sleep quality in women. Hu Li Za Zhi The Journal of Nursing, 67(1), 44–54. https://doi.org/10.6224/JN.202002_67(1).07.

Xue, Y., Wang, W. D., Liu, Y. J., Wang, J., & Walters, A. S. (2025). Sleep disturbances in generalized anxiety Disorder: The central role of insomnia. Sleep Medicine, 132, 106545. https://doi.org/10.1016/J.SLEEP.2025.106545.

Downloads

Published

01-10-2026

How to Cite

Susanti, R. W., & Baeda, A. G. (2026). Effects of Aromatherapy Massage on Anxiety and Sleep Quality in Women. NERS Jurnal Keperawatan, 22(2), 205–214. https://doi.org/10.25077/njk.v22i2.434