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Journal of Clinical Oncology, Vol 25, No 5 (February 10), 2007: pp. 532-539 © 2007 American Society of Clinical Oncology. DOI: 10.1200/JCO.2006.08.9987 Effectiveness of Aromatherapy Massage in the Management of Anxiety and Depression in Patients With Cancer: A Multicenter Randomized Controlled Trial
From the Marie Curie Palliative Care Research Unit, Royal Free and University College Medical School, Department of Mental Health Sciences, Cancer Research UK London Psychosocial Group, Institute of Psychiatry, Kings College London, London; Lynda Jackson Macmillan Centre, Mount Vernon Cancer Centre, Middlesex; and Cancer Research UK Medical Statistics Group, Centre for Statistics in Medicine, Oxford, United Kingdom Address reprint requests to Amanda Ramirez, MD, Cancer Research UK London Psychosocial Group, Institute of Psychiatry, Kings College London CR-UK London Psychosocial Group, St Thomas Hospital, London, United Kingdom SE1 7EU; e-mail: Amanda-jane.ramirez{at}kcl.ac.uk Purpose To test the effectiveness of supplementing usual supportive care with aromatherapy massage in the management of anxiety and depression in cancer patients through a pragmatic two-arm randomized controlled trial in four United Kingdom cancer centers and a hospice. Patients and Methods Two hundred eighty-eight cancer patients, referred to complementary therapy services with clinical anxiety and/or depression, were allocated randomly to a course of aromatherapy massage or usual supportive care alone. Results Patients who received aromatherapy massage had no significant improvement in clinical anxiety and/or depression compared with those receiving usual care at 10 weeks postrandomization (odds ratio [OR], 1.3; 95% CI, 0.9 to 1.7; P = .1), but did at 6 weeks postrandomization (OR, 1.4; 95% CI, 1.1 to 1.9; P = .01). Patients receiving aromatherapy massage also described greater improvement in self-reported anxiety at both 6 and 10 weeks postrandomization (OR, 3.4; 95% CI, 0.2 to 6.7; P = .04 and OR, 3.4; 95% CI, 0.2 to 6.6; P = .04), respectively. Conclusion Aromatherapy massage does not appear to confer benefit on cancer patients anxiety and/or depression in the long-term, but is associated with clinically important benefit up to 2 weeks after the intervention. Supported by Cancer Research UK, Marie Curie Cancer Care, Macmillan Cancer Support, and Dimbleby Cancer Care. Authors disclosures of potential conflicts of interest and author contributions are found at the end of this article.
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Copyright © 2007 by the American Society of Clinical Oncology, Online ISSN: 1527-7755. Print ISSN: 0732-183X
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