Mojtehedi Mandana, Salehi-Pourmehr Hanieh, Ostadrahimi Alireza, Asnaashari Solmaz, Esmaeilpour Khalil, Farshbaf-Khalili Azizeh
Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Neuroscience, Research Center for Evidence-based medicine, Iranian EBM Centre, A Joanna Briggs Institute (JBI) Center of Excellence, Tabriz University of Medical Sciences, Tabriz, Iran.
Iran J Nurs Midwifery Res. 2022 Sep 14;27(5):392-405. doi: 10.4103/ijnmr.ijnmr_129_21. eCollection 2022 Sep-Oct.
Due to the importance of psychological support for women during menopause as a period with a high prevalence of mental health problems, this study aimed to evaluate the effect of the essential oil of lavender-Bergamot (La-Ber) and Mindfulness-Based Intervention (MBI) on sexual function, anxiety (primary outcome), and depression score (secondary outcome) in postmenopausal women with sexual dysfunction.
This controlled randomized trial with a factorial design was performed on 132 postmenopausal women. Participants were randomly allocated into four equal groups: Aromatherapy-Routine Care (Aroma-RC), MBI-Placebo (MBI-P), Aromatherapy-MBI (Aroma-MBI), or Routine Care-Placebo (RC-P). Two to three drops of La-Ber or a similar placebo were inhaled three times a day for 8 weeks. Eight sessions of MBI intervention were conducted. At the end of the intervention and eight weeks afterward, the outcomes were assessed.
The sexual function score improved significantly in Aroma-MBI (adjusted Mean Difference [aMD]: 2.4, 95% CI: 0.01 to 4.80) and MBI-P (aMD: 2.6, 95% CI: 0.2 to 5.1) groups compared to the RC-P group. The anxiety score was reduced in the Aroma-RC group at the end of the intervention (aMD: -4.12, 95% CI: -7.41 to -0.72; = 0.020) and eight weeks later as well as in the Aroma-MBI group. In terms of depression, the mean score of depression was significantly lower than the RC-P group in the Aroma-RC group at the end of the intervention ( = 0.011).
MBI and aromatherapy seem effective on sexual function and menopausal anxiety. MBI improves sexual function, while aromatherapy ameliorated anxiety and depression.
由于更年期女性心理健康问题高发，心理支持对她们至关重要，本研究旨在评估薰衣草 - 佛手柑精油（La - Ber）和基于正念的干预（MBI）对性功能障碍的绝经后女性性功能、焦虑（主要结局）和抑郁评分（次要结局）的影响。
本采用析因设计的对照随机试验，对132名绝经后女性进行了研究。参与者被随机分为四组，每组人数相等：芳香疗法 - 常规护理组（Aroma - RC）、MBI - 安慰剂组（MBI - P）、芳香疗法 - MBI组（Aroma - MBI）或常规护理 - 安慰剂组（RC - P）。每天吸入两到三滴La - Ber或类似安慰剂，持续8周，每天3次。进行了8次MBI干预课程。在干预结束时及之后8周评估结局。
与RC - P组相比，Aroma - MBI组（调整后平均差[aMD]：2.4，95%置信区间[CI]：0.01至4.80）和MBI - P组（aMD：2.6，95% CI：0.2至5.1）的性功能评分显著改善。干预结束时（aMD： - 4.12，95% CI： - 7.41至 - 0.72；P = 0.020）及8周后，Aroma - RC组的焦虑评分降低，Aroma - MBI组也降低。在抑郁方面，干预结束时Aroma - RC组的抑郁平均评分显著低于RC - P组（P = 0.011）。
MBI和芳香疗法似乎对性功能和更年期焦虑有效。MBI改善性功能，而芳香疗法改善焦虑和抑郁。
