A randomized, controlled cross-over trial of dermally-applied lavender (Lavandula angustifolia) oil as a treatment of agitated behaviour in dementia

Lavender essential oil shows evidence of sedative properties in neurophysiological and animal studies but clinical trials of its effectiveness as a treatment of agitation in people with dementia have shown mixed results. Study methods have varied widely, however, making comparisons hazardous. To hel...

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Veröffentlicht in:BMC complementary and alternative medicine 2013-11, Vol.13 (1), p.315-315, Article 315
Hauptverfasser: O'Connor, Daniel W, Eppingstall, Barbara, Taffe, John, van der Ploeg, Eva S
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container_issue 1
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container_title BMC complementary and alternative medicine
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creator O'Connor, Daniel W
Eppingstall, Barbara
Taffe, John
van der Ploeg, Eva S
description Lavender essential oil shows evidence of sedative properties in neurophysiological and animal studies but clinical trials of its effectiveness as a treatment of agitation in people with dementia have shown mixed results. Study methods have varied widely, however, making comparisons hazardous. To help remedy previous methodological shortcomings, we delivered high grade lavender oil in specified amounts to nursing home residents whose agitated behaviours were recorded objectively. 64 nursing home residents with frequent physically agitated behaviours were entered into a randomized, single-blind cross-over trial of dermally-applied, neurophysiologically active, high purity 30% lavender oil versus an inactive control oil. A blinded observer counted the presence or absence of target behaviours and rated participants' predominant affect during each minute for 30 minutes prior to exposure and for 60 minutes afterwards. Lavender oil did not prove superior to the control oil in reducing the frequency of physically agitated behaviours or in improving participants' affect. Studies of essential oils are constrained by their variable formulations and uncertain pharmacokinetics and so optimal dosing and delivery regimens remain speculative. Notwithstanding this, topically delivered, high strength, pure lavender oil had no discernible effect on affect and behaviour in a well-defined clinical sample. Australian and New Zealand Clinical Trials Registry (ACTRN 12609000569202).
doi_str_mv 10.1186/1472-6882-13-315
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Study methods have varied widely, however, making comparisons hazardous. To help remedy previous methodological shortcomings, we delivered high grade lavender oil in specified amounts to nursing home residents whose agitated behaviours were recorded objectively. 64 nursing home residents with frequent physically agitated behaviours were entered into a randomized, single-blind cross-over trial of dermally-applied, neurophysiologically active, high purity 30% lavender oil versus an inactive control oil. A blinded observer counted the presence or absence of target behaviours and rated participants' predominant affect during each minute for 30 minutes prior to exposure and for 60 minutes afterwards. Lavender oil did not prove superior to the control oil in reducing the frequency of physically agitated behaviours or in improving participants' affect. Studies of essential oils are constrained by their variable formulations and uncertain pharmacokinetics and so optimal dosing and delivery regimens remain speculative. Notwithstanding this, topically delivered, high strength, pure lavender oil had no discernible effect on affect and behaviour in a well-defined clinical sample. Australian and New Zealand Clinical Trials Registry (ACTRN 12609000569202).</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>24219098</pmid><doi>10.1186/1472-6882-13-315</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; PubMed Central
subjects Aged
Aged, 80 and over
Agitation
Animals
Aromatherapy
Australia
Care and treatment
Cross-Over Studies
Dementia
Dementia - complications
Dementia - psychology
Essences and essential oils
Female
Health aspects
Humans
Lavandula
Lavandula - chemistry
Lavenders
Male
Medical research
Medicine, Experimental
Neurophysiology
Nursing home patients
Oils, Volatile - administration & dosage
Plant Oils - administration & dosage
Psychomotor Agitation - drug therapy
Psychomotor Agitation - etiology
Single-Blind Method
Transdermal medication
Treatment Outcome
title A randomized, controlled cross-over trial of dermally-applied lavender (Lavandula angustifolia) oil as a treatment of agitated behaviour in dementia
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