Evidence map›Paper›PMID 40229405›Full record

Trial reportScientific reports2025

The effect of aromatherapy and music therapy on blood pressure and heart rate of nursing students before taking the exam.

Tara Borzoo, Mahsa Tafazoli, Mona Ebrahimzadeh, Hadi Kazemi-Arpanahi, Raha Tabahfar, Naser Kamyari, Ferdos Hadideh, Seyed Mohammad Ali Malaekeh

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Effects of inhalingFrontiers in psychology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tara BorzooDepartment of Nursing, School of Nursing, Abadan University of Medical Sciences, Abadan, Iran.
Mahsa TafazoliDepartment of Nursing, School of Nursing, Abadan University of Medical Sciences, Abadan, Iran. Mahsa.tafazoli@gmail.com.
Mona EbrahimzadehDepartment of Nursing, School of Nursing, Abadan University of Medical Sciences, Abadan, Iran.
Hadi Kazemi-ArpanahiDepartment of Health Information Technology, Abadan University of Medical Sciences, Abadan, Iran.
Raha TabahfarDepartment of Nursing, School of Nursing, Abadan University of Medical Sciences, Abadan, Iran.
Naser KamyariDepartment of Biostatistics and Epidemiology, School of Health, Research Center for Environmental Contaminants (RCEC), Abadan University of Medical Sciences, Abadan, Iran.
Ferdos HadidehDepartment of Psychiatry Counselling, Abadan University of Medical Sciences, Abadan, Iran.
Seyed Mohammad Ali MalaekehDepartment of Laboratory Sciences, Abadan University of Medical Sciences, Abadan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anxiety associated with taking exams jeopardizes students' mental and physical health. Complementary alternative methods, such as aromatherapy and music therapy, have shown promise in reducing negative emotions among students. However, few studies have examined the effects of these interventions. This study aimed to investigate the effects of aromatherapy and music therapy on nursing students' blood pressure (BP) and heart rate before taking an exam. This quasi-experimental, double-blinded study was conducted in 2023 at the Nursing College of Abadan University of Medical Sciences in Abadan, Iran. The research included a total of 169 nursing students, who were randomly assigned to three groups: an aromatherapy group (n = 60), a music therapy group (n = 56), and a control group (n = 53). Aromatherapy was administered by inhaling lavender and damask rose essences, while music therapy involved listening to Beethoven's "Moonlight Sonata." The control group received a placebo intervention consisting of cotton soaked in 10 drops of water. Each intervention lasted twenty minutes and was conducted in separate rooms before an exam. Students' heart rates and BP (both systolic and diastolic) were recorded before and after the intervention. The study showed remarkable effects of aromatherapy and music therapy on blood pressure and pulse rate. While systolic blood pressure (SBP) was similar in all groups at the beginning of the study (p = 0.205), SBP decreased significantly after the intervention (p = 0.016), especially in the aromatherapy (p = 0.003) and music therapy (p < 0.001) groups. Both interventions also significantly reduced diastolic blood pressure and pulse rate (p < 0.001) compared to baseline. However, except for SBP (p = 0.021), ANCOVA tests did not reveal significant differences between the study groups for diastolic blood pressure and pulse rate (p > 0.05). The reduction in students' systolic BP before exams, observed with complementary therapies like music therapy and aromatherapy using lavender and damask rose extracts, suggests a decrease in stress-related physiological responses, However, the specific link to exam-related anxiety requires further clarification.

Indexed as

AromatherapyBlood PressureHeart RateMusic TherapyStudents, NursingAdultAnxietyDouble-Blind MethodFemaleHumansIranMaleYoung AdultAnxietyAromatherapyBlood pressureHeart rateMusic therapyNursing students

Identifiers

PMID40229405
PMCPMC11997094

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.