Kingsley RA. Randomized Trial Examining Efficacy of Mentha piperita in Reducing Chronic Headache Discomfort in Youth.
Pain Manag Nurs 2023;
24:e139-e147. [PMID:
37730471 DOI:
10.1016/j.pmn.2023.08.004]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 07/24/2023] [Accepted: 08/12/2023] [Indexed: 09/22/2023]
Abstract
BACKGROUND
Youth with chronic headache experience disruption to routine activities and require significant health care utilization. While interventions targeting a relaxation response have shown clinically significant benefit in headache outcomes, peppermint oil has not been evaluated for efficacy in a pediatric headache population.
AIMS
To explore the extent to which a brief aromatherapy intervention improves subjective and objective indicators of discomfort beyond passive relaxation in youth with chronic headaches.
DESIGN
Single-center, randomized, experimental study.
METHODS
Patients were randomly assigned to a brief foot bath or foot bath plus peppermint oil group. Measurements were collected at baseline, mid-intervention, and post-intervention. Data included heart rate and subjective pain, anxiety, and satisfaction scores.
RESULTS
Forty-six adolescents (89% female, mean age 15.2 years) diagnosed with a primary headache disorder were enrolled. Both groups reported a significant decrease in pain, though the intervention group plateaued (p < .01) and the control group progressively decreased intensity at each time-point (p < .01). Whereas both groups reported a decrease in anxiety over time (p < .01), the control group reported less of a decrease in anxiety than the intervention group (p = .03). The control group had a significant decrease in mean heart rate (p < .01). There were no adverse events. The intervention was well tolerated, liked, and recommended by 95.5% of study participants.
CONCLUSIONS
A brief intervention intended to activate the relaxation response produced a subjective reduction in pain and anxiety. However, the addition of peppermint oil to a foot bath did not significantly improve pain or anxiety beyond the control condition.
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