Positive Health Online

Abstract

FELLOWES and COLLEAGUES, Marie Curie Palliative Care Research and Development Unit, Marie Curie Cancer Care, Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School, Royal Free Campus, Rowland Hill Street, London, London, UK, NW3 2PF reviewed [83 refs] whether aromatherapy or massage, or both, decreases psychological morbidity, lessens symptom distress and/or improves the quality of life in patients with a diagnosis of cancer.

Background

Aromatherapy massage is a commonly used complementary therapy, and is employed in cancer and palliative care largely to improve quality of life and reduce psychological distress.

Methodology

The authors searched CENTRAL (The Cochrane Library, Issue 1, 2002), MEDLINE (1966 to May week 3 2002), CINAHL (1982 to April 2002), British Nursing Index (1994 to April 2002), EMBASE (1980 to Week 25 2002), AMED (1985 to April 2002), PsycINFO (1887 to April week 4 2002), SIGLE (1980 to March 2002), CancerLit (1975 to April 2002) and Dissertation Abstracts International (1861 to March 2002). Reference lists of relevant articles were searched for additional studies. Selection Criteria: The authors sought randomised controlled trials (RCTs); controlled before and after studies; and interrupted time series studies of aromatherapy or massage, or both, for patients with cancer, that measured changes in patient-reported levels of physical or psychological distress or quality of life using reliable and valid tools. Data Collection And Analysis: Two review authors independently assessed trials for inclusion in the review, assessed study quality and extracted data. Study authors were contacted where information was unclear.

Results

The search strategy retrieved 1322 studies. Ten studies met the inclusion criteria and these represented eight RCTs (357 participants). The most consistently found effect of massage or aromatherapy massage was on anxiety. Four trials (207 participants) measuring anxiety detected a reduction post intervention, with benefits of 19 to 32% reported. Contradictory evidence exists as to any additional benefit on anxiety conferred by the addition of aromatherapy. The evidence for the impact of massage/aromatherapy on depression was variable. Of the three trials (120 participants) that assessed depression in cancer patients, only one found any significant differences in this symptom. Three studies (117 participants) found a reduction in pain following intervention, and two (71 participants) found a reduction in nausea. Although several of the trials measured changes in other symptoms such as fatigue, anger, hostility, communication and digestive problems, none of these assessments was replicated.

Conclusion

AUTHORS' CONCLUSIONS: Massage and aromatherapy massage confer short term benefits on psychological well being, with the effect on anxiety supported by limited evidence. Effects on physical symptoms may also occur. Evidence is mixed as to whether aromatherapy enhances the effects of massage. Replication, longer follow up, and larger trials are need to accrue the necessary evidence. [References: 83]

References

Fellowes D,  Barnes K and  Wilkinson SS. WITHDRAWN: Aromatherapy and massage for symptom relief in patients with cancer.[update of Cochrane Database Syst Rev. 2004;(2):CD002287; PMID: 15106172]. [Review] [83 refs]  Cochrane Database of Systematic Reviews. (4):CD002287. 2008.

Comment

Although the authors were able to find 1322 studies, only 10 studies met the inclusion criteria, which represented eight RCTs (357 participants). This is a common occurrence with Cochrane analyses, which only consider research which fulfil their stringent criteria of acceptable research. Unfortunately, the majority of research does not reach these standards, and is therefore discarded. No wonder that conclusions are mixed or negative in these analyses with real patients in real situations.