Effects of an intervention with drinking chamomile tea on sleep quality and depression in sleep disturbed postnatal women: a randomized controlled trial

Chang, Shao Min; Chen, Chung Hey

doi:10.1111/jan.12836

Cited by 85 publications

(76 citation statements)

References 33 publications

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“…Owing to the fact that chamomile is widely referred to as a sedative therapy and sleep helper, our study also highlights the significant improvement of sleep quality when using chamomile for 4 weeks as compared with placebo. The results were consistent after we excluded one study that reported sleep quality outcome using PSQS scale (Chang & Chen, ). These effects may be as a result of the presence of flavonoid apigenin, which can directly bind to the brain, specifically the benzodiazepine receptors and result in these tranquilizing effects (R Avallone, Zanoli, Corsi, Cannazza, & Baraldi, ; Srivastava et al, ).…”

Section: Discussionsupporting

confidence: 65%

“…After 4 weeks from the administration of oral chamomile, there was a significant reduction in the PSQI and PSQS scales, indicating an improvement in the sleep quality of the studied patients (SMD = −0.73, 95% CI [−1.23, −0.23], P = 0.0042; Figure b) and with high heterogeneity between the studies ( p < 0.01, I 2 = 85%). However, omitting one study did not change either significant reduction or the heterogeneity (Chang & Chen, ; Figure ). Additionally, we have performed a sensitivity analysis based on the type of chamomile (by excluding the studies that did not report the type of chamomile), country (by analyzing Iranian studies only), the scale of measurement (by analyzing studies that used PSQI only), and design (by analyzing RCTs only and excluding the quasi trial) and compare it with the main analysis that included all the six studies assessing sleep quality.…”

Section: Resultsmentioning

confidence: 97%

“…In regard to the strength of evidence (Table ), according to GRADE scale, in the medium term of follow‐up, evidence of these scales (standard questionnaires; Jenabi & Ebrahimzadeh, ), (Hospital Anxiety‐Depression Scale; Jenabi & Ebrahimzadeh, ), (STAI; Jenabi & Ebrahimzadeh, ; Wilkinson, Aldridge, Salmon, Cain, & Wilson, ; Zick, Wright, Sen, & Arnedt, ), (SAI; Wilkinson et al, ), and (The Rotterdam Symptom Checklist; Wilkinson et al, ) were rated from very low to low quality. Besides, these scales PSQI (Abbasinia, Alizadeh, Vakilian, & Ranjbaran, ; Abdullahzadeh, Matourypour, & Naji, ; Adib‐Hajbaghery & Mousavi, ; Hekmatpou, Haghverdy, & Delavar, ), PSQS EPDS, Chinese‐version EPDS, and PFS (Chang & Chen, ) provided low strength for sleep quality in the short and medium terms. Similarly, the evidence for insomnia by using ISI scale also showed low quality.…”

Section: Resultsmentioning

confidence: 99%

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Therapeutic efficacy and safety of chamomile for state anxiety, generalized anxiety disorder, insomnia, and sleep quality: A systematic review and meta‐analysis of randomized trials and quasi‐randomized trials

Hieu

Dibas

Dila³

et al. 2019

Phytotherapy Research

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This systematic review and meta‐analysis aimed to study the efficacy and safety of chamomile for the treatment of state anxiety, generalized anxiety disorders (GADs), sleep quality, and insomnia in human. Eleven databases including PubMed, Science Direct, Cochrane Central, and Scopus were searched to retrieve relevant randomized control trials (RCTs), and 12 RCTs were included. Random effect meta‐analysis was performed by meta package of R statistical software version 3.4.3 and RevMan version 5.3. Our meta‐analysis of three RCTs did not show any difference in case of anxiety (standardized mean difference = −0.15, 95% CI [−0.46, 0.16], P = 0.4214). Moreover, there is only one RCT that evaluated the effect of chamomile on insomnia and it found no significant change in insomnia severity index (P > 0.05). By using HAM‐A scale, there was a significant improvement in GAD after 2 and 4 weeks of treatment (mean difference = −1.43, 95% CI [−2.47, −0.39], P = 0.007), (MD = −1.79, 95% CI [−3.14, −0.43], P = 0.0097), respectively. Noteworthy, our meta‐analysis showed a significant improvement in sleep quality after chamomile administration (standardized mean difference = −0.73, 95% CI [−1.23, −0.23], P < 0.005). Mild adverse events were only reported by three RCTs. Chamomile appears to be efficacious and safe for sleep quality and GAD. Little evidence is there to show its effect on anxiety and insomnia. Larger RCTs are needed to ascertain these findings.

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Section: Discussionsupporting

confidence: 65%

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Therapeutic efficacy and safety of chamomile for state anxiety, generalized anxiety disorder, insomnia, and sleep quality: A systematic review and meta‐analysis of randomized trials and quasi‐randomized trials

Hieu

Dibas

Dila³

et al. 2019

Phytotherapy Research

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“…Chamomile tea was recommended to postpartum women as a supplementary approach to alleviate depression and sleep quality problems limited to the immediate term 18 . Aroma therapy with Citrus arantium on post caesarean pain and vital signs among 80 women, reported that the use of Citrus arantium was effective in reducing pain after caesarean section 19 .…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Foot Reflexology and Back Massage in Improving the Quality of Sleep Among Post Caesarean Mothers

Manjuri¹,

Latheef²

2016

Int. J. Res. Ayurveda Pharm.

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Childbirth is one of the challenging occasions in a woman's life. The aim of the study was to evaluate the effectiveness of the foot reflexology and back massage in improving the quality of sleep among the post caesarean mothers. A true experimental-repeated measures design with simple random sampling technique was used to study the control and experimental groups. The quality of sleep was assessed on 120 post caesarean mothers with 40 samples in each group of control, back massage and foot reflexology. Modified Pittsburg Sleep Quality Index Scale was used to assess the quality of sleep. After the pretest, back massage and foot reflexology was given for three consecutive days in the evening for the respective group. The results revealed that the day 2, day 3, and day 4 of back massage and foot reflexology quality of sleep were significantly different from the control day 2, day 3 and day 4 except on day 1. There is an improvement in the quality of sleep from day 1 to day 4. When comparing the pretest and the posttests, the quality of sleep of the control, back massage and foot reflexology day 3, day 4 (posttests) were highly significantly different from control, back massage and foot reflexology day 1 except on day 2. The improvement in the foot reflexology and back massage was better than the control group. The chi square of control and back massage were 13.132, 41.645 whereas chi square of foot reflexology was 101.234. Hence the foot reflexology was better in improving quality of sleep than back massage.

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“…Yet, the hypnotic agents often prescribed for hospital patients may not be advisable for antepartum patients due to potential adverse effects on the fetus. Although relatively few behavioral interventions are available to pregnant women, studies have tested exercise, 13 mindful yoga, 14 guided imagery, 15 massage, 16,17 and drinking herbal tea 18,19 to facilitate relaxation to improve sleep during pregnancy. No studies were found that tested these types of interventions with hospitalized antepartum patients.…”

Section: Introductionmentioning

confidence: 99%

Improving Sleep for Hospitalized Antepartum Patients: A Non-Randomized Controlled Pilot Study

Lee

2017

Journal of Clinical Sleep Medicine

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Study Objectives: To evaluate feasibility and efficacy of a hospital-based protocol for improving sleep in high-risk antepartum patients. Methods: Sleep measures were compared during 1 week of hospitalization before and after implementing a Sleep Improvement Protocol for Antepartum Patients (SIP-AP). A non-randomized convenience sample of usual care controls was compared to a subsequent intervention sample after the protocol was implemented. Women were eligible if they spoke English, were medically stable, pregnant for at least 20 weeks, and hospitalized at least 24 hours; 25 pregnant women had sufficient data for analyses (11 controls, 14 intervention). Sleep was assessed in 3 ways: the Pittsburgh Sleep Quality Index was completed after obtaining consent to estimate sleep quality prior to hospital admission; sleep diary completed each hospital day; and General Sleep Disturbance Scale completed at 7 days or prior to hospital discharge. Symptoms that could affect sleep were assessed with the Memorial Symptom Assessment Scale. Results: Both groups recorded similar sleep duration (7 hours) but the intervention group had fewer symptoms and significantly (P = .015) lower sleep disturbance scores (53.1 ± 14.5) than controls (71.9 ± 18.8). Participant feedback about the intervention was positive, although adherence to components of the intervention protocol was variable. Conclusions: This pilot study provides evidence of the feasibility and preliminary efficacy of the SIP-AP intervention for reducing symptoms and improving sleep of antepartum patients during hospitalization. Further detailed evaluation of specific components of this protocol is warranted, and other types of hospitalized patients may benefit from unit-based modifications to this SIP-AP protocol. Keywords: antepartum, inpatient, intervention, pregnancy, sleep hygiene Citation: Lee KA, Gay CL. Improving sleep for hospitalized antepartum patients: a non-randomized controlled pilot study.

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Effects of an intervention with drinking chamomile tea on sleep quality and depression in sleep disturbed postnatal women: a randomized controlled trial

Abstract: Chamomile tea may be recommended to postpartum women as a supplementary approach to alleviating depression and sleep quality problems.

Cited by 85 publications

References 33 publications

Therapeutic efficacy and safety of chamomile for state anxiety, generalized anxiety disorder, insomnia, and sleep quality: A systematic review and meta‐analysis of randomized trials and quasi‐randomized trials

Therapeutic efficacy and safety of chamomile for state anxiety, generalized anxiety disorder, insomnia, and sleep quality: A systematic review and meta‐analysis of randomized trials and quasi‐randomized trials

Effectiveness of Foot Reflexology and Back Massage in Improving the Quality of Sleep Among Post Caesarean Mothers

Improving Sleep for Hospitalized Antepartum Patients: A Non-Randomized Controlled Pilot Study

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