Journal List > J Korean Acad Nurs > v.39(3) > 1002536

J Korean Acad Nurs. 2009 Jun;39(3):357-365. Korean.
Published online June 29, 2009.
Copyright © 2009 Korean Society of Nursing Science
The Effects of Aromatherapy on Stress and Stress Responses in Adolescents
Ji-Yeong Seo
Full-time Lecturer, Department of Nursing, Youngnam Foreign Language College, Gyeongsan, Korea.

Address reprint requests to: Seo, Ji-Yeong. Department of Nursing, Youngnam Foreign Language College, 220-1 Hyeopseok-ri, Namcheon-myeon, Gyeongsan 712-717, Korea. Tel: 82-53-810-7763, Fax: 82-53-810-0199, Email:
Received August 13, 2008; Accepted May 18, 2009.



This study was done to examine the effects of aromatherapy on stress and stress responses in adolescents.


A two-group cross-over design was used for this study. The experimental treatment was aroma essential oil inhalation and the placebo treatment was carrier oil inhalation using a necklace. The sample included 36 female high school students. Fisher's exact test, t-test, and paired t-test using SPSS/WIN program were used to analyze the data.


Stress levels were significantly lower when the students received the aroma treatment compared to when they received the placebo treatment. The stress responses except salivary IgA levels were significantly lower when the students received the aroma treatment.


Aroma inhalation could be a very effective stress management method for high school students. Therefore, it is recommended that this program be used in clinical practice as an effective nursing intervention for high school students.

Keywords: Aromatherapy; Adolescents; Stress; Stress response


Figure 1
Research design.

O1, O2, O3, O4=stress, anxiety, physical symptoms, systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse rate (PR), Cortisol, IgA.

X1=aroma (bergamot essential oil) inhalation (solid line).

X2=placebo (carrier oil & artificial flavor) inhalation (dotted line).

Group 1=aroma inhalation-1st & Placebo inhalation-2nd; Group 2=placebo inhalation-1st & Aroma inhalation-2nd.

Click for larger image


Table 1
Homogeneity Test for General Characteristics between the Group 1 and Group 2 at Pre-test (O1) (N=36)
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Table 2
Homogeneity Test for Dependent Variables at Pre-test (O1) (N=36)
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Table 3
Stress Score and Stress Response per Every Period in Group 1 and Group 2
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Table 4
Changes in Stress Score and Stress Response between the Post-Aroma and Post-Placebo
Click for larger image


This study is a part of Ph.D. dissertation.

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