Review Article

The Effects of Aromatherapy on Premenstrual Syndrome Symptoms: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

Table 3

Pooled estimates of the effects of aromatherapy on premenstrual syndrome symptoms within different subgroups.

Number of trialsWMD (95% CI) value heterogeneityI2 (%)
Psychological symptomsPhysical symptomsPsychological symptomsPhysical symptomsPsychological symptomsPhysical symptomsPsychological symptomsPhysical symptomsPsychological symptomsPhysical symptoms

Total178−1.79 (−2.54, −1.04)−1.27 (−1.96, −0.58)<0.001<0.001<0.001<0.00196.292.9
PMS symptoms
 Score of psychological symptoms3−3.73 (−4.22, −3.25)<0.0010.00382.6
 Anxiety5−0.51 (−0.77, −0.26)<0.001<0.00194.2
 Depression5−0.58 (−0.88, −0.28)<0.001<0.001—-93.7
 Confusion4-−0.50 (−0.78, −0.21)0.0010.0366.5
 Score of physical symptoms3−0.90 (−1.12, −0.69)<0.001<0.00196.4
 Fatigue5−0.82 (−1.08, −0.56)<0.001<0.00189.7

Study design
 Parallel96−0.73 (−0.88, −0.57)−0.84 (−1.01, −0.67)<0.001<0.001<0.001<0.00195.694.3
 Crossover82−3.59 (−4.33, −2.84)−1.62 (−2.45, −0.79)<0.001<0.001<0.0010.09489.964.4

Outcome assessment tool
 PSST84−0.49 (−0.65, −0.32)−0.95 (−1.18, −0.71)<0.001<0.001<0.001<0.00187.394.7
 POMS62−1.45 (−2.38, −0.52)−1.62 (−2.45, −0.79)<0.0010.0050.0250.09461.264.4
 ACOG21−7.32 (−8.55, −6.09)−4.40 (−5.74, −3.05)<0.001<0.0010.2814.2
 PMS score11−4.04 (−4.63, −3.44)−0.60 (−0.84, −0.35)<0.001<0.001
Duration of treatment
 <2 mo62−1.45 (−2.38, −0.52)−1.62 (−2.45, −0.79)0.0020.0050.0250.09461.264.4
  =2 mo95−0.73 (−0.88, −0.57)−0.78 (−0.95, −0.61)<0.001<0.001<0.001<0.00195.693.4
 >2 mo21−7.32 (−8.55, −6.09)−4.40 (−5.74, −3.05)<0.001<0.0010.2814.2

Sample size
 <2062−1.45 (−2.38, −0.52)−1.62 (−2.45, −0.79)0.002<0.0010.0250.09861.264.4
 ≥20116−0.83 (−0.99, −0.68)−0.84 (−1.01, −0.67)<0.001<0.001<0.001<0.00196.695.3

ACOG, American College of Obstetricians and Gynecologists; CI, confidence interval; PMS, premenstrual syndrome; POMS, Profile of Mood State; PSST, premenstrual symptoms screening tool; WMD, weighted mean difference.