ClinicalTrials.gg
RecruitingNCT07067424Updated Jul 16, 2025

Effect of Aromatherapy on Anxiety in Colonoscopy Patients

An interventional study of Lavender Aromatherapy and Bergamot Aromatherapy in Anxiety, Colonoscopy and Aromatherapy, sponsored by Eastern Mediterranean University. Recruiting at 1 site in Cyprus. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-07-16.

Primary conditionAnxiety Disorders(the registry's first term)UnverifiedIs this wrong?The registry often attaches Anxiety Disorders to studies about something else, and this study's title and listed conditions do not name it. No better condition is named, so the registry's term is kept.

Sponsored by Eastern Mediterranean University · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was expected by Oct 2025, 1 year ago, but the record still lists the study as recruiting.
  • Registered 6 months after the study started (first participant enrolled Jan 2025, registered Jul 2025).
  • Started Jan 2025; still recruiting 1 year 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
102
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this study is to investigate the effects of aromatherapy with lavender and bergamot essential oils on anxiety, vital signs, and feelings of embarrassment before colonoscopy. The findings of this study are expected to contribute both to filling a gap in the literature and to the planning of evidence-based nursing interventions aimed at minimizing pre-colonoscopy anxiety and embarrassment in patients.

Read the detailed description

In addition to being a painful and uncomfortable procedure, colonoscopy can cause anxiety and fear in patients due to procedure-related concerns, fear of a cancer diagnosis, and feelings of embarrassment resulting from perceived violations of privacy during the procedure. To alleviate patients' anxiety, fear, or embarrassment before colonoscopy, various non-pharmacological approaches, such as aromatherapy, are utilized. Aromatherapy, also known as essential oil therapy, is defined as "the art and science of using naturally extracted aromatic essences from plants to balance, harmonize, and promote the health of the body, mind, and spirit". Lavender and bergamot essential oils have been reported to have positive effects on anxiety in patients undergoing certain medical procedures, such as surgeries, childbirth, urodynamic testing, and endoscopic interventions. However, no study has yet evaluated the combined effects of aromatherapy with lavender and bergamot oils on anxiety, vital signs, and feelings of embarrassment in patients undergoing colonoscopy. The aim of this study is to investigate the effects of aromatherapy with lavender and bergamot essential oils on anxiety, vital signs, and feelings of embarrassment before colonoscopy. The findings of this study are expected to contribute both to filling a gap in the literature and to the planning of evidence-based nursing interventions aimed at minimizing pre-colonoscopy anxiety and embarrassment in patients.

02

Conditions studied

  • Anxiety
  • Colonoscopy
  • Aromatherapy

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Keywords

  • Lavender
  • Bergamot
  • Anxiety
  • Colonoscopy
  • Embarrassment
03

In context

Anxiety Disorders Unverified

7,201 studies on the registry are indexed under Anxiety Disorders; 1,682 are open to participants now.

This study's planned enrollment of 102 is above the median of 80 across 6,057 interventional studies indexed under Anxiety Disorders.

Browse Anxiety Disorders studies →

Lead sponsor

Eastern Mediterranean University is the lead sponsor of 141 studies on the registry; 17 are open to participants now.

Compared within Anxiety Disorders, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients over 18 years of age
  • Patients undergoing a colonoscopy
  • Patients capable of reading and understanding the study instructions

Exclusion criteria

Exclusion Criteria:

  • Patients who refused to participate in the study
  • Patients who reported an allergy to any of the lavender or bergamot extracts used in the study
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
102 participants (estimated)

Study arms

  • Experimental
    Lavender Aromatherapy

    Inhalation of lavender essential oil for 20 minutes prior to colonoscopy.

    Other: Lavender Aromatherapy

  • Experimental
    Bergamot Aromatherapy

    Inhalation of bergamot essential oil for 20 minutes prior to colonoscopy.

    Other: Bergamot Aromatherapy

  • Placebo comparator
    Control Group

    Participants in this group will inhale an odorless substance (distilled water ) to mimic the aromatherapy procedure without active ingredients.

    Other: Placebo Inhalation

Interventions

  • OtherLavender Aromatherapy

    Participants will inhale lavender essential oil via cotton pads placed near the nose for 20 minutes prior to colonoscopy. The application will take place in a pre-procedure waiting area under nurse supervision.

  • OtherBergamot Aromatherapy

    Participants will inhale bergamot essential oil through cotton pads placed near the nose for 20 minutes before the colonoscopy procedure, under the supervision of clinical staff.

  • OtherPlacebo Inhalation

    Participants will inhale an odorless substance (distilled water) using the same method and duration as the intervention groups, to simulate the aromatherapy procedure.

06

What researchers measure

Primary outcomes

  1. Change in anxiety level measured by the State Anxiety Inventory (STAI-State)

    Anxiety will be assessed using the State Anxiety Inventory (STAI-State), which consists of 20 items rated on a 4-point Likert scale. The total score ranges from 20 to 80, with higher scores indicating greater anxiety. The scale has been validated in Turkish with a Cronbach's alpha between 0.94 and 0.96.

    Time frame: Immediately before and 30 minutes after the intervention

Secondary outcomes

  1. Change in embarrassment level measured by the Colonoscopy Embarrassment Scale

    Embarrassment related to colonoscopy will be measured using the 15-item Colonoscopy Embarrassment Scale, with scores ranging from 15 to 60. Higher scores indicate greater embarrassment. The Turkish version has a Cronbach's alpha of 0.94.

    Time frame: Immediately after the colonoscopy procedure

Other outcomes

  1. Change in heart rate

    Heart rate (beats per minute) will be measured using a standard monitoring form.

    Time frame: Immediately before and 30 minutes after the intervention

  2. Change in respiratory rate

    Respiratory rate (breaths per minute) will be measured using a standard monitoring form.

    Time frame: Immediately before and 30 minutes after the intervention

  3. Change in systolic and diastolic blood pressure

    Systolic and diastolic blood pressure will be measured in mmHg using a standard blood pressure monitor.

    Time frame: Immediately before and 30 minutes after the intervention

  4. Change in oxygen saturation

    Oxygen saturation (SpO₂) will be measured using pulse oximetry.

    Time frame: Immediately before and 30 minutes after the intervention

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Yue QQ, Feng GH, Peng T, Tang T, Sun YX, Meng XR, Huang LL, Zhao KH, Huang HL, Zeng Y. What is the current state of anxiety and its related factors in Chinese patients undergoing colonoscopy? A cross-sectional study. BMC Psychol. 2025 Feb 27;13(1):169. doi: 10.1186/s40359-025-02463-z. PubMed 40016795 ↗
  • Peng W, McKinnon-Crowley J, Huang Q, Mao B. Assessing Fear, Embarrassment, and Disgust in Colonoscopy: The Development of Measurement Instruments and Psychometric Evidence. Health Educ Behav. 2024 Aug;51(4):601-612. doi: 10.1177/10901981231177075. Epub 2023 Jun 9. PubMed 37293778 ↗
  • Mutlu S, Yilmaz E, Sahin ST. The effect of position change and abdominal massage on anxiety, pain and distension after colonoscopy: A randomized clinical trial. Explore (NY). 2024 Jan-Feb;20(1):89-94. doi: 10.1016/j.explore.2023.06.007. Epub 2023 Jun 20. PubMed 37391282 ↗
  • Dogan Yilmaz E, Unlusoy Dincer N. The Effects of Virtual Reality Glasses on Vital Signs and Anxiety in Patients Undergoing Colonoscopy: A Randomized Controlled Trial. Gastroenterol Nurs. 2023 Jul-Aug 01;46(4):318-328. doi: 10.1097/SGA.0000000000000733. Epub 2023 Jun 5. PubMed 37278621 ↗
  • Honig AJ, Galassi MG, Ogungbe OO, Uranga T, Cuevas DK. Implementation of Aromatherapy, a Nonpharmacological Intervention, to Reduce Anxiety During the Preoperative Period. J Perianesth Nurs. 2023 Apr;38(2):206-212. doi: 10.1016/j.jopan.2022.06.011. Epub 2023 Feb 1. PubMed 36732122 ↗
  • Kettas Dolek E, Altun Ugras G. The effect of aromatherapy during urodynamic testing on patients anxiety and cortisol levels: A randomized controlled trial. Neurourol Urodyn. 2024 Sep;43(7):1591-1599. doi: 10.1002/nau.25491. Epub 2024 May 15. PubMed 38747020 ↗
  • Ni CH, Hou WH, Kao CC, Chang ML, Yu LF, Wu CC, Chen C. The anxiolytic effect of aromatherapy on patients awaiting ambulatory surgery: a randomized controlled trial. Evid Based Complement Alternat Med. 2013;2013:927419. doi: 10.1155/2013/927419. Epub 2013 Dec 17. PubMed 24454517 ↗
  • Keser E, Baglama SS, Sezer C. The Effect of Reiki and Aromatherapy on Vital Signs, Oxygen Saturation, and Anxiety Level in Patients Undergoing Upper Gastrointestinal Endoscopy: A Randomized Controlled Study. Holist Nurs Pract. 2023 Nov-Dec 01;37(6):337-346. doi: 10.1097/HNP.0000000000000611. PubMed 37851350 ↗
  • Pasyar N, Rambod M, Araghi F. The effect of bergamot orange essence on anxiety, salivary cortisol, and alpha amylase in patients prior to laparoscopic cholecystectomy: A controlled trial study. Complement Ther Clin Pract. 2020 May;39:101153. doi: 10.1016/j.ctcp.2020.101153. Epub 2020 Mar 21. PubMed 32379683 ↗
  • Hedigan F, Sheridan H, Sasse A. Benefit of inhalation aromatherapy as a complementary treatment for stress and anxiety in a clinical setting - A systematic review. Complement Ther Clin Pract. 2023 Aug;52:101750. doi: 10.1016/j.ctcp.2023.101750. Epub 2023 Apr 5. PubMed 37031643 ↗
  • Sayilan S, Sayilan AA, Mert S, Oztekin SD, Baydemir C. The Effect of Precolonoscopy Lavender Inhalation on Patient Anxiety and Comfort: A Randomized, Controlled, Double-Blinded, Single-Center Study. Gastroenterol Nurs. 2023 Sep-Oct 01;46(5):376-385. doi: 10.1097/SGA.0000000000000754. Epub 2023 Jun 8. PubMed 37289849 ↗
  • Vora LK, Gholap AD, Hatvate NT, Naren P, Khan S, Chavda VP, Balar PC, Gandhi J, Khatri DK. Essential oils for clinical aromatherapy: A comprehensive review. J Ethnopharmacol. 2024 Aug 10;330:118180. doi: 10.1016/j.jep.2024.118180. Epub 2024 Apr 16. PubMed 38614262 ↗
  • Shirzad M, Nasiri E, Hesamirostami M, Akbari H. The Effect of Lavender on Anxiety and Hemodynamic Status Before Septorhinoplasy and Rhinoplasty. J Perianesth Nurs. 2023 Feb;38(1):45-50. doi: 10.1016/j.jopan.2022.05.067. Epub 2022 Aug 18. PubMed 35987997 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2025 (actual). Primary completion is estimated for Oct 2025, 9 months after the start.

Of 3,836 non-industry interventional studies with no phase under Anxiety Disorders, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 28. This study's planned 9 months is below that.

Counting every sponsor, half of 3,938 studies reached it within 12 months; a quarter within 5 and three quarters within 28.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 14, 2025
First posted
Jul 16, 2025
StartActual
Jan 1, 2025
Primary completionEst.
Oct 31, 2025
CompletionEst.
Nov 30, 2025
Last update
Jul 16, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07067424
Responsible party
ERAY YÜCEDAĞ (Clinical Nurse, Eastern Mediterranean University) — Principal investigator
First posted
Jul 16, 2025
Start date
Jan 1, 2025
Primary completion
Oct 31, 2025 (estimated)
Completion
Nov 30, 2025 (estimated)
Last update
Jul 16, 2025

Study contacts

Eray Yucedag, MSc student
Contact
eray_ycedag@icloud.com
05428884948
Sevinc Tastan, Prof.
Contact
sevinc.tastan@emu.edu.tr
05488785465
Eray Yucedag, MSc Student
principal investigator · Eastern Mediterranean University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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