The effect of aromatherapy with Rosa damascena essential oil on sleep quality in children

Document Type : Original paper


1 Department of Traditional Medicine, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2 Department of Traditional Pharmacy, School of Traditional Medicine, and Traditional Medicine and Materia Medica Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3 Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

4 Talaghani Hospital Psychosomatic Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

5 Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

6 ACECR, Shahid Beheshti University of Medical Sciences, Tehran, Iran.


Background and objectives: Sleep disorder is one of the main problems in children. Poor sleep quality can lead to adverse effects on their growth and development. Aromatherapy is a kind of method for improving sleep. In Iranian traditional medicine, inhaling Rosa damascena has been recommended for treating sleep disorder. Due to the side effects of chemical drugs and trend to alternative medicine due to less complication, the aim of this study was to investigate the effect of aromatherapy with Rosa damascena essential oil on sleep quality in children. Methods: This study was an experimental before and after study that conducted in 30 children with sleep disorder. Children inhaled 5 drops of Rosa damascena essential oil on a cotton ball before sleep for 20 min (2 weeks). Before and after intervention, BEARS questionnaire was asked. Wilcoxon signed-rank test was used for comparisons by SPSS software. Results: The results of this study showed that resistance to sleep, difficulty waking in the morning, nightmare and waking up during the night in children decreased (p<0.05) by inhaling Rosa damascena essential oil. There was no significant improvement in daytime sleeping and fatigue of children after aromatherapy. Conclusion: Aromatherapy with Rosa damascena was safe and could improve sleep quality in children with sleep disorders.


Main Subjects

[1] Hintze JP, Paruthi S. Sleep in the pediatric population. Sleep Med Clin. 2016; 11(1): 91-103.
[2] Ipsiroglu OS, Fatemi A, Werner I. Prevalence of sleep disorders in school children between 11 and 15 years of age. Wien Klin Wochenschr. 2001; 113(7-8): 235-244.
[3] Meltzer LJ, Mindell JA. Sleep and sleep disorders in children and adolescents. Psychiatr Clin North Am. 2006; 29(4): 1059-1076.
[4] Boyle J, Cropley M. Children's sleep: problems and solutions. J Fam Health Care. 2004; 14(3): 61-63.
[5] Owens J. Classification and epidemiology of childhood sleep disorders. Prim Care. 2008; 35(3): 533-546.
[6] Abuduhaer A, Xu PR, Muzhapaer D. Sleep disorders and their influencing factors in primary school children from Urumqi. Zhongguo Dang Dai Er Ke Za Zhi. 2007; 9(6): 543-545.
[7] Badin E, Haddad C, Shatkin JP. Insomnia, the sleeping giant of pediatric public health. Curr Psychiatry Rep. 2016; Article ID 26993792.
[8] Wise M, Glaze D. Assessment of sleep disorders in children. [Accessed 2015]. Available from:
[9] Hannan K, Hiscock H. Sleep problems in children. Aust Fam Physician. 2015; 44(12): 880-883.
[10] Arbanas G, Arbanas D, Dujam K. Adverse effects of benzodi­azepines in psychiatric outpatients. Psychiatr Danub. 2009; 21(1): 103-107.
[11] Adams D, Dagenais S, Clifford T, Baydala L, King WJ, Hervas-Malo M, Moher D, Vohra S. Complementary and alternative medicine use by pediatric specialty outpatients. Pediatrics. 2013; 131(2): 225-232.
[12] Fradelos E, Komini E. The use of essential oils as a complementary treatment for anxiety. Am J Nurs Sie. 2015; 4(1): 1-5.
[13] Hwang E, Shin S. The effects of aromatherapy on sleep improvement: a systematic literature review and meta-analysis. J Altern Complement Med. 2015; 21(2): 61-68.
[14] Lillehei AS, Halcon LL. A systematic review of the effect of inhaled essential oils on sleep. J Altern Complement Med. 2014; 20(6): 441-451.
[15] Keyhanmehr AS, Movahhed M, Sahranavard S, Hamdieh M, Afsharpaiman S, Gachkar L, Nikfarjad H. Which aroma in Iranian traditional medicine is effective on sleep disorders? Galen Med J. 2017; 6(1): 3-11.
[16] Nazemjahan M. Exir-e-azam. Tehran: Tehran university of Medical Science, Institute for Islamic and Complementary Medicine, 2007.
[17] Ibne Sina H. AlQanoun fi al teb. Beirut: Alalamy, 2005.
[18] Azam Khan Cheshti H. Qarabadin-azam. Tehran: Nezami, 2011.
[19] Arzani MA. Tebbe akbari. Qom: Jalaleddin, 2008.
[20] Aghili-Khorasani MH. Makhzan-al-adviyeh. Tehran: Sabz, 2011.
[21] Boskabady MH, Naser Shafei M, Saberi Z, Amini S. Pharmacological effects of Rosa damascena. Iran J Basic Med Sci. 2011; 14(4): 295-307.
[22] Rakhshandeh H, Sadeghnia HR, Ghorbani A. Sleep-prolonging effect of Coriandrum sativum hydro-alcoholic extract in mice. Nat Prod Res. 2012; 26(22): 2095-2098.
[23] Hajibagheri A, Babaii A, Adib-Hajbaghery M. Effect of Rosa damascena aromatherapy on sleep quality in cardiac patients: a randomized controlled trial. Complement Ther Clin Pract. 2014; 20(3): 159-163.
[24] Haze S, Sakai K, Gozu Y. Effects of fragrance inhalation on sympathetic activity in normal adults. Jpn J Pharmaco. 2002; 90(3): 247-253.
[25] Marofi M, Sirousfard M, Moeini M, Ghanadi A. Evaluation of the effect of aromatherapy with Rosa damascena Mill on postoperative pain intensity in hospitalized children in selected hospitals affiliated to Isfahan University of Medical Sciences in 2013: A randomized clinical trial. Iran J Nurs Midwifery Res. 2015; 20(2): 247-254.
[26] Williams TI. Evaluating effects of aromatherapy massage on sleep in children with autism: a pilot study. Evid Based Complement Altern Med. 2006; 3(3): 373-377.
[27] McLay LK, France K. Empirical research evaluating non-traditional approaches to managing sleep problems in children with autism. Dev Neurorehabil. 2016; 19(2): 123-134.
[28] Lytle J, Mwatha C, Davis KK. Effect of lavender aromatherapy on vital signs and perceived quality of sleep in the intermediate care unit: a pilot study. Am J Crit Care. 2014; 23(1): 24-29.
[29] Aligani Renani H, Noruzi Zamengani M, Asnafi A, Latifi M. The effect of aromatherapy with orange essential oils on sleep quality in the school-age children whit ALL. Complement Med J. 2015; 5(1): 1113-1121.
[30] Soltani R, Soheilipour S, Hajhashemi V, Asghari G, Bagheri M, Molavi M. Evaluation of the effect of aromatherapy with lavender essential oil on post-tonsillectomy pain in pediatric patients: a randomized controlled trial. Int J Pediatr Otorhinolaryngol. 2013; 77(9): 1579-1581.
[31] Mohammadi M, Ghalebaghi B, Ghaleh Bandi MF, Amintehrani E, Khodaie Sh, Shoaee Sh, Ashra MR. Sleep patterns and sleep problems among preschool and school-aged group children in a primary care setting. IranJPediatr. 2007; 17(3): 213-221.
[32] Fricke-Oerkermann L, Pluck J, Schredl M, Heinz K, Mitschke A, Wiater A, Lehmkuhl G. Prevalence and course of sleep problems in childhood. Sleep. 2007; 30(10): 1371-1377.
[33] Lv XN, Liu ZJ, Zhang HJ, Tzeng CM. Aromatherapy and the central nerve system (CNS): therapeutic mechanism and its associated genes. Curr Drug Targets. 2013; 14(8): 872-879.
Pires A, Fortuna A, Alves G, Falcao A. Intranasal drug delivery: how, why and what for? J Pharm Pharm Sci. 2009; 12(3): 288-311