{"title":"Relaxation effects of Shikuwasa (Citrus depressa Hayata) essential oil inhalation: A randomized controlled trial in young adult females","authors":"Fumitake Yamaguchi , Miho Kuroki , Naoki Yoshinaga , Michikazu Nakai , Yasuji Arimura","doi":"10.1016/j.conctc.2026.101613","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Shikuwasa (<em>Citrus depressa</em> Hayata) essential oil, rich in limonene and γ-terpinene, produces calming effects, but its psychological and physiological relaxation effects in humans remain unclear. This study examined the short-term relaxation effects of inhaling Shikuwasa essential oil compared to odor-free air among young adult females.</div></div><div><h3>Methods</h3><div>In this two-arm, parallel-group, open-label, randomized controlled superiority trial, healthy females aged 18–39 were randomly assigned to either the Shikuwasa essential oil group (n = 20) or the odor-free air group (n = 20). The primary outcome was subjective tense-arousal, measured using the Japanese version of the University of Wales Institute of Science and Technology Mood Adjective Checklist (JUMACL). Secondary outcomes included miosis rate, peripheral skin temperature, and cerebral blood flow. Due to measurement constraints, the experiment was divided into three 2-min inhalation phases.</div></div><div><h3>Results</h3><div>No significant between-group differences were observed in tense-arousal, miosis rate, or cerebral blood flow. Additional analyses of covariance, performed for each outcome variable using the Visual Analog Scale score and its interaction with the group as covariates, revealed a trend toward an interaction effect for the JUMACL tense-arousal subscale score, although the overall effects were not statistically significant.</div></div><div><h3>Conclusions</h3><div>Short-term inhalation of Shikuwasa essential oil did not significantly reduce tense-arousal or affect physiological indices in healthy, normal-to-low stress young adult females. However, aroma preference may influence psychological and neural responses. Future studies should consider pre-assessed aroma preference, longer inhalation durations, single-phase protocols, extended rest periods, and participants’ baseline mood.</div></div><div><h3><strong>Trial registration</strong></h3><div>This study was prospectively registered with the UMIN-CTR, UMIN000053914.</div></div>","PeriodicalId":37937,"journal":{"name":"Contemporary Clinical Trials Communications","volume":"50 ","pages":"Article 101613"},"PeriodicalIF":1.4000,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contemporary Clinical Trials Communications","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2451865426000207","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/2/10 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Shikuwasa (Citrus depressa Hayata) essential oil, rich in limonene and γ-terpinene, produces calming effects, but its psychological and physiological relaxation effects in humans remain unclear. This study examined the short-term relaxation effects of inhaling Shikuwasa essential oil compared to odor-free air among young adult females.
Methods
In this two-arm, parallel-group, open-label, randomized controlled superiority trial, healthy females aged 18–39 were randomly assigned to either the Shikuwasa essential oil group (n = 20) or the odor-free air group (n = 20). The primary outcome was subjective tense-arousal, measured using the Japanese version of the University of Wales Institute of Science and Technology Mood Adjective Checklist (JUMACL). Secondary outcomes included miosis rate, peripheral skin temperature, and cerebral blood flow. Due to measurement constraints, the experiment was divided into three 2-min inhalation phases.
Results
No significant between-group differences were observed in tense-arousal, miosis rate, or cerebral blood flow. Additional analyses of covariance, performed for each outcome variable using the Visual Analog Scale score and its interaction with the group as covariates, revealed a trend toward an interaction effect for the JUMACL tense-arousal subscale score, although the overall effects were not statistically significant.
Conclusions
Short-term inhalation of Shikuwasa essential oil did not significantly reduce tense-arousal or affect physiological indices in healthy, normal-to-low stress young adult females. However, aroma preference may influence psychological and neural responses. Future studies should consider pre-assessed aroma preference, longer inhalation durations, single-phase protocols, extended rest periods, and participants’ baseline mood.
Trial registration
This study was prospectively registered with the UMIN-CTR, UMIN000053914.
期刊介绍:
Contemporary Clinical Trials Communications is an international peer reviewed open access journal that publishes articles pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from a wide range of disciplines including medicine, life science, pharmaceutical science, biostatistics, epidemiology, computer science, management science, behavioral science, and bioethics. Contemporary Clinical Trials Communications is unique in that it is outside the confines of disease specifications, and it strives to increase the transparency of medical research and reduce publication bias by publishing scientifically valid original research findings irrespective of their perceived importance, significance or impact. Both randomized and non-randomized trials are within the scope of the Journal. Some common topics include trial design rationale and methods, operational methodologies and challenges, and positive and negative trial results. In addition to original research, the Journal also welcomes other types of communications including, but are not limited to, methodology reviews, perspectives and discussions. Through timely dissemination of advances in clinical trials, the goal of Contemporary Clinical Trials Communications is to serve as a platform to enhance the communication and collaboration within the global clinical trials community that ultimately advances this field of research for the benefit of patients.