Evidence map›Paper›PMID 40682204›Full record

ArticleBMC psychology2025

Tactile and olfactory stimulation reduce anxiety and enhance autonomic balance: a multisensory approach for healthcare settings.

Junfang Xie, Mohamed Elsadek, Zhang Deshun, Zhiyi Zhou, Jie Gao

Abstract read
In one paragraph

Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Junfang Xie *Department of Urban and Rural Planning, College of Architecture and Design, Nanchang University, Jiangxi, 330031, China.
Mohamed Elsadek *Department of Landscape Architecture, College of Architecture and Urban Planning, Tongji University, Shanghai, 200092, China. elsadek_m@tongji.edu.cn.
Zhang DeshunDepartment of Landscape Architecture, College of Architecture and Urban Planning, Tongji University, Shanghai, 200092, China.
Zhiyi ZhouDepartment of Urban and Rural Planning, College of Architecture and Design, Nanchang University, Jiangxi, 330031, China.
Jie GaoShanghai Xiaofeng Dental Clinic Group, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anxiety in healthcare environments-particularly in dental clinics-presents a significant challenge, often impairing patient cooperation and clinical outcomes. This study investigated the effectiveness of multisensory engagement-combining visual, tactile, and olfactory stimuli-in reducing anxiety and promoting physiological relaxation within a dental clinic setting. A within-subject experimental design was employed, exposing 40 participants to five conditions: control (no sensory input), visual (plant observation), tactile (plant interaction), olfactory (plant scent), and combined tactile-olfactory stimulation. Anxiety was assessed using the State-Trait Anxiety Inventory- State (STAI-S), and physiological responses were measured via heart rate (HR), heart rate variability (HRV) indices (LF/HF ratio, RMSSD, SDNN), and skin conductance (SC). Findings revealed significant reductions in anxiety and stress markers across all sensory conditions compared to the control. The tactile-olfactory combination elicited the most consistent improvements across physiological indices, including a 42.3% reduction in STAI-S scores, a 66.0% decrease in the LF/HF ratio, 81.6% increase in RMSSD (olfactory condition peak), a 54.7% increase in SDNN, a 15.9% decrease in HR, and a 67.2% reduction in SC. These findings underscore the potential of nature-based multisensory interventions to enhance autonomic regulation and psychological well-being in clinical environments. The study offers novel insights into the application of biophilic design principles in healthcare, demonstrating that engaging multiple sensory pathways, especially combined tactile and olfactory inputs, can help mitigate patient anxiety and promote relaxation.

Indexed as

AnxietyAutonomic Nervous SystemOlfactory PerceptionSmellTouchAdultFemaleGalvanic Skin ResponseHeart RateHumansMalePhysical StimulationYoung AdultAnxiety reductionBiophilic designDental anxietyDental clinic environmentHeart rate variabilityMultisensory stimulationParasympathetic activationSkin conductance

Identifiers

PMID40682204
PMCPMC12275342

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.