Evaluating the integrated effect of aromatherapy and biofeedback therapy with rehabilitation among geriatric population with panic disorder

Background. Aging or senescence is mainly associated with multiple health concerns that impact the physical, psychological, and cognitive functions of older individuals, significantly affecting their daily living. The prevalence of panic disorder in this population is rising, often manifesting as fear of falls, anxiety, decreased self-esteem, and breathing difficulties, leading to increased caregiver dependency. Current anxiety disorders, characterized by neurological and psychiatric symptoms, elevated cortisol levels, and irregular immune function, contribute to heightened mental distress and are associated with palpitations and elevated blood pressure. Objectives. The study aims to explore the integrated effect of aromatherapy and biofeedback therapy combined with conventional rehabilitation on reducing fear of falls, anxiety, and breathing difficulties among geriatric patients with panic disorder. Method. One hundred geriatric participants aged 65 years and above were randomly selected into Group A and Group B. Group A received aromatherapy and biofeedback therapy, and Group B received conventional rehabilitation. Outcome measures included pre- and post-treatment assessments using the Fall Efficacy Scale-International, Borg Dyspnoea Scale, Panic Disorder Severity Scale, and standard Hamilton Anxiety Scale. Result. This study shows a significant decline in fear of falls, anxiety, and breathing difficulties by integrating aromatherapy and biofeedback therapy compared to standard rehabilitation. There was no significant differentiation in treatment outcomes within the aromatherapy and biofeedback groups. Conclusion. Integrated aromatherapy and biofeedback therapy with conventional rehabilitation provides an effective strategy for managing fear of falls, anxiety, and breathing difficulties among geriatric patients with panic disorder. These holistic approaches may enhance the quality of care and improve health outcomes and quality of life for this vulnerable population.