CHAMGAP
APPROVEDReviewed and approved by the Chamgap Editorial Team (2026-07-10). The draft was written by AI, all 4 cited sources were opened and checked for existence, and the verdict passed blind grading and adversarial audit. Methodology v0.6.
Verdict No. 187 · Search date 2026-07-10 · Methodology v0.6

Chamomile,
does it really help with Anxiety and sleep?

30-Second Summary
C
Evidence Grade C · 57 · Safety caution
There is an anxiety signal, but strong generalization to sleep is limited
What the
research shows
Chamomile extract has a small RCT signal for anxiety symptoms in GAD, and for sleep there are signals of improvement in subjective sleep quality in studies of postpartum women and older adults. However, the anxiety studies are small, the sleep studies are short-term and small, and the evidence that insomnia clinical endpoints improve consistently is weak.
What the
ads claim
Advertisements mention 'tension relief,' 'sound sleep,' and 'caffeine-free nighttime tea' together. In the research, anxiety scales and sleep-quality scales are separated, and the data are limited for generalizing to an insomnia treatment effect.
*

Useful facts when choosing a product

  • Study doses differ from one another, such as extract 220-1500 mg/day or 1 cup/day of tea.
  • If there is a history of allergy to Asteraceae/Compositae or ragweed, hypersensitivity reactions are possible.
  • In contexts involving anticoagulants, sedatives, pregnancy, or lactation, interactions and safety need to be checked.
  • Tea products and standardized capsule studies are difficult to treat as evidence for the same dose.
Gap Measurement · Verdict 187 · C 57
What advertising claims
What independent, higher-quality research supports
△ GAP
01

What the research actually shows

Amsterdam 2009 reported that, in 57 people with mild-to-moderate GAD, chamomile extract showed a greater reduction in HAMA than placebo. The Mao 2016/2017 long-term study included an open-label lead-in with 179 people and re-randomized 93 responders; relapse time was not significant, but it reported a signal for maintained reduction in GAD symptoms. Chang 2016 found that 2 weeks of chamomile tea in 80 postpartum women with sleep problems improved sleep quality and depression scores short term, but the effect disappeared at follow-up. Adib-Hajbaghery 2017 found improved PSQI after 200 mg twice daily for 28 days in 60 older adults, but it was a small single-blind study.

02

Why this is classified as C (57)

There are direct human RCT signals, but the study size and the inconsistency of sleep clinical endpoints are insufficient to raise the entire combined anxiety-and-sleep claim to B, so it is placed at 57 points, the upper part of C.

Counterpoint. When studies of anxiety symptom relief and studies of sleep quality are separated, the evidence on the anxiety side is relatively more direct.

Rejudgment record. Draft — Small direct RCTs and short-term sleep-quality studies exist, but there is insufficient independent large-scale replication for the whole combined claim

Cross-check — Codex and Claude

This verdict was drafted by Codex through literature review and source-existence checks, cross-checked through blind grading and adversarial audit, and settled by reapplying the methodology boundary rules. Cases with split grades were resolved through rejudgment.
03

Evidence Table

StudyDesignSampleFundingEndpointResultWeight
Amsterdam JD et al. 2009Randomized double-blind placebo-controlled trial57NCCAM/academicHAMA and other GAD symptom scalesThe chamomile extract group had a greater reduction in HAMA than placebo.Core
Mao JJ et al. 2016/2017Long-term randomized placebo-controlled maintenance study93NCCIH/NCIGAD relapse and symptom scalesThe difference in relapse time was not clear, and there was a signal for maintained symptom reduction.Core
Chang SM & Chen CH 2016Randomized controlled trial80Academic/unclearPSQI and depression scoresThere was a signal for improved sleep quality immediately after 2 weeks of intake, but it was not maintained at 4-week follow-up.Supporting
Adib-Hajbaghery M & Mousavi SN 2017Single-blind randomized controlled trial60Academic/unclearPSQISleep quality improved more than control after 200 mg twice daily for 28 days.Supporting
§

Receipt — 4 References

Every cited source was opened and checked against the live page on 2026-07-10.

Amsterdam JD, Li Y, Soeller I, Rockwell K, Mao JJ, Shults J. A randomized, double-blind, placebo-controlled trial of oral Matricaria recutita chamomile extract therapy for generalized anxiety disorder. J Clin Psychopharmacol. 2009;29:378-382. PMID: 19593179. DOI: 10.1097/JCP.0b013e3181ac935c.
checked
Mao JJ, Xie SX, Keefe JR, et al. Long-term chamomile therapy of generalized anxiety disorder: a randomized clinical trial. Phytomedicine. 2016/2017. PMID: 28041646. DOI: 10.1016/j.phymed.2016.10.012.
checked
Chang SM, Chen CH. Effects of an intervention with drinking chamomile tea on sleep quality and depression in sleep disturbed postnatal women: a randomized controlled trial. J Adv Nurs. 2016;72:306-315. PMID: 26483209. DOI: 10.1111/jan.12836.
checked
Adib-Hajbaghery M, Mousavi SN. The effects of chamomile extract on sleep quality among elderly people: a clinical trial. Complement Ther Med. 2017;35:109-114. PMID: 29154054. DOI: 10.1016/j.ctim.2017.09.010.
checked
Draft and rewrite: Codex (AI) · Verification: Codex blind grading and adversarial audit · Final adjudication: Claude
Reviewed and approved: Chamgap Editorial Team · Approval date: 2026-07-10 · Corrections: none

Cite this verdict

Chamomile x anxiety and sleep Evidence Grade C card
[Chamgap] Chamomile x anxiety and sleep — Evidence Grade C·57. 4 cited sources checked. Source: https://health-receipt.pages.dev/en/verdicts/mood/chamomile-anxiety-sleep/ · CC BY 4.0

CC BY 4.0 — free to use with attribution; do not distort grades, numbers, or verdict meaning.

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