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. 188 · Search date 2026-07-10 · Methodology v0.6

Passionflower,
does it really help with Anxiety and sleep?

30-Second Summary
C
Evidence Grade C · 48 · Safety caution
Human studies exist, but they are small and endpoints are dispersed
What the
research shows
Passionflower has human studies related to anxiety and sleep, but Cochrane-style assessment is cautious about confirming clinical efficacy in anxiety disorders, and EMA-style traditional-use assessment is regulatory-neutral context. The human clinical studies are few and small and have methodological flaws, so it is difficult to view the whole combined anxiety-and-sleep claim as B.
What the
ads claim
Advertisements mention 'natural calming,' 'anxiety relief,' and 'sound sleep' together. In the research, anxiety endpoints differ from one another, including single-dose preoperative anxiety and GAD symptom scales, and sleep endpoints are short-term subjective scales.
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Useful facts when choosing a product

  • Study formulations vary, including extracts, syrups, tablets, and teas.
  • Sleepiness may increase when combined with sedatives or alcohol.
  • Safety data during pregnancy and lactation are limited, and caution during pregnancy has traditionally been mentioned.
  • Preoperative anxiety studies should be read separately from evidence for chronic anxiety and insomnia.
Gap Measurement · Verdict 188 · C 48
What advertising claims
What independent, higher-quality research supports
△ GAP
01

What the research actually shows

Akhondzadeh 2001 compared Passiflora extract with oxazepam for 4 weeks in 36 people with GAD and reported similar HAMA reduction, but there was no placebo group and it was not an equivalence design. The Miyasaka 2007 Cochrane review summarized that effect conclusions were limited because the number of studies was small and methodological limitations were present. Movafegh 2008 reported that a single 500 mg dose lowered preoperative anxiety in 60 outpatients undergoing surgery. Ngan 2011 reported that 1 week of passionflower tea improved subjective sleep quality in a crossover trial of 41 healthy adults. EMA-style traditional-use assessment is regulatory-neutral material summarizing long-term use practices and is not counted as evidence confirming clinical efficacy.

02

Why this is classified as C (48)

There are human studies on anxiety and sleep, but they are few and small with methodological flaws, and Cochrane/EMA-style assessments are cautious about confirming clinical efficacy, so this is C at 48 points.

Counterpoint. Single-dose preoperative anxiety and long-term anxiety or sleep-aid claims cannot be combined at the same strength of evidence.

Rejudgment record. Draft — Human anxiety and sleep studies exist, but they are few and have methodological flaws, and Cochrane/EMA-style assessments limit confirmation of clinical efficacy

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
Akhondzadeh S et al. 2001Double-blind randomized active-comparator pilot36Academic/unclearHAMAReported that HAMA reductions were similar with Passiflora and oxazepam.Supporting
Miyasaka LS et al. 2007Cochrane systematic reviewCochrane/academicAnxiety disordersAssessed that conclusions were limited because evidence was sparse and methodological limitations were substantial.Core
Movafegh A et al. 2008Randomized double-blind placebo-controlled trial60Academic/unclearPreoperative anxiety VASPreoperative anxiety was lower than placebo after a single dose of Passiflora.Supporting
Ngan A & Conduit R 2011Double-blind placebo-controlled crossover trial41Academic/unclearSleep diary and sleep qualityOne week of passionflower tea improved subjective sleep quality.Supporting
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Receipt — 4 References

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

Miyasaka LS, Atallah AN, Soares BGO. Passiflora for anxiety disorder. Cochrane Database Syst Rev. 2007;(1):CD004518. PMID: 17253512. DOI: 10.1002/14651858.CD004518.pub2.
checked
Akhondzadeh S, Naghavi HR, Vazirian M, Shayeganpour A, Rashidi H, Khani M. Passionflower in the treatment of generalized anxiety: a pilot double-blind randomized controlled trial with oxazepam. J Clin Pharm Ther. 2001;26:363-367. PMID: 11679026. DOI: 10.1046/j.1365-2710.2001.00367.x.
checked
Movafegh A, Alizadeh R, Hajimohamadi F, Esfehani F, Nejatfar M. Preoperative oral Passiflora incarnata reduces anxiety in ambulatory surgery patients: a double-blind, placebo-controlled study. Anesth Analg. 2008;106:1728-1732. PMID: 18499599. DOI: 10.1213/ane.0b013e318172c3f9.
checked
Ngan A, Conduit R. A double-blind, placebo-controlled investigation of the effects of Passiflora incarnata herbal tea on subjective sleep quality. Phytother Res. 2011;25:1153-1159. PMID: 21294203. DOI: 10.1002/ptr.3400.
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

Passionflower x anxiety and sleep Evidence Grade C card
[Chamgap] Passionflower x anxiety and sleep — Evidence Grade C·48. 4 cited sources checked. Source: https://health-receipt.pages.dev/en/verdicts/mood/passionflower-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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What this document does and does not do

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