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Probiotics' Effects in the Treatment of Anxiety and Depression: A Comprehensive Review of 2014-2023 Clinical Trials.

作者信息

Merkouris Ermis, Mavroudi Theodora, Miliotas Daniil, Tsiptsios Dimitrios, Serdari Aspasia, Christidi Foteini, Doskas Triantafyllos K, Mueller Christoph, Tsamakis Konstantinos

机构信息

Neurology Department, Democritus University of Thrace, 68100 Alexandroupoli, Greece.

3rd Neurology Department, Aristotle University, 54124 Thessaloniki, Greece.

出版信息

Microorganisms. 2024 Feb 19;12(2):411. doi: 10.3390/microorganisms12020411.


DOI:10.3390/microorganisms12020411
PMID:38399815
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10893170/
Abstract

Changes in the gut microbiome can affect cognitive and psychological functions via the microbiota-gut-brain (MGB) axis. Probiotic supplements are thought to have largely positive effects on mental health when taken in sufficient amounts; however, despite extensive research having been conducted, there is a lack of consistent findings on the effects of probiotics on anxiety and depression and the associated microbiome alterations. The aim of our study is to systematically review the most recent literature of the last 10 years in order to clarify whether probiotics could actually improve depression and anxiety symptoms. Our results indicate that the majority of the most recent literature suggests a beneficial role of probiotics in the treatment of depression and anxiety, despite the existence of a substantial number of less positive findings. Given probiotics' potential to offer novel, personalized treatment options for mood disorders, further, better targeted research in psychiatric populations is needed to address concerns about the exact mechanisms of probiotics, dosing, timing of treatment, and possible differences in outcomes depending on the severity of anxiety and depression.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c892/10893170/52266debf2f2/microorganisms-12-00411-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c892/10893170/a4c9ff797000/microorganisms-12-00411-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c892/10893170/52266debf2f2/microorganisms-12-00411-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c892/10893170/a4c9ff797000/microorganisms-12-00411-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c892/10893170/52266debf2f2/microorganisms-12-00411-g002.jpg

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[1]
Probiotics' Effects in the Treatment of Anxiety and Depression: A Comprehensive Review of 2014-2023 Clinical Trials.

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[6]
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[7]
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引用本文的文献

[1]
Gut-Brain Axis in Mood Disorders: A Narrative Review of Neurobiological Insights and Probiotic Interventions.

Biomedicines. 2025-7-26

[2]
Nutritional psychology and inflammatory bowel disease: a narrative review of gut-brain axis interactions.

Front Nutr. 2025-8-1

[3]
Probiotics mitigate stress and inflammation in malnourished adults via gut microbiota modulation: a randomized controlled trial.

Front Nutr. 2025-7-16

[4]
Molecular Basis of Anxiety: A Comprehensive Review of 2014-2024 Clinical and Preclinical Studies.

Int J Mol Sci. 2025-6-5

[5]
Potential clinical benefits of probiotics, prebiotics, synbiotics, and postbiotics for depression the microbiota-gut-brain axis.

World J Psychiatry. 2025-5-19

[6]
Probiotics as technological innovations in psychiatric disorders: patents and research reviews.

Front Nutr. 2025-4-24

[7]
Estrogen-Gut-Brain Axis: Examining the Role of Combined Oral Contraceptives on Mental Health Through Their Impact on the Gut Microbiome.

Cureus. 2025-3-28

[8]
Probiotics as a Treatment of Chronic Stress Associated Abnormalities.

Probiotics Antimicrob Proteins. 2025-4-26

[9]
Expert Opinion on the Use of Probiotics in Recurrent Pregnancy Loss.

Cureus. 2025-3-23

[10]
Progress in Probiotic Science: Prospects of Functional Probiotic-Based Foods and Beverages.

Int J Food Sci. 2025-4-14

本文引用的文献

[1]
Recommendations to Improve Quality of Probiotic Systematic Reviews With Meta-Analyses.

JAMA Netw Open. 2023-12-1

[2]
Effects of probiotic supplementation on the gut microbiota composition of adults: a systematic review of randomized clinical trials.

An Acad Bras Cienc. 2023

[3]
subsp. Reduces Perceived Psychological Stress in Healthy Adults: An Exploratory Clinical Trial.

Nutrients. 2023-7-13

[4]
Acceptability, Tolerability, and Estimates of Putative Treatment Effects of Probiotics as Adjunctive Treatment in Patients With Depression: A Randomized Clinical Trial.

JAMA Psychiatry. 2023-8-1

[5]
Psychobiotic Effects on Anxiety Are Modulated by Lifestyle Behaviors: A Randomized Placebo-Controlled Trial on Healthy Adults.

Nutrients. 2023-3-31

[6]
Psychobiotic JYLP-326 relieves anxiety, depression, and insomnia symptoms in test anxious college modulating the gut microbiota and its metabolism.

Front Immunol. 2023

[7]
PRO-DEMET Randomized Controlled Trial on Probiotics in Depression-Pilot Study Results.

Nutrients. 2023-3-14

[8]
A Microbial-Based Approach to Mental Health: The Potential of Probiotics in the Treatment of Depression.

Nutrients. 2023-3-13

[9]
Systematic review of probiotics as an adjuvant treatment for psychiatric disorders.

Front Behav Neurosci. 2023-2-9

[10]
Probiotics as a Tool for Regulating Molecular Mechanisms in Depression: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.

Int J Mol Sci. 2023-2-4

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