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黄芩与藏红花联合补充剂对轻至中度抑郁症状参与者情绪调节的影响:一项随机、双盲、安慰剂对照研究。

The Effects of Combined Scutellaria and Saffron Supplementation on Mood Regulation in Participants with Mild-to-Moderate Depressive Symptoms: A Randomized, Double-Blind, Placebo-Controlled Study.

作者信息

Dormal Valérie, Suchareau Marlène, Copine Sylvie, Simar Laurent, Deldicque Louise

机构信息

Center of Investigation in Clinical Nutrition, Université Catholique de Louvain, Rue du Marathon, 3, B-1348 Louvain-la-Neuve, Belgium.

Institute of Neuroscience, Université Catholique de Louvain, B-1348 Louvain-la-Neuve, Belgium.

出版信息

Nutrients. 2025 Feb 26;17(5):809. doi: 10.3390/nu17050809.

Abstract

The global prevalence of mental health disorders, particularly anxiety and depression, has increased significantly, with rates further elevated by the COVID-19 pandemic. Conventional pharmacological treatments, while effective, often lead to side effects that can impact patient adherence and quality of life. This has driven interest in safer, natural adjunctive therapies. L. () (saffron) and () (scutellaria) have individually shown potential, in humans and animals, respectively, as mood regulators, with bioactive compounds that modulate neurotransmitter systems and possess anti-inflammatory and anxiolytic effects. This study aimed (1) to explore the efficacy and safety of scutellaria extracts in humans and (2) to test a possible synergistic effect when combining scutellaria and saffron on mood regulation in individuals experiencing mild-to-moderate depressive symptoms. In a randomized, double-blind, placebo-controlled trial, 180 participants with mild-to-moderate depressive symptoms were assigned to receive either scutellaria extract alone (SCUTELL'UP), saffron extract alone (SAFFR'ACTIV), a combination of scutellaria and saffron extracts (SAFFR'UP), or a placebo for six weeks. The primary outcome was assessed using a standardized depression scale (Beck Depression Inventory). The secondary outcomes, including anxiety, emotional state, well-being level, and sleep quality, were all assessed using validated questionnaires. Safety and tolerability were evaluated throughout the study period. The results confirmed the beneficial effects of saffron extract on depressive and anxious symptoms, as well as its role in improving sleep quality. For the first time in humans, scutellaria extract demonstrated a positive effect on mood regulation. Furthermore, a synergistic effect of the combination of these two extracts was identified, leading to enhanced improvements in depressive and anxious symptoms and emotional well-being among individuals with mild-to-moderate depression, compared to the placebo group. Minimal adverse effects were reported across all treatment groups. This natural adjunctive nutritional strategy offers a promising alternative for individuals seeking safer options for mental health support. Further research is warranted to exclude potential long-term side effects and to explore potential mechanisms of this combined supplementation.

摘要

全球心理健康障碍,尤其是焦虑症和抑郁症的患病率显著上升,而新冠疫情使这些疾病的发病率进一步升高。传统药物治疗虽有效果,但往往会导致副作用,影响患者的依从性和生活质量。这引发了人们对更安全的天然辅助疗法的兴趣。藏红花和黄芩分别在人类和动物身上显示出作为情绪调节剂的潜力,其生物活性化合物可调节神经递质系统,并具有抗炎和抗焦虑作用。本研究旨在:(1)探索黄芩提取物对人类的疗效和安全性;(2)测试黄芩和藏红花联合使用对轻度至中度抑郁症状个体情绪调节的可能协同作用。在一项随机、双盲、安慰剂对照试验中,180名有轻度至中度抑郁症状的参与者被分配接受单独的黄芩提取物(SCUTELL'UP)、单独的藏红花提取物(SAFFR'ACTIV)、黄芩和藏红花提取物的组合(SAFFR'UP)或安慰剂,为期六周。使用标准化抑郁量表(贝克抑郁量表)评估主要结局。包括焦虑、情绪状态、幸福感水平和睡眠质量在内的次要结局均使用经过验证的问卷进行评估。在整个研究期间评估安全性和耐受性。结果证实了藏红花提取物对抑郁和焦虑症状的有益作用,以及其在改善睡眠质量方面的作用。黄芩提取物首次在人类身上证明了对情绪调节有积极作用。此外,还发现这两种提取物的组合具有协同作用,与安慰剂组相比,可使轻度至中度抑郁症患者的抑郁和焦虑症状以及情绪幸福感得到更大改善。所有治疗组报告的不良反应均极少。这种天然辅助营养策略为寻求更安全心理健康支持选项的个体提供了一种有前景的替代方案。有必要进行进一步研究以排除潜在的长期副作用,并探索这种联合补充的潜在机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aee/11901551/1a6be08b815b/nutrients-17-00809-g001.jpg

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