Di Lisi Alessandro, Dalla Valle Asia, Menchetti Marco, Crisafulli Concetta, Fabbri Chiara
Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy.
Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
J Clin Psychopharmacol. 2025;45(4):376-387. doi: 10.1097/JCP.0000000000002014. Epub 2025 May 12.
The conception of psychiatric disorders as systemic diseases implies an important role of nutrition in mental health. Essential trace elements are present in very small amounts in the body, yet they are essential for many physiological functions.
Little is known about the potential role of chromium and selenium supplementation in mental disorders and other populations. To contribute to filling this gap, this review is focused on the possible benefits of chromium and selenium, alone or in combination with pharmacological treatments, in the treatment of mental disorders or psychiatric symptoms.
Chromium and selenium show promising effects on psychiatric symptoms across mental disorders. Selenium may have benefits on anxious-depressive symptoms in healthy populations and groups at risk of nutritional deficits and psychiatric symptoms, for example, women in the post-partum. In addition, chromium was linked to improved insulin sensitivity and glucose metabolism, which can benefit not only metabolic health but also mood regulation, with specific benefits on atypical symptoms of depression, such as appetite/weight gain. Selenium plays a role in reducing oxidative stress and inflammation, which may suggest positive effects on psychopathology and other conditions linked to these mechanisms.
Both trace elements may affect positively mental health and cardio-metabolic-inflammatory conditions, which have a strong link with psychiatric disorders and their prognosis. Despite the evidence is not conclusive, chromium and selenium supplementation are interesting options to investigate in future research on the personalization of treatment in mental disorders.
将精神障碍视为系统性疾病的观念意味着营养在心理健康中具有重要作用。必需微量元素在体内的含量极少,但它们对许多生理功能至关重要。
关于补充铬和硒在精神障碍及其他人群中的潜在作用,人们了解甚少。为填补这一空白,本综述聚焦于铬和硒单独或与药物治疗联合使用在治疗精神障碍或精神症状方面可能带来的益处。
铬和硒对各类精神障碍的精神症状均显示出有前景的效果。硒可能对健康人群以及有营养缺乏风险和精神症状的群体(例如产后女性)的焦虑抑郁症状有益。此外,铬与改善胰岛素敏感性和葡萄糖代谢有关,这不仅有益于代谢健康,还对情绪调节有益,对抑郁的非典型症状(如食欲/体重增加)有特定益处。硒在减轻氧化应激和炎症方面发挥作用,这可能表明对精神病理学以及与这些机制相关的其他状况有积极影响。
这两种微量元素可能对心理健康以及心血管 - 代谢 - 炎症状况产生积极影响,而这些状况与精神障碍及其预后密切相关。尽管证据尚无定论,但补充铬和硒是未来精神障碍个性化治疗研究中值得探究的有趣选项。