Vitamin D supplementation improves anxiety but not depression symptoms in patients with vitamin D deficiency

Abstract Objective Epidemiological evidence indicated a relationship between vitamin D (VD) and depression with anxiety, but their therapeutic relationship has not been fully elucidated. This study aimed to examine whether VD supplementation would relieve symptoms in patients with depression and anx...

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Main Authors: Cuizhen Zhu, Yu Zhang, Ting Wang, Yezhe Lin, Jiakuai Yu, Qingrong Xia, Peng Zhu, Dao‐min Zhu
Format: Article
Language:English
Published: Wiley 2020-11-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.1760
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author Cuizhen Zhu
Yu Zhang
Ting Wang
Yezhe Lin
Jiakuai Yu
Qingrong Xia
Peng Zhu
Dao‐min Zhu
author_facet Cuizhen Zhu
Yu Zhang
Ting Wang
Yezhe Lin
Jiakuai Yu
Qingrong Xia
Peng Zhu
Dao‐min Zhu
author_sort Cuizhen Zhu
collection DOAJ
description Abstract Objective Epidemiological evidence indicated a relationship between vitamin D (VD) and depression with anxiety, but their therapeutic relationship has not been fully elucidated. This study aimed to examine whether VD supplementation would relieve symptoms in patients with depression and anxiety with low serum 25‐hydroxy VD [25(OH) D] levels. Method Participants with low 25(OH)D levels were randomized to control or daily VD group and were followed up for 6 months. Serum concentrations of 25(OH) D were measured using commercial kits. Psychological symptoms were evaluated with the Hamilton Depression Rating Scale‐17 (HAMD‐17), Revised Social Anhedonia Scale (RSAS), Revised Physical Anhedonia scale (RPAS), and Hamilton Anxiety Rating Scale‐14 (HAMA‐14). The trial was listed in the trial registration (http://www.medresman.org.cn/uc/index.aspx; NTR number: ChiCTR2000030130). Results In this clinical population, no significant difference in depression symptoms was detected between VD group and control group at both baseline and at the endpoint of our study. The HAMD‐17, RSAS, and RPAS scores did not change significantly between VD and control groups from baseline to endpoint (all p > .05). However, there was a significant difference in time effect of the total HAMA‐14 scores between the two groups (β [95% Cl] = −2.235 [−3.818, −0.653], p = .006). Conclusions Vitamin D supplementation could improve the anxiety symptoms but not depressive symptoms in depressive patients with low VD level after the 6‐month intervention.
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spelling doaj.art-19db85bb1c03420a8cddaa33d525c8e92022-12-22T00:12:39ZengWileyBrain and Behavior2162-32792020-11-011011n/an/a10.1002/brb3.1760Vitamin D supplementation improves anxiety but not depression symptoms in patients with vitamin D deficiencyCuizhen Zhu0Yu Zhang1Ting Wang2Yezhe Lin3Jiakuai Yu4Qingrong Xia5Peng Zhu6Dao‐min Zhu7Department of Sleep Disorders Affiliated Psychological Hospital of Anhui Medical University Hefei ChinaDepartment of Sleep Disorders Affiliated Psychological Hospital of Anhui Medical University Hefei ChinaDepartment of Sleep Disorders Affiliated Psychological Hospital of Anhui Medical University Hefei ChinaDepartment of Psychiatry University of Rochester Medical Center Rochester NY USADepartment of Sleep Disorders Affiliated Psychological Hospital of Anhui Medical University Hefei ChinaDepartment of Sleep Disorders Affiliated Psychological Hospital of Anhui Medical University Hefei ChinaDepartment of Maternal, Child & Adolescent Health School of Public Health Anhui Medical University Hefei ChinaDepartment of Sleep Disorders Affiliated Psychological Hospital of Anhui Medical University Hefei ChinaAbstract Objective Epidemiological evidence indicated a relationship between vitamin D (VD) and depression with anxiety, but their therapeutic relationship has not been fully elucidated. This study aimed to examine whether VD supplementation would relieve symptoms in patients with depression and anxiety with low serum 25‐hydroxy VD [25(OH) D] levels. Method Participants with low 25(OH)D levels were randomized to control or daily VD group and were followed up for 6 months. Serum concentrations of 25(OH) D were measured using commercial kits. Psychological symptoms were evaluated with the Hamilton Depression Rating Scale‐17 (HAMD‐17), Revised Social Anhedonia Scale (RSAS), Revised Physical Anhedonia scale (RPAS), and Hamilton Anxiety Rating Scale‐14 (HAMA‐14). The trial was listed in the trial registration (http://www.medresman.org.cn/uc/index.aspx; NTR number: ChiCTR2000030130). Results In this clinical population, no significant difference in depression symptoms was detected between VD group and control group at both baseline and at the endpoint of our study. The HAMD‐17, RSAS, and RPAS scores did not change significantly between VD and control groups from baseline to endpoint (all p > .05). However, there was a significant difference in time effect of the total HAMA‐14 scores between the two groups (β [95% Cl] = −2.235 [−3.818, −0.653], p = .006). Conclusions Vitamin D supplementation could improve the anxiety symptoms but not depressive symptoms in depressive patients with low VD level after the 6‐month intervention.https://doi.org/10.1002/brb3.1760anxietydepressionvitamin D deficiencyvitamin D supplementation
spellingShingle Cuizhen Zhu
Yu Zhang
Ting Wang
Yezhe Lin
Jiakuai Yu
Qingrong Xia
Peng Zhu
Dao‐min Zhu
Vitamin D supplementation improves anxiety but not depression symptoms in patients with vitamin D deficiency
Brain and Behavior
anxiety
depression
vitamin D deficiency
vitamin D supplementation
title Vitamin D supplementation improves anxiety but not depression symptoms in patients with vitamin D deficiency
title_full Vitamin D supplementation improves anxiety but not depression symptoms in patients with vitamin D deficiency
title_fullStr Vitamin D supplementation improves anxiety but not depression symptoms in patients with vitamin D deficiency
title_full_unstemmed Vitamin D supplementation improves anxiety but not depression symptoms in patients with vitamin D deficiency
title_short Vitamin D supplementation improves anxiety but not depression symptoms in patients with vitamin D deficiency
title_sort vitamin d supplementation improves anxiety but not depression symptoms in patients with vitamin d deficiency
topic anxiety
depression
vitamin D deficiency
vitamin D supplementation
url https://doi.org/10.1002/brb3.1760
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