Probiotics’ Effects in the Treatment of Anxiety and Depression: A Comprehensive Review of 2014–2023 Clinical Trials

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, the...

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Main Authors: Ermis Merkouris, Theodora Mavroudi, Daniil Miliotas, Dimitrios Tsiptsios, Aspasia Serdari, Foteini Christidi, Triantafyllos K. Doskas, Christoph Mueller, Konstantinos Tsamakis
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/12/2/411
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author Ermis Merkouris
Theodora Mavroudi
Daniil Miliotas
Dimitrios Tsiptsios
Aspasia Serdari
Foteini Christidi
Triantafyllos K. Doskas
Christoph Mueller
Konstantinos Tsamakis
author_facet Ermis Merkouris
Theodora Mavroudi
Daniil Miliotas
Dimitrios Tsiptsios
Aspasia Serdari
Foteini Christidi
Triantafyllos K. Doskas
Christoph Mueller
Konstantinos Tsamakis
author_sort Ermis Merkouris
collection DOAJ
description 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.
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spelling doaj.art-72edc2adbbd44920885aefb7c301cbb12024-02-23T15:28:27ZengMDPI AGMicroorganisms2076-26072024-02-0112241110.3390/microorganisms12020411Probiotics’ Effects in the Treatment of Anxiety and Depression: A Comprehensive Review of 2014–2023 Clinical TrialsErmis Merkouris0Theodora Mavroudi1Daniil Miliotas2Dimitrios Tsiptsios3Aspasia Serdari4Foteini Christidi5Triantafyllos K. Doskas6Christoph Mueller7Konstantinos Tsamakis8Neurology Department, Democritus University of Thrace, 68100 Alexandroupoli, GreeceNeurology Department, Democritus University of Thrace, 68100 Alexandroupoli, GreeceNeurology Department, Democritus University of Thrace, 68100 Alexandroupoli, GreeceNeurology Department, Democritus University of Thrace, 68100 Alexandroupoli, GreeceDepartment of Child and Adolescent Psychiatry, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, GreeceNeurology Department, Democritus University of Thrace, 68100 Alexandroupoli, GreeceNeurology Department, Athens Naval Hospital, 11521 Athens, GreeceInstitute of Psychiatry, Psychology and Neuroscience (IoPPN), King’s College London, London SE5 8AB, UKInstitute of Psychiatry, Psychology and Neuroscience (IoPPN), King’s College London, London SE5 8AB, UKChanges 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.https://www.mdpi.com/2076-2607/12/2/411probioticsanxietydepressionmicrobiomegutmicrobiota
spellingShingle Ermis Merkouris
Theodora Mavroudi
Daniil Miliotas
Dimitrios Tsiptsios
Aspasia Serdari
Foteini Christidi
Triantafyllos K. Doskas
Christoph Mueller
Konstantinos Tsamakis
Probiotics’ Effects in the Treatment of Anxiety and Depression: A Comprehensive Review of 2014–2023 Clinical Trials
Microorganisms
probiotics
anxiety
depression
microbiome
gut
microbiota
title Probiotics’ Effects in the Treatment of Anxiety and Depression: A Comprehensive Review of 2014–2023 Clinical Trials
title_full Probiotics’ Effects in the Treatment of Anxiety and Depression: A Comprehensive Review of 2014–2023 Clinical Trials
title_fullStr Probiotics’ Effects in the Treatment of Anxiety and Depression: A Comprehensive Review of 2014–2023 Clinical Trials
title_full_unstemmed Probiotics’ Effects in the Treatment of Anxiety and Depression: A Comprehensive Review of 2014–2023 Clinical Trials
title_short Probiotics’ Effects in the Treatment of Anxiety and Depression: A Comprehensive Review of 2014–2023 Clinical Trials
title_sort probiotics effects in the treatment of anxiety and depression a comprehensive review of 2014 2023 clinical trials
topic probiotics
anxiety
depression
microbiome
gut
microbiota
url https://www.mdpi.com/2076-2607/12/2/411
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