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Efficacy of probiotic supplements in improving the symptoms of psychosis, anxiety, insomnia, and anorexia due to amphetamine and methamphetamine use: a randomized clinical trial.
Badrfam, Rahim; Zandifar, Atefeh; Hajialigol, Amirhossein; Rashidian, Maryam; Schmidt, Norman Brad; Morabito, Danielle; Qorbani, Mostafa; Shahrestanaki, Ehsan; Mehrabani Natanzi, Mahboobeh.
Afiliación
  • Badrfam R; Department of Psychiatry, Imam Hossein Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Alborz, Iran.
  • Zandifar A; Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
  • Hajialigol A; Department of Psychiatry, Imam Hossein Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Alborz, Iran. zandifaratefe@gmail.com.
  • Rashidian M; Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran. zandifaratefe@gmail.com.
  • Schmidt NB; Alborz Office of Universal Scientific Education and Research Network (USERN), Alborz University of Medical Sciences, Karaj, Iran.
  • Morabito D; Alborz Office of Universal Scientific Education and Research Network (USERN), Alborz University of Medical Sciences, Karaj, Iran.
  • Qorbani M; Department of Psychology, Florida State University, Tallahassee, Florida, USA.
  • Shahrestanaki E; Department of Psychology, Florida State University, Tallahassee, Florida, USA.
  • Mehrabani Natanzi M; Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Psychopharmacology (Berl) ; 241(7): 1463-1476, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38512593
ABSTRACT
RATIONALE Changes in the density and diversity of gut microbiota in chronic use of methamphetamine have been mentioned as contributors to psychotic and anxiety symptoms, sleep problems, and loss of appetite.

OBJECTIVE:

In this placebo-controlled clinical trial, we investigated the effect of the probiotic Lactobacillus Acidophilus in improving psychiatric symptoms among hospitalized patients with chronic methamphetamine use along with psychotic symptoms.

METHODS:

60 inpatients with a history of more than 3 years of methamphetamine use, were randomly assigned to one of two groups receiving either a probiotic capsule or placebo along with risperidone for 8 weeks based on a simple randomization method. In weeks 0, 4, and 8, patients were evaluated using the Brief Psychiatric Rating Scale (BPRS), Beck Anxiety Inventory (BAI), Pittsburgh Sleep Quality Index (PSQI), Simple Appetite Nutritional Questionnaire (SANQ), and Body Mass Index (BMI).

RESULTS:

Compared to the control group, patients receiving probiotics had better sleep quality, greater appetite, and higher body mass index (there were significant interaction effects of group and time at Week 8 in these variables (t = -3.32, B = -1.83, p = .001, d = 0.89), (t = 10.50, B = 2.65, p <.001, d = 1.25) and (t = 3.40, B = 0.76, p <.001, d = 0.30), respectively. In terms of the improvement of psychotic and anxiety symptoms, there was no statistically significant difference between the two groups.

CONCLUSIONS:

The use of probiotics was associated with improved sleep quality, increased appetite, and increased body mass index in patients with chronic methamphetamine use. Conducting more definitive clinical trials with larger sample sizes and longer-term follow-up of cases is recommended.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Anorexia / Probióticos / Trastornos Relacionados con Anfetaminas / Trastornos del Inicio y del Mantenimiento del Sueño / Metanfetamina Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Psychopharmacology (Berl) Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Anorexia / Probióticos / Trastornos Relacionados con Anfetaminas / Trastornos del Inicio y del Mantenimiento del Sueño / Metanfetamina Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Psychopharmacology (Berl) Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Alemania