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. 2022 Oct 29;26:100541. doi: 10.1016/j.bbih.2022.100541

Table 3.

Potential mechanisms underlying probiotic-associated mood and anxiety improvements in human participants.

Intervention Participants Results
30-day double-blind, placebo controlled RCT 55 healthy adults, aged 30–60 years
  • Participants in probiotic (L. helveticus R0052, B. longum R0175) group had significantly reduced HSCL-90 scores (global severity index, z = 1.98; somatization z = 2.16; depression z = 1.96; and anger-hostility z = 2.41), and HADS-global (z = 2.19) and HADS-anxiety (z = 1.92) scores, between time-points compared to placebo group.

  • Participants in probiotic group had significant decrease in median urinary free cortisol (UFC) level between time-points; no significant change in UFC among controls.

Once daily probiotic (one stick 1.5g combination of L. helveticus R0052 and B. longum R0175, 3 × 109 CFU/stick) Probiotic group: 42.4 ± 7.5 yo
Messaoudi et al. (2011) Placebo group: 43.2 ± 8.5 yo
8-week repeated measures, placebo-controlled design. Placebo for 4 weeks, followed by probiotic (1 × 109 CFU stick of Bifidobacterium longum 1714) for 4 weeks. 22 healthy adults, aged 18–40
  • At the post-probiotic (B. Longum 1714) visit, significantly lower cortisol increase in response to cold-stressor test (compared to placebo, r = 0.42; and compared to baseline, r = 0.45).

  • State anxiety was significantly elevated in response to cold stressor test post-placebo (r = 0.57), but not post-probiotic (r = 0.12).

  • Subjective stress, as measured with AUCg, was significantly lower during the 1714 condition compared with the placebo (Cohen's d = 0.53).

  • Frontal midline electroencephalographic mobility was significantly higher post-probiotic compared with post-placebo (r = 0.31).

Allen et al. (2016) Mean age: 25.5 ± 1.2 yo
6-week double-blind, placebo controlled RCT 44 adults with IBS and mild to moderate anxiety and/or depression (HAD-A or HAD-D score 8–14)
  • 14 out of 22 (64%) participants in the B. longum NC 3001 group had decreased HAD-D scores (≥2 points), compared with 7 out of 22 (32%) participants in the placebo group.

  • Significant reduction in HAD-D scores between time-points in BL group compared to placebo group (when accounting for baseline differences).

  • After treatment, participants in BL group (compared with placebo group) showed: 1)reduced engagement of the amygdala, frontal and temporal cortices, as well as 2)heightened engagement of occipital regions, in response to the fear stimuli (relative to fixation).

  • Within the BL group, reduced engagement of the amygdala correlated with decreased depression scores (r = 0.58, p = .03) – pattern not observed among placebo group.

Once daily probiotic (B. longum NCC 3001, 1 × 1010 CFU/1g powder) or placebo for 6 weeks. Probiotic group median age: 46.5 (30–58)yo
Pinto et al. (2017) Placebo group median age: 40.0 (26–57) yo