Database Analysis of Adults with Bipolar Disorder Consuming a Micronutrient Formula

D. Gately, B. Kaplan
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引用次数: 38

Abstract

Background Bipolar disorder is a lifelong problem with imperfect available treatments. Recent research has shown potential benefit of nutritional treatment for mood symptoms. The goal of the current study was to determine whether adults with bipolar disorder reported treatment benefit from consuming a micronutrient formula. Methods Self-report data were available from 682 adults who reported a diagnosis of bipolar disorder; 81% were taking psychiatric medications. Those reporting additional diagnoses were excluded, as well as those who provided data <60 times during 180 days of using the micronutrients, leaving 358 for analysis. Results Mean symptom severity was 41% lower than baseline after 3 months (effect size = 0.78), and 45% lower after 6 months (effect size = 0.76) (both paired t-tests significant, p < 0.001). In terms of responder status, 53% experienced ≥50% improvement at 6 months. Half the sample were taking medications approved for bipolar disorder (lithium, anticonvulsants, atypical antipsychotics), and half were either medication-free or taking other medications: the magnitude of treatment benefit did not differ between these two groups. Regression analyses indicated that decreased symptom severity over the 6 months was associated with increasing micronutrient dosage and with reducing medication. Symptom improvements were significant and sustained at 6 months, suggesting that benefits were not attributable to placebo/expectancy effects. Conclusions Further research on this micronutrient formula is warranted.
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双相情感障碍成人食用微量营养素配方的数据库分析
双相情感障碍是一个终生的问题,治疗方法并不完善。最近的研究表明,营养疗法对情绪症状有潜在的好处。当前研究的目的是确定患有双相情感障碍的成年人是否从食用微量营养素配方中获益。方法对682名被诊断为双相情感障碍的成年人进行自我报告;81%的人服用精神药物。那些报告额外诊断的人被排除在外,以及那些在使用微量营养素的180天内提供数据少于60次的人,留下358人用于分析。结果3个月后平均症状严重程度比基线低41%(效应值= 0.78),6个月后平均症状严重程度比基线低45%(效应值= 0.76)(配对t检验均显著,p < 0.001)。在应答者状态方面,53%的患者在6个月时改善≥50%。一半的样本正在服用双相情感障碍批准的药物(锂,抗惊厥药,非典型抗精神病药),一半的样本要么不服用药物,要么服用其他药物:两组之间的治疗效果没有差异。回归分析表明,6个月内症状严重程度的降低与微量营养素剂量的增加和药物的减少有关。症状的改善是显著的,并持续了6个月,这表明益处不是由于安慰剂/预期效应。结论该微量营养素配方值得进一步研究。
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