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

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          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.

          Abstract

          Vitamin D (VD) 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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          Most cited references54

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          Reconsidering anhedonia in depression: lessons from translational neuroscience.

          Anhedonia is a core symptom of major depressive disorder (MDD), the neurobiological mechanisms of which remain poorly understood. Despite decades of speculation regarding the role of dopamine (DA) in anhedonic symptoms, empirical evidence has remained elusive, with frequent reports of contradictory findings. In the present review, we argue that this has resulted from an underspecified definition of anhedonia, which has failed to dissociate between consummatory and motivational aspects of reward behavior. Given substantial preclinical evidence that DA is involved primarily in motivational aspects of reward, we suggest that a refined definition of anhedonia that distinguishes between deficits in pleasure and motivation is essential for the purposes of identifying its neurobiological substrates. Moreover, bridging the gap between preclinical and clinical models of anhedonia may require moving away from the conceptualization of anhedonia as a steady-state, mood-like phenomena. Consequently, we introduce the term "decisional anhedonia" to address the influence of anhedonia on reward decision-making. These proposed modifications to the theoretical definition of anhedonia have implications for research, assessment and treatment of MDD. Copyright © 2010 Elsevier Ltd. All rights reserved.
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            The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability

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              The neurobiology of depression: An integrated view.

              Major Depressive Disorder (MDD) is one of the most common and debilitating mental disorders; however, its etiology remains unclear. This paper aims to summarize the major neurobiological underpinnings of depression, synthesizing the findings into a comprehensive integrated view. A literature review was conducted using Pubmed. Search terms included "depression" or "MDD" AND "biology", "neurobiology", "inflammation", "neurogenesis", "monoamine", and "stress". Articles from 1995 to 2016 were reviewed with a focus on the connection between different biological and psychological models. Some possible pathophysiological mechanisms of depression include altered neurotransmission, HPA axis abnormalities involved in chronic stress, inflammation, reduced neuroplasticity, and network dysfunction. All of these proposed mechanisms are integrally related and interact bidirectionally. In addition, psychological factors have been shown to have a direct effect on neurodevelopment, causing a biological predisposition to depression, while biological factors can lead to psychological pathology as well. The authors suggest that while it is possible that there are several different endophenotypes of depression with distinct pathophysiological mechanisms, it may be helpful to think of depression as one united syndrome, in which these mechanisms interact as nodes in a matrix. Depressive disorders are considered in the context of the RDoC paradigm, identifying the pathological mechanisms at every translational level, with a focus on how these mechanisms interact. Finally, future directions of research are identified.
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                Author and article information

                Contributors
                zppost@163.com
                hfsyzdm7778@163.com
                Journal
                Brain Behav
                Brain Behav
                10.1002/(ISSN)2157-9032
                BRB3
                Brain and Behavior
                John Wiley and Sons Inc. (Hoboken )
                2162-3279
                18 September 2020
                November 2020
                : 10
                : 11 ( doiID: 10.1002/brb3.v10.11 )
                : e01760
                Affiliations
                [ 1 ] Department of Sleep Disorders Affiliated Psychological Hospital of Anhui Medical University Hefei China
                [ 2 ] Hefei Fourth People's Hospital Hefei China
                [ 3 ] Anhui Mental Health Center Hefei China
                [ 4 ] Department of Psychiatry University of Rochester Medical Center Rochester NY USA
                [ 5 ] Department of Maternal, Child & Adolescent Health School of Public Health Anhui Medical University Hefei China
                Author notes
                [*] [* ] Correspondence

                Dao‐min Zhu, Department of Sleep Disorders Affiliated Psychological Hospital of Anhui Medical University, Hefei 230022, China.

                Email: hfsyzdm7778@ 123456163.com

                Peng Zhu, Department of Maternal, Child & Adolescent Health, School of Public Health Anhui Medical University, Hefei 230032, China.

                Email: zppost@ 123456163.com

                Author information
                https://orcid.org/0000-0002-1779-9547
                https://orcid.org/0000-0001-7160-2592
                Article
                BRB31760
                10.1002/brb3.1760
                7667301
                32945627
                a91e7dbd-e16e-4ee3-9a67-931c8cdd2ef3
                © 2020 The Authors. Brain and Behavior published by Wiley Periodicals LLC

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 10 March 2020
                : 10 May 2020
                : 28 June 2020
                Page count
                Figures: 3, Tables: 2, Pages: 10, Words: 6974
                Funding
                Funded by: the Municipal Health Planning Commission Applied Medical Research project of Anhui Hefei
                Award ID: hwk2018yb001
                Funded by: Joint Laboratory Project of University of Science and Technology of China and the Fourth People's Hospital of Hefei
                Award ID: 2019LH02
                Funded by: Fund Project of Anhui Medical University
                Award ID: 2019xkj206
                Funded by: the in hospital project of Hefei Fourth People's Hospital
                Award ID: 2019010
                Award ID: 2019023
                Funded by: the Key research and development projects in Anhui Province of China
                Award ID: 201904a07020015
                Categories
                Original Research
                Original Research
                Custom metadata
                2.0
                November 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.4 mode:remove_FC converted:16.11.2020

                Neurosciences
                anxiety,depression,vitamin d deficiency,vitamin d supplementation
                Neurosciences
                anxiety, depression, vitamin d deficiency, vitamin d supplementation

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