SleepCited

Dietary supplements and natural products as psychotherapeutic agents.

A Fugh-Berman, J M Cott
Review Psychosomatic medicine 1999 136 citations

Study Design

Study Type
Review
Population
Consumers using alternative therapies for psychiatric symptoms (depression, dementia, anxiety, insomnia)
Intervention
Dietary supplements and natural products as psychotherapeutic agents.
Comparator
Conventional antidepressants (as adjuncts)
Primary Outcome
Effects of dietary supplements and natural products on mood, memory, and insomnia
Effect Direction
Positive
Risk of Bias
Unclear

Abstract

Alternative therapies are widely used by consumers. A number of herbs and dietary supplements have demonstrable effects on mood, memory, and insomnia. There is a significant amount of evidence supporting the use of Hypericum perforatum (St. John's wort) for depression and Ginkgo biloba for dementia. Results of randomized, controlled trials also support the use of kava for anxiety and valerian for insomnia. Although evidence for the use of vitamins and amino acids as sole agents for psychiatric symptoms is not strong, there is intriguing preliminary evidence for the use of folate, tryptophan, and phenylalanine as adjuncts to enhance the effectiveness of conventional antidepressants. S-adenosylmethionine seems to have antidepressant effects, and omega-3 polyunsaturated fatty acids, particularly docosahexaenoic acid, may have mood-stabilizing effects. More research should be conducted on these and other natural products for the prevention and treatment of various psychiatric disorders.

TL;DR

There is intriguing preliminary evidence for the use of folate, tryptophan, and phenylalanine as adjuncts to enhance the effectiveness of conventional antidepressants and omega-3 polyunsaturated fatty acids, particularly docosahexaenoic acid, may have mood-stabilizing effects.

Used In Evidence Reviews