Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-22T16:35:46.416Z Has data issue: false hasContentIssue false

Chapter 9 - Broad-Spectrum Micronutrients and Mental Health

Published online by Cambridge University Press:  17 August 2023

Ted Dinan
Affiliation:
Emeritus Professor, University College Cork, Ireland
Get access

Summary

This chapter summarises evidence relating to the importance of nutrient intake from diet and supplementation to brain health. Circumstances that may contribute to an individual requiring additional nutrients beyond what are available in diet, such as consumption of nutritionally depleted food, individual differences in biological need, long-term medication use and gut–brain health needs, are detailed. These factors support the use of a broad spectrum of nutrients to address personal metabolic needs or environmentally induced nutrient depletions. The evidence for treating psychological symptoms with supplementary nutrients is reviewed, summarising research using broad-spectrum micronutrients in the treatment of mental health issues including aggression, autism, attention deficit hyperactivity disorder, anxiety and stress, mood disorders, and psychosis. The breadth and consistency of the findings highlight the importance of receiving a complete foundation of nutrients to optimise brain health. Documented safety and lack of toxicity provide reassurance that this treatment approach does not result in serious or long-term adverse events. The question of pre-treatment nutrient level testing is discussed. Finally, we offer practical suggestions to clinicians interested in incorporating this information into their clinical practice, discussing these suggestions within the context of informed consent.

Type
Chapter
Information
Nutritional Psychiatry
A Primer for Clinicians
, pp. 152 - 171
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

O’Neil, A., Quirk, S. E., Housden., S., et al., 2014. Relationship between diet and mental health in children and adolescents: a systematic review. American Journal of Public Health, 104(10), pp. e3142.Google Scholar
Firth, J., Marx, W., Dash, S., et al., 2019. The effects of dietary improvement on symptoms of depression and anxiety: a meta-analysis of randomized controlled trials. Psychosomatic Medicine, 81(3), pp. 265–80.CrossRefGoogle ScholarPubMed
Rios-Hernandez, A., Alda, J. A., Farran-Codina, A., Ferreira-Garcia, E. and Izquierdo-Pulido, M., 2017. The Mediterranean diet and ADHD in children and adolescents. Pediatrics, 139(2).Google Scholar
Sanchez-Villegas, A., Delgado-Rodriguez, M., Alonso, A., et al., 2009. Association of the Mediterranean dietary pattern with the incidence of depression: the Seguimiento Universidad de Navarra/University of Navarra follow-up (SUN) cohort. Archives of General Psychiatry, 66(10), pp. 1090–8.CrossRefGoogle Scholar
Francis, H. M., Stevenson, R. J., Chambers, J. R., et al., 2019. A brief diet intervention can reduce symptoms of depression in young adults: a randomised controlled trial. PLoS One, 14(10), p. e0222768.Google Scholar
Jacka, F. N., Kremer, P. J., Berk, M., et al., 2011. A prospective study of diet quality and mental health in adolescents. PLoS One, 6(9), p. e24805.Google Scholar
Jacka, F. N., O’Neil, A., Opie, R., et al., 2017. A randomised controlled trial of dietary improvement for adults with major depression (the ‘SMILES’ trial). BMC Medicine, 15(1), p. 23.CrossRefGoogle ScholarPubMed
Li, Y., Lv, M. R., Wei, Y. J., et al., 2017. Dietary patterns and depression risk: a meta-analysis. Psychiatry Research, 253, pp. 373–82.Google Scholar
Parletta, N., Zarnowiecki, D., Cho, J., et al., 2019. A Mediterranean-style dietary intervention supplemented with fish oil improves diet quality and mental health in people with depression: a randomized controlled trial (HELFIMED). Nutritional Neuroscience, 22(7), pp. 474–87.Google Scholar
Nanri, A., Mizoue, T., Poudel-Tandukar, K., et al., 2013. Dietary patterns and suicide in Japanese adults: the Japan Public Health Center-based Prospective Study. British Journal of Psychiatry, 203(6), pp. 422–7.Google Scholar
Opie, R. S., O’Neil, A., Itsiopoulos, C. and Jacka, F. N., 2015. The impact of whole-of-diet interventions on depression and anxiety: a systematic review of randomised controlled trials. Public Health Nutrition, 18(11), pp. 2074–93.Google Scholar
Bayes, J., Schloss, J. and Sibbritt, D., 2022. The effect of a Mediterranean diet on the symptoms of depression in young males (the ‘AMMEND’ study): a randomized control trial. The American Journal of Clinical Nutrition, 116(2), pp. 572–80.Google Scholar
Davis, D. R., Epp, M. D. and Riordan, H. D., 2004. Changes in USDA food composition data for 43 garden crops, 1950 to 1999. Journal of the American Nutrition Association, 23(6), pp. 669–82.Google Scholar
Marles, R. J., 2017. Mineral nutrient composition of vegetables, fruits and grains: the context of reports of apparent historical declines. Journal of Food Composition and Analysis, 56, pp. 93103.Google Scholar
Datnoff, L. E., Elmer, W. H. and Huber, D. M. (eds.), 2007. Mineral nutrition and plant disease. American Phytopathological Society.Google Scholar
Montgomery, D. R., Biklé, A., Archuleta, R., Brown, P. and Jordan, J., 2022. Soil health and nutrient density: preliminary comparison of regenerative and conventional farming. PeerJ, 10, p. e12848.Google Scholar
Zhu, C., Kobayashi, K., Loladze, I., et al., 2018. Carbon dioxide (CO2) levels this century will alter the protein, micronutrients, and vitamin content of rice grains with potential health consequences for the poorest rice-dependent countries. Science Advances, 4(5), p. eaaq1012.Google Scholar
Hogy, P., Wieser, H., Kohler, P., et al., 2009. Effects of elevated CO2 on grain yield and quality of wheat: results from a 3-year free-air CO2 enrichment experiment. Plant Biology (Stuttgart), 11(suppl. 1), pp. 60–9.Google Scholar
Martinez, A. and Al-Ahmad, A. J., 2019. Effects of glyphosate and aminomethylphosphonic acid on an isogeneic model of the human blood-brain barrier. Toxicology Letters, 304, pp. 3949.Google Scholar
Zobiole, L. H., Oliveira, R. S., Visentainer, J. V., et al., 2010. Glyphosate affects seed composition in glyphosate-resistant soybean. Journal of Agricultural and Food Chemistry, 58(7), pp. 4517–22.Google Scholar
Kanissery, R., Gairhe, B., Kadyampakeni, D., Batuman, O. and Alferez, F., 2019. Glyphosate: its environmental persistence and impact on crop health and nutrition. Plants (Basel, Switzerland), 8(11), p. 499.Google Scholar
Ames, B. N., Elson-Schwab, I. and Silver, E. A., 2002. High-dose vitamin therapy stimulates variant enzymes with decreased coenzyme binding affinity (increased K(m)): relevance to genetic disease and polymorphisms. The American Journal of Clinical Nutrition, 75(4), pp. 616–58.Google Scholar
Pauling, L., 1968. Orthomolecular psychiatry. Science, 160, pp. 265–71.Google Scholar
Kaplan, B. J. and Shannon, S., 2007. Nutritional aspects of child and adolescent psychopharmacology. Pediatric Annals, 36(9), pp. 600–9.CrossRefGoogle ScholarPubMed
Mohn, E. S., Kern, H. J., Saltzman, E., Mitmesser, S. H. and McKay, D. L., 2018. Evidence of drug-nutrient interactions with chronic use of commonly prescribed medications: an update. Pharmaceutics, 10(1).Google Scholar
Rucklidge, J. J., Gately, D. and Kaplan, B. J., 2010. Database analysis of children and adolescents with bipolar disorder consuming a micronutrient formula. BMC Psychiatry, 10(1), p. 74.Google Scholar
Mehl-Madrona, L. and Mainguy, B., 2017. Adjunctive treatment of psychotic disorders with micronutrients. Journal of Alternative and Complementary Medicine, 23(7), pp. 526–33.Google Scholar
Phillips, J. G. P., 1910. The treatment of melancholia by the lactic acid bacillus. British Journal of Psychiatry, 56(234).Google Scholar
Cenit, M. C., Sanz, Y. and Codoner-Franch, P., 2017. Influence of gut microbiota on neuropsychiatric disorders. World Journal of Gastroenterology, 23(30), pp. 5486–98.CrossRefGoogle ScholarPubMed
Mathee, K., Cickovski, T., Deoraj, A., Stollstorff, M. and Narasimhan, G., 2020. The gut microbiome and neuropsychiatric disorders: implications for attention deficit hyperactivity disorder (ADHD). Journal of Medical Microbiology, 69(1), pp. 1424.Google Scholar
Mitrea, L., S.-A., Nemeş, Szabo, K., Teleky, B.-E. and Vodnar, D.-C., 2022. Guts imbalance imbalances the brain: a review of gut microbiota association with neurological and psychiatric disorders. Frontiers in Medicine, 9, p. 813204.Google Scholar
Szopinska-Tokov, J., Dam, S., Naaijen, J., et al., 2020. Investigating the gut microbiota composition of individuals with attention-deficit/hyperactivity disorder and association with symptoms. Microorganisms, 8(3).Google Scholar
Berding, K. and Cryan, J. F., 2022. Microbiota-targeted interventions for mental health. Current Opinion in Psychiatry, 35(1), pp. 39.Google Scholar
Cryan, J. F., O’Riordan, K. J., Cowan, C. S. M., et al., 2019. The microbiota-gut-brain axis. Physiological Reviews, 99(4), pp. 18772013.Google Scholar
Borkent, J., Ioannou, M., Laman, J. D., Haarman, B. C. M. and Sommer, I. E. C., 2022. Role of the gut microbiome in three major psychiatric disorders. Psychological Medicine, 52(7), pp. 121.CrossRefGoogle ScholarPubMed
Bastiaanssen, T. F. S., Cowan, C. S. M., Claesson, M. J., Dinan, T. G. and Cryan, J. F., 2019. Making sense of … the microbiome in psychiatry. The International Journal of Neuropsychopharmacology, 22(1), pp. 3752.Google Scholar
Robertson, R. C., Seira Oriach, C., Murphy, K., et al., 2017. Omega-3 polyunsaturated fatty acids critically regulate behaviour and gut microbiota development in adolescence and adulthood. Brain, Behavior, and Immunity, 59, pp. 2137.Google Scholar
Stevens, A. J., Purcell, R. V., Darling, K. A., et al., 2019. Human gut microbiome changes during a 10 week randomised control trial for micronutrient supplementation in children with attention deficit hyperactivity disorder. Scientific Reports, 9(1), p. 10128.Google Scholar
Benton, D., Griffiths, R. and Haller, J., 1997. Thiamine supplementation mood and cognitive functioning. Psychopharmacology (Berlin), 129(1), pp. 6671.Google Scholar
Benton, D. and Cook, R., 1991. The impact of selenium supplementation on mood. Biological Psychiatry, 29(11), pp. 1092–8.Google Scholar
Thys-Jacobs, S., Starkey, P., Bernstein, D. and Tian, J., 1998. Calcium carbonate and the premenstrual syndrome: effects on premenstrual and menstrual symptoms. Premenstrual Syndrome Study Group. American Journal of Obstetrics and Gynecology, 179(2), pp. 444–52.Google Scholar
Kaplan, B. J., Crawford, S. G., Field, C. J. and Simpson, J. S., 2007. Vitamins, minerals, and mood. Psychological Bulletin, 133(5), pp. 747–60.Google Scholar
Sarris, J., Mischoulon, D. and Schweitzer, I., 2011. Adjunctive nutraceuticals with standard pharmacotherapies in bipolar disorder: a systematic review of clinical trials. Bipolar Disorders, 13(5–6), pp. 454–65.Google Scholar
Firth, J., Stubbs, B., Sarris, J., et al., 2017. The effects of vitamin and mineral supplementation on symptoms of schizophrenia: a systematic review and meta-analysis. Psychological Medicine, 47(9), pp. 1515–27.Google Scholar
Rucklidge, J. J., Johnstone, J. and Kaplan, B. J., 2009. Nutrient supplementation approaches in the treatment of ADHD. Expert Review of Neurotherapeutics, 9(4), pp. 461–76.Google Scholar
Benton, D., 2007. The impact of diet on anti-social, violent and criminal behaviour. Neuroscience & Biobehavioral Reviews, 31(5), pp. 752–74.Google Scholar
Firth, J., Teasdale, S. B., Allott, K., et al., 2019. The efficacy and safety of nutrient supplements in the treatment of mental disorders: a meta-review of meta-analyses of randomized controlled trials. World Psychiatry, 18(3), pp. 308–24.Google Scholar
Heilskov Rytter, M. J., Andersen, L. B., Houmann, T., et al., 2015. Diet in the treatment of ADHD in children: a systematic review of the literature. Nordic Journal of Psychiatry, 69(1), pp. 118.Google Scholar
Gordon, H. A., Rucklidge, J. J., Blampied, N. M. and Johnstone, J. M., 2015.Clinically significant symptom reduction in children with attention-deficit/hyperactivity disorder treated with micronutrients: an open-label reversal design study. Journal of Child and Adolescent Psychopharmacology, 25(10), pp. 783–98.CrossRefGoogle ScholarPubMed
Kaplan, B. J., Fisher, J. E., Crawford, S. G., Field, C. J. and Kolb, B., 2004. Improved mood and behavior during treatment with a mineral-vitamin supplement: an open-label case series of children. Journal of Child and Adolescent Psychopharmacology, 14(1), pp. 115–22.Google Scholar
Rucklidge, J. J., Taylor, M. and Whitehead, K., 2011. Effect of micronutrients on behavior and mood in adults with ADHD: evidence from an 8-week open label trial with natural extension. Journal of Attention Disorders, 15(1), pp. 7991.Google Scholar
Rucklidge, J. J., Frampton, C. M., Gorman, B. and Boggis, A., 2014. Vitamin-mineral treatment of attention-deficit hyperactivity disorder in adults: double-blind randomised placebo-controlled trial. British Journal of Psychiatry, 204(4), pp. 306–15.Google Scholar
Rucklidge, J. J., Eggleston, M. J. F., Johnstone, J. M., Darling, K. and Frampton, C. M., 2018. Vitamin-mineral treatment improves aggression and emotional regulation in children with ADHD: a fully blinded, randomized, placebo-controlled trial. Journal of Child Psychology and Psychiatry, 59(3), pp. 232–46.Google Scholar
Johnstone, J., Hughes, A., Goldenberg, J. Z., Romijn, A. R. and Rucklidge, J. J., 2020. Multinutrients for the treatment of psychiatric symptoms in clinical samples: a systematic review and meta-analysis of randomized controlled trials. Nutrients, 12(11).Google Scholar
Rucklidge, J. J., Frampton, C. M., Gorman, B. and Boggis, A., 2017. Vitamin-mineral treatment of ADHD in adults: a 1-year naturalistic follow-up of a randomized controlled trial. Journal of Attention Disorders, 21(6), pp. 522–32.Google Scholar
Darling, K. A., Eggleston, M. J. F., Retallick-Brown, H. and Rucklidge, J. J., 2019 Mineral-vitamin treatment associated with remission in attention-deficit/hyperactivity disorder symptoms and related problems: 1-year naturalistic outcomes of a 10-week randomized placebo-controlled trial. Journal of Child and Adolescent Psychopharmacology, 29(9), pp. 688704.Google Scholar
Johnstone, J. M., Hatsu, I., Tost, G., et al., 2022. Micronutrients for attention-deficit/hyperactivity disorder in youths: a placebo-controlled randomized clinical trial. Journal of the American Academy of Child and Adolescent Psychiatry, 61(5), pp. 647–61.Google Scholar
Gesch, C. B., Hammond, S. M., Hampson, S. E., Eves, A. and Crowder, M. J., 2002. Influence of supplementary vitamins, minerals and essential fatty acids on the antisocial behaviour of young adult prisoners: randomised, placebo-controlled trial.British Journal of Psychiatry, 181, pp. 22–8.Google Scholar
Schoenthaler, S., Amos, S., Doraz, W., et al., 1997. The effect of randomized vitamin-mineral supplementation on violent and non-violent antisocial behavior among incarcerated juveniles. Journal of Nutritional and Environmental Medicine, 7, pp. 343–52.Google Scholar
Tammam, J. D., Steinsaltz, D., Bester, D. W., Semb-Andenaes, T. and Stein, J. F., 2016. A randomised double-blind placebo-controlled trial investigating the behavioural effects of vitamin, mineral and n-3 fatty acid supplementation in typically developing adolescent schoolchildren. British Journal of Nutrition, 115(2), pp. 361–73.CrossRefGoogle ScholarPubMed
Zaalberg, A., Nijman, H., Bulten, E., Stroosma, L. and van der Staak, C., 2010.Effects of nutritional supplements on aggression, rule-breaking, and psychopathology among young adult prisoners. Aggressive Behavior, 36(2), pp. 117–26.Google Scholar
Hambly, J. L., Francis, K., Khan, S., et al., 2017. Micronutrient therapy for violent and aggressive male youth: an open-label trial. Journal of Child and Adolescent Psychopharmacology, 27(9), pp. 823–32.CrossRefGoogle ScholarPubMed
Schoenthaler, S. and Bier, I., 2000. The effect of vitamin-mineral supplementation on juvenile delinquency among American schoolchildren: a randomized, double-blind placebo-controlled trial. Journal of Alternative and Complementary Medicine, 6(1), pp. 717.Google Scholar
Kaplan, B. J., Hilbert, P. and Tsatsko, E., 2015. Micronutrient treatment for children with emotional and behavioral dysregulation: a case series. Journal of Medical Case Reports, 9, p. 240.Google Scholar
Schoenthaler, S., Gast, D., Giltay, E. J. and Amos, S., 2021. The effects of vitamin-mineral supplements on serious rule violations in correctional facilities for young adult male inmates: a randomized controlled trial. Crime & Delinquency, 69(4), pp. 822–40.Google Scholar
Kaplan, B. J. and Leung, B., 2011. Multi-micronutrient supplementation for the treatment of psychiatric symptoms. Integrative Medicine: A Clinician’s Journal, 10(3).Google Scholar
Valzelli, L., 1984. Reflections on experimental and human pathology of aggression. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 8(3), pp. 311–25.CrossRefGoogle ScholarPubMed
McCann, J. C. and Ames, B. N., 2009. Vitamin K, an example of triage theory: is micronutrient inadequacy linked to diseases of aging? The American Journal of Clinical Nutrition, 90(4), pp. 889907.Google Scholar
Rucklidge, J. J., Andridge, R., Gorman, B., et al., 2012. Shaken but unstirred? Effects of micronutrients on stress and trauma after an earthquake: RCT evidence comparing formulas and doses. Human Psychopharmacology, 27(5), pp. 440–54.Google Scholar
Kaplan, B. J., Rucklidge, J., Romijn, A. and Dolph, M., 2015. A randomized trial of nutrient supplements to minimize psychological stress after a natural disaster. Psychiatry Research, 228, pp. 373–9.Google Scholar
Young, L., Pipingas, A., White, D., Gauci, S. and Scholey, A., 2019. A systematic review and meta-analysis of B vitamin supplementation on depressive symptoms, anxiety, and stress: effects on healthy and ‘at-risk’ individuals. Nutrients, 11(9), p. 2232.CrossRefGoogle ScholarPubMed
Adams, J. B. and Holloway, C., 2004. Pilot study of a moderate dose multivitamin/mineral supplement for children with autism spectrum disorder. Journal of Alternative and Complementary Medicine, 10(6), pp. 1033–9.Google Scholar
Adams, J. B., Audhya, T., McDonough-Means, S., et al., 2011. Effect of a vitamin/mineral supplement on children and adults with autism. BMC Pediatrics, 11, p. 111.Google Scholar
Adams, J. B., Audhya, T., Geis, E., et al., 2018. Comprehensive nutritional and dietary intervention for autism spectrum disorder: a randomized, controlled 12-month trial. Nutrients, 10(3), p. 369.Google Scholar
Mehl-Madrona, L., Leung, B., Kennedy, C., Paul, S. and Kaplan, B. J., 2010. Micronutrients versus standard medication management in autism: a naturalistic case-control study. Journal of Child and Adolescent Psychopharmacology, 20(2), pp. 95103.Google Scholar
Kaplan, B. J., Simpson, J. S., Ferre, R. C., et al., 2001. Effective mood stabilization with a chelated mineral supplement: an open-label trial in bipolar disorder. The Journal of Clinical Psychiatry, 62(12), pp. 936–44.CrossRefGoogle ScholarPubMed
Popper, C., 2001. Do vitamins or minerals (apart from lithium) have mood-stabilising effects? The Journal of Clinical Psychiatry, 62(12), pp. 933–5.Google Scholar
Frazier, E. A., Gracious, B., Arnold, L. E., et al., 2013. Nutritional and safety outcomes from an open-label micronutrient intervention for pediatric bipolar spectrum disorders. Journal of Child and Adolescent Psychopharmacology, 23(8), pp. 558–67.Google Scholar
Kaplan, B. J., Crawford, S. G., Gardner, B. and Farrelly, G., 2002. Treatment of mood lability and explosive rage with minerals and vitamins: two case studies in children. Journal of Child and Adolescent Psychopharmacology, 12(3), pp. 205–19.Google Scholar
Gately, D. and Kaplan, B., 2009. Database analysis of adults with bipolar disorder consuming a multinutrient formula. Clinical Medicine: Psychiatry, 4, pp. 316.Google Scholar
Blampied, M., Bell, C., Gilbert, C. and Rucklidge, J. J., 2020. Broad spectrum micronutrient formulas for the treatment of symptoms of depression, stress, and/or anxiety: a systematic review. Expert Review of Neurotherapeutics, 20(4), pp. 351–71.Google Scholar
Bot, M., Brouwer, I., Roca, M., et al., 2019. Effect of multinutrient supplementation and food-related behavioral activation therapy on prevention of major depressive disorder among overweight or obese adults with subsyndromal depressive symptoms: the MooDFOOD randomized clinical trial. JAMA, 321(9), pp. 858–68.Google Scholar
Sarris, J., Byrne, G., Stough, C., et al., 2019. Nutraceuticals for major depressive disorder – more is not merrier: an 8-week double-blind, randomised, controlled trial. Journal of Affective Disorders, 245, pp. 1007–15.Google Scholar
Berk, M., Turner, A., Malhi, G., et al., 2019. A randomised controlled trial of a mitochondrial therapeutic target for bipolar depression: mitochondrial agents, N-acetylcysteine, and placebo. BMC Medicine, 17(1), p. 18.Google Scholar
London, R., Bradley, L. and Chiamori, N., 1991. Effect of a nutritional supplement on premenstrual symptomatology in women with premenstrual syndrome: a double-blind longitudinal study. Journal of the American Nutrition Association, 10(5), pp. 494–9.Google Scholar
Chakmakjian, Z., Higgins, C. E. and Abraham, G. E., 1985. The effect of a nutritional supplement, Optivite for women, on premenstrual tension syndromes. II. Effect on symptomatology, using a double blind cross-over design.The Journal of Applied Nutrition, 37(1), pp. 12–7.Google Scholar
Wyatt, K., Dimmock, P., Jones, P. and O’Brien, S., 1999. Efficacy of vitamin B-6 in the treatment of premenstrual syndrome: systematic review. The BMJ, 318(7195), pp. 1375–81.Google Scholar
Retallick-Brown, H., Blampied, N. and Rucklidge, J., 2020. A pilot randomized treatment-controlled trial comparing vitamin B6 with broad-spectrum micronutrients for premenstrual syndrome. Journal of Alternative and Complementary Medicine, 26(2), pp. 8897.Google Scholar
Rodway, M., Vance, A., Watters, A., et al., 2012. Efficacy and cost of micronutrient treatment of childhood psychosis. BMJ Case Reports, 10, pp. 17.Google Scholar
Kaplan, B. J., Isaranuwatchai, W. and Hoch, J. S., 2017. Hospitalization cost of conventional psychiatric care compared to broad-spectrum micronutrient treatment: literature review and case study of adult psychosis. International Journal of Mental Health Systems, 11, p. 14.Google Scholar
Blum, K., Allison, D., Trachtenberg, M. C., Williams, R. W. and Loeblich, L. A., 1988. Reduction of both drug hunger and withdrawal against advice rate of cocaine abusers in a 30-day inpatient treatment program by the neuronutrient Tropamine. Current Therapeutic Research, 43(6), pp. 1204–14.Google Scholar
Reihana, P., Blampied, N. and Rucklidge, J., 2018. Novel mineral–vitamin treatment for reduction in cigarette smoking: a fully blinded randomized placebo-controlled trial. Nicotine & Tobacco Research, 21(11), pp. 1496–505.Google Scholar
Nguyen, P., DiGirolamo, A., Gonzalez-Casanova, I., et al., 2017. Impact of preconceptional micronutrient supplementation on maternal mental health during pregnancy and postpartum: results from a randomized controlled trial in Vietnam. BMC Women’s Health, 17(1), p. 44.Google Scholar
Schmidt, R., Iosif, A.-M., Guerrero Angel, E. and Ozonoff, S., 2019. Association of maternal prenatal vitamin use with risk for autism spectrum disorder recurrence in young siblings. JAMA Psychiatry, 76(4), pp. 391–8.Google Scholar
Virk, J., Liew, Z., Olsen, J., et al., 2017. Pre-conceptual and prenatal supplementary folic acid and multivitamin intake, behavioral problems, and hyperkinetic disorders: a study based on the Danish National Birth Cohort (DNBC). Nutritional Neuroscience, 21(5), pp. 19.Google Scholar
Bradley, H. A., Campbell, S. A., Mulder, R. T., et al., 2020. Can broad-spectrum multinutrients treat symptoms of antenatal depression and anxiety and improve infant development? Study protocol of a double blind, randomized, controlled trial (the ‘NUTRIMUM’ trial). BMC Pregnancy and Childbirth, 20(1), pp. 119.Google Scholar
Rucklidge, J. J., Eggleston, M. J. F., Ealam, B., Beaglehole, B. and Mulder, R. T., 2019. An observational preliminary study on the safety of long-term consumption of micronutrients for the treatment of psychiatric symptoms. Journal of Alternative and Complementary Medicine, 25(6), pp. 613–22.Google Scholar
Simpson, S., Crawford, S., Goldstein, E., et al., 2011. Systematic review of safety and tolerability of a complex micronutrient formula used in mental health. BMC Psychiatry, 11, p. 62.Google Scholar
Popper, C., Kaplan, B. J. and Rucklidge, J. J., 2017. Single and broad-spectrum micronutrient treatments in psychiatry practice. In Gerbarg, P. L., Muskin, P. R. and Brown, R. P. (eds.), Complementary and integrative treatments in psychiatric practice (pp. 75–104). American Psychiatric Association Publishing.Google Scholar
Rucklidge, J. J., Johnstone, J., Gorman, B., Boggis, A. and Frampton, C. M., 2014. Moderators of treatment response in adults with ADHD treated with a vitamin-mineral supplement. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 50, pp. 163–71.Google Scholar
Rucklidge, J. J., Eggleston, M. J. F., Darling, K. A., et al., 2019. Can we predict treatment response in children with ADHD to a vitamin-mineral supplement? An investigation into pre-treatment nutrient serum levels, MTHFR status, clinical correlates and demographic variables. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 89, pp. 181–92.Google Scholar
Rucklidge, J. J., Eggleston, M. J. F., Boggis, A., et al., 2019. Do changes in blood nutrient levels mediate treatment response in children and adults with ADHD consuming a vitamin-mineral supplement? Journal of Attention Disorders, 25(8), pp. 1107–19.Google Scholar
van der Burg, K., Cribb, L., Firth, J., Karmacoska, D. and Sarris, J., 2019. Nutrient and genetic biomarkers of nutraceutical treatment response in mood and psychotic disorders: a systematic review. Nutritional Neuroscience, 24(4), pp. 117.Google Scholar
Rucklidge, J. J., Harris, A. and Shaw, I., 2014. Are the amounts of vitamins in commercially available dietary supplement formulations relevant for the management of psychiatric disorders in children? The New Zealand Medical Journal, 127(1392), pp. 7385.Google Scholar
Roswall, N., Larsen, S., Friis, S., et al., 2013. Micronutrient intake and risk of prostate cancer in a cohort of middle-aged, Danish men. Cancer Causes & Control, 24, pp. 1129–35.CrossRefGoogle Scholar
Blampied, M., Bell, C., Gilbert, C., et al., 2018. Study protocol for a randomized double blind, placebo controlled trial exploring the effectiveness of a micronutrient formula in improving symptoms of anxiety and depression. Medicines, 5(2), p. 56.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×