Evidence mapPaperPMID 39551901Full record

SynthesisEuropean archives of psychiatry and clinical neuroscience2025

The efficacy of Lactobacillus and Bifidobacterium in patients with schizophrenia: a meta-analysis.

Mi Yang, Xingxing Cui, Di Kong, Xincheng Huang, Guocheng Zhao, Xiuying Li, Huachang Zhao, Liju Liu, Fei Yan, Yan Yang and 1 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European archives of psychiatry and clinical neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Gut-brain axis in health and brain disease.Chinese medical journal · 2026
    Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Mi Yang *Department of Psychiatry, The Fourth People's Hospital of Chengdu, No. 8 Huli-West 1st-Alley, Jin-Niu District, Chengdu, 610036, China. 565136170@qq.com.
Xingxing Cui *Department of Psychiatry, The Fourth People's Hospital of Chengdu, No. 8 Huli-West 1st-Alley, Jin-Niu District, Chengdu, 610036, China.ORCID http://orcid.org/0000-0003-0069-9985
Di KongDepartment of Psychiatry, The Fourth People's Hospital of Chengdu, No. 8 Huli-West 1st-Alley, Jin-Niu District, Chengdu, 610036, China.
Xincheng HuangDepartment of Psychiatry, The Fourth People's Hospital of Chengdu, No. 8 Huli-West 1st-Alley, Jin-Niu District, Chengdu, 610036, China.
Guocheng ZhaoDepartment of Psychiatry, The Fourth People's Hospital of Chengdu, No. 8 Huli-West 1st-Alley, Jin-Niu District, Chengdu, 610036, China.
Xiuying LiPsychological Research and Counseling Center, Southwest Jiaotong University, Chengdu, 610031, China.
Huachang ZhaoDepartment of Psychiatry, The Fourth People's Hospital of Chengdu, No. 8 Huli-West 1st-Alley, Jin-Niu District, Chengdu, 610036, China.
Liju LiuDepartment of Psychiatry, The Fourth People's Hospital of Chengdu, No. 8 Huli-West 1st-Alley, Jin-Niu District, Chengdu, 610036, China.
Fei YanDepartment of Psychiatry, The Fourth People's Hospital of Chengdu, No. 8 Huli-West 1st-Alley, Jin-Niu District, Chengdu, 610036, China.
Yan YangDepartment of Psychiatry, The Fourth People's Hospital of Chengdu, No. 8 Huli-West 1st-Alley, Jin-Niu District, Chengdu, 610036, China.
Zezhi LiDepartment of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, 36 Mingxin Road, Liwan District, Guangzhou, 510370, China. biolpsychiatry@126.com.

Funding

Chengdu Municipal Health Commission 2021057National Natural Science Foundation of China 62073058National Natural Science Foundation of China 62373079Science and Technology Department of Sichuan Province 24ZYZYTS0107Sichuan Medical Association S23012
6 · The paper itself

Abstract

The modulation of gut microbiota through probiotics holds promise as a novel avenue for schizophrenia treatment. This study aims to analyze probiotic complementary therapy on individuals with schizophrenia systematically, to investigate probiotic efficacy, potential mechanisms, and implications for clinical practice. Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we searched in Medline, Web of Science, Embase, ClinicalTrials.gov, CNKI, VIP, and WanFang databases using keywords ("probiotics" OR "prebiotics" OR "synbiotics" OR "Lactobacillus" OR "Bifidobacterium") AND ("schizophrenia"), focused on randomized controlled trials published before July 1, 2023. Among the identified studies, 8 randomized controlled trials met the inclusion criteria, encompassing a total of 342 participants in the intervention group and 306 participants in the control group. Our analysis revealed a statistically significant reduction (p = 0.03) in the total Positive and Negative Syndrome Scale (PANSS) scores following probiotic treatment in individuals with schizophrenia. While no statistical significance was observed in individual subscales (P > 0.05), significant improvements were noted in insulin levels, Insulin Resistance Index (IRI), and glucose levels. Additionally, the Quantitative Insulin Sensitivity Check Index (QUICKI) demonstrated a significant increase (all P < 0.05). The probiotic intervention significantly reduced gastrointestinal discomfort among schizophrenia patients (P = 0.003). This study suggests that probiotics could hold therapeutic potential for addressing clinical symptoms, abnormal glucose metabolism, and gastrointestinal discomfort in individuals with schizophrenia. Future research should encompass comparative trials employing robust experimental designs to explore the differential effects of various probiotic strains on schizophrenia treatment to provide evidence-based therapeutic approaches.

trial registrationThis review protocol was pre-registered on PROSPERO (No. CRD42023455273).

Indexed as

BifidobacteriumGastrointestinal MicrobiomeLactobacillusOutcome Assessment, Health CareProbioticsSchizophreniaHumansRandomized Controlled Trials as TopicGlucoseInsulinMeta-analysisOxidative stressProbioticsSchizophrenia

Identifiers

PMID39551901

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.