Evidence map›Paper›PMID 41526497›Full record

ArticleCommunications medicine2026

Integrating gut microbiota and violence exposure metrics to classify psychological distress in middle-aged adults.

Khalil Iktilat, Gali Levin, Michal Isacson, Sondra Turjeman, Roy Tzemah-Shahar, Gila Gamliel, Yoram Louzoun, Omry Koren, Maayan Agmon

Abstract read
In one paragraph

Article in Communications medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

Khalil IktilatDepartment of Gerontology, Faculty of Health and Social Welfare, University of Haifa, Haifa, Israel.ORCID http://orcid.org/0000-0002-3180-5421
Gali LevinDepartment of Mathematics, Bar-Ilan University, Ramat Gan, Israel.
Michal IsacsonDepartment of Gerontology, Faculty of Health and Social Welfare, University of Haifa, Haifa, Israel.
Sondra TurjemanAzrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Roy Tzemah-ShaharThe Cheryl Spencer Institute for Nursing Research, Faculty of Health and Social Welfare, University of Haifa, Haifa, Israel.ORCID http://orcid.org/0000-0003-0474-1888
Gila GamlielAzrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Yoram LouzounDepartment of Mathematics, Bar-Ilan University, Ramat Gan, Israel.ORCID http://orcid.org/0000-0003-1714-6148
Omry Koren *Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.ORCID http://orcid.org/0000-0002-7738-1337
Maayan Agmon *The Cheryl Spencer Institute for Nursing Research, Faculty of Health and Social Welfare, University of Haifa, Haifa, Israel. magmon@univ.haifa.ac.il.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExposure to violence and psychological distress are positively correlated across populations. Microbiota-gut-brain crosstalk research supports that the microbiota is affected by environmental stressors and may influence mental state. Accordingly, we explored how the microbiota relates to exposure to violence and distress in midlife, a pivotal yet underexplored period. This life stage is marked by emerging vulnerability to chronic stress and mental health decline yet offers opportunities for early identification and intervention.

methodsWe characterized the fecal microbiota of a previosly snowball-recruited Israeli-Muslim cohort (n = 305, 40-65 yrs) exposed to ongoing and increasing violence (during adulthood) and examined correlations with subjective reports of exposure to violence and psychological distress. We then used machine learning to leverage microbiota profiles and exposure to violence, classifying individuals into high- and low-distress categories.

resultsWe identify unique microbial signatures associated with increasing exposure to violence and distress. Some associated bacteria were previously identified in the literature, while others were not yet described in the context of the gut-brain axis. Microbial profiles associated with violence and distress are largely non-overlapping, yet we are able to classify participants into high- and low distress categories using a combination of microbiota and violence variables. This combined model outperforms those using only microbiota or demographics, but its classification accuracy remains modest (with a median area-under-the-curve of 0.595 (IQR 0.045).

conclusionsThis research sheds light on the microbiota-gut-brain axis, highlighting that psychological distress and exposure to violence are differentially associated with microbiota composition in midlife. These cross-sectional findings, together with moderate classification into distress classes based on the microbiome, suggest that holistic, context-aware approaches would benefit proactive mental health interventions.

Identifiers

PMID41526497
PMCPMC12865007

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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.