The serotonin theory of depression: a systematic review of the evidence (2022)
Published on: 2025-07-08 17:27:01
Search results and quality rating
Searching identified 361 publications across the 6 different areas of research, among which seventeen studies fulfilled inclusion criteria (see Fig. 1 and Table S1 for details of the selection process). Included studies, their characteristics and results are shown in Table 1. As no systematic review or meta-analysis had been performed within the last 10 years on serotonin depletion, we also identified the 10 latest studies for illustration of more recent research findings (Table 2).
Fig. 1 Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) flow diagramme. Full size image
Table 2 Recent depletion studies comparing acute tryptophan depletion drink with amino acid balance drink (sham drink) - characteristics and results. Full size table
Quality ratings are summarised in Table 1 and reported in detail in Tables S2–S3. The majority (11/17) of systematic reviews and meta-analyses satisfied less than 50% of criteria. Only 31% adeq
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