Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Selenium and Its Compounds in the Treatment of Anxiety and Related Disorders: A Scoping Review of Translational and Clinical Research

Version 1 : Received: 30 September 2022 / Approved: 3 October 2022 / Online: 3 October 2022 (15:17:24 CEST)

A peer-reviewed article of this Preprint also exists.

Rajkumar, R.P. Selenium and Its Compounds in the Treatment of Anxiety and Related Disorders: A Scoping Review of Translational and Clinical Research. Future Pharmacology 2022, 2, 608–624, doi:10.3390/futurepharmacol2040037. Rajkumar, R.P. Selenium and Its Compounds in the Treatment of Anxiety and Related Disorders: A Scoping Review of Translational and Clinical Research. Future Pharmacology 2022, 2, 608–624, doi:10.3390/futurepharmacol2040037.

Abstract

Anxiety disorders are among the most common mental disorders worldwide, and often respond incompletely to existing treatments. Selenium, a micronutrient that is a component of several biologically active selenoproteins, is also involved in several aspects of brain functioning, and may exert antidepressant and anxiolytic effects through multiple pathways. The current paper is a scoping review of translational, observational and interventional evidence on the potential role of selenium and its compounds in the management of anxiety and related disorders. Evidence from animal models suggests that this approach may be promising. Though evidence from observational studies in humans is inconsistent and affected by several confounding factors, the available evidence from randomized controlled trials suggests that selenium supplementation may be beneficial in the management of certain anxiety-related conditions, such as anxiety in medically ill patients, prevention of anxiety following exposure to traumatic stress, and obsessive-compulsive disorder. This paper provides a critical evaluation of the existing evidence base, including unanswered questions that could serve as the focus of further research, and outlines the potential benefits and risks associated with the use of selenium in anxiety disorders.

Keywords

selenium; oxidative stress; serotonin; glutamate; anxiety disorders; obsessive-compulsive disorders; post-traumatic stress disorder

Subject

Medicine and Pharmacology, Psychiatry and Mental Health

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