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The Role of Nutrition, Diet, and Gut Health on Mental Well-Being

Abstract

This paper analyses the correlation between mental health, a well-balanced diet, and gut health. It elucidates the importance of dietary patterns and intestinal microbiota in mental conditions. This creates a critical boundary for each nutritional healthcare treatment that is comprehensive enough to include all products and procedures necessitated in optimizing mental healthcare. Even a well-recognized particular area is shackled without narrow treatment. The study takes the gut-brain axis as an example, showing that the brain uses energy from food consumption, and the microbiota from the gut are directly related to your mental stability. It introduces the idea that diet is a significant factor affecting mental health, which is the basis of many mental problems, including anxiety and depression. Thus, Food choices might be used to treat mental health illnesses. The research outcome highlights the co-incidences of mental diseases and food-lack situations. Therefore, this field of knowledge calls for an apparent shift in a social worker’s perspective regarding nutrition and gut health when the subject is rehabilitation strategies.

Keywords: gut-brain axis, mental health, nutrition, gut microbiota, dietary habits, cognitive disorders, rehabilitation strategies

Background

With a rapid rise in studies on the gut-brain axis, the issue of diet, gut health, and mental well-being is undergoing scrutiny, and there is growing interest in the current medicine. Even though the inconsistencies in recent scholarly reports are apparent, many people acknowledge the contribution of these factors to mental wellness. Specifically, it aims to explore the multifaceted harmonic relations between a balanced diet, dieting styles, and gut function, which are the key pillars of good mental health.

According to Zhu et al. (2020), severe mental symptoms characterize psychological diseases like bipolar disorder and schizophrenia, and more broadly recognized diseases, including anxiety and depression, are dramatically greater than before. The widespread nature of these conditions has gained worldwide concern; now, fighting mental health is no longer a social but a global issue. The role of factors like nutrition and gut health in predicting mental health is now well-known, and it is no longer just regarded as a second-class issue (Tan et al., 2022). This emphasizes the importance of considering a dietary pattern and the gut’s overall health when conducting social work and psychiatric treatment to avoid illness.

The empirical research has succeeded in drawing the connection between altered gut health, diet, and nutrients and mental disorders, providing a new roadmap into this field of disorder treatment, such as depression and others. When thinking about ways to create more preventive methods, considering those existing factors within the outlining of care models to improve treatment outcomes, we should try it (Vajdi & Farhangi, 2020). In addition, this point also highlights the need for these interventions to be multichannel, encompassing those who approve of non-life processes or are strictly limited to the physical plane. Considering this, placing greater emphasis and investing more resources in diagnosing, treating, and preventing mental health disorders is a priority, considering the impacts of such problems in communities may ripple to the economy, as Rhodes (2020) explained.

Horn et al. (2022) argue that the progress related to nutritional science has enabled us to learn about the relationship between vitamins, minerals, the state of mind, and intellectual skills. This research aims to determine the nutritional deficiencies identified at different mental illness stages and develop eating recommendations based on them. The target here will be the GBA, or gut-brain axis, and the role of gut bacteria in mental health cues will be described. This is all about taking a diet approach that is proven effective by efficiently maintaining mental health at all times (Horn et al., 2022).

However, the presumption of neurological problems, including mental health and brain disorders, is multifaceted and necessitates a multidimensional approach that combines nutritional management, eating customs, as well as cognitive processing. Research yields a great deal of evidence of how food management interacts with multiple things in the brain, for example, depression, anxiety, and even sleep disorders (Tait & Sayuk, 2021). Combinatory dieting methods with standard therapy will reveal a wide range of treatment approaches, likely improving the clinical results. The subject of this research is to consider various techniques used to remedy mental health issues, and ultimately, we are attempting to demonstrate how dietary habits are directly related to mental health through their function as a reaction to them, as it has been described by Vajdi and Farhangi (2020) in their study. In addition, it will delve into how gut microbiota can be leveraged to treat different psychiatric problems and turn into a complementary therapeutic instrument for preventing body diseases.

Overall, all these aspects, including the physiological, epidemiological, and therapeutic benefits offered by the coexistence of diet and gut health with mental well-being, should be taken very seriously. The present study involves these different aspects of psychopathology. It suggests how nutrition and the relationship between the microbiome and gut may lay the foundation for integrated management of mental health in multiple areas (Tait & Sayuk, 2021). The study’s connection between diet, gut health, and mental health and the formulation of different preventions and cures for illness is encouraging.

Conception Rationale

Tait and Sayuk (2021) examine the psychological impacts of the gut on healthcare modernization, especially for people with mental diseases. How psychiatric care is practised in the modern era is finding its way through the approaches of psychological therapies and pharmacotherapy without integrating the biological elements of mental health care. Implementing nutrition and gut health disciplines is another part of the health and well-being concept that subsidizes the mental health of individuals (Tan et al., 2022). Nutritional intake plays a crucial role

in the body’s proper functioning, commonly involving food breakdown into simple compounds for regeneration and energy maintenance. This way of ingesting food habits can benefit mental health by regulating body systems (Heym et al., 2019). For example, consuming a balanced diet that produces ‘happy hormones’ may relieve stress and depression (Vajdi & Farhangi, 2020).

Therefore, treatment plans for severe illnesses should be developed more holistically. Genetic technologies, which have far outpaced the development of therapeutic strategies in molecular medicine, may drastically alter the future of psychiatry. These tools for mental health can be leveraged to detect and prognosticate early signs of mental illness and develop therapies with the ability to intervene at the molecular level (Khosrav et al., 2019). It implies that mental health experts will have to shift more time and resources to prevention, and this could lead to happier and healthier societies through healthier people. As such, there are some economic challenges from a mental health perspective.

Although many experiments have been conducted to study the approach of the brain-gut axis, its application in mental health is still in its infancy. Mitrea et al. (2022), in their research on the relationship between mental health and nutrition, gut microbiota, and mental well-being, have discovered new connections between these elements, eliminating the necessity for medication dominance (Mitrea et al. 2022). It allows for new frameworks for psychological well-being promotion that fresh academic results can contribute to. Moreover, research findings reveal that people adopting a Mediterranean-style diet rich in fruits, whole grains, and lean protein improve the balance of digestive bacteria (Fassarella et al., 2020). As a result, depression can be controlled.

However, a substantial amount of mental health investigation has been done with a focus on the gut microbiota, which is, in turn, a result of the successful combination of the traditional notions of mental disorders with the dietary patterns and principles of psychology, physical activity, nutrition, and social work as described by Khosrav et al. (2019). This model assists healthcare professionals, policymakers, and physicians in developing comprehensive mental health programs for thiazolidinedione, which include insights into the mind-body relationship and will reflect the future based on dietary and personalized drug therapies.

Literature Review

What is known about the problem/issue?

For instance, the link between diet and gut microbiome has been intensively studied in mental disease aetiology. According to Horn and his team (2022), gut microbiota and diet affect our mental health powerfully. They specified that natural communication is conducted from the brain to the gut and vice versa, thus recommending that our foods could translate to significant mental health (Horn et al., 2022). Herewith, this study stresses the necessity of including a dietary approach among treatment options for mental disorders that lean toward a more integrative concept of mental health.

Alongside the work of Góralczyk-Bińkowska et al. (2022), studies analyzing the gut-brain-microbiota axis have increased, showing evidence for the association between this axis and mental disorders. Studies have uncovered that gut microbiome disturbances may lead to neurological and psychiatric illnesses (Góralczyk-Bińkowska et al., 2022). By highlighting these associations, this study clarifies the potential therapeutic targets for mental health conditions, among the most common health issues in the human population, and re-confirms the importance of healthy intestinal microbiota through a nutritional approach.

What has been done to address the problem/issue?

Mitrea et al. (2022) performed a literature review on the gut microbiota that enhances neurological and psychiatric disorders. They combined these notes with their extensive expropriation, which thoroughly explains the web and the correlation between gut health and mental well-being. The analysis sheds light on how prior understanding of the topic is considered (Mitrea et al., 2022). Therefore, this allows for exploring the properties related to such events and stresses the necessity of food intake as a defence against these issues.

Ma et al. (2019) showed that microbiota is involved in neuroinflammation and the development of neurological diseases. It increases appreciation for the role of the gut-brain axis and how it affects mental health. Their outcomes conclude that gut microbiota drives the brain to work, and misbalancing in gut microbiota is connected to some brain disorders. This study exemplifies the role of the gut microbiome in equilibrium as a prevalent and conducive aspect of mental health promotion (Ma et al., 2019).

Nevertheless, Fassarella et al. (2020) examined the microbiome stability and resilience undergoing various programs and showed microbiota lodging-spot alteration to be the vital way of microbial balance modulation. Their examinations show that microbiome composition fluctuates based on many factors affecting the whole body (Fassarella et al., 2020). The factors that affect the micro biome’s gut stability are understood by this study, which implies the means to maintain gut health and mental well-being.

Finally, through the current research, it has been clearly shown that there is a correlation between the gut microbiome, diet, and mental health conditions. More evidence suggests including dietary strategies to improve the individual’s future mental health and maintain a favourable microbiota in the gut. Along that research line, studies are required chiefly to uncover the total capacity of dietary approaches in treating cognitive disorders.

Research Gap

Although the current literature has indicated correlations between gut microbiota, diet, and mental health, gaps still exist that need to be addressed. Fassalea et al. (2020) and Rhodes (2020) have focused on determining gut health, food intake, and mental health. Thus, all these studies propose effective interventions; however, they do not include a unified method and accurate data on the use of these approaches in both the maintenance of mental health and the treatment of mental health disorders (Fassalea et al., 2020). While complete research is needed to provide solid proof of dietary measures ‘ utility in psychiatric care, we can suggest several practical tools that can assist patients in building and maintaining good mental health.

Investigating the studies that were conducted by Khosravi et al. (2019), Góralczyk-Bińkowska et al. (2022), and Heym et al. (2019), it has been suggested that alterations in the gut microbiota can irritate mental conditions. These results, however, to a certain extent, make a vague connection between gut microbiota and mental wellness, although they do not establish a direct relationship between these aspects (Heym et al., 2019). There are many mechanisms through which gut microbiota affect mental health, but it is necessary to determine the mechanisms to see if there is a causal link between them.

Moreover, experts such as Valdo and Farhangi. (2020) have been concerned with the favourable effects of re-engineering microbes for better mental functioning. Nevertheless, the reliability of the results is the main problem because these studies have small sample sizes, and often, specific populations like college students who consume unhealthy food habits need to be more generalizable (Vajdi & Farhangi, 2020). It is necessary to conduct more thorough and multidisciplinary studies to learn whether the outcomes obtained are valid for more populations and repeatable in different settings.

Despite the most recent accomplishments of brain science about the link between gut microbiota, diet, and mental health, there is a lot left behind. Further studies must attempt to fill the remaining gaps by conducting broad-based studies that estimate the impact of the gut microbiota, types of diets, and mental health in diverse populations to prove a more concrete link between the triad. This will not only give us a broader outlook on mental health conditions but will also bring us closer to finding a way to prevent these disorders and improve their symptoms.

Clinical-Based Intervention

The clinic-based intervention features applying the mental health perspective to enable addressing the social support and psychological requirements of people with chronic diseases. This approach acknowledges the strong influence of chronic conditions on emotional well-being and provides assistance and techniques designed to help a person deal with them better and reduce stress for overall well-being. The intervention involves mental health principles so as to increase one’s cognitive awareness and resilience, as well as have adaptive coping mechanisms to counter the challenges of chronic disease. The intervention plan includes counselling as well as psychiatric education, and a support group for the patients. This way, it is asserted that they can handle their illness and improve their quality of life.

Theoretical Framework

In the early 1990s, George Engel, as a theoretical framework, introduced the bio-psychosocial model, which regards health from a more holistic perspective, integrating biological, psychological, and social aspects (Tait & Sayuk, 2021). Here, nutritionists propose that this meal is best for the healthiest gut and diet, which are interlinked and affect mental health. Indeed, it addresses and extends the classicism of health and disease regarding biological determinants, focusing instead on how emotions and social factors should be incorporated as primary disease drivers.

Bio-Psychosocial Model

The eating customs are greatly determined by the traditions, lifestyles, and influences of the social networks that combine and form the food tradition in our society (Góralczyk-Bińkowska et al., 2022). This culture gets to the food routine in the shape of the diet, values, and eating habits; these impact people’s lives essentially. Dietary habit changes may cause an imbalance of nutrients, which leads us to lack some of them, which influences our health. On the other hand, the biology-psychosocial model is likely to have its limitations because it does not have a solution for each case (Mitrea et al., 2022). It has a broad scope of treatment programs, which is the paramount concern in the clinic, constraining the limited time and resources.

The gap in the Bio-Psychosocial Model due to the lack of means to observe and assess gut function beyond the reflection of physical symptoms limits the model’s effectiveness in explaining the relationship between mental health and gut health (Tait & Sayuk, 2021). However, this model may act as something other than a panacea, as it needs certain individual life elements. Because of this, creating a comprehensive approach is challenging. This outline appeared as a progression of the biomedical model, which had a relatively narrow approach that regarded only physical health but excluded consideration of mental health and sociocultural values.

Theory of the Gut-Brain Axis

The gut-brain axis is a specific communication system between the gut and the brain, where the gut and the brain intercommunicate, and the immune system, hormonal pathways, and gut flora are also involved. This hypothesis reflects that gut flora is dominant in regulating mental well-being. The gut microbiota dramatically affects a person’s mental health through chemical mechanisms. This group of chemicals is capable of causing neuro-inflammation, which could, in turn, lead to depression and stress problems.

The gastrointestinal tract secretes hormones and neurotransmitters that regulate taste, vision, appetite, and posture. Diet includes specific microbiomes and signalling molecules that connect the brain with the stomach. This indicates that the gut changes with the diet. According to research, diets with plant components and fibre in foods are primarily responsible for a balanced gut microbiota (Tait & Sayuk, 2021). The gut-brain axis theory insists that the state of the gut microbiota can be a significant factor influencing an individual’s emotional and cognitive health.

Steps for Implementation of the Clinical Intervention

I first assessed the client’s dietary practices, nutritional status, and microbiome to implement the plan. The circle defines the traditional area for the use of instruments, such as checking a customer’s food intake habits, energy content, nutritional structure, and intestine macrobiotics; by digging into the findings, I came up with a completely customized nutrition schedule that took into consideration each person’s taste preference and was in line with the previously projected diet. The plan focuses on nutrition leaders, who illustrate to us how to raise probiotic levels and decrease food and sugar levels. I could establish a greater understanding as well as a campaign on the correlation between diet and mental health and create awareness on the beginning steps of life-long healthy habits, which can easily avoid small impairments in their daily clinics due to mental illnesses.

Barriers, Surprises, and Insights

While implementing the project, I faced many challenges, took unexpected turns, and discovered ideas. The biggest obstacle I faced during the nutrition consultations was the client’s unwillingness to modify their bad dietary habits, including reducing their consumption of the wrong kinds of food. This already existing factor of resistance was mostly the emotional or psychosocial ones, which you can see in using food as a coping mechanism for stress or anxiety. I also needed help identifying and proposing healthy food options for the client, which are expensive and barely available in areas that need fresh produce and nutritious food.

Contrary to expectations, the customer positively reacted to specific dietary changes, for example, eating more plant foods in their diet sometimes. The patient indicated that they experienced significant improvement after integrating the new dietary recommendations into their daily routine. This was a very compelling factor that motivated them to follow the guidelines. During this process, I realized how culturally diversified the major dietary patterns are and the need to tailor dietary recommendations to the patients to achieve adherence to dietary interventions.

Learning Objectives

Upon completion of this practice application paper, participants will be able to:

  1. Understand the role of nutrition, diet, and gut health in mental well-being. Students will have a variety of perspectives on how food choices link to the gut microbiota as well as the effect on mental health outcomes, leading to the determination that diet does impact mental health.
  2. Analyze the current literature on the relationship between nutrition and mental health: The group will meticulously appraise the current scientific literature to determine underlying themes, trends, and potential knowledge voids in the mapping of the link between nutrition and common mental health conditions, which will deepen their understanding of this multidimensional link.
  3. Evaluate clinical-based interventions grounded in social work principles: Participants shall appraise the social work-based clinical treatment informed by its principles, which will show how dietary interventions can address the need for healthy eating and holistic care approaches.
  4. Identify gaps and areas for further research in the field of nutrition and mental health. Attendees will locate weak points in their knowledge and areas needing improvement among researchers to connect the dots regarding the link between nutrition and mental health. This will help discover the path towards a better comprehension of this complex network.
  5. Discuss the importance of integrating nutrition and gut health considerations into mental health care. The participants will navigate the relevance of considering nutritional factors as well as gut health assessment in the field of psychiatry and mental health, realizing the prospect of such a practice to improve therapeutic outcomes and overall well-being.
  6. Explore implications for social work practice and policy in addressing mental health through dietary interventions: Participants will investigate the role of dietary interventions for mental health work and policy. Such procedures might emphasize long-term mental health outcomes for patients and reform the mental healthcare delivery system towards a healthier, more sustainable approach.

Importance of Clinical Intervention

Nutrition, diet, and gut health’s relationship with mental health remains one of the key areas in modern mental healthcare because of the opportunity it brings to prevention and cure strategies. The connection between food consumption patterns, the structure of the intestinal microflora, and mental illnesses allows for the examination of more complex factors in the mental health field. Social workers can engage in kinase responses by integrating nutritional aspects into mental processes (Tait & Sayuk, 2021). This adopts a holistic approach that addresses both the biological and psychosocial factors that determine mental health, and this will lead to effective and sustainable outcomes for those individuals who are experiencing mental health problems. This sophisticated approach reflects the necessity of acknowledging and joining mental health and nutritional interventions into the process of mental healthcare in order to cater to health and stress resistance.

Strengths and limitations of the intervention

The current research reflects a definite strength in the all-encompassing exploration of the profound connection between food, nutrition, gut health, and mental conditions. This study amalgamates the existing literature and deduces social work therapeutic concepts rooted in mental health interventions, thus providing timely solutions on how to apply these approaches in mental health care appropriately (Tait & Sayuk, 2021). Blending in several types of evidence and taking medical, emotional, and cognitive functioning into account gives rise to a comprehensive portrait of how eating patterns and gut microbiota can impact patients’ mental health signs.

Although the study has wonderful qualities, the research has quite a few shortcomings that need exploring. One possible restriction is that there are not many studies following a longitudinal design to see the long-term effects of dietary changes on mental health outcomes (Tait & Sayuk, 2021). Besides that, difficulties can be seen in the application of dietary intervention programs to make them work for different groups of people, which consider cultural peculiarities and socioeconomic factors that rule people’s approach to nutrition. In addition, the implementation of self-report measurements in some studies may cause bias and result in low generalizations of results (Tait & Sayuk, 2021). Such constraints recommend more research to establish any remaining gaps and provide evidence-based interventions, considering their complexity.

Assessment/Critique of Intervention

The effectiveness of the intervention criterion was attained by using a mix of qualitative and quantitative approaches. I implemented regular check-ups utilizing my tracking mechanism to chart the progress in nutritional status, dietary habits, and gut health. I also administered valid scales to quantify improvements in measures of the client’s psychological conditions, like panic and depression indices. Furthermore, quick surveys about their experience with the intervention and its advantages and impediments were organized.

The intervention positively affected my client’s eating patterns, nutrition, and mind. The individual has articulated being more on top of their dietary regimen and has reported having had fewer episodes of anxiety and depression than coping mechanisms of the past. Nevertheless, the intervention may have drawbacks, such as the fact that it was short-duration and there was a need for a control group. Future studies should be aimed at unmasking the long-term cognitive results of dietary applications, and the size and variety of the sample should be variable for augmented generalizations. Top of Form

Applications and Implications of Clinical Intervention

Addressing identified gaps

Such an intervention is aimed at filling the current void in mental health care services that do not usually consider nutrition and gut health for the well-being of the mind. Considering these factors in the intervention helps us cover the complexity of mental health care and offer a client-oriented approach to health’s biological, psychological, and social aspects (Ma et al., 2019).

Improving the problem

The action will aim to improve mental health by building on healthy eating and a healthy gut. Through the idea of eliminating nutritional deficiencies as well as the promotion of a healthy microbiome, the intervention would result in symptom remission of concerns like anxiety, depression, and other disorders of mental status (Ma et al., 2019). This person-centred way of dealing with a mental health issue increases an individual’s social well-being, thus contributing to their overall quality of life.

Considerations for Building on the Intervention

It is also a task for anybody who looks to put this model into practice to account for the individual needs and preferences of the clients (Frame et al., 2020). Including the personalization of dietary plans and counselling sessions, where clients can create a goal that suits their needs, would enhance the intervention’s effectiveness (Mitrea et al., 2022). Furthermore, a collaborative undertaking with other healthcare group members, such as dieticians and psychologists, can provide a multifaceted approach to mental health care.

Additional Questions for Further Study

Many open questions are emerging, looking at what may be additional studies for later, especially the long-term impacts of dietary intervention on mental health, the role of specific nutrients and gut microbiota in mental well-being, and also the highly complex interplay between cultural and socioeconomic factors and dietary habits and mental health (Zhu et al., 2020). Furthermore, the issue of the possible practicality and environmental friendliness of scaling up such interventions in a larger area should also be considered.

Implications from the Clinical Intervention

A diagnostic procedure contemplates many emergency, physician, usable, and crucial clinical questions of mental health (Tan et al., 2022). Emphasizes gut health in mental health care through nutritional therapies as an additional leg in the holistic health approach. Moreover, it points out the importance of continuing with research and training our personnel in this field to better understand the intricate stir between diet, gut wellness, and our mental health (Mitrea et al., 2022). In conclusion, the particular intervention highlights the benefit of preventive measures in the mental health service by emphasizing the overall well-being of the individual, which is a significant factor in staving off mental health disorders.

Recommendations for Future Practice, Policy, and Research

The future program should pay attention to including the nutrition factor and gut health in its mental health treatment system; for instance, it may assess the dietary habits of patients and the gut microbiota profile routinely. Policies have to push programs and projects that directly or indirectly cater to nutritious diets and give access to healthy food items, especially to underserved populations. Research resources should be put toward longitudinal studies that test the effects of dietary interventions on mental health outcomes after long-term periods and investigate the merits of intervention implementation in different communities.

Conclusion

This paper has taken a deep dive into the complex relationships between people’s diet, nutrition, and mental well-being, which are closely interrelated. Based on the relevant scientific data, it has been reinforced that dietary selection, health status concerning nutrition, a high-quality gut microbiome, and the gut-brain connection have become extremely important in shaping mental health outcomes. The diversity of gut microbiota remodelling is the main concern for depression, from anxiety to progressive neurodegenerative diseases. The harmonious situation of the intestinal environment and microbial ecosystem should be based on their mutual relationship in metabolic interactions since they are flexible. Through noting the psychological, social, and biological factors, this study distinguishes different types of mental illnesses and acknowledges the occurrence of multiple causes of mental health. The neural-gastrointestinal tract communication hypothesis also goes beyond digestion function by pointing to the digestive system’s role in emotional and cognitive regulation. On the other hand, the gastrointestinal-brain axis is an abstract idea because digestion is more than just building the body; it also affects moods and emotions. In light of this, such findings have significant implications for evidence-backed clinical social work practice and advice the need for integrative approaches that combine the individual, biological, and social dimensions to manage cognizant and resilient psychologically well individuals.

This shift in paradigm toward primary mental illness prevention over treatment care is paramount in modernized MedicineMedicine. The discovery mentioned above as a result of the study might lead to more investigation and possible clinical interventions, reminding the fraternity of researchers in the field about the urgent need for more research in this area. With nutrition cooling assessments and treatments, the nutritional services of institutions working in healthcare will be mandated to modify the existing psychiatric illness treatment approaches into more patient-centred and comprehensive methods. Briefly, this paper shows the complex intertwining of diet, gut health, nutrition, and mental well-being, as well as mental health, underscoring the vital role of social work practice, biology, and society in resolving such challenges. This reveals the significance of supplying the totality of mental health care, which brings to light the relevance of all the components that make up mental illnesses.

References

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Frame, L. A., Costa, E., & Jackson, S. A. (2020). Current explorations of nutrition and the gut microbiome: A comprehensive evaluation of the review literature. Nutrition Reviews78(10), 798-812. https://doi.org/10.1093/nutrit/nuz106

Góralczyk-Bińkowska, A., Szmajda-Krygier, D., & Kozłowska, E. (2022). The microbiota–gut– Brain Axis in psychiatric disorders. International Journal of Molecular Sciences23(19), 11245. https://doi.org/10.3390/ijms231911245

Heym, N., Heasman, B. C., Hunter, K., Blanco, S. R., Wang, G. Y., Siegert, R., Cleare, A., Gibson, G. R., Kumari, V., & Sumich, A. L. (2019). The role of microbiota and inflammation in self-judgment and empathy: Implications for understanding the brain-gut-microbiome axis in depression. Psychopharmacology236(5), 1459–1470. https://doi.org/10.1007/s00213-019-05230-2

Horn, J., Mayer, D. E., Chen, S., & Mayer, E. A. (2022). Role of diet and its effects on the gut microbiome in the pathophysiology of mental disorders. Translational Psychiatry12(1). https://doi.org/10.1038/s41398-022-01922-0

Khosravi, M., Sotoudeh, G., Amini, M., Raisi, F., Mansoori, A., & Hosseinzadeh, M. (2019). The relationship between dietary patterns and depression is mediated by serum folate and vitamin B12: A case-control study. https://doi.org/10.21203/rs.2.12079/v1

Ma, Q., Xing, C., Long, W., Wang, H. Y., Liu, Q., & Wang, R. F. (2019). Impact of microbiota on central nervous system and neurological diseases: the gut-brain axis. Journal of Neuroinflammation16(1), 1-14. https://doi.org/10.24095/hpcdp.36.8.03

Mitrea, L., Nemeş, S., Szabo, K., Teleky, B., & Vodnar, D. (2022). Guts imbalance imbalances the brain: A review of gut microbiota association with neurological and psychiatric disorders. Frontiers in MedicineMedicine9. https://doi.org/10.3389/fmed.2022.813204

Rhodes, J. M. (2020). Nutrition and gut health: The impact of specific dietary components is not just five-a-day. Proceedings of the Nutrition Society80(1), 9-18. https://doi.org/10.1017/s0029665120000026

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