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Endocannabinoid system mediates the association between gut-microbial diversity and anhedonia/amotivation in a general population cohort

Amedeo Minichino, Matthew A Jackson, Marta Francesconi, Claire J Steves, Cristina Menni, Philip W J Burnet, Belinda R Lennox. Mol Psychiatry. 2021 Nov;26(11):6269-6276.

Observational studyHumans

Design
Observational study
Subjects
786 volunteer twins from the TwinsUK register; mean age 65.2, 93% female
Dose used in the study
Not applicable; palmitoylethanolamide was measured in serum and stool, not given
Duration
Longitudinal cohort data; period not stated
What was measured
Gut microbial alpha diversity, serum and faecal palmitoylethanolamide, and anhedonia/amotivation scores, analysed with a multilevel mediation model.

What the authors reported

Alpha diversity was directly associated with anhedonia/amotivation (beta -0.37; 95% CI -0.71 to -0.03; P=0.03). Faecal, but not serum, PEA mediated this link: indirect effect beta -0.13 (95% CI -0.24 to -0.01; P=0.03), total effect beta -0.38, with the direct effect no longer significant (beta -0.25; P=0.16).

Limits of this study

An observational cohort; it shows association, not cause. It measured PEA levels and did not test PEA treatment. The sample was mostly older women. The authors declare no competing interests.

Source

PubMed 34002020 · doi:10.1038/s41380-021-01147-5

Entry checked against the abstract on PubMed on 2026-09-22. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.