Crocus sativus L. in the treatment of mild to moderate depression: a double‐blind, randomized and placebo‐controlled trial
Abstract
Depression is a serious disorder in today's society, with estimates of lifetime prevalence as high as 21% of the general population in some developed countries. As a therapeutic plant, saffron is considered excellent for stomach ailments and as an antispasmodic, to help digestion and to increase appetite. It is also used for depression in Persian traditional medicine. Our objective was to assess the efficacy of the stigmas of Crocus sativus (saffron) in the treatment of mild to moderate depression in a 6-week double-blind, placebo-controlled and randomized trial. Forty adult outpatients who met the Diagnostic and Statistical Manual of Mental Disorders, 4th edition for major depression based on the structured clinical interview for DSM IV participated in the trial. Patients had a baseline Hamilton rating scale for depression score of at least 18. In this double-blind, placebo-controlled, single-centre and randomized trial, patients were randomly assigned to receive a capsule of saffron 30 mg[sol ]day (BD) (Group 1) or a capsule of placebo (BD) (Group 2) for a 6-week study. At 6 weeks, Crocus sativus produced a significantly better outcome on the Hamilton depression rating scale than the placebo (d.f. = 1, F = 18.89, p < 0.001). There were no significant differences in the two groups in terms of the observed side effects. The results of this study indicate the efficacy of Crocus sativus in the treatment of mild to moderate depression. A large-scale trial is justified.
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Saffron was more effective than placebo therapy and could be compared with conventional antidepressants like fluoxetine and imipramine.
“In addition, saffron was more effective than placebo therapy and could be compared with conventional antidepressants like fluoxetine and imipramine (Akhondzadeh et al. 2004(Akhondzadeh et al. , 2005;;Akhondzadeh Basti et al. 2007).”
From <i>Crocus sativus</i> L. Versus Methylphenidate in Treatment of Children with Attention-Deficit/Hyperactivity Disorder: A Randomized, Double-Blind Pilot Study (2019) · cites this paper as Akhondzadeh et al. 2005
The efficacy of saffron in relation to placebo for treatment of depression has been documented.
“however, the efficacy of saffron in relation to placebo for treatment of depression has been documented (Akhondzadeh et al. 2005).”
From <i>Crocus sativus</i> L. Versus Methylphenidate in Treatment of Children with Attention-Deficit/Hyperactivity Disorder: A Randomized, Double-Blind Pilot Study (2019) · cites this paper as Akhondzadeh et al. 2005
The lack of a placebo-controlled trial is the main limitation of the study.
“The lack of a placebocontrolled trial is the main limitation; however, the efficacy of saffron in relation to placebo for treatment of depression has been documented (Akhondzadeh et al. 2005).”
From <i>Crocus sativus</i> L. Versus Methylphenidate in Treatment of Children with Attention-Deficit/Hyperactivity Disorder: A Randomized, Double-Blind Pilot Study (2019) · cites this paper as Akhondzadeh et al. 2005
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- Authors
- Akhondzadeh, S., Tahmacebi‐Pour, N., Noorbala, A., Amini, H., Fallah‐Pour, H., Jamshidi, A., & Khani, M.
- Affiliations
- Roozbeh Hospital (IR)
- Corresponding author
- Akhondzadeh, Shahin
- Venue
- Phytotherapy Research
- Publisher
- Wiley
- Published
- 2005-02
- Volume
- 19
- Issue
- 2
- Pages
- 148-151
- ISSN
- 0951-418X (ISSN-L)
- 1099-1573
- OpenAlex
- W1988632498
- Cited by
- 298
- References
- 16
- Citations by year
- 2026: 12 · 2025: 11 · 2024: 19 · 2023: 11 · 2022: 15 · 2021: 19 · 2020: 18 · 2019: 14 · 2018: 17 · 2017: 18 · 2016: 15 · 2015: 20 · 2014: 26 · 2013: 16 · 2012: 14
- FWCI
- 2.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Phytotherapy Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Tehran University of Medical Sciences and Health Services
- Topics
- Health Sciences › Medicine › Oncology › Saffron Plant Research Studies
- Health Sciences › Medicine › Complementary and alternative medicine › Medicinal Plant Extracts Effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Medicinal Plants and Bioactive Compounds
- Keywords
- saffron, depression, mild to moderate depression, herbal medicine, antidepressant efficacy, Persian medicine, adverse effects
- MeSH terms
- Adult, Antidepressive Agents, Depressive Disorder, Double-Blind Method, Female, Humans, Male, Phytotherapy, Plant Extracts, Psychiatric Status Rating Scales, Treatment Outcome, Crocus
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