The impact of statins on psychological wellbeing: a systematic review and meta-analysis
Open accessAbstract
BACKGROUND: Cholesterol-lowering medications such as statins have anti-inflammatory and antioxidant properties, which may be beneficial for treating depression and improving mood. However, evidence regarding their effects remains inconsistent, with some studies reporting links to mood disturbances. We aimed to conduct a meta-analysis to determine the impact of statins on psychological wellbeing of individuals with or without hypercholesterolemia. METHODS: Articles were identified using medical, health, psychiatric and social science databases, evaluated for quality, and data were synthesized and analyzed in RevMan-5 software using a random effects model. RESULTS: The 7 randomized controlled trials included in the analysis represented 2,105 participants. A test for overall effect demonstrated no statistically significant differences in psychological wellbeing between participants receiving statins or a placebo (standardized mean difference (SMD) = -0.08, 95% CI -0.29 to 0.12; P = 0.42). Sensitivity analyses were conducted to separately analyze depression (n = 5) and mood (n = 2) outcomes; statins were associated with statistically significant improvements in mood scores (SMD = -0.43, 95% CI -0.61 to -0.24). CONCLUSIONS: Our findings refute evidence of negative effects of statins on psychological outcomes, providing some support for mood-related benefits. Future studies could examine the effects of statins in depressed populations.
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Meta-analytic evidence suggests that statins induce mood-enhancing effects and decrease the risk of development of de novo depression in humans.
“In addition, meta-analytic evidence suggests that statins induce mood-enhancing effects and decrease the risk of development of de novo depression in humans [170, 171].”
From Cognitive remission: a novel objective for the treatment of major depression? (2016) · cites this paper as [170]
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- Authors
- O'Neil, A., Sanna, L., Redlich, C., Sanderson, K., Jacka, F., Williams, L. J., Pasco, J. A., & Berk, M.
- Affiliations
- Deakin University (AU)
- Lund University (SE)
- University of Tasmania (AU)
- Mental Health Research Institute (AU)
- Corresponding author
- O'Neil, Adrienne
- Venue
- BMC Medicine
- Published
- 2012-12
- Volume
- 10
- Issue
- 1
- Pages
- 154-154
- ISSN
- 1741-7015 (ISSN-L)
- PMC
- PMC3568015
- OpenAlex
- W2124902096
- Cited by
- 78
- References
- 38
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 5 · 2020: 4 · 2019: 6 · 2018: 5 · 2017: 12 · 2016: 11 · 2015: 7 · 2014: 15 · 2013: 2
- FWCI
- 1.49
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Medicine (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- eCite Digital Repository (University of Tasmania) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Lund University Publications (Lund University) (submittedVersion, other-oa)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Funders
- Amgen
- Bristol-Myers Squibb
- Eli Lilly and Company
- Pfizer
- Sanofi
- Geelong Region Medical Research Foundation
- American Society for Bone and Mineral Research
- Beyond Blue
- Deakin University
- University of Melbourne
- Servier
- H. Lundbeck A/S
- Barwon Health Foundation
- National Institutes of Health
- Medical Research Council
- National Health and Medical Research Council (1021347)
- Cilag
- Topics
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Lipids, and Metabolism
- Keywords
- statins, psychological well-being, depression, mood, hypercholesterolemia, cholesterol-lowering drugs, anti-inflammatory activity, antidepressant effects
- MeSH terms
- Affect, Depression, Humans, Mental Health, Hydroxymethylglutaryl-CoA Reductase Inhibitors
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