Association of Helicobacter pylori Infection with Depression and Anxiety: A Systematic Review and Meta-Analysis

Introduction. The association between Helicobacter pylori (H. pylori) infection and depression and anxiety has been reported in the literature. The aim of this meta-analysis is to investigate the association of H. pylori infection with depression and anxiety. Methods. A systematic search was conduct...

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Main Authors: Lu Li, Yadi Ren, Zeyu Wang, Yanqing Niu, Ying Zhao, Xiaherezhati Aihaiti, Yinglan Ji, Man Li
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:International Journal of Clinical Practice
Online Access:http://dx.doi.org/10.1155/2024/9247586
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author Lu Li
Yadi Ren
Zeyu Wang
Yanqing Niu
Ying Zhao
Xiaherezhati Aihaiti
Yinglan Ji
Man Li
author_facet Lu Li
Yadi Ren
Zeyu Wang
Yanqing Niu
Ying Zhao
Xiaherezhati Aihaiti
Yinglan Ji
Man Li
author_sort Lu Li
collection DOAJ
description Introduction. The association between Helicobacter pylori (H. pylori) infection and depression and anxiety has been reported in the literature. The aim of this meta-analysis is to investigate the association of H. pylori infection with depression and anxiety. Methods. A systematic search was conducted in PubMed, Web of Science, Embase, and Chinese databases for observational studies that reported the incidence or prevalence of depression and anxiety in patients with H. pylori infection. We conducted meta-analysis with a random-effects model. Results. A total of twelve studies were included in this meta-analysis. Significant and positive association was found for H. pylori infection with anxiety (OR 2.49, 95% CI 1.83–3.39), but not depression (OR 1.40, 95% CI 0.75–2.58). Subgroup analysis from study design noted a significant positive association between H. pylori infection and anxiety (case-control and cross-sectional study, OR 2.36, 95% CI 1.65–3.38; cohort study, RR 1.72, 95% CI 1.28–2.32). The similar trend among studies used the Self-Rating Anxiety Scale (OR 2.43, 95% CI 1.78–3.32) and other questionnaires (OR 2.41, 95% CI 1.50–3.87) have been observed. However, subgroup analysis of the association between H. pylori infection and depression yields different results. Subgroup analysis from cohort studies noted a significant association between H. pylori infection and depression (RR 1.99, 95% CI 1.33–2.99), but not case-control and cross-sectional studies (OR 1.20, 95% CI 0.59–2.46). A significant positive association has been observed among studies used the Self-Rating Depression Scale (OR 2.03, 95% CI 1.11–3.70), as opposed to studies using other questionnaires (OR 1.03, 95% CI 0.31–3.44). Conclusion. This meta-analysis provide the support that a significant positive association between H. pylori infection and anxiety disorders. However, the association between H. pylori infection and depression appears to be insignificant.
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spelling doaj-art-2aa5e8aba28b4b0abb7a5ac81a3570672025-02-03T07:23:45ZengWileyInternational Journal of Clinical Practice1742-12412024-01-01202410.1155/2024/9247586Association of Helicobacter pylori Infection with Depression and Anxiety: A Systematic Review and Meta-AnalysisLu Li0Yadi Ren1Zeyu Wang2Yanqing Niu3Ying Zhao4Xiaherezhati Aihaiti5Yinglan Ji6Man Li7Department of GastroenterologyDepartment of GastroenterologyEndoscopy CenterDepartment of GastroenterologyDepartment of GastroenterologyDepartment of GastroenterologyDepartment of GastroenterologyDepartment of GastroenterologyIntroduction. The association between Helicobacter pylori (H. pylori) infection and depression and anxiety has been reported in the literature. The aim of this meta-analysis is to investigate the association of H. pylori infection with depression and anxiety. Methods. A systematic search was conducted in PubMed, Web of Science, Embase, and Chinese databases for observational studies that reported the incidence or prevalence of depression and anxiety in patients with H. pylori infection. We conducted meta-analysis with a random-effects model. Results. A total of twelve studies were included in this meta-analysis. Significant and positive association was found for H. pylori infection with anxiety (OR 2.49, 95% CI 1.83–3.39), but not depression (OR 1.40, 95% CI 0.75–2.58). Subgroup analysis from study design noted a significant positive association between H. pylori infection and anxiety (case-control and cross-sectional study, OR 2.36, 95% CI 1.65–3.38; cohort study, RR 1.72, 95% CI 1.28–2.32). The similar trend among studies used the Self-Rating Anxiety Scale (OR 2.43, 95% CI 1.78–3.32) and other questionnaires (OR 2.41, 95% CI 1.50–3.87) have been observed. However, subgroup analysis of the association between H. pylori infection and depression yields different results. Subgroup analysis from cohort studies noted a significant association between H. pylori infection and depression (RR 1.99, 95% CI 1.33–2.99), but not case-control and cross-sectional studies (OR 1.20, 95% CI 0.59–2.46). A significant positive association has been observed among studies used the Self-Rating Depression Scale (OR 2.03, 95% CI 1.11–3.70), as opposed to studies using other questionnaires (OR 1.03, 95% CI 0.31–3.44). Conclusion. This meta-analysis provide the support that a significant positive association between H. pylori infection and anxiety disorders. However, the association between H. pylori infection and depression appears to be insignificant.http://dx.doi.org/10.1155/2024/9247586
spellingShingle Lu Li
Yadi Ren
Zeyu Wang
Yanqing Niu
Ying Zhao
Xiaherezhati Aihaiti
Yinglan Ji
Man Li
Association of Helicobacter pylori Infection with Depression and Anxiety: A Systematic Review and Meta-Analysis
International Journal of Clinical Practice
title Association of Helicobacter pylori Infection with Depression and Anxiety: A Systematic Review and Meta-Analysis
title_full Association of Helicobacter pylori Infection with Depression and Anxiety: A Systematic Review and Meta-Analysis
title_fullStr Association of Helicobacter pylori Infection with Depression and Anxiety: A Systematic Review and Meta-Analysis
title_full_unstemmed Association of Helicobacter pylori Infection with Depression and Anxiety: A Systematic Review and Meta-Analysis
title_short Association of Helicobacter pylori Infection with Depression and Anxiety: A Systematic Review and Meta-Analysis
title_sort association of helicobacter pylori infection with depression and anxiety a systematic review and meta analysis
url http://dx.doi.org/10.1155/2024/9247586
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