hintlMental wellbeingprobiotics

Do probiotics affect feelings of anxiety and mood? What 6 studies show

プロバイオティクス · probiotics · Last updated:

hintl editorial team / Mental Wellbeing Desk

Mental wellbeing desk — research review

ミントの葉を添えたヨーグルトのボウル
Research data last updated: |How this works

Key points

Multiple human studies report a positive effect.

For mood · 6 studies · 420 participants

hintl Evidence Score 75/100 (6 studies, confidence high).

Evidence at a glance

How does probiotics affect mood?

promising
75/100 Evidence ScoreConfidence: high6 studies6 RCTs
How the 75 is built
Study design base
randomized controlled trial
+30/40
RCT bonus
6 RCTs
+15/15
Study count bonus
6 studies
+10/10
Participants bonus
Total 420 participants
+10/20
Consistency bonus
human studies agree
+10/10

Scoring method

Multiple human studies report a positive effect.

  • 6 human studies (420 participants total)
  • Studies point in broadly the same direction

How does probiotics affect anxiety?

promising
60/100 Evidence ScoreConfidence: moderate5 studies2 RCTs
How the 60 is built
Study design base
meta-analysis or systematic review
+40/40
RCT bonus
2 RCTs
+10/15
Study count bonus
5 studies
+10/10
Participants bonus
Total 5,936 participants
+20/20
Consistency bonus
results differ
0/10
Contradiction penalty
human studies mix benefit with no effect or harm
-20/20

Scoring method

Multiple human studies report a positive effect.

  • 5 human studies (5,936 participants across the 4 with counts recorded; 1 review/meta-analysis not counted individually)
  • Studies disagree with each other

  • There are multiple research reports suggesting that taking probiotics may have a positive effect on feelings of anxiety.
  • The evidence score for anxiety is 60, and the reliability of the information can be considered moderate.
  • Research is also underway on the relationship with mood and stress, but this is still at an investigative stage.

Probiotics refer to microorganisms that may have a beneficial effect on the human body.

They are generally taken through diet or supplements and are handled in the context of the gut environment.

It has been suggested that probiotics may ease feelings of anxiety.

In an analysis pooling the results of multiple studies, there is a report that anxiety was reduced among the participants. There is also a reported case involving 30 badminton athletes, studied continuously over 42 days. These are based on a meta-analysis (a method that statistically combines and analyzes the results of multiple studies) and randomized controlled trials (a reliable research method in which participants are randomly divided into groups to compare effects).

On the other hand, results for anxiety symptoms have not always been consistent. There is also a report that no significant difference was seen between probiotics and a placebo (a test method that uses a substance with no effect as a control) in easing anxiety symptoms. In other words, results are divided depending on the study.

There is a report of a positive effect on the mental wellbeing of older adults.

In a relatively small study involving 63 healthy community-dwelling older adults, differences were seen in scores for mental flexibility and stress. This study used a double-blind placebo-controlled trial (a rigorous experimental method, designed to prevent bias, in which neither participants nor researchers know which group they are in).

This study of older adults is a single study only, and reliability is limited. As can be seen from the scale of the data, this is still a stage where much more research is needed.

It is important to note that results differ between studies.

While some studies show a result of eased feelings of anxiety, reports of no observed change are also included. Taking probiotics does not necessarily act the same way for everyone.

In addition, much of this research was conducted over a specific period, and further verification of long-term effects is awaited. Because it may not suit some people, it is important to consider your own situation.

StudyDesignNumber of participantsDurationMain result
Brain and Behavior (2025, PMID:40038860)Meta-analysis4,295 peopleUnknownA positive effect was reported
Ciencia & Saude Coletiva (2021, PMID:34586262)Systematic reviewUnknownUnknownA positive effect was reported
Depression and Anxiety (2018, PMID:29995348)Meta-analysis1,551 peopleUnknownNo clear association was found
Frontiers in Immunology (2023, PMID:37033942)Randomized controlled trial (RCT)60 people21 daysA positive effect was reported
Nutrients (2021, PMID:34073684)Randomized controlled trial (RCT)30 people42 daysA positive effect was reported
The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences (2021, PMID:32300799)Randomized controlled trial (RCT)63 people84 daysA positive effect was reported

For research on anxiety, subjects included 4,295 study participants related to anxiety, 1,551 subjects who took part in randomized controlled trials (RCTs) concerning the easing of anxiety symptoms, 60 university students with test anxiety, and 30 badminton athletes (university students). For research on mood, 63 healthy community-dwelling older adults were the subjects.

These studies include people of a wide range of ages and conditions, from university students to older adults. This can serve as a reference for checking whether your own situation and age are included among the study subjects.

The research underlying this information consists of 6 studies in total.

The study designs used include meta-analyses, systematic reviews, and randomized controlled trials (RCTs).

For research on feelings of anxiety, it should be noted that conflicting results have been reported.

Can probiotics affect feelings of anxiety?

Studies have been reported showing a positive effect on feelings of anxiety. On the other hand, there are also reports showing no significant difference.

What effect might probiotics have on mood in older adults?

In research on healthy community-dwelling older adults, a possible positive effect on mood has been suggested. The reliability of this research result is limited.

What kinds of people are included in research on probiotics?

A diverse range of people are included in this research, such as university students, badminton athletes, and community-dwelling older adults. The subjects span a wide range of ages.

There are reports that probiotics have a positive effect on feelings of anxiety, but the results also show some variation. Research on mood is still limited, and further verification is needed. This content is based solely on academic research reports, and results differ depending on individual circumstances.

To get an objective sense of your own mental state, try using the self-check assessment as well.

References

This page's evaluation is based on the following peer-reviewed studies (10). Each link goes directly to the primary source (PubMed / DOI).

  1. The Effect of Prebiotics and Probiotics on Levels of Depression, Anxiety, and Cognitive Function: A Meta-Analysis of Randomized Clinical Trials.meta-analysis · Brain and behavior · 2025
  2. A randomized, double-blinded, placebo-controlled clinical trial on Lactobacillus-containing cultured milk drink as adjuvant therapy for depression in irritable bowel syndrome.randomized controlled trial (RCT) · Scientific reports · 2024
  3. Psychobiotic Lactobacillus plantarum JYLP-326 relieves anxiety, depression, and insomnia symptoms in test anxious college via modulating the gut microbiota and its metabolism.randomized controlled trial (RCT) · Frontiers in immunology · 2023
  4. Acceptability, Tolerability, and Estimates of Putative Treatment Effects of Probiotics as Adjunctive Treatment in Patients With Depression: A Randomized Clinical Trial.randomized controlled trial (RCT) · JAMA psychiatry · 2023
  5. The effect of probiotics on mood and sleep quality in postmenopausal women: A triple-blind randomized controlled trial.randomized controlled trial (RCT) · Clinical nutrition ESPEN · 2022
  6. A systematic review of the effects of probiotics on depression and anxiety: an alternative therapy?systematic review · Ciencia & saude coletiva · 2021
  7. Effects of Probiotics on Anxiety, Stress, Mood and Fitness of Badminton Players.randomized controlled trial (RCT) · Nutrients · 2021
  8. Probiotic Supplementation Improves Cognitive Function and Mood with Changes in Gut Microbiota in Community-Dwelling Older Adults: A Randomized, Double-Blind, Placebo-Controlled, Multicenter Trial.randomized controlled trial (RCT) · The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
  9. Gut feelings: A randomised, triple-blind, placebo-controlled trial of probiotics for depressive symptoms.randomized controlled trial (RCT) · Journal of affective disorders · 2019
  10. Efficacy of probiotics on anxiety-A meta-analysis of randomized controlled trials.meta-analysis · Depression and anxiety · 2018

Things to keep in mind

  • For some outcomes, studies do not fully agree.
  • Supplements are not medicines. If you have a medical condition, are pregnant, or take medication, check with your doctor or pharmacist.

Related items

Evidence Scores are computed mechanically from the published research (PubMed / Semantic Scholar / OpenAlex): study design, participant numbers, and consistency across studies. An LLM is used only to extract study data, never to decide a score.

This is research-based information, not medical advice, and not a diagnosis. Consult a qualified professional about your own situation.

How the Evidence Score is calculated

Share this:

hintl editorial team / Mental Wellbeing Desk

Mental wellbeing desk — research review

We continuously check the published research and translate the technical language into plain terms. The policy is to report a trend in the research, never a flat claim that something "works".

This article was produced by an editorial system from published research and is managed by the editor-in-responsibility (Takuya Hirata, representative of AJARA LLC).