Evidence map›Paper›PMID 41057673›Full record

Trial reportBiometals : an international journal on the role of metal ions in biology, biochemistry, and medicine2026

Impact of nano-selenium supplementation add-on sertraline on depressive symptoms and oxidative stress in patients with major depressive disorder: a triple-blind randomized controlled trial.

Morvarid Noormohammadi, Farnaz Etesam, Ali Amini, Pegah Khosravian Dehkordi, Morteza Mohammadzadeh, Farzad Shidfar

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Morvarid NoormohammadiNutritional Sciences Research Center, Iran University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0002-1971-8982
Farnaz EtesamPsychosomatic Medicine Research Center, Department of Psychiatry, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0002-4083-4216
Ali AminiDepartment of Hematology and Blood Banking, Faculty of Allied Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0002-8759-6120
Pegah Khosravian DehkordiMedical Plants Research Center, Basic Health Sciences Institute, Shahrekord University of Medical Sciences, Shahrekord, Iran.ORCID http://orcid.org/0000-0002-4802-8534
Morteza MohammadzadehDepartment of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0002-2258-3388
Farzad ShidfarNutritional Sciences Research Center, Iran University of Medical Sciences, Tehran, Iran. farzadshidfar@yahoo.com.ORCID https://orcid.org/0000-0002-6531-9253

Funding

Iran University of Medical Sciences 1402-2-2-26358
6 · The paper itself

Abstract

Major depressive disorder (MDD) is a prevalent psychiatric condition associated with increased oxidative stress, which may contribute to its pathophysiology. Elevated malondialdehyde (MDA) levels and reduced total antioxidant capacity (TAC) and glutathione peroxidase (GPX) activity have been observed in individuals with MDD. Nano-selenium, a novel formulation with enhanced bioavailability and antioxidant potency compared to conventional selenium, may help modulate these oxidative stress biomarkers. In this randomized, triple-blind, placebo-controlled trial, 50 adults newly diagnosed with MDD received either nano-selenium (55 µg/day) or placebo, both alongside sertraline (50 mg/day), over a 12-week period. A total of 42 participants (21 per group) completed the study. Depressive symptoms were measured using the Hamilton Depression Rating Scale (HDRS), and serum levels of GPX, TAC, and MDA were assessed at baseline and post-intervention. Compared to placebo, nano-selenium significantly reduced depressive symptoms (mean change: -5.09 ± 4.94; P < 0.001) and increased TAC (mean change: 0.03 ± 0.04 mmol/L; P = 0.003) and GPX levels (median change: 9.56 U/L; IQR: -7.86 to 30.31; P = 0.044). While MDA levels decreased significantly in both groups, between-group differences were not statistically significant. These findings suggest that nano-selenium may serve as a safe and effective adjunctive therapy for reducing depressive symptoms and improving antioxidant status in MDD. However, the short duration and modest sample size of this study limit generalizability. Larger, multicenter trials with extended follow-up are recommended to confirm and expand upon these results. This study was approved by the Research Ethics Committee of Iran University of Medical Sciences (IR.IUMS.REC.1402.206; June 13, 2023) and registered with the Iranian Registry of Clinical Trials (IRCT20091114002709N62; July 29, 2023). Written informed consent was obtained from all participants.

Indexed as

Antidepressive AgentsMajor Depressive DisorderNanoparticlesOxidative StressSeleniumSertralineAdultAntioxidantsDouble-Blind MethodFemaleHumansMaleMiddle AgedAntidepressive AgentsAntioxidantsSeleniumSertralineDepressionMajor depressive disorderNano-seleniumRandomized controlled trialTrace elements

Identifiers

PMID41057673

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.