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Table 2 Summary of Studies Assessing Neuropsychiatric Effects of Vitamin C Deficiency

From: The neuropsychiatric effects of vitamin C deficiency: a systematic review

Study

Number of subjects

Study definition of deficiency in μmol/L and blood component measured

Measurement tool

Outcome

[21] (Kinsman et al)

5

Low group, mean whole blood level: 25

Minnesota Multiphasic Personality Inventory

Increased scores in social inversion, ‘neurotic triad’ (hypochondriasis, depression, hysteria)

[24] (Pullar et al)

139

Inadequate, plasma: < 50

Profile of Mood States

Increased total mood disturbance, depression, confusion

[25] (Marazzi et al)

129

Low, serum: <  23

Inventory of Psychic and Somatic Complaints-Elderly

Higher depression score

[28] (Pearson et al)

404

Plasma: <  23

Montreal Cognitive Assessment, Warwick–Edinburgh Mental Wellbeing Scale,

Mini-International Neuropsychiatric Interview

Higher level of cognitive impairment, no association with depression or well-being

[27] (Gale et al)

921

Mild deficiency, plasma: 11.92 to 27.82

Moderate-to-severe deficiency, plasma: ≤ 11.91

Hodkinson Abbreviated Mental Test

Statistically significant increased risk for cognitive impairment for moderate-to-severe, but not mild, deficiency

[29] (Travica et al)

80

Deficiency, plasma: <  28

Modified Mini Mental State Examination, Revised Hopkins Verbal Learning Test, Symbol Digits Modalities Test, Swinburne University Computerized Cognitive Assessment Battery

Poorer outcome on numerous measures of cognitive function

[22] (Walker)

7

Clinical scurvy

n/a

Degree of confusion noted

[23] (Deligny et al)

4

Clinical scurvy

n/a

Intense asthenia in all patients

[26] (Mitra)

6

Clinical scurvy

n/a

Severe depressive state in all patients