PMID- 32772900 OWN - NLM STAT- MEDLINE DCOM- 20210726 LR - 20240330 IS - 1365-2060 (Electronic) IS - 0785-3890 (Print) IS - 0785-3890 (Linking) VI - 52 IP - 8 DP - 2020 Dec TI - Gut microbes in neurocognitive and mental health disorders. PG - 423-443 LID - 10.1080/07853890.2020.1808239 [doi] AB - INTRODUCTION: As individuals age, the prevalence of neurocognitive and mental health disorders increases. Current biomedical treatments do not completely address the management of these conditions. Despite new pharmacological therapy the challenges of managing these diseases remain.There is increasing evidence that the Gut Microbiome (GM) and microbial dysbiosis contribute to some of the more prevalent mental health and neurocognitive disorders, such as depression, anxiety, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), schizophrenia, bipolar disorder (BP), and dementia as well as the behavioural and psychological symptoms of dementia (BPSD) through the microbiota-gut-brain axis. Methodology: Scoping review about the effect of gut microbiota on neurocognitive and mental health disorders. RESULTS: This scoping review found there is an evolving evidence of the involvement of the gut microbiota in the pathophysiology of neurocognitive and mental health disorders. This manuscript also discusses how the psychotropics used to treat these conditions may have an antimicrobial effect on GM, and the potential for new strategies of management with probiotics and faecal transplantation. CONCLUSIONS: This understanding can open up the need for a gut related approach in these disorders as well as unlock the door for the role of gut related microbiota management. KEY MESSAGES Challenges of managing mental health conditions remain in spite of new pharmacological therapy. Gut dysbiosis is seen in various mental health conditions. Various psychotropic medications can have an influence on the gut microbiota by their antimicrobial effect. FAU - Halverson, Tyler AU - Halverson T AD - Department of Medicine, Division of Psychiatry, University of Alberta, Edmonton, Alberta Canada. FAU - Alagiakrishnan, Kannayiram AU - Alagiakrishnan K AD - Department of Medicine, Division of Geriatric Medicine, University of Alberta, Edmonton, Alberta, Canada. LA - eng PT - Journal Article PT - Review DEP - 20200831 PL - England TA - Ann Med JT - Annals of medicine JID - 8906388 RN - 0 (Psychotropic Drugs) SB - IM MH - Cognition/drug effects/physiology MH - Combined Modality Therapy/methods MH - Dysbiosis/complications/microbiology/physiopathology/*therapy MH - *Fecal Microbiota Transplantation MH - Gastrointestinal Microbiome/drug effects/*physiology MH - Humans MH - Mental Disorders/microbiology/physiopathology/*therapy MH - Mental Health MH - Probiotics/*administration & dosage MH - Psychotropic Drugs/adverse effects MH - Treatment Outcome PMC - PMC7877977 OTO - NOTNLM OT - Gut microbiota OT - antimicrobial activity OT - mental health COIS- No potential conflict of interest was reported by the author(s). EDAT- 2020/08/11 06:00 MHDA- 2021/07/27 06:00 PMCR- 2020/08/31 CRDT- 2020/08/11 06:00 PHST- 2020/08/11 06:00 [pubmed] PHST- 2021/07/27 06:00 [medline] PHST- 2020/08/11 06:00 [entrez] PHST- 2020/08/31 00:00 [pmc-release] AID - 1808239 [pii] AID - 10.1080/07853890.2020.1808239 [doi] PST - ppublish SO - Ann Med. 2020 Dec;52(8):423-443. doi: 10.1080/07853890.2020.1808239. Epub 2020 Aug 31.