Amedeo Minichino
MD DPhil CCT
Associate Professor, Honorary Consultant Psychiatrist
- Wellcome Trust Early Career Fellow
I am a clinical academic psychiatrist with a specific interest in early detection and preventive interventions.
I am the clinical lead for OPEN - the Oxford Preventive and Early interventioN service, which seek to help young people 'at risk' of developing severe mental illness, such as psychosis, depression, and bipolar disorder.
My research focuses on clarifying the role of the gut microbiome in the pathophysiology of mental illness and in modulating the efficacy and tolerability of psychotropic medications. I use an inter-disciplinary approach combining clinical, in vitro, and animal models. This is possible thanks to an extended network of collaborators within and beyond the Department of Psychiatry and the University of Oxford.
My overall aim is to develop methods that will support a more personalised approach to
treatment, with the selection of medications informed by each individual’s microbiome
profile, such that they receive the treatment that is most likely to be effective and least likely to cause
side effects.
Key publications
Psycho-Pharmacomicrobiomics: A Systematic Review and Meta-Analysis.
Journal article
Minichino A. et al, (2024), Biol Psychiatry, 95, 611 - 628
Gut dysbiosis in severe mental illness and chronic fatigue: a novel trans-diagnostic construct? A systematic review and meta-analysis.
Journal article
Safadi JM. et al, (2022), Mol Psychiatry, 27, 141 - 153
Endocannabinoid system mediates the association between gut-microbial diversity and anhedonia/amotivation in a general population cohort.
Journal article
Minichino A. et al, (2021), Mol Psychiatry, 26, 6269 - 6276
Recent publications
Can We Detect the Undetected? Comparing the Prodromes of Individuals with First Episode Psychosis Detected and Undetected by Clinical High-Risk for Psychosis Services: An Electronic Health Record Study.
Journal article
Inns M. et al, (2025), Schizophr Bull
Mapping the reciprocal interactions between antidepressants and the gut microbiome: novel targets for the personalisation and optimization of drug response.
Journal article
Liu L. et al, (2025), Mol Psychiatry
Preventing psychosis in people at clinical high risk: an updated meta-analysis by the World Psychiatric Association Preventive Psychiatry section.
Journal article
Minichino A. et al, (2025), Mol Psychiatry, 30, 2773 - 2782
Novel Lipid Formulation Increases Absorption of Oral Cannabidiol (CBD).
Journal article
Chesney E. et al, (2024), Pharmaceutics, 16
Psycho-Pharmacomicrobiomics: A Systematic Review and Meta-Analysis.
Journal article
Minichino A. et al, (2024), Biol Psychiatry, 95, 611 - 628
Effects of Cannabidiol and Delta-9-Tetrahydrocannabinol on Plasma Endocannabinoid Levels in Healthy Volunteers: A Randomized Double-Blind Four-Arm Crossover Study.
Journal article
Chester LA. et al, (2024), Cannabis Cannabinoid Res, 9, 188 - 198
The Translational Future of Stress Neurobiology and Psychosis Vulnerability: A Review of the Evidence.
Journal article
Cullen AE. et al, (2024), Curr Neuropharmacol, 22, 350 - 377
The role of mild stressors in children's cognition and inflammation: positive and negative impacts depend on timing of exposure.
Journal article
Francesconi M. et al, (2023), Eur Psychiatry, 66
Psycho-pharmacomicrobiomics: a systematic review and meta-analysis
Preprint
Minichino A. et al, (2023)
Suicide-Related Knowledge among Italian Early Career Psychiatrists and Trainees: Results from a Cross-Sectional Survey.
Journal article
Berardelli I. et al, (2022), Brain Sci, 12
Investigating the pro-cognitive and anti-depressant efficacy of metformin: A systematic review and meta-analysis of randomised controlled trials.
Journal article
Nibber A. et al, (2022), J Affect Disord, 310, 52 - 59
Gut dysbiosis in severe mental illness and chronic fatigue: a novel trans-diagnostic construct? A systematic review and meta-analysis.
Journal article
Safadi JM. et al, (2022), Mol Psychiatry, 27, 141 - 153
Unmet Therapeutic Needs in Psychotic Illness: The Gut Microbiome-Endocannabinoid Axis as a Target for the Development of New Preventative Strategies
Chapter
Minichino A., (2022), 311 - 323
Specialised early intervention teams for recent-onset psychosis: a Cochrane Review
Journal article
Puntis S. et al, (2022), BJPSYCH ADVANCES, 28, 136 - 136
Corrigendum to 'Biological Motion induced mu suppression is reduced in Early Psychosis (EP) patients with active negative symptoms and Autism Spectrum Disorders (ASD)' [Psychiatry Research 238 (2016) 374-377].
Journal article
Minichino A. et al, (2021), Psychiatry Res, 306
Endocannabinoid system mediates the association between gut-microbial diversity and anhedonia/amotivation in a general population cohort.
Journal article
Minichino A. et al, (2021), Mol Psychiatry, 26, 6269 - 6276
ITAlian partnership for psychosis prevention (ITAPP): Improving the mental health of young people.
Journal article
Fusar-Poli P. et al, (2021), Eur Psychiatry, 64
The gut-microbiome as a target for the treatment of schizophrenia: A systematic review and meta-analysis of randomised controlled trials of add-on strategies.
Journal article
Minichino A. et al, (2021), Schizophr Res, 234, 1 - 13
Brain glutamate concentration in men with early psychosis: a magnetic resonance spectroscopy case-control study at 7 T.
Journal article
Godlewska BR. et al, (2021), Transl Psychiatry, 11
The gut-microbiome-endocannabinoid axis and anhedonia/amotivation: A mediation analysis in a general population cohort
Conference paper
Minichino A. et al, (2021), EUROPEAN PSYCHIATRY, 64, S131 - S131
Endocannabinoids mediate the association between gut-microbial diversity and anhedonia in a general population cohort
Conference paper
Minichino A. et al, (2021), EUROPEAN NEUROPSYCHOPHARMACOLOGY, 44, S22 - S23
Reprint of: Internalising symptoms mediate the longitudinal association between childhood inflammation and psychotic-like experiences in adulthood.
Journal article
Francesconi M. et al, (2020), Schizophr Res, 226, 24 - 29
Specialised early intervention teams for recent-onset psychosis.
Journal article
Puntis S. et al, (2020), Cochrane Database Syst Rev, 11
Specialised early intervention teams (extended time) for recent-onset psychosis.
Journal article
Puntis S. et al, (2020), Cochrane Database Syst Rev, 11
Internalising symptoms mediate the longitudinal association between childhood inflammation and psychotic-like experiences in adulthood.
Journal article
Francesconi M. et al, (2020), Schizophr Res, 215, 424 - 429
THE GUT-MICROBIOTA AS A TARGET FOR THE TREATMENT OF NEGATIVE SYMPTOMS OF SCHIZOPHRENIA: A SYSTEMATIC REVIEW AND META-ANALYSIS OF CONTROLLED TRIALS OF ADD-ON STRATEGIES
Conference paper
Minichino A. et al, (2020), SCHIZOPHRENIA BULLETIN, 46, S298 - S298
Measuring Disturbance of the Endocannabinoid System in Psychosis: A Systematic Review and Meta-analysis.
Journal article
Minichino A. et al, (2019), JAMA Psychiatry, 76, 914 - 923
Disturbance of the endocannabinoid system in psychosis A systematic review and meta-analysis
Journal article
LENNOX BELINDA. et al, (2019), JAMA Psychiatry
Personality features and vulnerability to stress: a case study on hyperhidrosis.
Journal article
Andò A. et al, (2019), Res Psychother, 22
Unmet needs in patients with brief psychotic disorders: Too ill for clinical high risk services and not ill enough for first episode services.
Journal article
Minichino A. et al, (2019), Eur Psychiatry, 57, 26 - 32
Specialised early intervention teams (extended time) for first episode psychosis
Journal article
Puntis S. et al, (2019), Cochrane Database of Systematic Reviews, 2019
Specialised early intervention teams for first episode psychosis
Journal article
Puntis S. et al, (2019), Cochrane Database of Systematic Reviews, 2019
Metabolic abnormalities and low dietary Omega 3 are associated with symptom severity and worse functioning prior to the onset of psychosis: Findings from the North American Prodrome Longitudinal Studies Consortium.
Journal article
Cadenhead KS. et al, (2019), Schizophr Res, 204, 96 - 103
Long term outcomes of acute and transient psychotic disorders: The missed opportunity of preventive interventions.
Journal article
Rutigliano G. et al, (2018), Eur Psychiatry, 52, 126 - 133
Meta-analytical prognostic accuracy of the Comprehensive Assessment of at Risk Mental States (CAARMS): The need for refined prediction.
Journal article
Oliver D. et al, (2018), Eur Psychiatry, 49, 62 - 68
[Cinema-based interventions implemented at the Day Hospital of Sapienza University of Rome - Policlinico Umberto I Hospital: group therapy, projective evaluation, psychoeducation and treatment].
Journal article
Bersani FS. et al, (2018), Riv Psichiatr, 53, 341 - 344
UNMET NEEDS IN PATIENTS WITH ACUTE TRANSIENT PSYCHOTIC DISORDERS (ATPD): ANALYSIS OF PATHWAYS TO CARE: AN 8 YEARS FOLLOW-UP STUDY
Conference paper
Minichino A. et al, (2018), SCHIZOPHRENIA BULLETIN, 44, S162 - S163
Investigating the link between drug-naive first episode psychoses (FEPs), weight gain abnormalities and brain structural damages: Relevance and implications for therapy.
Journal article
Minichino A. et al, (2017), Prog Neuropsychopharmacol Biol Psychiatry, 77, 9 - 22
Prediction of functional outcome in young patients with a recent-onset psychiatric disorder: Beyond the traditional diagnostic classification system.
Journal article
Minichino A. et al, (2017), Schizophr Res, 185, 114 - 121
Psychoeducational intervention focused on healthy living improves psychopathological severity and lifestyle quality in psychiatric patients: preliminary findings from a controlled study.
Journal article
Bersani FS. et al, (2017), J Ment Health, 26, 271 - 275
From neurological soft signs to functional outcome in young individuals in treatment with secondary services for non-psychotic disorders: a path analysis.
Journal article
Minichino A. et al, (2017), Psychol Med, 47, 1192 - 1203
Prefronto-cerebellar tDCS enhances neurocognition in euthymic bipolar patients. Findings from a placebo-controlled neuropsychological and psychophysiological investigation.
Journal article
Bersani FS. et al, (2017), J Affect Disord, 209, 262 - 269
Psychosis prediction in secondary mental health services. A broad, comprehensive approach to the "at risk mental state" syndrome.
Journal article
Francesconi M. et al, (2017), Eur Psychiatry, 40, 96 - 104
Clozapine-related extrapyramidal side effects: a case report.
Journal article
Gallo M. et al, (2017), Riv Psichiatr, 52, 172 - 173
Mirror Neurons in Psychiatric Disorders: from Neuroception to Bio-behavioral System Dysregulation.
Journal article
Minichino A. and Cadenhead K., (2017), Neuropsychopharmacology, 42
Theory of Mind as a mediator variable between neurocognition and functioning in young individuals in treatment with secondary services for non-psychotic disorders.
Journal article
Francesconi M. et al, (2016), Psychiatry Res, 246, 415 - 420
Pain-processing abnormalities in bipolar I disorder, bipolar II disorder, and schizophrenia: A novel trait marker for psychosis proneness and functional outcome?
Journal article
Minichino A. et al, (2016), Bipolar Disord, 18, 591 - 601
Biological Motion induced mu suppression is reduced in Early Psychosis (EP) patients with active negative symptoms and Autism Spectrum Disorders (ASD).
Journal article
Minichino A. et al, (2016), Psychiatry Res, 238, 374 - 377
Effects of cerebellar transcranial direct current stimulation on attentional processing of the stimulus: Evidence from an event-related potentials study.
Journal article
Mannarelli D. et al, (2016), Neuropsychologia, 84, 127 - 135
Cannabis: a self-medication drug for weight management? The never ending story.
Journal article
Bersani FS. et al, (2016), Drug Test Anal, 8, 177 - 179
Negative symptoms as key features of depression among cannabis users: a preliminary report.
Journal article
Bersani G. et al, (2016), Eur Rev Med Pharmacol Sci, 20, 547 - 552
Group psychoeducation normalises cortisol awakening response in stabilised bipolar patients under pharmacological maintenance treatment
Conference paper
Delle Chiaie R. et al, (2016), BIPOLAR DISORDERS, 18, 188 - 188
Bipolar Spectrum Disorders in Patients With Cerebellar Lesions: A Comparison With Parkinson's Disease.
Journal article
Delle Chiaie R. et al, (2015), J Nerv Ment Dis, 203, 725 - 729
The "Eyeballing" technique: an emerging and alerting trend of alcohol misuse.
Journal article
Bersani FS. et al, (2015), Eur Rev Med Pharmacol Sci, 19, 2311 - 2317
P300 component in euthymic patients with bipolar disorder type I, bipolar disorder type II and healthy controls: a preliminary event-related potential study.
Journal article
Bersani FS. et al, (2015), Neuroreport, 26, 206 - 210
Prefrontocerebellar transcranial direct current stimulation increases amplitude and decreases latency of P3b component in patients with euthymic bipolar disorder.
Journal article
Bersani FS. et al, (2015), Neuropsychiatr Dis Treat, 11, 2913 - 2917
Cerebral perfusional effects of 1-year rivastigmine treatment in Alzheimer disease: a case report.
Journal article
Ettorre E. et al, (2015), Riv Psichiatr, 50, 188 - 191
Prefronto-cerebellar transcranial direct current stimulation improves visuospatial memory, executive functions, and neurological soft signs in patients with euthymic bipolar disorder.
Journal article
Minichino A. et al, (2015), Neuropsychiatr Dis Treat, 11, 2265 - 2270
dverse Psychiatric Effects Associated with Herbal Weight-Loss Products.
Journal article
Bersani FS. et al, (2015), Biomed Res Int, 2015
