Depression Causes Is there a Link Between Vitamin D Deficiency and Depression? By Nadra Nittle Nadra Nittle LinkedIn Twitter Nadra Nittle is a journalist who has written articles in publications including NBC News, The Guardian, Vox, and Civil Eats. Learn about our editorial process Updated on December 29, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print People Images / Getty Images Table of Contents View All Table of Contents What Is Depression? What Is Vitamin D? Research Studies Vitamin D Deficiency in People Who Are Depressed Described as the “sunshine vitamin," vitamin D has steadily drawn public interest as a potential treatment for depression. Could this inexpensive supplement counteract the effects of this widespread and, often, debilitating disorder? While some research indicates that people with depression have lower levels of vitamin D than their counterparts without depression, so far, no large-scale study has found that the vitamin “cures” the condition. The causes and symptoms of depression are multifaceted, which means that often no one drug, vitamin, or identified treatment can make them disappear entirely. Depression and Vitamin D Vitamin D is associated with depression, but increasing serum levels of this substance in patients does not curb symptoms. Similar groups, such as the elderly, the young, and people with chronic illness, are vulnerable to both depression and vitamin D deficiency. Social withdrawal and a lack of self-care may cause people with depression to have lower vitamin D levels than others. Social interaction and a better diet may improve depression symptoms and raise vitamin D levels. What Is Depression? Major depressive disorder is a treatable medical condition that has a negative effect on an individual’s feelings, thoughts, or behaviors. Symptoms of Depression The following symptoms, among others, can be mild, moderate, or severe in intensity. People with depression may: Lose interest in activities they once appreciatedHave trouble completing tasksIsolate themselvesFind it difficult to sleep or eat wellExperience suicidal ideation The American Psychiatric Association estimates that the illness affects 1 in 15 adults (6.7%) in any given year and that 1 in 6 people (16.6%) will experience depression in their lifetimes. Causes of Depression The onset of depression typically occurs in late adolescence or early adulthood, and research indicates that depression runs in families. People who have close (first degree) relatives, such as parents, siblings, or children, with depression have a significantly greater chance of developing the condition themselves. In addition to genetics, biochemistry, environmental factors (a history of abuse or neglect), and personality (poor self-esteem or pessimism) are risk factors for the illness. Women are more likely than men to develop depression. Among other factors, hormonal changes related to pregnancy, menstruation, and menopause increase the odds of developing the disorder. It is estimated that one in eight women will experience depression at some point in their lifetime. What Is Vitamin D? Also known as calciferol, vitamin D is a fat-soluble vitamin. This means that the body stores it in the liver and in fatty tissue. While some foods, such as salmon, mushrooms, and egg yolks, naturally have vitamin D, other foods are fortified with the substance. Vitamin D can also be taken as a dietary supplement and the body synthesizes the vitamin when the skin is exposed to the sun’s ultraviolet rays. Vitamin D has several benefits, as it can help to prevent conditions such as rickets in children and osteomalacia in adults, and, along with calcium, it can prevent the elderly from developing osteoporosis. It has also been linked to lower inflammation and the body’s regulation of immune function and glucose metabolism. Some studies, with mixed results, have found that vitamin D supplementation can reduce the risk of individuals developing various forms of cancer and cardiovascular disease. Similarly, the link between vitamin D and depression also remains unclear. The Mental Health Benefits of Sunlight Research Studies The National Institutes of Health’s (NIH) Office of Dietary Supplements reports that a review of 14 studies involving 31,424 adults found that low levels of vitamin D are associated with depression but that clinical trials don’t back up such findings. A meta-analysis of nine trials involving 4,923 adult participants with depression did not conclude that vitamin D supplementation reduced symptoms of the disorder. According to the NIH, “The trials administered different amounts of vitamin D (ranging from 10 mcg [400 IU]/day to 1,000 mcg [40,000 IU]/week). They also had different study durations (5 days to 5 years), mean participant ages (range, 22 years to 75 years), and baseline 25(OH)D level.” The results of one of the largest studies to investigate the link between long-term vitamin D supplementation and depression were published in the Journal of the American Medical Association (JAMA) in August 2020. This randomized clinical trial took place over five years and involved 18,353 adults aged 50 years or older who did not have depression or symptoms of it at the beginning of the study. In the end, the researchers found no statistical difference in “the incidence and recurrence of depression or clinically relevant depressive symptoms” over the course of the study in the participants who took vitamin D compared to those who took a placebo. The findings suggest that vitamin D should not be administered to prevent depression in adults. Vitamin D Deficiency in People Who Are Depressed Collectively, the research on vitamin D supplementation and depression indicate that there’s a correlation between the two but not a causation. In other words, while depressed individuals may have lower levels of vitamin D, that occurrence did not cause them to develop the illness. If vitamin D deficiency were the cause, then supplementation to increase levels would likely have reduced the signs and symptoms of depression or prevented it. The fact many of the groups vulnerable to depression are also prone to vitamin D deficiency may be responsible for the correlation (not the causation) between the two. According to a study called “Vitamin D and Depression: Where is all the Sunshine?,” the groups at risk for vitamin D deficiency “include the elderly, adolescents, obese individuals, and those with chronic illnesses." The researchers also stated that “it is these same groups that have also been reported to be at risk for depression.” People With Depression May Spend Less Time Outside Some of the symptoms of clinical depression, such as social withdrawal and eating difficulties, may play a role in vitamin D deficiency. When people socially withdraw, they’re not as likely to spend as much time in public, which means they may not get the sun exposure they need to make adequate amounts of vitamin D. People with severe depression may have trouble even getting out of bed and those with milder forms of the illness may go from home to work and back again but rarely take part in outdoor activities. Since social isolation can worsen depression symptoms, healthcare professionals advise people with the condition to spend time with others. In the process, they're likely to get more sunlight and raise their vitamin D levels. People With Depression May Have a Poor Diet Individuals grappling with depression also tend to have difficulty practicing self-cafe. This puts them at risk for not eating a balanced diet, as a depressed individual may not take the time to look for products fortified with vitamin D or to eat foods with naturally occurring amounts of the substance. In short, individuals with the illness may unwittingly engage in behaviors that make them vitamin D deficient, but spending time outside with friends or practicing the self-care required to eat well can raise their levels of this valuable substance. 4 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Vitamin D: Fact Sheet for Health Professionals. The National Institutes of Health’s Office of Dietary Supplements, 2020 Oct. 9. What Is Depression? American Psychiatric Association. Oct 2020. Okereke Olivia I. Effect of Long-term Vitamin D3 Supplementation vs Placebo on Risk of Depression or Clinically Relevant Depressive Symptoms and on Change in Mood Scores. JAMA, 2020 Aug. 5, doi:10.1001/jama.2020.10224. Penckofer Sue. Vitamin D and Depression: Where is all the Sunshine? Issues in Mental Health Nursing, 2010 June, doi: 10.3109/01612840903437657. By Nadra Nittle Nadra Nittle is a Los Angeles-based journalist and author. She has covered a wide range of topics, including health, education, race, consumerism, food, and public policy, throughout her career. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Depression Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.