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Effects of hydrogen water and psychological treatment in a sample of women with panic disorder: a randomized and controlled clinical trial

Fernández-Serrano AB, Moya-Faz FJ, Giner Alegría CA, Fernández Rodríguez JC, Soriano Guilabert JF, del Toro Mellado M. · Health Psychology Research. 2022;10(2):35468.

HumanH₂-rich waterPublished 2022Source checked
Study record, not medical adviceThis record reports what the source states. It is not medical advice and does not establish that molecular hydrogen is effective, safe or appropriate for any person.
Quick summary

Study at a glance

Evidence type

Human

Population or model

Women aged 19–64 years with panic disorder treated at two mental-health centers in Murcia, Spain; several participants had comorbid anxiety or chronic inflammatory conditions.

Intervention and dose

1.5 L/day of generator-produced hydrogen-rich water, divided into six 250 mL portions, alongside twelve weekly 90-minute group cognitive-behavioral-therapy sessions. · The article reports approximately 1.2 ppm dissolved H₂ and oxidation-reduction potential of −550 mV. Water was stored in aluminum bottles and the article states that properties were retained for up to 8 hours.

Duration

Three months; twelve weekly psychological-treatment sessions.

Reported result

The article's main between-group conclusion was negative: adding hydrogen-rich water was not significantly better than placebo water. All six reported cytokine between-group tests were non-significant (p=0.30–0.92). Numerical cytokine reductions and some physical-health/body-pain measures favored the H₂ group, while pooled within-group improvements largely reflected psychological treatment and cannot be attributed to H₂.

Main limitation

Very small women-only trial, two centers, many outcomes, baseline imbalances and a strong cognitive-behavioral co-intervention that prevents isolating most within-group changes. Registration was retrospective. One author was manager of Osmostar Soriano S.L., and the article acknowledged the hydrogen company even though the authors declared no competing interests; this commercial connection is retained explicitly.

Evidence and classification

What kind of evidence is this?

Evidence type

Human

Reported design

Randomized placebo-controlled parallel trial with cognitive-behavioral therapy in both groups

Research topic

Other neurological conditions

Administration form

H₂-rich water

Information not yet classified

Some editorial classification fields are still pending. The source-reported outcomes and result are shown below; Hydrogenology does not infer a positive or negative signal from prose automatically.

Reported in the source

Methods

Population or model

Women aged 19–64 years with panic disorder treated at two mental-health centers in Murcia, Spain; several participants had comorbid anxiety or chronic inflammatory conditions.

Sample

25 women completed the study: hydrogen-water plus psychological treatment n=12 and placebo water plus the same psychological treatment n=13.

Duration

Three months; twelve weekly psychological-treatment sessions.

Intervention

1.5 L/day of generator-produced hydrogen-rich water, divided into six 250 mL portions, alongside twelve weekly 90-minute group cognitive-behavioral-therapy sessions.

Hydrogen form

H₂ dissolved in drinking water — H₂ only, not Brown's gas.

Dose or H₂ specification

The article reports approximately 1.2 ppm dissolved H₂ and oxidation-reduction potential of −550 mV. Water was stored in aluminum bottles and the article states that properties were retained for up to 8 hours.

Comparator

Normal water from visually similar placebo generators plus the same group cognitive-behavioral treatment.

Reported, not endorsed

Outcomes and reported result

Outcomes measured

Anxiety, depression, perceived stress, gastrointestinal symptoms, SF-36 health domains, pro-inflammatory cytokines and salivary cortisol-awakening response.

Reported result

The article's main between-group conclusion was negative: adding hydrogen-rich water was not significantly better than placebo water. All six reported cytokine between-group tests were non-significant (p=0.30–0.92). Numerical cytokine reductions and some physical-health/body-pain measures favored the H₂ group, while pooled within-group improvements largely reflected psychological treatment and cannot be attributed to H₂.

Extraction completeness

The complete open-access article, randomization, water preparation and dose, psychological co-intervention, outcome tables, null between-group result, registry timing, affiliations and conflict statement were checked.

A reported association, difference or mechanism is not automatically a clinical benefit.

Interpretation limits

Limitations and applicability

Main methodological cautions

Very small women-only trial, two centers, many outcomes, baseline imbalances and a strong cognitive-behavioral co-intervention that prevents isolating most within-group changes. Registration was retrospective. One author was manager of Osmostar Soriano S.L., and the article acknowledged the hydrogen company even though the authors declared no competing interests; this commercial connection is retained explicitly.

Applies directly to

Women with panic disorder receiving the reported psychological program; the study did not demonstrate added clinical benefit from hydrogen-rich water.

No single-study GRADE certainty rating is assigned. Read how records and evidence assessments are prepared.

Sources and status

Sources and record status

Identifiers

PMID: 35774917 · DOI: 10.52965/001c.35468

Publisher access

Open-access publisher article and PubMed Central copy.

Extraction basis

Complete PubMed Central/publisher article, PubMed metadata and reported trial registration; full-text extraction checked 8 August 2026.

Last reviewed

10 August 2026

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