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Targeting PTSD with ultramicronized palmitoylethanolamide: Results from a randomized trial integrating pharmacotherapy and cognitive behavioral therapy

Steardo L Jr, D'Angelo M, Di Stefano V, Monaco F, Fornaro M, Steardo L. Journal of Psychiatric Research, 2026; 192:439-450.

Randomised controlled trialHumans

Design
Randomised controlled trial
Subjects
60 patients with post-traumatic stress disorder, in four groups of 15. All completed.
Dose used in the study
1,200 mg a day of ultramicronised palmitoylethanolamide or placebo, each with or without cognitive behavioural therapy
Duration
6 months of treatment and 12 months of follow-up
What was measured
PTSD severity on the PCL-5 checklist and anxiety on the Hamilton scale

What the authors reported

The authors reported the largest improvement in the group given palmitoylethanolamide with therapy, where the PTSD score fell from 67.3 to 20.0. They reported that palmitoylethanolamide alone also improved symptoms compared with placebo, and that the placebo group changed little. No serious adverse events were reported.

Limits of this study

Four groups of 15 at one centre. The authors note the small sample and that they made no power calculation in advance. It was funded by the Italian Ministry of Health, and the authors declared no conflicts.

Source

doi:10.1016/j.jpsychires.2025.10.071

Entry checked against the article page at the publisher (ScienceDirect) on 2026-09-21. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.