Several lines of evidence point to the participation of serotonin (5HT) in
anxiety. Its specific role, however, remains obscure. The objective of the
present study was to evaluate the effect of reducing 5HT-neurotransmission
through an acute tryptophan depletion on anxiety induced by a simulated pub
lic speaking (SPS) test. Two groups of 14-15 subjects were submitted to a 2
4-h diet with a low or normal content of tryptophan and received an amino a
cid mixture without (TRY-) or with (TRY+) tryptophan under double-blind con
ditions. Five hours later they were submitted to the SPS test. The state-tr
ait anxiety inventory (STAI) and the visual analogue mood scale (VAMS) were
used to measure subjective anxiety. Both scales showed that SPS induced a
significant increase in anxiety. Although no overall difference between gro
ups was found, there was a trend (P = 0.078) to an interaction of group x g
ender x phases of the SPS, and a separate analysis of each gender showed an
increase in anxiety measured by the STAI in females of the TRY- group. The
results for the female TRY-group also suggested a,greater arousing effect
of the SPS test. In conclusion, the tryptophan depletion procedure employed
in the present study did not induce a significant general change in subjec
tive anxiety, but tended to induce anxiety in females. This suggests a grea
ter sensitivity of the 5HT system to the effects of the procedure in this g
ender.