Humanities
Skip to main content Skip to main navigation menu Skip to site footer
  • Register
  • Login
  • Menu
  • Home
  • Current
  • Archives
  • Announcements
  • About
    • About the Journal
    • Submissions
    • Editorial Team
    • Privacy Statement
    • Contact
  • Register
  • Login

Journal of Education, Health and Sport

Kava Kava in Anxiety Disorders: Current Evidence and Clinical Implications
  • Home
  • /
  • Kava Kava in Anxiety Disorders: Current Evidence and Clinical Implications
  1. Home /
  2. Archives /
  3. Vol. 92 (2026) /
  4. Medical Sciences

Kava Kava in Anxiety Disorders: Current Evidence and Clinical Implications

Authors

  • Aleksandra Muszalska Szpital Wojewódzki w Poznaniu, Juraszów 7/19, 60-479 Poznań https://orcid.org/0009-0007-9162-399X
  • Brajan Roczyński Uniwersytecki Szpital Kliniczny w Poznaniu https://orcid.org/0009-0003-9705-4557
  • Julia Wiecanowska Szpital Wojewódzki w Poznaniu, Juraszów 7/19, 60-479 Poznań https://orcid.org/0009-0009-1637-2283

DOI:

https://doi.org/10.12775/JEHS.2026.92.72694

Keywords

piper methysticum, kavalactones, kava kava, benzodiazepines, anxiety

Abstract

Piper methysticum, commonly known as kava, has been traditionally used in the South Pacific for centuries due to its calming and anxiolytic properties. Its primary bioactive constituents, kavalactones, are responsible for its pharmacological effects and modulate multiple central nervous system pathways. These compounds exhibit anxiolytic, sedative, and muscle-relaxant activity, which has led to increasing scientific interest in their potential application in anxiety disorders. Generalized anxiety disorder remains one of the most prevalent psychiatric conditions worldwide and is often associated with reduced quality of life and incomplete response to conventional pharmacotherapy. Consequently, kava is being investigated as a potential complementary therapeutic option. This review summarizes current evidence on Piper methysticum, with particular emphasis on the mechanisms of action of kavalactones and their role in anxiety management. A comprehensive literature search was conducted using PubMed, Scopus, and Google Scholar.

References

1. Baxter AJ, Scott KM, Vos T, Whiteford HA. Global prevalence of anxiety disorders: A systematic review and meta-regression. Psychol Med. 2013;43(5):897-910. doi:10.1017/S003329171200147X

2. Berger A, Edelsberg J, Bollu V, et al. Healthcare utilization and costs in patients beginning pharmacotherapy for generalized anxiety disorder: a retrospective cohort study. BMC Psychiatry 2011 111. 2011;11(1):193-. doi:10.1186/1471-244X-11-193

3. Szuhany KL, Simon NM. Anxiety Disorders: A Review. JAMA. 2022;328(24):2431-2445. doi:10.1001/JAMA.2022.22744

4. Sarris J, Byrne GJ, Bousman CA, et al. Kava for generalised anxiety disorder: A 16-week double-blind, randomised, placebo-controlled study. Aust N Z J Psychiatry. 2020;54(3):288-297. doi:10.1177/0004867419891246

5. Tamta N, Ojha DA, Belwal MR, et al. Phytochemistry And Pharmacological Potential Of Piper Methysticum: Influence Of Plant Parts And Implications For Neurodegenerative Disorders. Int J Environ Sci. 2025;11(24):415-425. doi:10.64252/PSANSA17

6. Minh TN, Van TM, Khanh TD, Xuan TD. Isolation and Identification of Constituents Exhibiting Antioxidant, Antibacterial, and Antihyperuricemia Activities in Piper methysticum Root. Foods. 2022;11(23):3889. doi:10.3390/FOODS11233889/S1

7. Singh YN, Singh NN. Therapeutic Potential of Kava in the Treatment of Anxiety Disorders. CNS Drugs 2002 1611. 2012;16(11):731-743. doi:10.2165/00023210-200216110-00002

8. Bilia AR, Gallori S, Vincieri FF. Kava-kava and anxiety: Growing knowledge about the efficacy and safety. Life Sci. 2002;70(22):2581-2597. doi:10.1016/S0024-3205(02)01555-2

9. Angerhofer CK, Maes D, Giacomoni PU. The Use of Natural Compounds and Botanicals in the Development of Anti-Aging Skin Care Products. Ski Aging Handb An Integr Approach to Biochem Prod Dev. Published online January 1, 2009:205-263. doi:10.1016/B978-0-8155-1584-5.50014-4

10. Bian T, Corral P, Wang Y, et al. Kava as a Clinical Nutrient: Promises and Challenges. Nutrients. 2020;12(10):1-35. doi:10.3390/NU12103044

11. Mamallapalli J, Kanumuri SRR, Corral P, et al. Characterization of Different Forms of Kava (Piper methysticum) Products by UPLC-MS/MS. Planta Med. 2022;88(14):1348-1359. doi:10.1055/A-1708-1994

12. Jaiswal YS, Yerke AM, Caleb Bagley M, et al. 3D Imaging and metabolomic profiling reveal higher neuroactive kavalactone contents in lateral roots and crown root peels of Piper methysticum (kava). Gigascience. 2020;9(9):giaa096. doi:10.1093/GIGASCIENCE/GIAA096

13. Dinh LD, Simmen U, Bueter KB, Bueter B, Lundstrom K, Schaffner W. Interaction of various Piper methysticum cultivars with CNS receptors in vitro. Planta Med. 2001;67(4):306-311. doi:10.1055/S-2001-14334

14. Cheung C, Baker JD, Byrne JM, Perrault KA. Investigating volatiles as the secondary metabolome of Piper methysticum from root powder and water extracts using comprehensive two-dimensional gas chromatography. J Ethnopharmacol. 2022;294. doi:10.1016/j.jep.2022.115346

15. Chua HC, Christensen ETH, Hoestgaard-Jensen K, et al. Kavain, the Major Constituent of the Anxiolytic Kava Extract, Potentiates GABAA Receptors: Functional Characteristics and Molecular Mechanism. PLoS One. 2016;11(6). doi:10.1371/JOURNAL.PONE.0157700

16. Cribb L, Sarris J, Savage KM, et al. Effect of kava (Piper methysticum) on peripheral gene expression among individuals with generalized anxiety disorder: A post hoc analysis of a randomized controlled trial. Phytother Res. 2023;37(12):5897-5903. doi:10.1002/PTR.7999

17. Sarris J, Stough C, Bousman CA, et al. Kava in the treatment of generalized anxiety disorder: a double-blind, randomized, placebo-controlled study. J Clin Psychopharmacol. 2013;33(5):643-648. doi:10.1097/JCP.0B013E318291BE67

18. Prinsloo D, Van Dyk S, Petzer A, Petzer JP. Monoamine Oxidase Inhibition by Kavalactones from Kava (Piper Methysticum). Planta Med. 2019;85(14-15):1136-1142. doi:10.1055/A-1008-9491

19. Uebelhack R, Franke L, Schewe HJ. Inhibition of platelet MAO-B by kava pyrone-enriched extract from Piper methysticum Forster (kava-kava). Pharmacopsychiatry. 1998;31(5):187-192. doi:10.1055/S-2007-979325

20. Sarris J, Laporte E, Schweitzer I. Kava: a comprehensive review of efficacy, safety, and psychopharmacology. Aust N Z J Psychiatry. 2011;45(1):27-35. doi:10.3109/00048674.2010.522554

21. Sällström Baum S, Hill R, Rommelspacher H. Effect of kava extract and individual kavapyrones on neurotransmitter levels in the nucleus accumbens of rats. Prog Neuro-Psychopharmacology Biol Psychiatry. 1998;22(7):1105-1120. doi:10.1016/S0278-5846(98)00062-1

22. Seitz U, Schüle A, Gleitz J. [3H]-monoamine uptake inhibition properties of kava pyrones. Planta Med. 1997;63(6):548-549. doi:10.1055/S-2006-957761

23. Magura EI, Kopanitsa M V., Gleitz J, Peters T, Krishtal OA. Kava extract ingredients, (+)-methysticin and (±)-kavain inhibit voltage-operated na+-channels in rat CA1 hippocampal neurons. Neuroscience. 1997;81(2):345-351. doi:10.1016/S0306-4522(97)00177-2

24. Gleitz J, Beile A, Peters T. (+/-)-Kavain inhibits veratridine-activated voltage-dependent Na(+)-channels in synaptosomes prepared from rat cerebral cortex. Neuropharmacology. 1995;34(9):1133-1138. doi:10.1016/0028-3908(95)00090-S

25. Singh YN, Singh NN. Therapeutic potential of kava in the treatment of anxiety disorders. CNS Drugs. 2002;16(11):731-743. doi:10.2165/00023210-200216110-00002

26. Schirrmacher K, Büsselberg D, Langosch JM, Walden J, Winter U, Bingmann D. Effects of (±)-kavain on voltage-activated inward currents of dorsal root ganglion cells from neonatal rats. Eur Neuropsychopharmacol. 1999;9(1-2):171-176. doi:10.1016/S0924-977X(98)00008-X

27. Gleitz J, Beile A, Peters T. (±)-Kavain inhibits the veratridine- and KCl-induced increase in intracellular Ca2+ and glutamate-release of rat cerebrocortical synaptosomes. Neuropharmacology. 1996;35(2):179-186. doi:10.1016/0028-3908(95)00163-8

28. Schwartz-Bloom RD, Cook TA, Yu X. Inhibition of GABA-gated chloride channels in brain by the arachidonic acid metabolite, thromboxane A2. Neuropharmacology. 1996;35(9-10):1347-1353. doi:10.1016/S0028-3908(96)00059-7

29. Wang J, Qu W, Bittenbender HC, Li QX. Kavalactone content and chemotype of kava beverages prepared from roots and rhizomes of Isa and Mahakea varieties and extraction efficiency of kavalactones using different solvents. J Food Sci Technol. 2013;52(2):1164. doi:10.1007/S13197-013-1047-2

30. Côté CS, Kor C, Cohen J, Auclair K. Composition and biological activity of traditional and commercial kava extracts. Biochem Biophys Res Commun. 2004;322(1):147-152. doi:10.1016/j.bbrc.2004.07.093

31. Whittaker P, Clarke JJ, San RHC, et al. Evaluation of commercial kava extracts and kavalactone standards for mutagenicity and toxicity using the mammalian cell gene mutation assay in L5178Y mouse lymphoma cells. Food Chem Toxicol. 2008;46(1):168-174. doi:10.1016/j.fct.2007.07.013

32. Garrett KM, Basmadjian G, Khan IA, Schaneberg BT, Seale TW. Extracts of kava (Piper methysticum) induce acute anxiolytic-like behavioral changes in mice. Psychopharmacology (Berl). 2003;170(1):33-41. doi:10.1007/S00213-003-1520-0

33. Rex A, Morgenstern E, Fink H. Anxiolytic-like effects of Kava-Kava in the elevated plus maze test - A comparison with diazepam. Prog Neuro-Psychopharmacology Biol Psychiatry. 2002;26(5):855-860. doi:10.1016/S0278-5846(01)00330-X

34. Sarris J, Kavanagh DJ, Byrne G, Bone KM, Adams J, Deed G. The Kava Anxiety Depression Spectrum Study (KADSS): a randomized, placebo-controlled crossover trial using an aqueous extract of Piper methysticum. Psychopharmacology (Berl). 2009;205(3):399-407. doi:10.1007/S00213-009-1549-9

35. Zhang W, Yan Y, Wu Y, et al. Medicinal herbs for the treatment of anxiety: A systematic review and network meta-analysis. Pharmacol Res. 2022;179. doi:10.1016/j.phrs.2022.106204

36. Sarris J, Scholey A, Schweitzer I, et al. The acute effects of kava and oxazepam on anxiety, mood, neurocognition; and genetic correlates: a randomized, placebo-controlled, double-blind study. Hum Psychopharmacol. 2012;27(3):262-269. doi:10.1002/HUP.2216

Journal of Education, Health and Sport

Downloads

  • PDF

Published

2026-06-10

How to Cite

1.
MUSZALSKA, Aleksandra, ROCZYŃSKI, Brajan and WIECANOWSKA, Julia. Kava Kava in Anxiety Disorders: Current Evidence and Clinical Implications. Journal of Education, Health and Sport. Online. 10 June 2026. Vol. 92, p. 72694. [Accessed 10 June 2026]. DOI 10.12775/JEHS.2026.92.72694.
  • ISO 690
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
Download Citation
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

Issue

Vol. 92 (2026)

Section

Medical Sciences

License

Copyright (c) 2026 Aleksandra Muszalska, Brajan Roczyński, Julia Wiecanowska

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

Stats

Number of views and downloads: 7
Number of citations: 0

Search

Search

Browse

  • Browse Author Index
  • Issue archive

User

User

Current Issue

  • Atom logo
  • RSS2 logo
  • RSS1 logo

Information

  • For Readers
  • For Authors
  • For Librarians

Newsletter

Subscribe Unsubscribe

Tags

Search using one of provided tags:

piper methysticum, kavalactones, kava kava, benzodiazepines, anxiety
Up

Akademicka Platforma Czasopism

Najlepsze czasopisma naukowe i akademickie w jednym miejscu

apcz.umk.pl

Partners

  • Akademia Ignatianum w Krakowie
  • Akademickie Towarzystwo Andragogiczne
  • Fundacja Copernicus na rzecz Rozwoju Badań Naukowych
  • Instytut Historii im. Tadeusza Manteuffla Polskiej Akademii Nauk
  • Instytut Kultur Śródziemnomorskich i Orientalnych PAN
  • Instytut Tomistyczny
  • Karmelitański Instytut Duchowości w Krakowie
  • Ministerstwo Kultury i Dziedzictwa Narodowego
  • Państwowa Akademia Nauk Stosowanych w Krośnie
  • Państwowa Akademia Nauk Stosowanych we Włocławku
  • Państwowa Wyższa Szkoła Zawodowa im. Stanisława Pigonia w Krośnie
  • Polska Fundacja Przemysłu Kosmicznego
  • Polskie Towarzystwo Ekonomiczne
  • Polskie Towarzystwo Ludoznawcze
  • Towarzystwo Miłośników Torunia
  • Towarzystwo Naukowe w Toruniu
  • Uniwersytet im. Adama Mickiewicza w Poznaniu
  • Uniwersytet Komisji Edukacji Narodowej w Krakowie
  • Uniwersytet Mikołaja Kopernika
  • Uniwersytet w Białymstoku
  • Uniwersytet Warszawski
  • Wojewódzka Biblioteka Publiczna - Książnica Kopernikańska
  • Wyższe Seminarium Duchowne w Pelplinie / Wydawnictwo Diecezjalne „Bernardinum" w Pelplinie

© 2021- Nicolaus Copernicus University Accessibility statement Shop