Preparation for Child Psych PRITE and Boards
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(Aults)
(Children and Adolescents)
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===Children and Adolescents===
 
===Children and Adolescents===
* A study of '''adolescents at risk for psychosis''', omega-3 fatty acids significantly reduced positive
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* A study of '''adolescents at risk for psychosis''', omega-3 fatty acids significantly reduced positivesymptoms, negative symptoms, and improved functioning, but had no significant effect on depressive symptoms. (2)
symptoms, negative symptoms, and improved functioning, but had no significant effect on depressive symptoms. (2)
+
 
* A small RCT of '''depressed pre-teens''' found positive effect of omega-3 fatty acids in improving the mood.(3)
 
* A small RCT of '''depressed pre-teens''' found positive effect of omega-3 fatty acids in improving the mood.(3)
 
* Among children and adolescents with '''autism''' omega-3 fatty acids reduced severe tantrums, aggression, or self-injurious behavior at 6 weeks. (4)
 
* Among children and adolescents with '''autism''' omega-3 fatty acids reduced severe tantrums, aggression, or self-injurious behavior at 6 weeks. (4)

Revision as of 18:22, 16 September 2014

Introduction

Omega-3 polyunsaturated fatty acids (PUFA) include eicosapentaeoic acid (EPA) and docosahexaenoic acid (DHA). They are believed to be protective in cardiovascular disease due to their anti-infammatory properties.

Omega-3 in mental health

Aults

Recent large meta-analysis of large number of placebo-controlled trials of PUFA for different indications revealed the following (1):

  • significant clinical benefit of omega-3 treatment in major depressive disorder (MDD) and bipolar disorder
  • significant clinical benefit of omega-3 treatment in depressive symtpoms in adults without MDD.
  • EPA (not DHA) is responsible for clinical efficasy.

There was no benefit in prevention of depression, or treatment of peripartum depression, schizophrenia, or dementia.

Children and Adolescents

  • A study of adolescents at risk for psychosis, omega-3 fatty acids significantly reduced positivesymptoms, negative symptoms, and improved functioning, but had no significant effect on depressive symptoms. (2)
  • A small RCT of depressed pre-teens found positive effect of omega-3 fatty acids in improving the mood.(3)
  • Among children and adolescents with autism omega-3 fatty acids reduced severe tantrums, aggression, or self-injurious behavior at 6 weeks. (4)

References

1. Grosso G, et al. (2014) Role of Omega-3 Fatty Acids in the Treatment of Depressive Disorders: A Comprehensive Meta-Analysis of Randomized Clinical Trials. PLoS ONE 9(5): e96905.

2. Amminger GP, et al.(2010) Long-chain omega-3 fatty acids for indicated prevention of psychotic disorders: a randomized, placebo-controlled trial. Arch Gen Psychiatry 67:146–154.

3. Nemets H et.al. Omega-3 treatment of childhood depression: a controlled, double-blind pilot study. Am J Psychiatry. 2006 Jun;163(6):1098-100. PMID:16741212

4. Amminger GP et.al. Omega-3 fatty acids supplementation in children with autism: a double-blind randomized, placebo-controlled pilot study.Biol Psychiatry. 2007 Feb 15;61(4):551-3. PMID:16920077