The prevalence of mood disorders in children is a growing global concern. Omega-3 fatty acids (FA) are emerging as a promising adjuvant therapy for depressive disorder (DD) in paediatric patients.
Trebatická et al Child Adolesc Psychiatry Ment Health (2017) 11:30 DOI 10.1186/s13034-017-0167-2 RESEARCH ARTICLE Child and Adolescent Psychiatry and Mental Health Open Access Emulsified omega‑3 fatty‑acids modulate the symptoms of depressive disorder in children and adolescents: a pilot study Jana Trebatická1* , Zuzana Hradečná1, František Böhmer1, Magdaléna Vaváková2, Iveta Waczulíková3, Iveta Garaiova4, Ján Luha5, Igor Škodáček1, Ján Šuba1 and Zdeňka Ďuračková2 Abstract Background: The prevalence of mood disorders in children is a growing global concern Omega-3 fatty acids (FA) are emerging as a promising adjuvant therapy for depressive disorder (DD) in paediatric patients The primary objective of this pilot, single-centre, randomized, double-blind controlled study was to compare the efficacy of an Omega-3 FA fish oil emulsion with a control oil emulsion alongside standard treatment for depressive symptoms in children and adolescents suffering from depressive disorder (DD) and mixed anxiety depressive disorder (MADD) Methods: 38 children (12 patients were treated and diagnosed for at least month before enrolment, 26 patients were first-time diagnosed as DD) aged 11–17 years were randomised 1:1 to the intervention (Omega-3 FA, 19 patients) or active comparator (Omega-6 FA, 19 patients) groups Children’s depression inventory (CDI) ratings were performed at baseline, every 2 weeks for a 12-week intervention period and at 4-week post-intervention 35 patients (17 in Omega-3 and 18 in Omega-6 groups) who completed the whole intervention period were evaluated Patients from Omega-3 group were stratified according to diagnosis into two subgroups (DD—10/17 and mixed anxiety depressive disorder (MADD)—7/17 patients) and in the Omega-6 group into DD—10/18 and MADD—8/18 patients Groups were evaluated separately Differences between-groups were tested with the Student´s t test or non-parametric Mann–Whitney U test Two-way ANOVA with repeated measures and Friedman test were used to analyse the Treatment effect for response in CDI score p