Omega-3 studies on depression, psychosis, anorexia and autism

Updated February 8, 2008
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Author/Link Condition

Studied # patients

Fish oil dose (grams/d) Outcome
Berger et al. 2007 Psychosis 80
15–29 yrs
2 g E-EPA E-EPA significantly speeded up the recovery
Peet et al. 2008 Major depression 60 1 g EPA, or fluoxetin, or EPA+fluoxetin EPA+ fluoxetin was significantly more effective than either one alone
Wozniak et al
2007, USA
Bipolar

20 children,
6–17 yrs,
no controls

1,3–4,3 g EPA+DHA
8 weeks
Significant but modest reduction in Young Mania Rating Scale (YMRS)
Frangou et al 2006, UK Bipolar 75/placebo

1 g/d E-EPA
2 g/d E-EPA
12 weeks

Significant improvement in both groups as compared to placebo and baseline status


Andrew Stoll et al, 1999
USA

Bipolar, recently in remission 80/placebo 9.6 g E-EPA + E-DHA
4 months
Relapse rate sharply reduced by Omega-3
Nemets et al, 2002
Israel
Depressed
(mean age 54 yrs)

10 E-EPA
10 placebo
(28–73 yrs)
4 weeks

2 g E-EPA (96%) + 0.2% vitamin E Highly significant benefits by week 3 in HDRS
Peet an Horrobin, 2002
England and Scottland
Depressed
despite of "adequate" medication
70/placebo (18–70 yrs)
17 to 18 patients in each group
1, 2, 4 g
E-EPA
12 weeks
1-gram group did best; 2 gms did not improve, 4 gms trended better in HDRS
Zanarini et al, 2003
USA
"Borderline", women 30/placebo 1 g E-EPA Decreased aggression, depression
LLorente et al, 2003
USA
Postpartum depression 44 DHA
45 placebo
200 mg DHA Plasma DHA increase 8%, no effect on depression
Marangell et al, 2003
USA
Depressed 17 DHA
18 placebo
2 g DHA At 6 weeks, a trend but not significant benefit
Su, 2003
China
Major depression
(mean age 35 yrs)
14 omega-3
14placebo
8 weeks
9,6 g =
4,4 g EPA
2.2 g DHA
(10 caps/d)
Significant benefits versus placebo by week 4, bigger yet by week 8
Chiu, 2003 Depressed, pregnant case report one 4 g E-EPA
2 g DHA
Improvement by week 4, better yet by week 6
Sagduyu et al. 2005
USA
Bipolar 37/no placebo 2,8 g DPA+EPA less irritability
Sagduyu, 2003 (letter, Psychiatric Times, March 2003 pg 9), USA Bipolar 19/ no placebo 0.5 to 6 g less irritability

Osher et al. 2005
Israel

Bipolar 12, no placebo 1,5 to 2 g Hamilton Score improved by 50 %
Case report and testimonial Bipolar 1/no placebo, but look at prior course of illness
2,2 g EPA
1,8 g DHA
Flax seed oil
Read report
Puri et al
case report
England
Treatment-refratory 1/no placebo, but impressive outcome 4 g E-EPA Dramatic cure, read
report

Ayton et al. 2004
England

Severe anorexia 1 patient, impressive case report 1 g E-EPA Rapid recovery in 3 months, read report
Nemets et al. 2006
Israel
Children´s (6-12 yrs.) m,ajor depression 28/14 400 mg EPA+
200 mg DHA
4 months
Significant effect, recommended for treatment

Nemets et al. 2004
Israel

 

Major depression 1 woman
1 man
2 g E-EPA/d Dramatic recovery in 1 month, read report
Ayton et al. 2004
England
Severe anorexia 7 patients, no placebo, impressive improvement 1–4 g E-EPA 3 recovered, 4 improved in 3 months, read report
Keck et al. 2006
USA
Bipolar and "rapid cycling" 120/placebo 6 g E-EPA No difference from placebo
Amminger et al 2006
Wienna, Austria
Autism 13 children
5–17 yrs
840 mg EPA
700 mg DHA
6 weeks
Aberrant Behaviour (hyperactivity) decreased,
large effect size
Silvers et al 2005
New Zealand
Depression 45/placebo 2,8 g DHA+EPA No difference from placebo
Case report        

Review article and more tables:
James M. Martinez and Lauren B. Marangell: Omega-3 fatty acids: Do 'fish oils' have a therapeutic role in psychiatry? Current Psyciatry online Vol. 3, No. 1 / January 2004

Review article
Nemets B, Osher Y, Belmaker RH. Omega-3 fatty acids and augmentation strategies in treating resistant depression. Essential Psychopharmacology 2004;6(1):59-64. Review.

Evid Rep Technol Assess (Summ). 2005 Jul;(116):1-11

Forthcoming studies
The US National Institutes of Health (NIH) is currently carrying out a study on complementary treatment using omega-3 and omega-6 fatty acids as augmentation to cipramine for depression. More

In Vienna, Austria, 80 young patients are supplemented for 52 weeks with E-EPA (2 g/day) in a study led by professor Paul Amminger.

In Israel, an open study ongoing, by Professor in Psychiatry R.H. Belmaker, at Ben Gurion University of the Megev, Beer Sheva (reported by Nemets et al 2004).

E-EPA capsules are pale, clear, pure and strong. They are well accepted by patients as the oil is from nature.
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