Table 2.
Double blind placebo-controlled trials of omega-3 fatty acids upon in anxiety disorders.
Ref | Jadad score | Disorder | Meds | Age | Gen | Omega-3 fatty acid | Prep type | Duration | N | Outcome measure | Average baseline score | Δ | Statistical significance vs. placebo |
37 | 4 | OCD | 100% | 34 | 73% | 2 g/day EPA | Ethyl EPA | 6 weeks | 11 | YBOCS | 26 | -0.9 | No |
HDRS | 11 | NS | No | ||||||||||
HARS | 14 | NS | No | ||||||||||
41 | 4 | SUA | 42% | 51 | 0% | 450 mg/day EPA 100 mg/day DHA |
Crude mixture | 3 months | 24 | POMS-T | 4.3 | -2.9 | Yes |
OCD and SUA are obsessive compulsive disorder and substance use associated anxiety respectively. Δ refers to the change from baseline symptom scores for the omega-3 fatty acid group minus change from baseline scores for the placebo group. Jadad design quality scores can range from 0 to 5 with 5 being best. The symptom scales used are the Yale-Brown Obsessive Compulsive Scale (YBOCS), Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS) and the tension subscale of the Profile of Mood Scale (POMS-T). Zero is best for all scales hence a negative Δ value indicates an improvement over placebo. The average baseline score is the average of the omega-3 and placebo group scores at the start of the trial. Gen (gender) refers to the % of female participants in the trial. Meds refers to the percentage of trial participant who were in receipt of conventional medications for anxiety disorders. Prep. type describes whether a crude oil mixture or a purified fatty acid was used. NS – not stated.