Rees Anne-Marie, Austin Marie-Paule, Parker Gordon B
Black Dog Institute, Prince of Wales Hospital, Randwick, NSW, Australia.
Aust N Z J Psychiatry. 2008 Mar;42(3):199-205. doi: 10.1080/00048670701827267.
Epidemiological, biological marker and treatment studies, as well as neuroscientific theories, indicate a possible link between omega-3 fatty acids and perinatal depression (PND). Hence the aim of the present study was to assess whether omega-3 fatty acid treatment is superior to placebo in the treatment of PND.
A double-blind randomized placebo-controlled trial was undertaken. Women with major depression during the perinatal period received either fish oil or placebo for six weeks. Changes in depression scores were recorded weekly.
A total of 26 subjects were recruited and there was no significant difference in depression scores between those receiving fish oil and those receiving the placebo.
This is formally a negative study, suggesting that there is no benefit for omega-3 fatty acids over placebo in treating PND. The reason could be that the study was underpowered due to recruitment difficulties and therefore we suggest that it may be unwise to interpret this result as conclusive. Omega-3 is a natural product that is a safe and well-tolerated treatment. Further research is therefore needed in this area to establish whether omega-3 fatty acids are an effective treatment for PND.
流行病学、生物标志物及治疗研究,以及神经科学理论均表明,ω-3脂肪酸与围产期抑郁症(PND)之间可能存在联系。因此,本研究的目的是评估ω-3脂肪酸治疗在PND治疗中是否优于安慰剂。
开展了一项双盲随机安慰剂对照试验。围产期患有重度抑郁症的女性接受鱼油或安慰剂治疗六周。每周记录抑郁评分的变化。
共招募了26名受试者,接受鱼油治疗者与接受安慰剂治疗者的抑郁评分无显著差异。
从形式上来说,这是一项阴性研究,表明在治疗PND方面,ω-3脂肪酸并不比安慰剂更具优势。原因可能是由于招募困难,该研究的效能不足,因此我们认为将这一结果解读为结论性的可能并不明智。ω-3是一种天然产物,是一种安全且耐受性良好的治疗方法。因此,该领域需要进一步研究,以确定ω-3脂肪酸是否是治疗PND的有效方法。