Research has shown that populations consuming large amounts of fatty fish, which are rich in omega-3 fatty acids, have lower levels of depression than those who don't. These observations, combined with clinical studies showing that depressed patients frequently have lower levels of omega-3 fatty acids than non-depressed patients, have led to an interest in fish oil as a treatment for various types of depression.
Mild to Moderate Depression
While not all studies show that fish oil can alleviate mild depression, many do. A 2010 study in Italy found that omega-3 fatty acids reduced depression and improved quality of life for female nursing home residents. A similar, randomized, double-blind study in Iran found that low doses of fish oil for six months reduced depression among both male and female residents of a care center.
.
.
Bipolar Depression
A review of double-blind, placebo-controlled clinical studies suggests that supplementing with omega-3 fatty acids produces modest improvements in major depressive disorder and bipolar disorder. A statistical analysis of these studies suggests that EPA may be more effective than DHA. However, patients were given fish oil in addition to traditional psychiatric medications. None of the data suggests that fish oil alone is an effective treatment for serious depressive disorders.
Post-Partum Depression
Studies of omega-3 fatty acid supplementation during pregnancy have produced mixed results. In a review of ten studies, six found no effect, two found mixed results and two reported positive effects. The studies showing that omega-3 fatty acids reduced perinatal depression used larger doses of two grams or more and began supplementing earlier in the pregnancy. These modest results do not mean that diet plays no role in preventing post-partum depression. A study of women in Crete found that women who ate a healthy diet consisting of fish, vegetables, fruits, nuts, beans and olive oil were 50 percent less likely to have symptoms of post-partum depression than women eating conventional western diets. This result suggests that it is the overall quality of the diet, rather than the presence or absence of one nutrient, that has the strongest impact on maternal mental health.
Preventive Strategies
While fish oil seems to have only modest effects in ameliorating depressive or bipolar symptoms once the disease process has begun, some research indicates that it can play an important role in preventing their onset. The earliest symptoms of bipolar disorder that appear before the onset of actual mania are depression, irritability, sleep disturbances, short attention spans and hypomania. Because early symptoms of bipolar disorder often appear in adolescents up to ten years before genuine mania develops, interventions must be safe and well-tolerated. Some antidepressants can trigger mania and have severe side effects, including ones that can alter the nervous system. Omega-3 fatty acids, on the other hand, have been shown to be useful in treating adolescent psychiatric disorders and have other benefits as well. Research suggests that a valuable strategy to delay, if not prevent, the onset of bipolar disorder would consist of a combination of supplementation with omega-3 fatty acids combined with supportive therapy.
References
- "European Archive of Psychiatry and Clinical Neuroscience";The Effect of Low-Dose Omega-3 Fatty Acids On the Treatment of Mild to Moderate Depression in the Elderly: a Double-Blind, Randomized, Placebo-Controlled Study; Y.Tajalizadekhoob, et al.; February 12, 2011
- "Journal of the American College of Nutrition"; Effect of Omega-3 Fatty Acids Supplementation on Depressive Symptoms and on Health-related Quality of Life in the Treatment of Elderly Women with Depression: A Double-blind, Placebo-Controlled, Randomized Clinical Trial. M. Rondanelli, et al.; February 2010
- "Journal of the American College of Nutrition"; EPA But Not DHA Appears to Be Responsible for the Efficacy of Omega-3 Long Chain Polyunsaturated Fatty Acid Supplementation in Depression: Evidence from a Meta-analysis of Randomized Controlled Trials; J.G. Martins; October 2009
- "Journal of Maternal-Fetal & Neonatal Medicine"; Maternal Omega-3 Fatty Acid Supplementation and Risk for Perinatal Maternal Depression'; J.M. Wojcicki; May 2011
- "Lipids in Health and Disease"; Omega-3 Fatty Acids as Treatments for Mental Illness: Which Disorder and Which Fatty Acid?; B.M. Ross, et al.; September 2007
- "CNS Drugs"; Preventative Strategies for Early-Onset Bipolar Disorder: Towards a Clinical Staging Model; R.K.McNamara, et al.; December 1, 2010



Member Comments