Tags

Type your tag names separated by a space and hit enter

Eicosapentaenoic acid as an add-on to antidepressant medication for co-morbid major depression in patients with diabetes mellitus: a randomized, double-blind placebo-controlled study.
J Affect Disord 2010; 126(1-2):282-6JA

Abstract

BACKGROUND

Depression is common in individuals with diabetes. The present study is the first randomized controlled trial to test the efficacy of omega-3 ethyl-eicosapentaenoic acid (E-EPA) as adjuvant to antidepressant medication in the treatment of depression in adults with diabetes mellitus.

METHODS

In the VU University Medical Center, we conducted a 12-week, placebo-controlled, double-blind, parallel-group intervention study of E-EPA (1g/day) versus placebo in 25 diabetes patients meeting DSM-IV criteria for major depressive disorder, who were already using antidepressant medication. The primary outcome was severity of depressive symptoms, assessed by the Montgomery Asberg Depression Rating Scale (MADRS) at baseline and 12-week follow-up at two-weekly intervals. Blood samples were collected at baseline and at 12-week follow-up to determine EPA levels in erythrocyte membranes. Data were analyzed with ANOVA for repeated measures.

RESULTS

Thirteen participants were randomly assigned to E-EPA; 12 participants were given placebo. At 12-week follow-up, erythrocyte membranes from patients receiving E-EPA contained tripled levels of EPA, while no changes were noted in participants receiving placebo. In both groups, depressive symptoms significantly decreased over time (F=21.14, p<0.001), yet no significant differences were found between those treated with E-EPA versus placebo (F=1.63, p=0.17).

LIMITATIONS

Although having sufficient study power, this study had a relatively small sample size. Small effects could not be detected, and dose-dependent effects could not be studied.

CONCLUSIONS

No evidence was found for the efficacy of adding E-EPA to antidepressants in reducing depressive symptoms in diabetic patients with co-morbid depression.

Authors+Show Affiliations

CoRPS - Center of Research on Psychology in Somatic diseases, Department of Medical Psychology and Neuropsychology, Tilburg University, Tilburg, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20466431

Citation

Bot, M, et al. "Eicosapentaenoic Acid as an Add-on to Antidepressant Medication for Co-morbid Major Depression in Patients With Diabetes Mellitus: a Randomized, Double-blind Placebo-controlled Study." Journal of Affective Disorders, vol. 126, no. 1-2, 2010, pp. 282-6.
Bot M, Pouwer F, Assies J, et al. Eicosapentaenoic acid as an add-on to antidepressant medication for co-morbid major depression in patients with diabetes mellitus: a randomized, double-blind placebo-controlled study. J Affect Disord. 2010;126(1-2):282-6.
Bot, M., Pouwer, F., Assies, J., Jansen, E. H., Diamant, M., Snoek, F. J., ... de Jonge, P. (2010). Eicosapentaenoic acid as an add-on to antidepressant medication for co-morbid major depression in patients with diabetes mellitus: a randomized, double-blind placebo-controlled study. Journal of Affective Disorders, 126(1-2), pp. 282-6. doi:10.1016/j.jad.2010.04.008.
Bot M, et al. Eicosapentaenoic Acid as an Add-on to Antidepressant Medication for Co-morbid Major Depression in Patients With Diabetes Mellitus: a Randomized, Double-blind Placebo-controlled Study. J Affect Disord. 2010;126(1-2):282-6. PubMed PMID: 20466431.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Eicosapentaenoic acid as an add-on to antidepressant medication for co-morbid major depression in patients with diabetes mellitus: a randomized, double-blind placebo-controlled study. AU - Bot,M, AU - Pouwer,F, AU - Assies,J, AU - Jansen,E H J M, AU - Diamant,M, AU - Snoek,F J, AU - Beekman,A T F, AU - de Jonge,P, Y1 - 2010/05/14/ PY - 2010/02/02/received PY - 2010/04/08/revised PY - 2010/04/08/accepted PY - 2010/5/15/entrez PY - 2010/5/15/pubmed PY - 2010/12/28/medline SP - 282 EP - 6 JF - Journal of affective disorders JO - J Affect Disord VL - 126 IS - 1-2 N2 - BACKGROUND: Depression is common in individuals with diabetes. The present study is the first randomized controlled trial to test the efficacy of omega-3 ethyl-eicosapentaenoic acid (E-EPA) as adjuvant to antidepressant medication in the treatment of depression in adults with diabetes mellitus. METHODS: In the VU University Medical Center, we conducted a 12-week, placebo-controlled, double-blind, parallel-group intervention study of E-EPA (1g/day) versus placebo in 25 diabetes patients meeting DSM-IV criteria for major depressive disorder, who were already using antidepressant medication. The primary outcome was severity of depressive symptoms, assessed by the Montgomery Asberg Depression Rating Scale (MADRS) at baseline and 12-week follow-up at two-weekly intervals. Blood samples were collected at baseline and at 12-week follow-up to determine EPA levels in erythrocyte membranes. Data were analyzed with ANOVA for repeated measures. RESULTS: Thirteen participants were randomly assigned to E-EPA; 12 participants were given placebo. At 12-week follow-up, erythrocyte membranes from patients receiving E-EPA contained tripled levels of EPA, while no changes were noted in participants receiving placebo. In both groups, depressive symptoms significantly decreased over time (F=21.14, p<0.001), yet no significant differences were found between those treated with E-EPA versus placebo (F=1.63, p=0.17). LIMITATIONS: Although having sufficient study power, this study had a relatively small sample size. Small effects could not be detected, and dose-dependent effects could not be studied. CONCLUSIONS: No evidence was found for the efficacy of adding E-EPA to antidepressants in reducing depressive symptoms in diabetic patients with co-morbid depression. SN - 1573-2517 UR - https://www.unboundmedicine.com/medline/citation/20466431/Eicosapentaenoic_acid_as_an_add_on_to_antidepressant_medication_for_co_morbid_major_depression_in_patients_with_diabetes_mellitus:_a_randomized_double_blind_placebo_controlled_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(10)00344-7 DB - PRIME DP - Unbound Medicine ER -