Evidence map›Paper›PMID 29063592›Full record

Trial reportJournal of child psychology and psychiatry, and allied disciplines2018

Omega-3 supplementation associated with improved parent-rated executive function in youth with mood disorders: secondary analyses of the omega 3 and therapy (OATS) trials.

Anthony T Vesco, Andrea S Young, L Eugene Arnold, Mary A Fristad

3 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of child psychology and psychiatry, and allied disciplines, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01341925 phase1completednot on this map

Omega-3 Fatty Acids & Psychoeducational Psychotherapy for Childhood Depression

TypeinterventionalSponsorL. Eugene ArnoldRan2011 to 2014Enrolled73ConditionsDepressionArmsOmega-3 Supplementation, Psychoeducational Psychotherapy (PEP), Placebo
NCT01507753 phase1completednot on this map

Omega-3 Fatty Acids & Psychoeducational Psychotherapy for Childhood Bipolar Disorder- Not Otherwise Specified

TypeinterventionalSponsorL. Eugene ArnoldRan2011 to 2014Enrolled23ConditionsBipolar DisorderArmsOmega-3 Supplementation, Psychoeducational Psychotherapy (PEP), Placebo
NCT04570995 naterminatednot on this mapstarted 2020, after this paper: background citation

Effect of Docosahexaenoic Acid (DHA) and Eicosapentaenoic Acid (EPA) on Brain Executive Function in Student Athletes

TypeinterventionalSponsorWake Forest University Health SciencesRan2020 to 2020Enrolled22ConditionsBrain Health, Brain Function, Brain DevelopmentArmsFish Oil, Safflower Oil
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Nutraceuticals in Psychiatric Disorders: A Systematic Review.International journal of molecular sciences · 2024
    Pooled it
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  7. Metacognition impairment in stroke.Frontiers in neurology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Anthony T VescoDepartment of Psychiatry, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Andrea S YoungDivision of Child & Adolescent Psychiatry, Johns Hopkins University, Baltimore, MD, USA.
L Eugene ArnoldDepartment of Psychiatry and Behavioral Health, Ohio State University, Columbus, OH, USA.
Mary A FristadDepartment of Psychiatry and Behavioral Health, Ohio State University, Columbus, OH, USA.
The Ohio State University · USJohns Hopkins University · USLurie Children's Hospital · US

Funding

University of Iowa Clinical and Translational Science Program (TL1)UL1RR025755 · NCRR · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2008 to 2011
$26.3M
Omega-3 Fatty Acids & Psychoeducational Psychotherapy for Childhood DepressionR34MH085875 · NIMH · OHIO STATE UNIVERSITY · PI ARNOLD, L EUGENE, FRISTAD, MARY A · 2011 to 2013
$689k
Omega-3 Fatty Acids & Psychoeducational Psychotherapy for Child Bipolar NOSR34MH090148 · NIMH · OHIO STATE UNIVERSITY · PI ARNOLD, L EUGENE, FRISTAD, MARY A · 2011 to 2013
$689k
NCRR NIH HHS UL1 RR025755NIMH NIH HHS R34 MH085875NIMH NIH HHS R34 MH090148
6 · The paper itself

Abstract

backgroundImprovements in executive functioning (EF) may lead to improved quality of life and lessened functional impairment for children with mood disorders. The aim was to assess the impact of omega-3 supplementation (Ω3) and psychoeducational psychotherapy (PEP), each alone and in combination, on EF in youth with mood disorders. We completed secondary analyses of two randomized controlled trials (RCTs) of Ω3 and PEP for children with depression and bipolar disorder.

methodsNinety-five youths with depression or bipolar disorder not otherwise specified/cyclothymic disorder were randomized in 12-week RCTs. Two capsules (Ω3 or placebo) were given twice daily (1.87 g Ω3 total daily, mostly eicosapentaenoic acid). Families randomized to PEP participated in twice-weekly 50-min sessions. Analyses assess impact of interventions on the Behavior Rating Inventory of Executive Functioning (BRIEF) parent-report Global Executive Composite (GEC) and two subscales, Behavior Regulation (BRI) and Metacognition (MI) Indices. Intent-to-treat repeated measures ANOVAs, using multiple imputation for missing data, included all 95 randomized participants. Trials were registered with www.clinicaltrials.gov, NCT01341925 & NCT01507753.

resultsParticipants receiving Ω3 (aggregating combined and monotherapy) improved significantly more than aggregated placebo on GEC (p = .001, d = .70), BRI (p = .004, d = .49), and MI (p = .04, d = .41). Ω3 alone (d = .49) and combined with PEP (d = .67) each surpassed placebo on GEC. Moderation by attention-deficit/hyperactivity disorder (ADHD) comorbidity was nonsignificant although those with ADHD showed nominally greater gains. PEP monotherapy had negligible effect.

conclusionsDecreased impairment in EF was associated with Ω3 supplementation in youth with mood disorders. Research examining causal associations of Ω3, EF, and mood symptoms is warranted.

Indexed as

Outcome Assessment, Health CareSelf-ControlAdolescentBipolar DisorderChildCombined Modality TherapyDepressive DisorderEicosapentaenoic AcidExecutive FunctionFatty Acids, Omega-3FemaleHumansMaleMetacognitionPsychotherapyEicosapentaenoic AcidFatty Acids, Omega-3bipolar disorderdepressionnutritionpsychotherapySchool children

Identifiers

PMID29063592
PMCPMC5916745
OpenAlexW2765133271

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.