Evidence map›Paper›PMID 31785112›Full record

ArticleActa psychiatrica Scandinavica2020

Fatty acids and recurrence of major depressive disorder: combined analysis of two Dutch clinical cohorts.

C S Thesing, A Lok, Y Milaneschi, J Assies, C L H Bockting, C A Figueroa, E J Giltay, B W J H Penninx, H G Ruhé, A H Schene and 2 more

Abstract read
In one paragraph

Article in Acta psychiatrica Scandinavica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

C S ThesingDepartment of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-9153-2576
A LokDepartment of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Academisch Medisch Centrum, University of Amsterdam, Amsterdam, The Netherlands.
Y MilaneschiDepartment of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
J AssiesDepartment of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Academisch Medisch Centrum, University of Amsterdam, Amsterdam, The Netherlands.
C L H BocktingDepartment of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Academisch Medisch Centrum, University of Amsterdam, Amsterdam, The Netherlands.
C A FigueroaDepartment of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Academisch Medisch Centrum, University of Amsterdam, Amsterdam, The Netherlands.
E J GiltayDepartment of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
B W J H PenninxDepartment of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
H G RuhéDepartment of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Academisch Medisch Centrum, University of Amsterdam, Amsterdam, The Netherlands.
A H ScheneDepartment of Psychiatry, Radboud University Medical Center, Nijmegen, The Netherlands.
M BotDepartment of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
R J T MockingDepartment of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Academisch Medisch Centrum, University of Amsterdam, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOmega-3 (n-3) and omega-6 (n-6) polyunsaturated fatty acid (PUFA) alterations in patients with major depressive disorder (MDD) have been shown to persist after remission. Whether these alterations are risk factors for MDD recurrence remains unknown. Here, we examined whether fatty acids predict time until MDD recurrence in remitted MDD patients.

methodsData were used from remitted MDD patients of the Netherlands Study of Depression and Anxiety (n = 356) and the Depression Evaluation Longitudinal Therapy Assessment studies (n = 118). Associations of FAs with time until MDD recurrence up to 8-year follow-up were analyzed using Cox regression analyses. Study-specific estimates were pooled using mega- and meta-analysis techniques.

results27.5% (NESDA) and 56.8% (DELTA) participants had an MDD recurrence. Pooled results showed that no FA was significantly associated with time until MDD recurrence (n-3 PUFAs: hazard ratio (HR) = 1.17, 95% confidence interval (CI) = 0.98-1.41, P = 0.082; n-6 PUFAs: HR = 1.08, 95% CI = 0.84-1.38, P = 0.55).

conclusionIn remitted MDD patients, circulating PUFAs were not associated with prospective risk of MDD recurrence. Consequently, circulating PUFAs are unlikely to reflect a vulnerability marker for recurrence, so correcting n-3 PUFA 'deficits' through supplementation does not seem a promising option to prevent MDD recurrence.

Indexed as

AdolescentAdultAgedFatty AcidsFatty Acids, Omega-3Fatty Acids, Omega-6FemaleHumansMajor Depressive DisorderMaleMiddle AgedNetherlandsProspective StudiesRecurrenceRegression AnalysisYoung AdultFatty AcidsFatty Acids, Omega-3Fatty Acids, Omega-6docosahexaenoic acidmajor depressive disorderomega-3omega-6recurrence

Identifiers

PMID31785112
PMCPMC7216896

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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.