Depression Clinical Trial
Official title:
Randomized Controlled Trial of Omega-3 Fatty Acids for Perinatal Depression
This study will evaluate the effectiveness of using omega-3 fatty acids to treat women with perinatal depression.
Depression is the chief cause of disease-associated disability in women. Because of the
highs and lows during pregnancy through the first year of motherhood, expectant and new
mothers are particularly prone to depression. Approximately 10% to 15% of women experience
perinatal depression, which includes depression during pregnancy and/or postpartum
depression. Signs of perinatal depression include persistent feelings of anxiety, guilt, or
hopelessness; irregular sleep and appetite patterns; lethargy; disinterest in the infant or
family activities; excessive irritability and restlessness; thoughts of hurting self or
infant; inability to concentrate; and lack of enjoyment in previously enjoyed activities.
Depression occurring during pregnancy and postpartum can have a negative impact on the
development and health of the baby. Additionally, maternal stress in humans is associated
with lower birth weights and lower gestational ages at birth. Currently, there is a lack of
knowledge on the use of antidepressants during pregnancy and postpartum, making this a
significant health issue. Earlier studies have suggested that a depletion of omega-3 fatty
acids during pregnancy might be the cause of depression and mood disorders in pregnant
women. This study will evaluate the effectiveness of using omega-3 fatty acids to treat
women with perinatal depression.
Participation in this double-blind study will last about 9 weeks. All participants will
attend an initial screening visit and subsequent study visits, which will occur bi-weekly
throughout the treatment phase. During these visits, participants will be asked questions
about their medical and substance use history, demographic information, and eating
behaviors. Participants will also complete questionnaires and interviews that will be used
to assess their mental status, depression levels, marital/partner satisfaction levels,
social/functional abilities, and overall mood levels. After the initial screening visit,
eligible participants will be randomly assigned to receive either omega-3 fatty acids or
placebo capsules. Participants in each group will be required to take four capsules on a
daily basis for 8 weeks. During this treatment phase, all participants will also attend six
weekly 30-minute supportive psychotherapy sessions. Blood samples for omega-3 fatty acid
analysis will be taken on the first and last visits.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Treatment
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