A randomized trial of omega-3 fatty acids plus inositol versus N-acetylcysteine for the treatment of depression and mania in emotionally dysregulated youth age 5-17 with and without autism traits.
Janet Wozniak, Maria Iorini, Maura DiSalvo et al.
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In 30 seconds
This randomized controlled trial evaluated the effectiveness of omega-3 fatty acids plus inositol (O3I) versus N-acetylcysteine (NAC) in treating depression and mania in youth aged 5-17 with emotional dysregulation, including those with autism traits. Both treatments showed modest improvements, with O3I linked to significant within-group improvement in depression, while NAC showed trends towards greater effectiveness for mania.
Key findings
- O3I showed significant within-group improvement in depression as measured by the Children's Depression Inventory.
- NAC resulted in a greater decrease in Parent-Youth Mania Rating Scale scores compared to O3I, though not statistically significant.
- In youth with autism traits, NAC was more effective for mania but not for depression.
Why it matters
Understanding the comparative effectiveness of nutraceutical treatments for emotional dysregulation in youth can guide clinicians in selecting appropriate interventions, particularly in populations with co-occurring autism traits.