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Predictors of longer-term outcome in the Vienna omega-3 high-risk study.

Identifieur interne : 000D25 ( Main/Exploration ); précédent : 000D24; suivant : 000D26

Predictors of longer-term outcome in the Vienna omega-3 high-risk study.

Auteurs : Nilufar Mossaheb [Autriche] ; Miriam R. Sch Fer [Australie] ; Monika Schlögelhofer [Autriche] ; Claudia M. Klier [Autriche] ; Stefan Smesny [Allemagne] ; Patrick D. Mcgorry [Australie] ; Maximus Berger [Australie] ; G Paul Amminger [Australie]

Source :

RBID : pubmed:28823721

Descripteurs français

English descriptors

Abstract

Longer-term data on ω-3 polyunsaturated fatty acids (PUFA) for prevention of psychosis in (ultra high risk) UHR individuals have initially shown promising results. This analysis aimed to assess clinical predictors of longer-term outcome in UHR individuals treated with ω-3 PUFAs versus placebo. Data derived from an RCT in 81 UHR individuals treated with ω-3 PUFAs versus placebo for 12weeks and follow-up assessment after a median of 6.7years. Baseline GAF, baseline PANSS global score, pre-to-post-intervention change in EPA (Eicosapentaenoic acid) level were significant predictors of transition to psychosis, PANSS negative score and baseline MADRS reached trend-levels. In the final multivariate Cox regression analysis change in EPA levels remained the only significant predictor. Taking into account all other significant predictors, changes in EPA levels were found to be the single most significant predictor for transition to psychosis in a longer term observation of UHR individuals.

DOI: 10.1016/j.schres.2017.08.010
PubMed: 28823721


Affiliations:


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Le document en format XML

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<term>Chromatography, Gas (MeSH)</term>
<term>Double-Blind Method (MeSH)</term>
<term>Fasting (MeSH)</term>
<term>Fatty Acids, Omega-3 (administration & dosage)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
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<div type="abstract" xml:lang="en">Longer-term data on ω-3 polyunsaturated fatty acids (PUFA) for prevention of psychosis in (ultra high risk) UHR individuals have initially shown promising results. This analysis aimed to assess clinical predictors of longer-term outcome in UHR individuals treated with ω-3 PUFAs versus placebo. Data derived from an RCT in 81 UHR individuals treated with ω-3 PUFAs versus placebo for 12weeks and follow-up assessment after a median of 6.7years. Baseline GAF, baseline PANSS global score, pre-to-post-intervention change in EPA (Eicosapentaenoic acid) level were significant predictors of transition to psychosis, PANSS negative score and baseline MADRS reached trend-levels. In the final multivariate Cox regression analysis change in EPA levels remained the only significant predictor. Taking into account all other significant predictors, changes in EPA levels were found to be the single most significant predictor for transition to psychosis in a longer term observation of UHR individuals.</div>
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<AbstractText>Longer-term data on ω-3 polyunsaturated fatty acids (PUFA) for prevention of psychosis in (ultra high risk) UHR individuals have initially shown promising results. This analysis aimed to assess clinical predictors of longer-term outcome in UHR individuals treated with ω-3 PUFAs versus placebo. Data derived from an RCT in 81 UHR individuals treated with ω-3 PUFAs versus placebo for 12weeks and follow-up assessment after a median of 6.7years. Baseline GAF, baseline PANSS global score, pre-to-post-intervention change in EPA (Eicosapentaenoic acid) level were significant predictors of transition to psychosis, PANSS negative score and baseline MADRS reached trend-levels. In the final multivariate Cox regression analysis change in EPA levels remained the only significant predictor. Taking into account all other significant predictors, changes in EPA levels were found to be the single most significant predictor for transition to psychosis in a longer term observation of UHR individuals.</AbstractText>
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<Affiliation>Orygen Youth Health Research Centre, The University of Melbourne, 35 Poplar Road, 3502 Parkville, Melbourne, VIC, Australia. Electronic address: pat.mcgorry@orygen.org.au.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Berger</LastName>
<ForeName>Maximus</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Laboratory of Psychiatric Neuroscience, Australian Institute of Tropical Health and Medicine (AITHM), James Cook University, 1 James Cook Drive, Townsville, QLD 4810, Australia. Electronic address: maximus.berger@jcu.edu.au.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Amminger</LastName>
<ForeName>G Paul</ForeName>
<Initials>GP</Initials>
<AffiliationInfo>
<Affiliation>Orygen Youth Health Research Centre, The University of Melbourne, 35 Poplar Road, 3502 Parkville, Melbourne, VIC, Australia. Electronic address: amminger@unimelb.edu.au.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016449">Randomized Controlled Trial</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2017</Year>
<Month>08</Month>
<Day>18</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>Netherlands</Country>
<MedlineTA>Schizophr Res</MedlineTA>
<NlmUniqueID>8804207</NlmUniqueID>
<ISSNLinking>0920-9964</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D015525">Fatty Acids, Omega-3</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D013963">Thyroid Hormones</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>9007-41-4</RegistryNumber>
<NameOfSubstance UI="D002097">C-Reactive Protein</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>EC 2.6.1.-</RegistryNumber>
<NameOfSubstance UI="D000637">Transaminases</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D001317" MajorTopicYN="N">Austria</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002097" MajorTopicYN="N">C-Reactive Protein</DescriptorName>
<QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002849" MajorTopicYN="N">Chromatography, Gas</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004311" MajorTopicYN="N">Double-Blind Method</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005215" MajorTopicYN="N">Fasting</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015525" MajorTopicYN="N">Fatty Acids, Omega-3</DescriptorName>
<QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011569" MajorTopicYN="N">Psychiatric Status Rating Scales</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011618" MajorTopicYN="N">Psychotic Disorders</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012044" MajorTopicYN="N">Regression Analysis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013963" MajorTopicYN="N">Thyroid Hormones</DescriptorName>
<QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000637" MajorTopicYN="N">Transaminases</DescriptorName>
<QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="Y">Treatment Outcome</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="Y">Fish oil</Keyword>
<Keyword MajorTopicYN="Y">Outcome</Keyword>
<Keyword MajorTopicYN="Y">Polyunsaturated fatty acids</Keyword>
<Keyword MajorTopicYN="Y">Prodrome</Keyword>
<Keyword MajorTopicYN="Y">Psychosis</Keyword>
<Keyword MajorTopicYN="Y">Ultra-high risk</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2016</Year>
<Month>12</Month>
<Day>11</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2017</Year>
<Month>07</Month>
<Day>24</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2017</Year>
<Month>08</Month>
<Day>08</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2017</Year>
<Month>8</Month>
<Day>22</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2018</Year>
<Month>11</Month>
<Day>14</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2017</Year>
<Month>8</Month>
<Day>22</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">28823721</ArticleId>
<ArticleId IdType="pii">S0920-9964(17)30484-X</ArticleId>
<ArticleId IdType="doi">10.1016/j.schres.2017.08.010</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Autriche</li>
</country>
<region>
<li>Victoria (État)</li>
<li>Vienne (Autriche)</li>
</region>
<settlement>
<li>Melbourne</li>
<li>Vienne (Autriche)</li>
</settlement>
<orgName>
<li>Université de Melbourne</li>
</orgName>
</list>
<tree>
<country name="Autriche">
<region name="Vienne (Autriche)">
<name sortKey="Mossaheb, Nilufar" sort="Mossaheb, Nilufar" uniqKey="Mossaheb N" first="Nilufar" last="Mossaheb">Nilufar Mossaheb</name>
</region>
<name sortKey="Klier, Claudia M" sort="Klier, Claudia M" uniqKey="Klier C" first="Claudia M" last="Klier">Claudia M. Klier</name>
<name sortKey="Schlogelhofer, Monika" sort="Schlogelhofer, Monika" uniqKey="Schlogelhofer M" first="Monika" last="Schlögelhofer">Monika Schlögelhofer</name>
</country>
<country name="Australie">
<region name="Victoria (État)">
<name sortKey="Sch Fer, Miriam R" sort="Sch Fer, Miriam R" uniqKey="Sch Fer M" first="Miriam R" last="Sch Fer">Miriam R. Sch Fer</name>
</region>
<name sortKey="Amminger, G Paul" sort="Amminger, G Paul" uniqKey="Amminger G" first="G Paul" last="Amminger">G Paul Amminger</name>
<name sortKey="Berger, Maximus" sort="Berger, Maximus" uniqKey="Berger M" first="Maximus" last="Berger">Maximus Berger</name>
<name sortKey="Mcgorry, Patrick D" sort="Mcgorry, Patrick D" uniqKey="Mcgorry P" first="Patrick D" last="Mcgorry">Patrick D. Mcgorry</name>
</country>
<country name="Allemagne">
<noRegion>
<name sortKey="Smesny, Stefan" sort="Smesny, Stefan" uniqKey="Smesny S" first="Stefan" last="Smesny">Stefan Smesny</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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