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Phase 2 N=50 Randomized Single-blind Treatment

Dietary Counselling Plus Omega-3 Supplementation in the Treatment of Generalized Anxiety Disorder

Generalized Anxiety Disorder

Enrolled (actual)
50
Serious AEs
0.0%
Results posted
Apr 2025
Primary outcome: Primary: Feasibility of Participant Recruitment and Intervention Delivery — 8; 8 months

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Dietary Counselling combined with Omega-3 Supplementation (Combination_product)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
The Canadian College of Naturopathic Medicine
Primary completion
Nov 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Feasibility of Participant Recruitment and Intervention Delivery
8; 8
PRIMARY
Acceptability of the Intervention by Study Participants
6.4; 6.4
SECONDARY
Anxiety Symptom Severity: The Beck Anxiety Inventory
26.2; 29.3; 11.0; 26.8
SECONDARY
Diet Quality: MEDI-LITE Questionnaire
7.2; 7.1; 10.5; 6.9
SECONDARY
Quality of Life: PROMIS-29 v2.1
4.54; 4.28; 4.79; 4.20; 3.42; 3.55
SECONDARY
Mindful Eating Behaviour: Mindful Eating Questionnaire
2.5; 2.6; 2.88; 2.5
SECONDARY
Self Efficacy: General Self-Efficacy Scale
28.9; 28.2; 32.3; 28.2
SECONDARY
OmegaScore
3.58; 3.43; 7.18; 3.47
SECONDARY
Fasting Cholesterol Panel
1.13; 1.02; 0.88; 0.88; 4.72; 4.80
SECONDARY
Hemoglobin A1c
5.35; 5.52; 5.36; 5.57
SECONDARY
Serum Vitamin C
49.00; 41.36; 50.90; 42.25
SECONDARY
Serum Beta-carotene
0.53; 0.40; 0.66; 0.44
SECONDARY
C-reactive Protein
3.11; 6.60; 4.06; 7.49
SECONDARY
HOMA-IR
2.94; 4.05; 2.92; 4.81

Summary

This study will assess the feasibility and acceptability of a combination intervention including dietary counselling and omega-3 fatty acid supplementation among women with generalized anxiety disorder. It will be randomized and wait-list controlled with 25 participants completing the 12-week intervention immediately and the other 25 participants completing the intervention after a 12-week wait period.

Eligibility Criteria

Inclusion Criteria

  • A person aged 18-65 years who currently identifies as a woman.
  • Primary diagnosis of generalized anxiety disorder based on a clinical interview with a psychiatrist using the DSM-5 criteria.
  • Moderate to severe anxiety as defined as a Beck Anxiety Inventory score of 22 or higher.
  • Low quality diet as defined as a score of 8.5 or less on the MEDI-LITE tool.
  • All psychiatric medication, psychotherapy and natural health products stable for the past four weeks.
  • Established therapeutic relationship with a family doctor, psychiatrist, or clinical psychologist as their primary source of mental health care.
  • Ability to swallow capsules.
  • Ability to read in English and provide informed consent

Exclusion Criteria

  • Currently meets DSM-5 criteria for obsessive-compulsive disorder, bipolar disorder, a psychotic disorder, an eating disorder, or substance use disorder based on clinical interview with a psychiatrist.
  • Current high level of suicidality assessed by trial psychiatrist using the Columbia Suicide Severity Scale.
  • Starting or changing the dose of a psychiatric medication, psychotherapy, or natural health products in the past four weeks.
  • Severe food allergies, intolerances or aversions that would prevent the individual from modifying their diet (includes aversion to bovine gelatin which is a component of the fish oil supplement).
  • Current participation in a program, research study or treatment plan involving diet or lifestyle modification.
  • Baseline Omega Score of >5% (suggesting adequacy of omega-3 fatty acids).
  • Supplementation of greater than 4000IU of vitamin D daily for at least one month in the previous six months.
  • Allergy to fish or any of the non-medicinal ingredients in the study product.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05573672). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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