Depressive disorder (F32) or mixed anxiety and depressive disorder (F41.2) Mental and Behavioural Disorders Depressive disorder (F32) or mixed anxiety and depressive disorder (F41.2)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Children and adolescents who met diagnostic criteria for depressive disorder or mixed anxiety and depressive disorder according to ICD 10 2. No signs of chronic somatic disease 3. Normal eating habits 4. Parents/guardians are willing to provide a signed informed consent 5. Children and adolescents are willing to provide blood, urine and saliva samples
Exclusion criteria
Exclusion criteria: 1. Chronic somatic diseases (endocrine, metabolic, autoimmune) 2. Dietary restrictions (vegetarians, lactose intolerance, celiac disease) 3. Psychotic disorders 4. Eating disorders 5. Addiction to psychoactive compounds 6. Personality disorders 7. Organic mental disorders 8. Pervasive developmental disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical symptoms of depression are determined using Children's Depression Inventory score (CDI) at baseline, 2, 4, 6, 8, 10, 12 and 16 weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Basic biochemical marker levels (glucose, uric acid, lipid profile (total cholesterol, LDL-CH, HDL-CH, TAG), creatinine, CRP, liver enzymes ALT, AST) are measured by testing blood samples taken at baseline, at the week 6 and 12 of intervention and after wash-out period, at the week 16 2. Markers of oxidative stress (antioxidant enzymes SOD, GPx, CAT in Er, PON1 in serum, markers of lipid damage - lipoperoxides, 8-IsoP, protein damage - AOPP, serum protein carbonyls, nitrotyrosine, DNA damage in lymphocytes by comet assay, total antioxidant status-TEAC) are measured by testing blood samples taken at baseline, at the week 6 and 12 of intervention and after wash-out period, at the week 16 3. Markers of inflammation (CRP, calprotectin, cytokines and eicosanoids, thromboxanes) are measured by testing blood samples taken at baseline, at the week 6 and 12 of intervention and after wash-out period, at the week 16 4. Hormones in saliva (cortisol, aldosteron) are measured by testing saliva samples taken at baseline, at the week 6 and 12 of intervention and after wash-out period, at the week 16 5. Erythrocyte (Er) membrane fluidity is measured by spectrofuorimeter at baseline, at the week 6 and 12 of intervention and after wash-out period, at the week 16 6. Composition and content of serum fatty acids (FA) are measured by gas chromatography at baseline, at the week 6, 12 of intervention and after wash-out period, at the week 16 8. Length of DNA telomers in buccal cells is measured by qPCR at baseline and at 12 week intervention | — |
Countries
Slovakia