Efficacy of Polyunsaturated Fatty Acids (PUFAs) on Impulsive Behaviours and Aggressiveness in Psychiatric Disorders

Int J Mol Sci. 2021 Jan 9;22(2):620. doi: 10.3390/ijms22020620.

Abstract

It is the focus of increasing interest to investigate the effects of long-chain n-3 and long-chain n-6 polyunsaturated fatty acids (LC n-3 PUFAs; LC n-6 PUFAs) on psychiatric symptoms in a transdiagnostic perspective. There is some evidence that low levels of LC n-3 PUFAs and a higher ratio of LC n-6 to LC n-3 PUFAs in plasma and blood cells are associated with aggressive and impulsive behaviours. Therefore, implementation of LC n-3 PUFAs may produce positive effects on hostility, aggression, and impulsivity in both psychiatric and non-psychiatric samples across different stages of life. A possible mechanism of action of LC n-3 PUFAs in conditions characterized by a high level of impulsivity and aggression is due to the effect of these compounds on the serotonin system and membrane stability. Studies that evaluated the effects of LC n-3 PUFAs on impulsivity and aggressiveness indicated that addition of rather low doses of these agents to antipsychotic treatment might reduce agitation and violent behaviours in psychosis, attention deficit hyperactivity disorder, personality disorders, and impulsive control and conduct disorders. The present review is aimed at examining and discussing available data from recent trials on this topic.

Keywords: PUFAs; aggressiveness; impulsive behaviours; long-chain n-3 polyunsaturated fatty acids; long-chain n-6 polyunsaturated fatty acids; psychiatric disorders.

Publication types

  • Review

MeSH terms

  • Aggression / drug effects*
  • Animals
  • Attention Deficit Disorder with Hyperactivity / blood
  • Attention Deficit Disorder with Hyperactivity / drug therapy
  • Fatty Acids, Omega-3 / blood
  • Fatty Acids, Omega-3 / pharmacology
  • Fatty Acids, Omega-3 / therapeutic use*
  • Fatty Acids, Omega-6 / blood
  • Humans
  • Impulsive Behavior / drug effects*
  • Mental Disorders / blood
  • Mental Disorders / drug therapy*
  • Personality Disorders / blood
  • Personality Disorders / drug therapy
  • Schizophrenia / blood
  • Schizophrenia / drug therapy
  • Treatment Outcome

Substances

  • Fatty Acids, Omega-3
  • Fatty Acids, Omega-6