Meta-analysis2026Open access

Research Review: Omega-3 supplementation to reduce antisocial behavior - a systematic review and meta-analysis of randomized controlled trials

Raine A, Saven HQ

Journal of child psychology and psychiatry, and allied disciplines · 0 citations

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Government
Eunice Kennedy Shriver National Institute of Child Health and Human Development
Government
NICHD NIH HHS
Grants
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01-HD087485)

Based on 2 listed funder(s) and full-text disclosure statement.

Publication

Published
2026-04-14 · J Child Psychol Psychiatry · vol. 67 · issue 9 · pp. 1601–1613
Publisher
Wiley
Cited
1 citation · more than 88% of similar papers · 2.8× the field average
References
65 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Fatty Acid Research and Health · Alcoholism and Thiamine Deficiency · Sleep and related disorders
Keywords
Randomized controlled trial, Intervention (counseling), Sample size determination, Poison control, Injury prevention, Meta-analysis, Conduct disorder
MeSH
humans, fatty acids, omega-3, antisocial personality disorder, dietary supplements, randomized controlled trials as topic, outcome assessment, health care

2 authors

From US

  • Adrian Raine · correspondingUniversity of Pennsylvania
  • Helena Q. SavenUniversity of Pennsylvania

Abstract

Background

Omega-3, a long-chain fatty acid critical for brain structure and function, has been argued to be effective in reducing antisocial behavior, but findings are variable. This meta-analysis examines 25 randomized controlled trials (RCTs) with a total of 2,889 participants.

Methods

This study was registered with PROSPERO (CRD42021256959). Two separate analyses were conducted where the unit of analysis was independent studies and independent laboratories.

Results

Significant effect sizes (p < .001) were observed for both analyses (g = .13, .14 respectively) and in the direction of omega-3 supplementation reducing antisocial behavior. There was equivocal evidence of publication bias. Study quality was good. Stratified analyses were nonsignificant for age, gender, dose, sample size, and study quality, although the effect size was larger for unmedicated participants. Combining these data with a recent meta-analysis on aggressive behavior produced an overall effect size of g = .22 for externalizing behavior based on 36 nonoverlapping RCTs.

Conclusions

Given that omega-3 supplementation is relatively cheap, easy to implement, transfers well from the research environment to community settings, and has additional health benefits, it is suggested that it may be considered as an adjunctive intervention for the treatment of antisocial and externalizing behavior.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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