Evidence map›Paper›PMID 42266089›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2026

Functional outcomes with esketamine in treatment-resistant depression: A 6-month multicenter real-world study.

Riccardo Guglielmo, Miriam Olivola, Alberto Inuggi, Elisa Cavanna, Elisa Briasco, Beatriz Pereira Da Silva, Andrea Escelsior, Gabriele Giacomini, Giovanni Martinotti, Bernardo Maria Dell'Osso and 2 more

Abstract readMulticenter Study
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Riccardo Guglielmohttps://ror.org/0107c5v14University of Genoa: Università degli Studi di Genova, Italy.ORCID 0000-0002-2932-9235
Miriam Olivolahttps://ror.org/00s6t1f81University of Pavia: Università degli Studi di Pavia, Italy.ORCID 0000-0003-0914-0539
Alberto Inuggihttps://ror.org/04d7es448IRCCS Ospedale Policlinico San Martino, Italy.ORCID 0000-0002-8840-5197
Elisa Cavannahttps://ror.org/0107c5v14University of Genoa: Università degli Studi di Genova, Italy.ORCID 0009-0003-6520-8726
Elisa Briascohttps://ror.org/0107c5v14University of Genoa: Università degli Studi di Genova, Italy.ORCID 0009-0002-0554-5774
Beatriz Pereira Da Silvahttps://ror.org/0107c5v14University of Genoa: Università degli Studi di Genova, Italy.ORCID 0009-0009-6446-8490
Andrea Escelsiorhttps://ror.org/0107c5v14University of Genoa: Università degli Studi di Genova, Italy.ORCID 0000-0002-4631-8191
Gabriele Giacominihttps://ror.org/04d7es448IRCCS Ospedale Policlinico San Martino, Italy.ORCID 0000-0002-0616-2751
Giovanni MartinottiUniversità degli Studi Gabriele d'Annunzio Chieti Pescara, Italy.ORCID 0000-0002-7292-2341
Bernardo Maria Dell'OssoUniversità degli Studi di Milano, Italy.
Mario Amorehttps://ror.org/0107c5v14University of Genoa: Università degli Studi di Genova, Italy.
Gianluca Serafinihttps://ror.org/0107c5v14University of Genoa: Università degli Studi di Genova, Italy.ORCID 0000-0002-6631-856X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsketamine has demonstrated efficacy in treatment-resistant depression (TRD), but medium-term real-world functional outcomes remain understudied. This study described 6-month depressive symptoms and functional trajectories during routine esketamine treatment, focusing on functional outcomes and remission correlates.

methodsIn this prospective multicenter study, 60 patients with TRD initiating intranasal esketamine augmentation were assessed at baseline, Month 1, Month 3, and Month 6 using the Montgomery-Åsberg Depression Rating Scale (MADRS) and Sheehan Disability Scale (SDS). Mixed-effects models, Turnbull interval-censored time-to-remission analysis, logistic regression, and ROC analyses were performed.

resultsMADRS and SDS improved significantly at all follow-up time points (

conclusionsDepressive symptoms and functioning improved progressively over 6 months during esketamine treatment in routine clinical care. Functional remission followed a slower trajectory than symptomatic remission and had partly distinct correlates, supporting functional monitoring as a distinct TRD outcome.

Indexed as

Antidepressive AgentsDepressive Disorder, Treatment-ResistantKetamineAdministration, IntranasalAdultFemaleHumansMaleMiddle AgedProspective StudiesPsychiatric Status Rating ScalesRemission InductionTreatment OutcomeAntidepressive AgentsEsketamineKetamineesketaminefunctional remissionlong-term outcomesreal-world studytreatment-resistant depression

Identifiers

PMID42266089
PMCPMC13358991

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.