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Giandomenico Schiena

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

3 papers in the library · 4 citations · publishing 2025-2026

Papers

Effect of ketamine on task-based functional magnetic resonance imaging findings in major depressive disorder: A mini-review.

Journal of affective disorders February 1, 2025 Farzaneh Ramezani, Peyman Mardani, Fatemeh Nemati et al. 4 citations

Ketamine alters brain activity in people with major depressive disorder, particularly in the anterior cingulate cortex, dorsolateral prefrontal cortex, and amygdala. Most reviewed studies found that these changes in brain activity correlate with improvements in depressive symptoms, involving the prefrontal cortex, ACC, and cortico-cerebellar circuits. The review notes a lack of longitudinal data on lasting effects and a small number of studies. It calls for more research on ketamine's mechanisms, long-term impact, dose-response optimization, and comparisons with other fast-acting antidepressants.

Predictors of responsiveness to ketamine: An updated systematic review of neuroimaging findings.

Journal of affective disorders July 15, 2026 Iman Kiani, Giulia Cattarinussi, Fabio Sambataro et al.

A systematic review of fifteen neuroimaging studies identifies potential brain-based markers that could predict which patients with major depressive disorder will respond to ketamine. The anterior cingulate cortex and amygdala, along with their connections to other brain regions, frequently predicted better response. Higher fractional anisotropy in the cingulum, larger hippocampus volume, and a higher Glx/glutamate ratio in the dorsomedial prefrontal cortex also correlated with response. Task-based imaging showed that anterior cingulate cortex activity predicted antidepressant response. The review notes limitations due to differences in assessments, follow-up times, ketamine doses, and imaging methods across studies.

The neurobiological basis of the awe experience in affective disorders: an exploratory EEG study

Frontiers in Systems Neuroscience June 4, 2026 Elena Bondi, Flavia Carbone, Giandomenico Schiena et al.

People with affective disorders (ADs) show emotional processing deficits involving disrupted brain network activity, especially in default mode and fronto-temporal circuits with abnormal theta and alpha oscillations. This exploratory study used virtual reality (VR) scenarios to induce awe—a self-transcendent emotion that may reduce rumination and boost positive affect—while recording EEG in ADs and healthy controls (HCs). HCs exhibited high awe responses with scenario-specific modulations in alpha and theta band activity and connectivity, indicating preserved cognitive flexibility.