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Luis Gutiérrez-Rojas

Department of Psychiatry and Neurosciences Research Group (CTS-549), Institute of Neurosciences, University of Granada, Granada, Spain.

3 papers in the library · 46 citations · publishing 2017-2025

Papers

Use of repeated intravenous ketamine therapy in treatment-resistant bipolar depression with suicidal behaviour: a case report from Spain.

Therapeutic advances in psychopharmacology April 1, 2017 Álvaro López-díaz, José Luis Fernández-gonzález, José Evaristo Luján-jiménez et al. 27 citations

A case report describes a female patient hospitalized for months with treatment-resistant bipolar depression and chronic suicidal behavior. After repeated intravenous ketamine infusions with no notable side effects, she achieved complete clinical recovery for four weeks following discharge. Depressive symptoms returned in the fifth week, leading to hospital readmission after a suicide attempt. The report highlights ketamine's rapid but temporary antidepressant effects and the risk of relapse, underscoring concerns about its off-label use in clinical practice despite its potential for refractory depression.

Effectiveness of mindfulness based interventions in reducing depressive symptoms across mental disorders: A meta-analysis of randomized controlled trials.

Psychiatry research June 1, 2025 Ekin Alkan, Geetanjali Kumar, Shreya Ravichandran et al. 11 citations

Mindfulness-based interventions (MBIs), including Mindfulness-Based Cognitive Therapy, Acceptance and Commitment Therapy, and Dialectical Behavioural Therapy, are effective at reducing depressive symptoms across a range of psychiatric disorders. A systematic review and meta-analysis of 35 randomized controlled trials covering 12 diagnostic categories found that these interventions produced significant effect sizes compared to active control conditions. The findings suggest that MBIs can serve as a cost-effective, transdiagnostic tool for treating depressive symptoms not only in depressive disorders but across mental health conditions.

Compassionate use of esketamine intranasal in patients with severe major depressive disorder resistant to the treatment.

Journal of psychopharmacology (Oxford, England) January 1, 2025 Luis Gutiérrez-Rojas, Julia Vendrell-Serres, J Antoni Ramos-Quiroga et al. 8 citations

Intranasal esketamine, combined with an antidepressant, significantly reduced depressive symptoms in patients with severe treatment-resistant depression. In a retrospective study of 71 patients (70% women, 85% with work disability), Montgomery-Asberg depression rating scale scores dropped from a mean baseline of 38.27 at 28, 90, and 180 days. Side effects were common but mostly mild and temporary. Patients who also received psychotherapy had lower depression scores at 90 and 180 days than those who did not. The authors argue that pharmacological treatment for treatment-resistant depression should be integrated with psychotherapy, social support, and family interventions to optimize outcomes.