Extended Data Fig. 1: Clinical scores and change scores, by visit.

MADRS, QIDS-SR, M3VAS, SHAPS, TEPS-A, and TEPS-C scores at pre-infusion and Day 1 post-infusion by visit (Panels A1—F1), and Day 1 change in scores by visit (Panels A2—F2). Effect sizes (Cohen’s d) and significance (*p < 0.05) are shown for Day 1 changes between placebo and naltrexone conditions, comparing Visit 1, Visit 2, Placebo-Naltrexone, and Naltrexone-Placebo orders. Independent t-tests were used for between-subject comparisons; paired t-tests for within-subject comparisons. Box plot elements: Box spans the interquartile range (IQR) (25th–75th percentile), central line is the median (50th percentile), ‘+’ marks the mean, whiskers extend to the lowest and highest values within 1.5 × IQR of the box, and values beyond that range are shown individually. Each plot shows data from n = 26 participants who completed the crossover.