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Intranasal Oxytocin Increases Positive Communication and Reduces Cortisol Levels During Couple Conflict
Open accessAbstract
Background In nonhuman mammals, the neuropeptide oxytocin has repeatedly been shown to increase social approach behavior and pair bonding. In particular, central nervous oxytocin reduces behavioral and neuroendocrine responses to social stress and is suggested to mediate the rewarding aspects of attachment in highly social species. However, to date there have been no studies investigating the effects of central oxytocin mechanisms on behavior and physiology in human couple interaction. Methods In a double-blind placebo-controlled design, 47 heterosexual couples (total n = 94) received oxytocin or placebo intranasally before a standard instructed couple conflict discussion in the laboratory. The conflict session was videotaped and coded for verbal and nonverbal interaction behavior (e.g., eye contact, nonverbal positive behavior, and self-disclosure). Salivary cortisol was repeatedly measured during the experiment. Results Oxytocin significantly increased positive communication behavior in relation to negative behavior during the couple conflict discussion (F = 4.18, p = .047) and significantly reduced salivary cortisol levels after the conflict compared with placebo (F = 7.14, p = .011). Conclusions These results are in line with animal studies indicating that central oxytocin facilitates approach and pair bonding behavior. Our findings imply an involvement of oxytocin in couple interaction and close relationships in humans.
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In the citing paper
“The hypothalamic peptide oxytocin (OXT) is released during partner contact (Grewen, Girdler, Amico, & Light, 2005) and contributes to the maintenance of long-term relationships (Ditzen et al., 2009;Kreuder et al., 2017;Scheele et al., 2013).”
From Oxytocin enhances the pain‐relieving effects of social support in romantic couples (2019) · cites this paper as Ditzen et al., 2009
In the citing paper
“Underlying human romantic attachment is a collection of interlocking brain systems that are hypothesized to have evolved to suit the reproductive needs of our ancestors.”
From The Medicalization of Love (2015) · cites this paper as [24]
In the citing paper
“Brain chemicals such as oxytocin, dopamine, testosterone, and many others seem to regulate our interpersonal drives and emotions, including the formation of romantic pair-bonds.”
From The Medicalization of Love (2015) · cites this paper as [24]
In the citing paper
“Although love is not simply reducible to these brain chemicals or pathways—and although there are many different theories of love, including how it should be defined—what is clear by now is that these underlying phenomena do much to shape (as well as to respond to) our higher-level romantic experiences, across a wide range of theoretical conceptions.”
From The Medicalization of Love (2015) · cites this paper as [24]
In the citing paper
“In one study, Swiss researchers showed that nasally inhaled oxytocin can reduce stress levels and promote more positive communication between couples engaged in an argument (Ditzen et al. 2009).”
From Natural Selection, Childrearing, and the Ethics of Marriage (and Divorce): Building a Case for the Neuroenhancement of Human Relationships (2012) · cites this paper as Ditzen et al. 2009
In the citing paper
“Acevedo et al. (2011) found higher activations among romantically attached individuals in regions implicated in pair-bonding in monogamous rodents, and OT administration has shown to increase couples’ positive communication (Ditzen et al., 2009).”
From Oxytocin during the initial stages of romantic attachment: Relations to couples’ interactive reciprocity (2012) · cites this paper as Ditzen et al., 2009
In the citing paper
“Intranasal administration of OXT increases ratings of facial attractiveness (27), positive communication behavior during couple conflicts (28)”
From Oxytocin enhances brain reward system responses in men viewing the face of their female partner (2013) · cites this paper as [28]
In the citing paper
“Intranasal OT was also found to increase positive behavior during couple conflict in both male and female partners (Ditzen et al, 2009).”
From Vasopressin and oxytocin receptor systems in the brain: Sex differences and sex-specific regulation of social behavior (2016) · cites this paper as Ditzen et al, 2009
In the citing paper
“Also, Ditzen et al. (2009) showed that administering 40 IU of intranasal oxytocin increased positive communication during and decreased salivary cortisol after couple conflict in both men and women.”
From Endogenous peripheral oxytocin measures can give insight into the dynamics of social relationships: a review (2014) · cites this paper as Ditzen et al., 2009
In the citing paper
“reduce negative behavior during couple conflict (19,20)”
From Oxytocin and the development of parenting in humans (2010) · cites this paper as [20]
In the citing paper
“Interestingly, in a study involving couples engaged in a conflict discussion, salivary cortisol levels were also found to decrease following intranasal administration of 40 IU OT (Ditzen et al., 2009).”
From Effects of intranasal oxytocin on social anxiety in males with fragile X syndrome (2012) · cites this paper as Ditzen et al., 2009
In the citing paper
“Research suggests the experimental manipulation of oxytocin facilitates positive interactions, cooperation and trust.”
From Acute intranasal oxytocin improves positive self-perceptions of personality (2012) · cites this paper as Ditzen et al., 2009
In the citing paper
“only scales related to social behavior were altered by the administration of intranasal oxytocin relative to a placebo, with the exception of openness to experiences.”
From Acute intranasal oxytocin improves positive self-perceptions of personality (2012) · cites this paper as Ditzen et al., 2009
In the citing paper
“While most studies examine the effects of oxytocin 45 minutes after administration (Ditzen et al., 2009; Kosfeld et al., 2005)”
From Acute intranasal oxytocin improves positive self-perceptions of personality (2012) · cites this paper as Ditzen et al., 2009
In the citing paper
“More recently, studies in humans have demonstrated that OXT administration increases pro-social behaviors like trust, empathy, and willingness to take social risks (Kosfeld et al, 2005), whereas dampening psychophysiological responses to stressors (Ditzen et al, 2009).”
From Oxytocin modulation of amygdala functional connectivity to fearful faces in generalized social anxiety disorder (2015) · cites this paper as Ditzen et al, 2009
In the citing paper
“It has been shown, for example, that the peptide enhances positive communication in relation to negative behavior during couple conflicts and reduces cortisol saliva levels after the conflict (82).”
From Dissecting the Role of Oxytocin in the Formation and Loss of Social Relationships (2016) · cites this paper as [82]
In the citing paper
“positive communication between couples (24)”
From Oxytocin administration to parent enhances infant physiological and behavioral readiness for social engagement (2012) · cites this paper as [24]
In the citing paper
“Additionally, other researchers have reported reductions in stress hormones following oxytocin administration in stressful situations without reductions in subjective anxiety measures (Cardoso et al., in press; Ditzen et al., 2009; Linnen et al., 2012).”
From Effect of oxytocin on craving and stress response in marijuana-dependent individuals: A pilot study (2013) · cites this paper as Ditzen et al., 2009
In the citing paper
“IN-OT increases the rating of attractiveness of partners’ faces (Scheele et al. 2013), reduces conflict between couples (Ditzen et al. 2009), and enhances the distance between pair bonded men and unfamiliar attractive individuals (Scheele et al. 2012).”
From A precision medicine approach to oxytocin trials (2017) · cites this paper as Ditzen et al. 2009
In the citing paper
“A more dominant theory of OT's effects on social cognition suggests that it increases approach toward and decreases avoidance of social stimuli [20], [18], [21], [22]”
From A direct examination of the effect of intranasal administration of oxytocin on approach-avoidance motor responses to emotional stimuli (2013) · cites this paper as [20]
In the citing paper
“Peripheral or nasal administration of OT facilitates social recognition and trust in healthy humans (Guastella et al., 2008a andb, 2009;Ditzen et al., 2009) and increases eye contact and recognition in autistic subjects (Hollander et al., 2007;Yamasue et al., 2009).”
From Two genetic variants of CD38 in subjects with autism spectrum disorder and controls (2010) · cites this paper as Ditzen et al., 2009
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In the paper
“Lerner, 2005, Facial expressions of emotion reveal neuroendocrine and cardiovascular stress responses, Biol Psychiatry, 58, 743, 10.1016/j.biopsych.2005.08.011”
Cited work 10.1016/j.biopsych.2005.08.011 · retracted 2007-01-12 · notice 10.1016/j.biopsych.2006.11.002 · this paper published 2009-05
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Oxytocin and postpartum depression: Delivering on what's known and what's not
Kim, S., Soeken, T. A., CROMER, S. J., Martinez, S. R., Hardy, L. R., & Strathearn, L. (2013) · Brain Research · doi:10.1016/j.brainres.2013.11.009 · Cited by 121
Overview of human oxytocin research
Kendrick, K. M., Guastella, A. J., & Becker, B. (2017) · Current Topics in Behavioral Neurosciences · doi:10.1007/7854_2017_19 · Cited by 121
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“OT appears to be the main neurohormone to explain empathy and theory of mind (TOM) [8-14].”
BackgroundOxytocin indexes relational distress following interpersonal harms in women
Tabak, B. A., McCullough, M. E., Szeto, A., Mendez, A. J., & McCabe, P. M. (2011) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2010.07.004 · Cited by 116
“, 2005) and constructive communication between romantic partners discussing conflictual issues (Ditzen et al., 2009)–—perhaps in part by inhibiting neural systems associated with fear (Baumgartner et al.”
BackgroundAdult attachment representations predict cortisol and oxytocin responses to stress
Pierrehumbert, B., Torrisi, R., Ansermet, F., Borghini, A., & Halfon, O. (2012) · Attachment & Human Development · doi:10.1080/14616734.2012.706394 · Cited by 115
“Firstly, that OT regulates the activation of the stress system (Carter, 1998; Ditzen et al., 2009; Heinrichs et al., 2003); secondly that OT is associated with increased motivation to engage in social”
BackgroundZelkowitz, P., Gold, I., Feeley, N., Hayton, B. C., Carter, C. S., Tulandi, T., Abenhaim, H. A., & Levin, P. (2014) · Hormones and Behavior · doi:10.1016/j.yhbeh.2014.06.014 · Cited by 123
“, 2008), and OT has been shown to reduce activation of the HPA axis (Ditzen et al., 2009; Heinrichs et al., 2003).”
BackgroundOxytocin and Autism: A Systematic Review of Randomized Controlled Trials
Preti, A., Melis, M., Siddi, S., Vellante, M., Doneddu, G., & Fadda, R. (2014) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2013.0040 · Cited by 118
“Evidence that oxytocin modulates anxiety and fear in animals (McCarthy et al. 1996), and shows anti-stress effects in humans (Ditzen et al. 2009) is compatible with this hypothesis.”
Hantsoo, L. V., Jagodnik, K. M., Novick, A. M., Baweja, R., di Scalea, T. L., Özerdem, A., McGlade, E., Simeonova, D. I., Dekel, S., Kornfield, S. L., et al. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1295261 · Cited by 175
A Little Anthropomorphism Goes a Long Way
de Visser, E. J., Monfort, S. S., Goodyear, K., Lu, L., O’Hara, M., Lee, M. R., Parasuraman, R., & Krüeger, F. (2017) · Human Factors The Journal of the Human Factors and Ergonomics Society · doi:10.1177/0018720816687205 · Cited by 118
“Previous studies have used 40-IU doses in both humans and rodents (Born et al., 2002; Ditzen et al., 2009; Neumann, Maloumby, Beiderbeck, Lukas, & Landgraf, 2013; Zak, Stanton, & Ahmadi, 2007).”
Ditzen, B., Nater, U. M., Schaer, M., La Marca, R., Bodenmann, G., Ehlert, U., & Heinrichs, M. (2013) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nss083 · Cited by 112
“cortisol levels, during a couple conflict task (Ditzen et al., 2009).”
BackgroundSelf-citationApicella, C. L., Cesarini, D. A., Johannesson, M., Dawes, C. T., Lichtenstein, P., Wallace, B., Beauchamp, J. P., & Westberg, L. (2010) · PLoS ONE · doi:10.1371/journal.pone.0011153 · Cited by 110
“A number of research teams have subsequently documented effects of exogenously administrated OXT on a wide spectrum of social behaviors, including trust [14], generosity [15] and pairbonding related phenotypes such as communication and behavior in a conflict discussion between couples [16].”
BackgroundPoulin, M. J., Holman, E. A., & Buffone, A. E. K. (2012) · Psychological Science · doi:10.1177/0956797611428471 · Cited by 110
“, 2010), and interactions with close others (Bakermans-Kranenburg & van IJzendoorn, 2008; Ditzen et al., 2008; Feldman, Gordon, Schneiderman, Weisman, & ZagoorySharon, 2010).”
Oxytocin and same-sex social behavior in female meadow voles
Beery, A. K., & Zucker, I. (2010) · Neuroscience · doi:10.1016/j.neuroscience.2010.05.023 · Cited by 108
Personality-dependent effects of oxytocin: greater social benefits for high alexithymia scorers
Luminet, O., Grynberg, D., Ruzette, N., & Mikolajczak, M. (2011) · Biological Psychology · doi:10.1016/j.biopsycho.2011.05.005 · Cited by 107
Intranasal Oxytocin as an Adjunct to Risperidone in Patients with Schizophrenia
Modabbernia, A., Rezaei, F., Salehi, B., Jafarinia, M., Ashrafi, M., Tabrizi, M. H., Hosseini, S. M. R., Tajdini, M., Ghaleiha, A., & Akhondzadeh, S. (2012) · CNS Drugs · doi:10.1007/s40263-012-0022-1 · Cited by 107
“Administration of oxytocin can improve social interactions and facilitate feelings of attachment in humans [2, 3].”
BackgroundOxytocin for the treatment of drug and alcohol use disorders
Lee, M. R., & Weerts, E. M. (2016) · Behavioural Pharmacology · doi:10.1097/fbp.0000000000000258 · Cited by 105
“…changes in measures of autonomic arousal and mood (MacDonald et al., 2011), increased positive communication during couples’ conflict discussions (Ditzen et al., 2009), and improved recognition and processing of positive facial expressions (di Simplicio et al., 2009; Marsh et al., 2010; Lischke…”
BackgroundInfluentialLinnen, A.-M., Ellenbogen, M. A., Cardoso, C., & Joober, R. (2012) · Stress · doi:10.3109/10253890.2011.631154 · Cited by 104
“Studies in humans have demonstrated that intranasal oxytocin increases interpersonal trust (Kosfeld et al. 2005; Baumgartner et al. 2008; Theodoridou et al. 2009) and increases positive communication during couple conflict (Ditzen et al. 2009).”
BackgroundLerer, E., Levi, S., Israel, S., Yaari, M., Nemanov, L., Mankuta, D., Yirmiya, N., & Ebstein, R. P. (2010) · Autism Research · doi:10.1002/aur.156 · Cited by 106
Kusev, P., Purser, H., Heilman, R. M., Cooke, A. J., van Schaik, P., Baranova, V. A., Martin, R., & Ayton, P. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00102 · Cited by 117
“…is not just a correlate of well-being, but a direct cause of it, as shown by a number of studies, involving intranasal administration of the neuromodulator (e.g., Ditzen et al., 2009; Van IJzendoorn et al., 2012), which can demonstrably reduce the production of cortisol (Cardoso et al., 2013).”
InfluentialEngert, V., Koester, A. M., Riepenhausen, A., & Singer, T. (2016) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2016.08.029 · Cited by 103
Long-term effects of early life stress exposure: Role of epigenetic mechanisms
Silberman, D. M., Acosta, G. B., & Zubilete, M. A. Z. (2016) · Pharmacological Research · doi:10.1016/j.phrs.2015.12.033 · Cited by 114
Algoe, S. B., Kurtz, L. E., & Grewen, K. (2017) · Psychological Science · doi:10.1177/0956797617716922 · Cited by 108
“This 24-hr urine-sampling method was selected because it is noninvasive, free from the stress and pain of having blood drawn (which may independently affect oxytocin levels; Eliava et al., 2016), and may more accurately reflect participants’ oxytocin levels as they go about their daily life.”
BackgroundMethodEarly life stress modulates oxytocin effects on limbic system during acute psychosocial stress
Grimm, S., Pestke, K., Feeser, M., Aust, S., Weigand, A., Wang, J., Wingenfeld, K., Pruessner, J. C., Marca, R. L., Böker, H., et al. (2014) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsu020 · Cited by 106
Behnia, B., Heinrichs, M., Bergmann, W., Jung, S., Germann, J., Schedlowski, M., Hartmann, U., & Kruger, T. H. C. (2014) · Hormones and Behavior · doi:10.1016/j.yhbeh.2014.01.009 · Cited by 103
“A downregulation of the HPA-axis function by OXT as observed previously in stress and partner-conflict studies (Ditzen et al., 2009; Heinrichs et al., 2003) was not observed in this study.”
ResultSelf-citationCataldo, I., Azhari, A., & Esposito, G. (2018) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2018.00027 · Cited by 97
“They have been established to facilitate biologically adaptive social behaviors, such as trust (Kosfeld et al., 2005) positive communication (Ditzen et al., 2009), maternal care (Bielsky et al., 2005; Bosch and Neumann, 2008), and affiliation (Lim et al., 2005; Veenema et al., 2010).”
BackgroundRole of oxytocin in the control of stress and food intake
Onaka, T., & Takayanagi, Y. (2019) · Journal of Neuroendocrinology · doi:10.1111/jne.12700 · Cited by 103
Intranasal oxytocin effects on social cognition: A critique
Evans, S. L., Dal Monte, O., Noble, P., & Averbeck, B. B. (2014) · Brain Research · doi:10.1016/j.brainres.2013.11.008 · Cited by 97
“…linked to higher plasma OT levels (Grewen et al., 2005; Light et al., 2005), and it has been shown that a dose of intranasal OT delivered prior to a couple conflict discussion can increase positive communication and reduce conflict-related rises in salivary cortisol levels (Ditzen et al., 2009).”
Oxytocin and stress-related disorders: neurobiological mechanisms and treatment opportunities
Sippel, L. M., Allington, C. E., Pietrzak, R. H., Harpaz-Rotem, I., Mayes, L. C., & Olff, M. (2017) · Chronic Stress · doi:10.1177/2470547016687996 · Cited by 99
CD38 and its role in oxytocin secretion and social behavior
Higashida, H., Yokoyama, S., Kikuchi, M., & Munesue, T. (2012) · Hormones and Behavior · doi:10.1016/j.yhbeh.2011.12.011 · Cited by 98
Acute intranasal oxytocin improves positive self-perceptions of personality
Cardoso, C., Ellenbogen, M. A., & Linnen, A.-M. (2012) · Psychopharmacology · doi:10.1007/s00213-011-2527-6 · Cited by 98
“most studies examine the effects of oxytocin 45 min after administration (Ditzen et al. 2009; Kosfeld et al. 2005), there was a 90-min delay between testing and drug administration”
BackgroundResultInfluentialEighty phenomena about the self: representation, evaluation, regulation, and change
Thagard, P. R., & Wood, J. V. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.00334 · Cited by 106
“Similarly, when oxytocin is administered to couples discussing a conflict, their positive verbal and non-verbal behaviors increase (Ditzen et al., 2009).”
BackgroundRault, J.-L., Carter, C. S., Garner, J. P., Marchant, J. N., Richert, B. T., & Lay, D. C. (2013) · Physiology & Behavior · doi:10.1016/j.physbeh.2013.02.007 · Cited by 94
Hormonal Mechanisms for Regulation of Aggression in Human Coalitions
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“2005), others suggest that oxytocin motivates affiliative behavior toward specific in-group targets (de Dreu et al. 2010, 2011; Ditzen et al. 2009; Miller 2010; Shamay-Tsoory et al. 2009; Theodoridou et al. 2009) consistent with discriminative nepotism and reciprocity (Alexander 1991, 2006; Daly and Wilson 1995).”
BackgroundJobst, A., Sabass, L., Palagyi, A., Bauriedl-Schmidt, C., Mauer, M. C., Sarubin, N., Buchheim, A., Renneberg, B., Falkai, P., Zill, P., et al. (2015) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2014.11.001 · Cited by 94
“…e.g. Ditzen and coworkers demonstrated an increase of positive communication behavior in relation to negative behavior together with a reduction of salivary cortisol levels after intranasal OT administration during a standard conflict discussion in heterosexual couples (Ditzen et al., 2009).”
BackgroundSlattery, D. A., & Neumann, I. D. (2010) · Pharmaceuticals · doi:10.3390/ph3030702 · Cited by 94
“which suggests that it not only improves positive social interaction, but also diminishes the physiological reactivity to social stressors [117].”
BackgroundHostinar, C. E., Cicchetti, D., & Rogosch, F. A. (2014) · Development and Psychopathology · doi:10.1017/s0954579414000066 · Cited by 95
“…ability to “read the mind” of another person (Domes, Heinrichs, Michel, Berger, & Herpertz, 2007), paternal responsiveness to infants during play (Naber, van IJzendoorn, Deschamps, van Engeland, & Bakermans-Kranenburg, 2010), and positive communication during couple conflict (Ditzen et al., 2009).”
BackgroundSalubrious effects of oxytocin on social stress-induced deficits
Smith, A. S., & Wang, Z. (2012) · Hormones and Behavior · doi:10.1016/j.yhbeh.2011.11.010 · Cited by 88
“…and reduces depression- and anxiety-like behavior during psychological stress (Legros et al., 1987; Windle et al., 1997; Petersson et al., 1999; Neumann et al., 2000; Heinrichs et al., 2003; Windle et al., 2004; Parker et al., 2005; Ditzen et al., 2009; Zheng et al., 2010; Linnen et al., 2011).”
BackgroundAntiaggressive activity of central oxytocin in male rats
Calcagnoli, F., de Boer, S. F., Althaus, M., den Boer, J. A., & Koolhaas, J. M. (2013) · Psychopharmacology · doi:10.1007/s00213-013-3124-7 · Cited by 90
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“, 2011) has een shown to lead to increased approach behavior as well as ecreased cortisol concentration (Ditzen et al., 2009).”
BackgroundHow the brain codes intimacy: The neurobiological substrates of romantic touch
Kreuder, A.-K., Scheele, D., Wassermann, L., Wollseifer, M., Stoffel-Wagner, B., Lee, M. R., Hennig, J., Maier, W., & Hurlemann, R. (2017) · Human Brain Mapping · doi:10.1002/hbm.23679 · Cited by 89
“…that OXT strengthens the maintenance of pair-bonds comes from studies showing that OXT increases positive communication during couple conflicts [Ditzen et al., 2009] and stimulates pair-bonded men to keep a larger social distance from an attractive, unfamiliar woman [Scheele et al., 2012].”
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“In addition, oxytocin specifically also promotes communication in a partnership; If a conflict occurs in a relationship, an increased oxytocin level ensures that the partners communicate with each other in a more positive and appreciative manner—for example, they show less contempt but more signals of emotional closen…”
BackgroundSauer, C., Montag, C., Wörner, C., Kirsch, P., & Reuter, M. (2012) · Neuropsychopharmacology · doi:10.1038/npp.2011.333 · Cited by 90
“…humans eg revealed that OT improves mind reading (Domes et al, 2007b), increases fixation of the eye region (Guastella et al, 2008), promotes trust (Kosfeld et al, 2005), in-group favoritism (De Dreu et al, 2010, 2011), and positive communication during couple conflicts (Ditzen et al, 2009).”
BackgroundOxytocin induces positive expectations about ambivalent stimuli (cognitive bias) in dogs
Kis, A., Hernádi, A., Kanizsàr, O., Gácsi, M., & Topál, J. (2014) · Hormones and Behavior · doi:10.1016/j.yhbeh.2014.12.004 · Cited by 96
“…phase: 5-15 minutes, pretreatment: 1-2 minutes, waiting period: 40 minutes, retraining: 3 minutes, test phase: 1 minute) that is presumed to be within the time interval when intranasally administered oxytocin exerts its central effects (see e.g. Ditzen et al., 2009; Heinrichs et al., 2003).”
Norman, G. J., Karelina, K., Morris, J. S., Zhang, N., Cochran, M., & Courtney DeVries, A. (2010) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181de8678 · Cited by 88
“For example, oxytocin decreases amygdala activation to threatening stimuli, increases trust, promotes the encoding of positive social memories (37,38), facilitates positive communication between spouses (39), and interacts with social support to decrease physiological stress reactivity (35).”
BackgroundLinks between the neurobiology of oxytocin and human musicality
Harvey, A. R. (2020) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2020.00350 · Cited by 85
Effects of acute stress on social behavior in women
von Dawans, B., Ditzen, B., Trueg, A., Fischbacher, U., & Heinrichs, M. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.08.031 · Cited by 84
Self-citationSchneiderman, I., Kanat‐Maymon, Y., Ebstein, R. P., & Feldman, R. (2013) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nst142 · Cited by 90
“Cumulative risk on the oxytocin receptor gene (OXTR) underpins empathic communication difficulties at the first stages of romantic love”
State and Trait Affectionate Communication Buffer Adults' Stress Reactions
Floyd, K., Pauley, P. M., & Hesse, C. (2010) · Communication Monographs · doi:10.1080/03637751.2010.498792 · Cited by 83
“Specifically, the data support the findings from experiments showing that higher levels of circulating oxytocin lead to an accelerated physiological recovery from stress (e.g., Ditzen et al., 2009; Heinrichs et al., 2003).”
ResultThe many faces of oxytocin: Implications for psychiatry
Zik, J. B., & Roberts, D. L. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.11.048 · Cited by 91
“, 2007), cooperation (Ditzen et al., 2009), social hugging (Light et al.”
BackgroundNose-to-Brain Delivery of Therapeutic Peptides as Nasal Aerosols
Alabsi, W., Eedara, B. B., Encinas-Basurto, D., Polt, R. L., & Mansour, H. M. (2022) · Pharmaceutics · doi:10.3390/pharmaceutics14091870 · Cited by 88
“In human studies, IN administration of OT showed increased trust [95], positive communication [96], reduce cortisol and increase anxiolytic effects in stress [97], improved mind reading [98], and has a positive effect on social behaviors in both normal [99] and autistic persons [100,101].”
Backgroundvan IJzendoorn, M. H., Huffmeijer, R., Alink, L. R. A., Bakermans-Kranenburg, M. J., & Tops, M. (2011) · Frontiers in Psychology · doi:10.3389/fpsyg.2011.00258 · Cited by 83
“In future studies real interactions around conflict tasks (Ditzen et al., 2009) with parents might be coded for episodes of love-withdrawal, or data from longitudinal studies with observations of parent–child interactions might be used as more informative on participants’ experiences with parental care and discipline…”
MethodEllenbogen, M. A., Linnen, A., Grumet, R., Cardoso, C., & Joober, R. (2012) · Psychophysiology · doi:10.1111/j.1469-8986.2011.01278.x · Cited by 82
Chen, X., Hackett, P. D., DeMarco, A. C., Feng, C., Stair, S., Haroon, E., Ditzen, B., Pagnoni, G., & Rilling, J. K. (2016) · Brain Imaging and Behavior · doi:10.1007/s11682-015-9411-7 · Cited by 81
“Furthermore, we have shown that intranasal OT decreases negative relative to positive conflict behaviors among couples during conflict discussion (Ditzen et al. 2009).”
Self-citationA review of human male field studies of hormones and behavioral reproductive effort
Gray, P. B., McHale, T. S., & Carré, J. M. (2016) · Hormones and Behavior · doi:10.1016/j.yhbeh.2016.07.004 · Cited by 83
“The administration of intranasal oxytocin to men yielded relatively more positive couple interactions in a lab setting (Ditzen et al., 2009) and higher evaluations of the attractiveness of a beloved partner's face compared with control female faces (Scheele et al., 2013).”
Oxytocin facilitates reciprocity in social communication
Spengler, F. B., Scheele, D., Marsh, N., Kofferath, C., Flach, A., Schwarz, S., Stoffel-Wagner, B., Maier, W., & Hurlemann, R. (2017) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsx061 · Cited by 83
“Findings that marital satisfaction positively correlates with emotional expressiveness (King, 1993), could thus be driven in part by an OXT-induced increase in behavioral synchrony between partners in addition to other changes in communicative style (Ditzen et al., 2009; Ditzen et al., 2013).”
BackgroundDoom, J. R., Doyle, C., & Gunnar, M. R. (2016) · Social Neuroscience · doi:10.1080/17470919.2016.1149095 · Cited by 92
“anxiety and cortisol reactivity to stress (Ditzen et al., 2009; Heinrichs et al., 2003), and there is correlational evidence that maternal support is related to increased oxytocin and”
BackgroundPillow Talk: Exploring Disclosures After Sexual Activity
Denes, A. (2012) · Western Journal of Communication · doi:10.1080/10570314.2011.651253 · Cited by 80
“Ditzen et al. (2009) tested oxytocin’s effect on communication and stress responses for couples.”
BackgroundSocial bonding: regulation by neuropeptides
Lieberwirth, C., & Wang, Z. (2014) · Frontiers in Neuroscience · doi:10.3389/fnins.2014.00171 · Cited by 86
“Furthermore, intranasal OT treatment increases positive communication behavior in relation to negative behavior during a couple conflict discussion (Ditzen et al., 2009).”
BackgroundOxytocin and socioemotional aging: current knowledge and future trends
Ebner, N. C., Maura, G. M., MacDonald, K., Westberg, L., & Fischer, H. (2013) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2013.00487 · Cited by 78
“For example, intranasal OT increased positive relative to negative behaviors during a laboratory couple conflict and reduced postconflict cortisol levels (Ditzen et al., 2009).”
BackgroundSocial Monogamy in Nonhuman Primates: Phylogeny, Phenotype, and Physiology
French, J. A., Cavanaugh, J., Mustoe, A. C., Carp, S. B., & Womack, S. L. (2017) · The Journal of Sex Research · doi:10.1080/00224499.2017.1339774 · Cited by 76
“…OT was administered intranasally during couple conflict, positive communication between partners increased, circulating cortisol levels decreased (Ditzen et al., 2009), and small blister wounds healed more quickly in marital couples (Gouin et al., 2010), relative to individuals that received a…”
BackgroundOxytocin in Schizophrenia: Pathophysiology and Implications for Future Treatment
Goh, K. K., Chen, C.-H., & Lane, H. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22042146 · Cited by 84
“In terms of social communication, 40 IU intranasal oxytocin administration increased positive communication in relation to negative behavior during a couple of conflict discussions in a randomized controlled trial [30].”
BackgroundMaternal oxytocin response during mother–infant interaction: Associations with adult temperament
Strathearn, L., Iyengar, U., Fonagy, P., & Kim, S. (2012) · Hormones and Behavior · doi:10.1016/j.yhbeh.2012.01.014 · Cited by 76
“In non-mother populations, intranasally administered oxytocin results in greater emotional empathy (Hurlemann et al., 2010), generosity (Zak et al., 2007), social cooperation (De Dreu et al., 2010), trust (Kosfeld et al., 2005) and positive communication during conflict (Ditzen et al., 2009).”
Cardoso, C., Ellenbogen, M. A., Serravalle, L., & Linnen, A. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2013.05.006 · Cited by 76
“As expected, studies of the effects of intranasal oxytocin on the response to different laboratory challenges reveal a stress-dampening effect of exogenous oxytocin on the hypothalamic-pituitary-adrenal axis and fear circuitry, including studies that have explicitly examined stress in an interpersonal context (Ditzen…”
BackgroundAnimal-assisted interventions as innovative tools for mental health.
Cirulli, F., Borgi, M., Berry, A., Francia, N., & Alleva, E. (2011) · PubMed · doi:10.4415/ann_11_04_04 · Cited by 80
“However, a large body of evidence links the central activity of the neuropeptide oxytocin with affiliative behaviour as well as with stress reduction in mammals particularly humans [21].”
BackgroundSchneiderman, I., Kanat‐Maymon, Y., Zagoory‐Sharon, O., & Feldman, R. (2014) · Social Neuroscience · doi:10.1080/17470919.2014.893925 · Cited by 74
“Human imaging studies showed that brain areas activated in romantic partners to cues of their loved ones are those rich in OT receptors (Acevedo, Aron, Fisher, & Brown, 2012); OT administration increased positive communication between couples (Ditzen et al., 2009); and low risk on the OXTR was associated with greater…”
BackgroundThe Neurobiology of Borderline Personality Disorder
Pérez-Rodríguez, M. M., Bulbena‐Cabré, A., Nia, A. B., Zipursky, G., Goodman, M. S., & New, A. S. (2018) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2018.07.012 · Cited by 86
The other side of the coin: oxytocin decreases the adherence to fairness norms
Radke, S., & de Bruijn, E. R. A. (2012) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2012.00193 · Cited by 73
“Given that OXT attenuates responses to stress, threat and anxiety, particularly in social situations (Heinrichs et al., 2006; Heinrichs and Domes, 2008; Ditzen et al., 2009; Norman et al., 2010; Bartz et al., 2011), OXT is likely to diminish the concern about other people’s disapproval.”
BackgroundAlgoe, S. B., & Way, B. M. (2014) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nst182 · Cited by 79
Higashida, H., Yokoyama, S., Huang, J., Liu, L., Ma, W., Akther, S., Higashida, C., Kikuchi, M., Minabe, Y., & Munesue, T. (2012) · Neurochemistry International · doi:10.1016/j.neuint.2012.01.030 · Cited by 74
“First, eye-to-eye gaze improved in three subjects, and the ability to converse developed in another three subjects, as expected from the results in healthy subjects (Guastella et al., 2008a,b; Ditzen et al., 2009) and autistic patients (Hollander et al.”
Oxytocin administration alters HPA reactivity in the context of parent–infant interaction
Weisman, O., Zagoory-Sharon, O., & Feldman, R. (2013) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2013.06.006 · Cited by 70
“In addition, OT decreased CT levels in couples following marital conflict discussion (Ditzen et al., 2009), and altered CT reactivity in healthy adults as a function of their emotion regulation capacities (Quirin et al.”
InfluentialPeled‐Avron, L., Abu-Akel, A. M., & Shamay‐Tsoory, S. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.04.023 · Cited by 79
Buttner, A. P. (2016) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2016.08.029 · Cited by 71
“Both endogenous release of OT and exogenous administration attenuate the autonomic and neuroendocrine response to stress (Altemus et al., 1995; Ditzen et al., 2009; Linnen et al., 2012).”
InfluentialThe endocrinology of human caregiving and its intergenerational transmission
Bos, P. A. (2016) · Development and Psychopathology · doi:10.1017/s0954579416000973 · Cited by 71
“Outside the context of parent–infant interaction, OXT administration also leads to a reduction of physiological stress responses during social interaction (Heinrichs, Baumgartner, Kirschbaum, & Ehlert, 2003) and to increased social bonding of adult partners during conflict (Ditzen et al., 2009).”
BackgroundHigham, J. P., Barr, C. S., Hoffman, C. L., Mandalaywala, T. M., Parker, K. J., & Maestripieri, D. (2011) · Behavioral Neuroscience · doi:10.1037/a0022695 · Cited by 69
“Increasing OT levels experimentally also increases affiliation in primates in other contexts, such as between pair-bonded marmosets (Smith et al., 2010), and human couples (Ditzen et al., 2009).”
Birnbaum, G. E., & Finkel, E. J. (2015) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2014.11.009 · Cited by 75
“Indeed, the neuropeptides oxytocin and vasopressin, which are secreted during sexual activity [17–20] facilitate bonding behaviors among both humans and other mammals [21 ,22 ,23,24 ].”
BackgroundUlmer-Yaniv, A., Avitsur, R., Kanat-Maymon, Y., Schneiderman, I., Zagoory-Sharon, O., & Feldman, R. (2016) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2016.02.017 · Cited by 68
Role of the 5-HT2A Receptor in Acute Effects of LSD on Empathy and Circulating Oxytocin
Holze, F., Avedisian, I., Varghese, N., Eckert, A., & Liechti, M. E. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.711255 · Cited by 73
Oxytocin modulates fMRI responses to facial expression in macaques
Liu, N., Hadj-Bouziane, F., Jones, K. B., Turchi, J. N., Averbeck, B. B., & Ungerleider, L. G. (2015) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1508097112 · Cited by 65
“, trust (7, 8), cooperation (9), generosity (10), and empathy (6, but see ref.”
BackgroundSex- and context-dependent effects of oxytocin on social sharing
Ma, X., Zhao, W., Luo, R., Zhou, F., Geng, Y., Xu, L., Gao, Z., Zheng, X., Becker, B., & Kendrick, K. M. (2018) · NeuroImage · doi:10.1016/j.neuroimage.2018.08.004 · Cited by 68
“, 2003), positive social communication during couple conflict (Ditzen et al., 2009) as well as social buffering in animals (Smith and Wang, 2014; Smith et al.”
Oxytocin and sex differences in behavior
Caldwell, H. K. (2018) · Current Opinion in Behavioral Sciences · doi:10.1016/j.cobeha.2018.02.002 · Cited by 68
Oxytocin and Rodent Models of Addiction
Leong, K.-C., Cox, S. S., King, C. E., Becker, H. C., & Reichel, C. M. (2018) · International review of neurobiology · doi:10.1016/bs.irn.2018.07.007 · Cited by 72
“Second, adaptation of intranasal oxytocin as route of administration will add consistency with addiction studies in humans, which will directly increase the translational relevance of the basic science models (Ditzen et al., 2009; Guastella et al., 2010; Pedersen et al., 2013).”
BackgroundGender moderates the effect of oxytocin on social judgments
Hoge, E. A., Anderson, E., Lawson, E. A., Bui, E., Fischer, L. E., Khadge, S. D., Barrett, L. F., & Simon, N. M. (2014) · Human Psychopharmacology: Clinical and Experimental · doi:10.1002/hup.2402 · Cited by 64
“Several recent studies found no gender differences (Savaskan et al. 2008; Ditzen et al., 2009; Guastella et al., 2009a; Shamay-Tsoory et al., 2009; Theodoridou et al., 2009), whereas others have reported gender differences (Gordon et al.”
BackgroundOxytocin - A Multifunctional Analgesic for Chronic Deep Tissue Pain
Goodin, B. R., Ness, T. J., & Robbins, M. T. (2014) · Current Pharmaceutical Design · doi:10.2174/1381612820666141027111843 · Cited by 66
“Indeed, animal and human studies have shown that the administration of OXY affects mood states by reducing anxiety and depressive symptoms as well as mitigating stress responses [58-61].”
BackgroundNeuropeptidergic regulation of pair-bonding and stress buffering: Lessons from voles
Gobrogge, K. L., & Wang, Z. (2015) · Hormones and Behavior · doi:10.1016/j.yhbeh.2015.08.010 · Cited by 64
“Intra-nasal infusion of OT enhances prosocial communication styles between partners (i.e., increased agreeableness, curiosity, emotional support, and sustained eye-to-eye contact (Ditzen et al., 2009)) and facilitates trust between individuals (Kosfeld et al., 2005).”
BackgroundGray, P. B. (2013) · American Journal of Physical Anthropology · doi:10.1002/ajpa.22394 · Cited by 70
Oxytocin modulates behavioral and physiological responses to a stressor in marmoset monkeys
Cavanaugh, J., Carp, S. B., Rock, C. M., & French, J. A. (2016) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2015.12.027 · Cited by 64
“When OXT was administered intranasally during conflict in marital couples, positive communication between partners increased and circulating cortisol levels decreased (Ditzen et al., 2009), relative to individuals that received a placebo.”
BackgroundThe Roles of Oxytocin and CD38 in Social or Parental Behaviors
Lopatina, O. L., Ивановна, И. А., Salmina, A. B., & Higashida, H. (2013) · Frontiers in Neuroscience · doi:10.3389/fnins.2012.00182 · Cited by 66
“OXT may play an important health-promoting role in positive couple interactions (Ditzen et al., 2009).”
BackgroundThe S cience of Interpersonal Trust
Borum, R. (2010) · Digital Commons - University of South Florida (University of South Florida) · Cited by 69
Kurth, F., Narr, K. L., Woods, R. P., O’Neill, J., Alger, J. R., Caplan, R., McCracken, J. T., Toga, A. W., & Levitt, J. G. (2011) · Biological Psychiatry · doi:10.1016/j.biopsych.2011.03.026 · Cited by 62
Harony, H., & Wagner, S. (2010) · Neurosignals · doi:10.1159/000321035 · Cited by 62
“Furthermore, intranasal delivery of OT was shown to increase positive communication and reduce cortisol levels during couple conflict [”
BackgroundOxytocin during breastfeeding and maternal mood symptoms
Whitley, J., Wouk, K., Bauer, A. E., Grewen, K., Gottfredson, N. C., Meltzer-Brody, S., Propper, C., Mills-Koonce, R., Pearson, B., & Stuebe, A. (2020) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.104581 · Cited by 61
Oxytocin selectively modulates brain response to stimuli probing social synchrony
Lévy, J., Goldstein, A., Zagoory‐Sharon, O., Weisman, O., Schneiderman, I., Eidelman-Rothman, M., & Feldman, R. (2015) · NeuroImage · doi:10.1016/j.neuroimage.2015.09.066 · Cited by 63
“For instance, in animals and humans OT reduced cortisol levels (Ditzen et al., 2009; Gordon et al., 2008; Heinrichs et al., 2003) and inhibited amygdalar response (Domes et al.”
BackgroundOxytocin enhances the pain‐relieving effects of social support in romantic couples
Kreuder, A., Wassermann, L., Wollseifer, M., Ditzen, B., Eckstein, M., Stoffel‐Wagner, B., Hennig, J., Hurlemann, R., & Scheele, D. (2019) · Human Brain Mapping · doi:10.1002/hbm.24368 · Cited by 62
“The hypothalamic peptide oxytocin (OXT) is released during partner contact (Grewen, Girdler, Amico, & Light, 2005) and contributes to the maintenance of long-term relationships (Ditzen et al., 2009; Kreuder et al., 2017; Scheele et al., 2013).”
BackgroundSelf-citationGoldman, M. B. (2009) · Brain Research Reviews · doi:10.1016/j.brainresrev.2009.06.004 · Cited by 59
“, 2008a; Legros, 2001) while CNS oxytocin diminishes psychological stress responses and enhances prosocial behaviors (Carter, 1999; Heinrichs et al., 2003; Keri et al., 2008; Ditzen et al., 2009).”
Cardoso, C., Linnen, A.-M., Joober, R., & Ellenbogen, M. A. (2012) · Experimental and Clinical Psychopharmacology · doi:10.1037/a0025763 · Cited by 60
The role of oxytocin and vasopressin in emotional and social behaviors
Bachner‐Melman, R., & Ebstein, R. P. (2014) · Handbook of clinical neurology · doi:10.1016/b978-0-444-59602-4.00004-6 · Cited by 65
Intimacy as Related to Cortisol Reactivity and Recovery in Couples Undergoing Psychosocial Stress
Ditzen, B., Germann, J., Meuwly, N., Bradbury, T. N., Bodenmann, G., & Heinrichs, M. (2018) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000633 · Cited by 62
Self-citationOxytocin and anxiety disorders
Gottschalk, M. G., & Domschke, K. (2017) · Current Topics in Behavioral Neurosciences · doi:10.1007/7854_2017_25 · Cited by 61
Krüeger, F., Parasuraman, R., Moody, L. N., Twieg, P., de Visser, E. J., McCabe, K., O’Hara, M., & Lee, M. R. (2012) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nss026 · Cited by 61
Bisagno, V., & Cadet, J. L. (2014) · Behavioural Pharmacology · doi:10.1097/fbp.0000000000000049 · Cited by 63
“, 2003) and decreases in salivary cortisol levels (Ditzen et al., 2009).”
Background
Metadata
- Authors
- Ditzen, B., Schaer, M., Gabriel, B., Bodenmann, G., Ehlert, U., & Heinrichs, M.
- Affiliations
- Emory University (US)
- University of Fribourg (CH)
- University of Zurich (CH)
- Corresponding author
- Ditzen, Beate
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2009-05
- Volume
- 65
- Issue
- 9
- Pages
- 728-731
- ISSN
- 0006-3223 (ISSN-L)
- OpenAlex
- W1977529793
- Cited by
- 805
- References
- 53
- Citations by year
- 2026: 33 · 2025: 30 · 2024: 23 · 2023: 35 · 2022: 28 · 2021: 45 · 2020: 46 · 2019: 51 · 2018: 57 · 2017: 68 · 2016: 45 · 2015: 62 · 2014: 65 · 2013: 55 · 2012: 54
- FWCI
- 15.08
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Digital Access to Libraries (submittedVersion)
- Zürcher Hochschule für Angewandte Wissenschaften digital collection (Zurich University of Applied Sciences) (submittedVersion, cc-by-nc-nd)
- FreiDok plus (Universitätsbibliothek Freiburg) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroendocrine regulation and behavior
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Life Sciences › Neuroscience › Sensory Systems › Olfactory and Sensory Function Studies
- Keywords
- oxytocin, couple conflict, positive communication, salivary cortisol, intranasal administration, close relationships, pair bonding, social stress, self-disclosure, eye contact, nonverbal behavior, attachment
- MeSH terms
- Administration, Intranasal, Adult, Communication, Conflict, Psychological, Double-Blind Method, Family Characteristics, Female, Humans, Hydrocortisone, Interpersonal Relations, Male, Middle Aged, Oxytocin, Placebos, Saliva
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