Cited by 308Schizophrenia research and treatmentNeuroendocrine regulation and behaviorNeurotransmitter Receptor Influence on Behavior

Adjunctive intranasal oxytocin reduces symptoms in schizophrenia patients

Feifel, David, Macdonald, Kai, Nguyen, Angel, Cobb, Patrice, Warlan, Heather, Galangue, Barbara, Minassian, Arpi, Becker, Olga +5 more·2010·Biological Psychiatry

Abstract

Background Both human and animal studies suggest oxytocin may have antipsychotic properties. Therefore, we conducted a clinical trial to directly test this notion.Methods Nineteen schizophrenia patients with residual symptoms despite being on a stable dose of at least one antipsychotic were enrolled in a randomized, double-blind, crossover study. They received 3 weeks of daily intranasal oxytocin (titrated to 40 IU twice a day) and placebo adjunctive to their antipsychotics. Order of intranasal treatment was randomly assigned and there was a 1-week washout between treatments.Results Analysis of the 15 subjects who completed all the study visits revealed that oxytocin significantly reduced scores on the Positive and Negative Symptom Scale (p < .001) and Clinical Global Impression-Improvement Scale (p < .001) compared with placebo at the 3-week end point. No benefit was seen at the early time points. Oxytocin was well tolerated and produced no adverse effects based upon patient reports or laboratory analysis.Conclusions The results support the hypothesis that oxytocin has antipsychotic properties and is well tolerated. Higher doses and longer duration of treatment may produce larger benefits and should be evaluated in future studies.

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Crossref · 10.1016/j.biopsych.2010.04.039

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Authors
Feifel, D., Macdonald, K., Nguyen, A., Cobb, P., Warlan, H., Galangue, B., Minassian, A., Becker, O., Cooper, J., Perry, W., Lefebvre, M., Gonzales, J., & Hadley, A.
Affiliations
University of California San Diego Medical Center (US)
Corresponding author
Feifel, David
Venue
Biological Psychiatry
Publisher
Elsevier BV
Published
2010-10
Volume
68
Issue
7
Pages
678-680
ISSN
0006-3223 (ISSN-L)
OpenAlex
W1976654483
Cited by
308
References
19
Citations by year
2026: 5 · 2025: 3 · 2024: 14 · 2023: 13 · 2022: 11 · 2021: 16 · 2020: 7 · 2019: 12 · 2018: 9 · 2017: 20 · 2016: 31 · 2015: 34 · 2014: 30 · 2013: 43 · 2012: 30
FWCI
22.27
Type
journal article
Language
en
Open access
closed
Locations
  • Biological Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
Stanley Medical Research Institute
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords
oxytocin, schizophrenia, adjunctive therapy, residual symptoms, intranasal administration, positive and negative symptoms, treatment tolerability
MeSH terms
Administration, Intranasal, Adult, Double-Blind Method, Female, Humans, Male, Middle Aged, Oxytocin, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Antipsychotic Agents, Treatment Outcome

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