Oxytocin, dopamine, and the amygdala: a neurofunctional model of social cognitive deficits in schizophrenia.
Open accessAbstract
Until recently, the social cognitive impairment in schizophrenia has been underappreciated and remains essentially untreated. Deficits in emotional processing, social perception and knowledge, theory of mind, and attributional bias may contribute to functional social cognitive impairments in schizophrenia. The amygdala has been implicated as a key component of social cognitive circuitry in both animal and human studies. In addition, structural and functional studies of schizophrenia reproducibly demonstrate abnormalities in the amygdala and dopaminergic signaling. Finally, the neurohormone oxytocin plays an important role in multiple social behaviors in several mammals, including humans. We propose a model of social cognitive dysfunction in schizophrenia and discuss its therapeutic implications. The model comprises abnormalities in oxytocinergic and dopaminergic signaling in the amygdala that result in impaired emotional salience processing with consequent social cognitive deficits.
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Intranasal oxytocin (OXT) facilitates empathy.
“Converging evidence suggests that the hypothalamic neuropeptide oxytocin (OXT) facilitates empathy (Rosenfeld et al., 2011; Striepens et al., 2011; Riem, 2012).”
From Oxytocin Enhancement of Emotional Empathy: Generalization Across Cultures and Effects on Amygdala Activity (2018) · cites this paper as Rosenfeld et al., 2011
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The Social Salience Hypothesis of Oxytocin
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“The amygdala (and particularly its central nucleus) is perhaps the most likely site where the interactive effect of DA and OT on salience and attention reorienting takes place, given its established role in attention reorienting and the assignment of salience to social and positive and negative emotional stimuli (111-…”
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Prosocial effects of oxytocin and clinical evidence for its therapeutic potential
Striepens, N., Kendrick, K. M., Maier, W., & Hurlemann, R. (2011) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2011.07.001 · Cited by 283 · see citing works
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Ellingsen, D.-M., Wessberg, J., Chelnokova, O., Olausson, H., Laeng, B., & Leknes, S. (2014) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2013.09.017 · Cited by 153 · see citing works
Metacognition, Self-Reflection and Recovery In Schizophrenia
Lysaker, P. H., Vohs, J. L., Ballard, R., Fogley, R., Salvatore, G., Popolo, R., & Dimaggio, G. (2013) · Future Neurology · doi:10.2217/fnl.12.78 · Cited by 134 · see citing works
Oxytocin, vasopressin, and the motivational forces that drive social behaviors
Caldwell, H. K., & Albers, H. E. (2015) · Current Topics in Behavioral Neurosciences · doi:10.1007/7854_2015_390 · Cited by 129 · see citing works
Shamay-Tsoory, S. G., Abu-Akel, A., Palgi, S., Sulieman, R., Fischer-Shofty, M., Levkovitz, Y., & Decety, J. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2013.09.015 · Cited by 123 · see citing works
Oxytocin administration enhances controlled social cognition in patients with schizophrenia
Woolley, J. D., Chuang, B., Lam, O., Lai, W., O’Donovan, A., Rankin, K. P., Mathalon, D. H., & Vinogradov, S. (2014) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2014.04.024 · Cited by 116 · see citing works
A Review of Oxytocin’s Effects on the Positive, Negative, and Cognitive Domains of Schizophrenia
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Prosocial effects of oxytocin in two mouse models of autism spectrum disorders
Teng, B. L., Nonneman, R. J., Agster, K. L., Nikolova, V. D., Davis, T. T., Riddick, N. V., Baker, L. K., Pedersen, C. A., Jarstfer, M. B., & Moy, S. S. (2013) · Neuropharmacology · doi:10.1016/j.neuropharm.2013.04.038 · Cited by 98 · see citing works
Oxytocin increases empathy to pain when adopting the other-but not the self-perspective
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Sobota, R., Mihara, T., Forrest, A., Featherstone, R. E., & Siegel, S. J. (2015) · Behavioral Neuroscience · doi:10.1037/bne0000074 · Cited by 80 · see citing works
Geng, Y., Zhao, W., Zhou, F., Ma, X., Yao, S., Hurlemann, R., Becker, B., & Kendrick, K. M. (2018) · Frontiers in Neuroscience · doi:10.3389/fnins.2018.00512 · Cited by 78 · see citing works
Kruppa, J. A., Gossen, A., Oberwelland Weiß, E., Kohls, G., Großheinrich, N., Cholemkery, H., Freitag, C. M., Karges, W., Wölfle, E., Sinzig, J., et al. (2019) · Neuropsychopharmacology · doi:10.1038/s41386-018-0258-7 · Cited by 69 · see citing works
Theory of mind and its relevance in schizophrenia
Biedermann, F., Frajo-Apor, B., & Hofer, A. (2012) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e3283503624 · Cited by 65 · see citing works
Long-term oxytocin administration improves social behaviors in a girl with autistic disorder
Kosaka, H., Munesue, T., Ishitobi, M., Asano, M., Omori, M., Sato, M., Tomoda, A., & Wada, Y. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-110 · Cited by 65 · see citing works
Gumley, A. I., Schwannauer, M., Macbeth, A., Fisher, R., Clark, S., Rattrie, L., Fraser, G., McCabe, R., Blair, A., Davidson, K., et al. (2014) · British Journal of Psychiatry · doi:10.1192/bjp.bp.113.126722 · Cited by 63 · see citing works
de la Mora, M. P., Pérez-Carrera, D., Crespo-Ramírez, M., Tarakanov, A., Fuxe, K., & Borroto-Escuela, D. O. (2016) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/j.bbadis.2016.07.004 · Cited by 63 · see citing works
The role of D2 dopamine receptors in oxytocin induced place preference and anxiolytic effect
László, K., Péczely, L., Géczi, F., Kovács, A., Zagoracz, O., Ollmann, T., Kertes, E., Kállai, V., László, B., Berta, B., et al. (2020) · Hormones and Behavior · doi:10.1016/j.yhbeh.2020.104777 · Cited by 18 · see citing works
- Authors
- Rosenfeld, A. J., Lieberman, J. A., & Jarskog, L. F.
- Affiliations
- New York State Psychiatric Institute (US)
- Corresponding author
- Rosenfeld, A. J.
- Venue
- Schizophrenia Bulletin
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-03-22
- Volume
- 37
- Issue
- 5
- Pages
- 1077-1087
- ISSN
- 0586-7614 (ISSN-L)
- 1745-1701
- PMC
- PMC3160224
- OpenAlex
- W2109677536
- Cited by
- 178
- References
- 101
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 6 · 2022: 16 · 2021: 12 · 2020: 9 · 2019: 11 · 2018: 10 · 2017: 15 · 2016: 7 · 2015: 21 · 2014: 20 · 2013: 18 · 2012: 11
- FWCI
- 8.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Schizophrenia Bulletin (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly and Company
- Pfizer
- AstraZeneca
- GlaxoSmithKline
- National Institutes of Health (5rc1mh089084-02)
- National Institute of Mental Health (RC1 MH089084)
- 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
- schizophrenia, social cognition
- MeSH terms
- Amygdala, Animals, Cognition Disorders, Dopamine, Emotions, Humans, Models, Psychological, Oxytocin, Schizophrenia, Schizophrenic Psychology, Social Behavior, Social Perception
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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