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Effects of Intranasal Oxytocin on Thermal Pain in Healthy Men: A Randomized Functional Magnetic Resonance Imaging Study
Abstract
OBJECTIVE: Intranasal oxytocin has been shown to affect human social and emotional processing, but its potential to affect pain remains elusive. This randomized, placebo-controlled, double-blind, crossover trial investigated the effect of intranasal oxytocin on the perception and processing of noxious experimental heat in 36 healthy male volunteers. METHODS: Thermal thresholds were determined according to the Quantitative Sensory Testing protocol. A functional magnetic resonance imaging experiment including intensity and unpleasantness ratings of tonic heat was used to investigate the effects of oxytocin within the brain. RESULTS: Thirty men (aged 18-50 years) were included in the study. Intranasal oxytocin had no significant effect on thermal thresholds, but significantly (t = -2.06, p = .046) reduced heat intensity ratings during functional magnetic resonance imaging. The effect on intensity ratings was small (-3.46 points on a 100-point visual analog scale [95% confidence interval {CI} = -6.86 to -0.07] and independent of temperature. No effects of oxytocin on stimulus- or temperature-related processing were found at the whole-brain level at a robust statistical threshold. A region of interest analysis indicated that oxytocin caused small but significant decreases in left (-0.045%, 95% CI = -0.087 to -0.003, t = -2.19, p = .037) and right (-0.051%, 95% CI = -0.088 to -0.014], t = -2.82, p = .008) amygdala activity across all temperatures. CONCLUSIONS: The present study provides evidence for a significant but subtle inhibitory effect of oxytocin on thermal stimulus ratings and concurrent amygdala activity. Neither of the two effects significantly depended of temperature; therefore, the hypothesis of a pain-specific effect of oxytocin could not be confirmed. TRIAL REGISTRATION: EUDRA-CT 2009-015115-40.
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“To our knowledge, there is little neuroimaging work in females focusing on oxytocin and its influence on neural systems for pain processing, as most published work is exclusively on males and/or is focused on empathy for pain.54, 55, 56, 57”
From Intranasal oxytocin enhances intrinsic corticostriatal functional connectivity in women (2017) · cites this paper as [56]
In the citing paper
“However, double‐blind, placebo‐controlled studies have produced mixed results.”
From The Analgesic Effect of Oxytocin in Humans: A Double‐Blind, Placebo‐Controlled Cross‐Over Study Using Laser‐Evoked Potentials (2016) · cites this paper as [23]
In the citing paper
“Most reports have not demonstrated any specific antinociceptive properties for oxytocin 23, 24, 25, including a phase 1 open‐label trial using intrathecal administration 26.”
From The Analgesic Effect of Oxytocin in Humans: A Double‐Blind, Placebo‐Controlled Cross‐Over Study Using Laser‐Evoked Potentials (2016) · cites this paper as [23]
In the citing paper
“Experimental studies on healthy volunteers using acute noxious electrical, contact heat and cold‐pressor stimuli have produced further conflicting results.”
From The Analgesic Effect of Oxytocin in Humans: A Double‐Blind, Placebo‐Controlled Cross‐Over Study Using Laser‐Evoked Potentials (2016) · cites this paper as [23]
In the citing paper
“existing studies have either failed to show a mitigating effect of oxytocin on negative mood 27 or have shown that such an effect was not related to the pain experience 23.”
From The Analgesic Effect of Oxytocin in Humans: A Double‐Blind, Placebo‐Controlled Cross‐Over Study Using Laser‐Evoked Potentials (2016) · cites this paper as [23]
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Metadata
- Authors
- Zunhammer, M., Geis, S., Busch, V., Greenlee, M. W., & Eichhammer, P.
- Affiliations
- Society for Neuroscience (US)
- Corresponding author
- Zunhammer, Matthias
- Venue
- Psychosomatic Medicine
- Published
- 2015-02
- Volume
- 77
- Issue
- 2
- Pages
- 156-166
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W1998476154
- Cited by
- 42
- References
- 45
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 5 · 2022: 1 · 2021: 2 · 2020: 6 · 2019: 5 · 2018: 7 · 2017: 5 · 2016: 4 · 2015: 3
- FWCI
- 10.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- University of Regensburg Publication Server (University of Regensburg) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroendocrine regulation and behavior
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- intranasal oxytocin, thermal pain, pain intensity, amygdala activity, temperature thresholds, placebo effect, pain modulation
- MeSH terms
- Administration, Intranasal, Adolescent, Adult, Brain, Hot Temperature, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Oxytocin, Pain Measurement, Young Adult, Pain Perception, Functional Neuroimaging
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