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Oxytocin and Stress-related Disorders: Neurobiological Mechanisms and Treatment Opportunities
Open accessAbstract
Novel pharmacotherapies that improve outcomes for individuals with stress-related psychiatric disorders are needed. The neurohormone oxytocin (OT) is a promising candidate given its influence on the social–emotional brain. In this review, we present an overview of evidence supporting OT’s utility for treating major depressive disorder and posttraumatic stress disorder. We first discuss endogenous OT, which research suggests is not yet a reliable biomarker of stress-related disorders. Second, we review effects of intranasal (IN) OT on processes relevant to stress-related disorders in healthy populations (anhedonia, reward processing, psychosocial stress reactivity, fear/anxiety, and social behavior) and their neurobiological mechanisms (e.g., the salience network and hypothalamic–pituitary–adrenal axis). Third, we present the sparse but promising findings from clinical populations, followed by discussion of critical moderating variables to consider in the service of maximizing the therapeutic potential of OT (e.g., patient sex and child maltreatment). We also identify heterogeneous findings and limitations of existing research, including reliance on single-dose studies in psychiatrically healthy samples and unanswered questions regarding the effectiveness of IN drug delivery and dosing schedules. Well-controlled multidose studies including women and measures of potentially moderating variables are sorely needed and would inform our understanding of the utility of OT for preventing and treating stress-related psychiatric disorders.
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“Studies indicate that OXT influences processes implicated in disorders characterized by social deficits, such as major depressive disorder, posttraumatic stress disorder, ADS, and schizophrenia (Cochran et al., 2013; Sippel et al., 2017).”
From Convergence of oxytocin and dopamine signalling in neuronal circuits: Insights into the neurobiology of social interactions across species (2024) · cites this paper as Sippel et al., 2017
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“Similarly, anxiously attached individuals remembered their mothers as less caring and close following OT versus placebo, compared with securely attached individuals, who remembered their mothers as more caring and close in childhood following IN OT versus placebo.(170) Alternatively, some studies suggest utility of IN…”
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“For example, there are large discrepancies in OT levels measured from unextracted and extracted plasma.(43) Values derived from unextracted samples have been found to be two orders of magnitude higher, likely because molecules besides OT are tagged and detected.”
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“Additional studies of the effects of IN OT on threat perception in PTSD samples are needed, given its role in the development and maintenance of PTSD,(144) OT-related increases in salience processing,(94) and evidence that IN OT increases anxiety to unpredictable threat.(145) IN OT may also have distinct effects at di…”
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Oxytocin, the peptide that bonds the sexes also divides them
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“A meta-analysis of 64 studies of several psychiatric disorders, including MDD but not PTSD, showed no significant differences in peripheral OT between healthy and psychiatric groups (except in anorexia).(40) Compared with trauma-exposed controls, lower peripheral OT levels have been observed in men, but not women, wit…”
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“Severity and course of MDD may also be meaningful qualifiers for use of IN OT.”
BackgroundInfluentialPlasma oxytocin is related to lower cardiovascular and sympathetic reactivity to stress
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Self-citationFailed Replication of Oxytocin Effects on Trust: The Envelope Task Case
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Self-citationInteractive Effects Between Extraversion and Oxytocin Administration
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Flagged first, then by citations
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Research works printed but not linked: 4
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Handbook of Religion and Health
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Metadata
- Authors
- Sippel, L. M., Allington, C. E., Pietrzak, R. H., Harpaz-Rotem, I., Mayes, L. C., & Olff, M.
- Affiliations
- United States Department of Veterans Affairs (US)
- VA Connecticut Healthcare System (US)
- U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, Clinical Neurosciences Division, VA Connecticut Healthcare System, West Haven, CT, USA
- Yale University (US)
- Amsterdam UMC Location University of Amsterdam (NL)
- Corresponding author
- Sippel, Lauren M.
- Venue
- Chronic Stress
- Publisher
- SAGE Publications
- Published
- 2017-02
- Volume
- 1
- ISSN
- 2470-5470 (ISSN-L)
- PMC
- PMC5482285
- OpenAlex
- W2588660371
- Cited by
- 99
- References
- 204
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5 · 2023: 43 · 2022: 8 · 2021: 10 · 2020: 6 · 2019: 7 · 2018: 11 · 2017: 1
- FWCI
- 9.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Chronic Stress (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Europe PMC (PubMed Central) (acceptedVersion, cc-by-nc)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health (VA999999)
- National Center for PTSD, U.S. Department of Veterans Affairs
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroendocrine regulation and behavior
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Keywords
- oxytocin, stress-related psychiatric disorders, major depressive disorder, post-traumatic stress disorder, intranasal oxytocin, anhedonia, reward processing, fear and anxiety, social behavior, salience network, hypothalamic-pituitary-adrenal axis, child abuse, sex differences
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.
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