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Schizophr Bull. 2015 Mar;41(2):483-93. doi: 10.1093/schbul/sbu094. Epub 2014 Jun 23.

A double-blind randomized controlled trial of oxytocin nasal spray and social cognition training for young people with early psychosis.

Author information

1
Brain & Mind Research Institute, University of Sydney, Sydney, Australia;
2
ARC Centre of Excellence in Cognition and its Disorders (CCD), Macquarie University, Sydney, Australia;
3
School of Psychiatry, University of New South Wales, Sydney, Australia;
4
Child Development Unit, The Children's Hospital at Westmead, Sydney, Australia.
5
Brain & Mind Research Institute, University of Sydney, Sydney, Australia; adam.guastella@sydney.edu.au.

Abstract

Social-cognitive deficits contribute to poor functional outcomes in early psychosis; however, no effective pharmacological treatments exist for these problems. This study was the first to investigate the efficacy of an extended treatment of oxytocin nasal spray combined with social cognition training (SCT) to improve social cognition, clinical symptoms, and social functioning in early psychosis. In a double-blind, randomized, placebo-controlled, between-subjects trial, 52 individuals (aged 16-35 years) diagnosed with an early psychosis schizophrenia-spectrum illness were recruited. Participants received oxytocin (24 International Units) or placebo nasal spray twice-daily for 6 weeks, combined with group SCT (2 × 1 hour weekly sessions for 6 weeks). An additional dose of oxytocin was administered before each weekly session. Assessments were conducted at baseline, post-treatment, and at 3-month follow-up. Primary outcomes included the Reading the Mind in the Eyes Test, the Scale for the Assessment of Positive and Negative Symptoms, and the Social Functioning Scale. Secondary outcomes included self-report and behavioral assessments of social cognition, symptom severity, and social functioning. Results showed that on all primary and secondary outcomes, there was no benefit of oxytocin nasal spray treatment in comparison to placebo. Exploratory post hoc analysis suggested that increased use of nasal spray was, however, associated with reductions in negative symptoms in the oxytocin condition only. This study represents the first evaluation of oxytocin treatment for early psychosis. Although results suggest no benefit of oxytocin treatment, results also highlight an urgent need to consider nasal spray delivery and dose-related variables for future clinical trials.

KEYWORDS:

emotion recognition; neuropeptides; schizophrenia; social behavior

PMID:
24962607
PMCID:
PMC4332939
DOI:
10.1093/schbul/sbu094
[Indexed for MEDLINE]
Free PMC Article

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