Intranasal Oxytocin Selectively Modulates Social Perception, Craving, and Approach Behavior in Subjects With Alcohol Use Disorder.

Objectives: A pharmacotherapy that both improves social abilities and promotes abstinence may be particularly helpful for the treatment of alcohol use disorder. Recent clinical and preclinical evidence suggests that oxytocin has prosocial and antiaddiction effects. We performed a pilot, laboratory-b...

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Publicado en:Journal of Addiction Medicine Vol. 10; no. 3; pp. 182 - 190
Autores principales: Mitchell, Jennifer M., Arcuni, Peter A., Weinstein, Dawn, Woolley, Josh D.
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins May/Jun2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2016
      vid: 10
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/ADM.0000000000000213
        115826643
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        atl: Intranasal Oxytocin Selectively Modulates Social Perception, Craving, and Approach Behavior in Subjects With Alcohol Use Disorder.
      aug:
        au:
          Mitchell, Jennifer M.
          Arcuni, Peter A.
          Weinstein, Dawn
          Woolley, Josh D.
        affil: Department of Neurology, University of California S an Francisco, San Francisco, CA
      sug:
        subj:
          Administration, Intranasal
          Oxytocin Administration and Dosage
          Social Attitudes
          Craving Drug Effects
          Alcohol-Related Disorders Physiopathology
          Alcohol-Related Disorders Drug Therapy
          Alcohol Abuse Pathology
          Drug Evaluation, Preclinical
          Behavioral Changes
          Social Perception
          Human
          DSM
          Pilot Studies
          Double-Blind Studies
          Placebos Administration and Dosage
          Crossover Design
          Anxiety
      ab: Objectives: A pharmacotherapy that both improves social abilities and promotes abstinence may be particularly helpful for the treatment of alcohol use disorder. Recent clinical and preclinical evidence suggests that oxytocin has prosocial and antiaddiction effects. We performed a pilot, laboratory-based, preclinical trial of oxytocin in subjects with alcohol abuse (as per Diagnostic and Statistical Manual of Mental Disorders, 4th Edition criteria) to evaluate therapeutic potential and assess tolerability. Methods: Social perceptual ability, cue-induced craving, and approach bias for alcohol and appetitive imagery were quantified after intranasal oxytocin and placebo administration to 32 nontreat-ment-seeking individuals with alcohol abuse in a double-blind, crossover study. Because attachment style can moderate the effects of oxytocin, we also explored whether attachment style moderated oxytocin's effects on our behavioral measures. Results: Oxytocin significantly improved recognition of easier items on a social perception task, but had no significant group-level effect on cue-induced craving. However, oxytocin effects on craving were moderated by attachment anxiety, with oxytocin reducing craving in more anxiously attached individuals and increasing craving in less anxiously attached individuals. Subjects did not display an approach bias to alcohol images on the placebo day, preventing meaningful analysis of this measure. Subjects did display an approach bias to appetitive images on the placebo day, which was significantly reduced by oxytocin administration. No adverse reactions were observed. Conclusions: Intranasal oxytocin has potential to improve social perception, reduce cue-induced alcohol cravings, and reduce appetitive approach bias in subjects with alcohol abuse, and can be safely tolerated in this population. The effects of oxytocin are complex, however, and require further investigation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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