Effect of Oxytocin Nasal Sprays on Social Behavior in Social Anxiety Disorder



Status:Completed
Conditions:Anxiety, Healthy Studies, Psychiatric
Therapuetic Areas:Psychiatry / Psychology, Other
Healthy:No
Age Range:18 - Any
Updated:2/15/2018
Start Date:July 2012
End Date:August 2013

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Effect of Oxytocin on Pro-Social Behavior in Social Anxiety Disorder

The purpose of this study is to learn more about how the hormone, oxytocin, impacts social
behavior in terms of cooperation with others, attention processing, and reward processing,
among patients with social anxiety disorder. Based on available research, the investigators
predict that in patients with social anxiety disorder, oxytocin will improve social
cooperation during an online ball-tossing game called Cyberball, reduce attention toward
socially threatening cues during a dot-probe task, and lead to greater willingness to work
for monetary rewards for others rather than themselves during an effort expenditure task.


Inclusion Criteria:

- Males > 18 years of age with a primary (or co-principal) psychiatric diagnosis of
social anxiety disorder (SAD), as defined by Diagnostic and Statistical Manual-IV
(DSM-IV) criteria;

- Current Liebowitz Social Anxiety Scale (LSAS) score > 60, which is a clinical
threshold for SAD symptoms;

- Comorbid present DSM-IV Major Depression, Dysthymia, Specific Phobia, or any of the
other anxiety disorders as diagnosed by DSM-IV criteria will be permitted as long as
SAD is primary (the disorder that is most distressing to the patient). Inclusion of
patients with comorbidity will permit accrual of a more clinically relevant patient
population;

- Willingness to participate in and comply with the study procedures as indicated by
signing the informed consent form.

Exclusion Criteria:

- Subjects with a serious medical illness for which hospitalization may be likely within
the next three months;

- Subjects with a current diagnosis of schizophrenia, psychotic disorders, bipolar
disorder, mental disorder due to a medical condition or substance, substance abuse or
dependence, as diagnosed by DSM-IV criteria;

- Concurrent use of other psychotropic medications is excluded, except for
antidepressants that have been taken at a stable dose for at least 2 weeks;

- Active suicidal or homicidal ideation or suicide attempts within the past six months
requiring hospitalization;

- Subjects with significant nasal pathology (atrophic rhinitis, recurrent nose bleeds,
or history of hypophysectomy);

- Smokers who smoke more than 15 cigarettes per day;

- Those who smoke cigarettes or have caffeine or alcohol within 24 hours of the study
visit.
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