Skip to content

Intranasal Oxytocin Administration and the Neural Correlates of Social and Non-Social Visual Perception

Oxytocin Pilot: Oxytocin and Face Perception

Status
Completed
Phases
Early Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02238379
Enrollment
26
Registered
2014-09-12
Start date
2014-09-30
Completion date
2015-12-31
Last updated
2018-01-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Social Perception

Keywords

Intranasal oxytocin, Social perception, EEG/ERP

Brief summary

The objective of this study is to investigate the effects of oxytocin on social behavior and brain activity using EEG and the event-related potential (ERP) technique. The value of EEG is its high temporal specificity, enabling precision in the timing of social behavior to be addressed. In order to elicit social responses in the human brain, a variety of social and emotional visual stimuli will be presented during EEG recording, namely infant and adult faces and houses. Brain responses after intranasal oxytocin will then be compared with placebo, to examine the effect of intranasal oxytocin on central nervous system activity. We hypothesize that intranasal oxytocin will enhance the neural response to social stimuli (infant and adult faces) but not to non-social stimuli (houses).

Interventions

DRUGOxytocin

24 International Units of Oxytocin in a Nasal Spray

OTHERPlacebo

Placebo will contain all ingredients except the active oxytocin in the Nasal Spray.

Sponsors

Anna Freud
CollaboratorOTHER
Yale University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 64 Years
Healthy volunteers
Yes

Inclusion criteria

* Adults ages 18-64 * Good medical health * Ability to understand and speak English

Exclusion criteria

* Pregnancy * Medical Illnesses: Moderate or severe acute or chronic medical illnesses (e.g. cardiac disease, diabetes, epilepsy, influenza). * Cardiovascular risk factors: History of hypertension with baseline blood pressure above 140 mm Hg (systolic) over 90 mm Hg (diastolic). Also any history of syncope and/or baseline blood pressure below 100 mm Hg (systolic). * CNS disease: Known history of brain abnormalities (e.g., neoplasms, subarachnoid cysts), cerebrovascular disease, infectious disease (e.g., abscess), other central nervous system disease, or history of head trauma which resulted in a persistent neurologic deficit or loss of consciousness \> 3 minutes. * Medication status: Individuals on stable doses of a neuroleptic and/or an antidepressant medication for at least the past 6 weeks will be allowed to participate in this study. The use of other psychotropic medications will not be allowed. Females taking contraceptive hormones will not be able to participate in the study. * A history of seizures or current use of anticonvulsants; history of head injury with loss of consciousness

Design outcomes

Primary

MeasureTime frameDescription
Amplitude SocialDuration of 30 minutesThe investigators will analyze the amplitude (i.e., size) of visually elicited event-related potential (ERP) components to the social stimuli (infant and adult faces). This assessment will be completed after administration of the intervention (oxytocin) and the placebo to compare the neural response. The investigators hypothesize that the intervention will modulate the amplitude of the neural response to social stimuli given its previously identified role in social interactions, most likely increasing the size of the ERPs.
Amplitude Non-SocialDuration of 30 minutesThe investigators analyze the amplitude (i.e., size) of visually elicited event-related potential (ERP) components to the non-social stimuli (houses). This assessment will be completed after administration of the intervention (oxytocin) and the placebo to compare the neural response. The investigators hypothesize that there will be no difference between the intervention and placebo during the non-social condition on the amplitude of the ERPs.
Latency SocialDuration of 30 minutesThe investigators analyze the latency (i.e., efficiency of processing) of visually elicited ERP components to the social stimuli (infant and adult faces). This assessment will be completed after administration of the intervention (oxytocin) and the placebo to compare the neural response. The investigators hypothesize that there will be more efficient processing (i.e., earlier latency) of ERPs during the social condition following administration of the intervention relative to the placebo condition.
Latency Non-SocialDuration of 30 minutesThe investigators will analyze the latency (i.e., efficiency of processing) of visually elicited ERP components to the non-social stimuli (houses). This assessment will be completed after administration of the intervention (oxytocin) and the placebo to compare the neural response. The investigators hypothesize that there will be no difference between the intervention and placebo on ERP latency measures in the non-social condition.

Secondary

MeasureTime frameDescription
Early ExperienceWithin 20 minutes of study visit commencingThe investigators will employ the Parental Bonding Instrument (Parker, Tupling, & Brown, 1979) to assess the early relationship experiences participants have with their caregivers. Existing research employing intranasal oxytocin suggests that the quality of early relationships may impact the strength of any modulation of brain or behavior by oxytocin administration and therefore this variable will be included in the analyses in support of this hypothesis. There are 12 items that capture parental care and 13 items that capture parental overprotection. Items are scored on a 4-point likert scale from very like to very unlike. The PBI is typically scored by identifying optimal (High Care Scores, Low Protection Scores) and less optimal (Low Care Scores, Low Protection Scores) scores on the mother and father subscales (NB: protection refers to overprotection). For the care items, scores can range from 0 to 36; for overprotection items, scores can range from 0 to 39.
DepressionWithin 20 minutes of study visit commencingThe investigators will assess depression by employing the Beck Depression Inventory (Beck et al., 1961). Specifically addressing whether the level of depression symptomatology in participants and whether this is associated with the neural correlates of social and non-social perception during both intervention and placebo visits. It is not yet known the extent to which variation in depression symptoms are associated with this methodology, although prior research has suggested depression modulates the neural response to social cues. This measure includes a question regarding suicidal ideation and therefore it is acknowledged there may be a safety issue in response to the questionnaire. Scores range from 0-63, with higher scores indicating greater levels of depression (scores 29+ indicates severe depression).
Number of Participants Testing Positive for Alcohol Use Following a BreathalyzerWithin 30 minutes of study visit commencingParticipants will complete an alcohol breathalyzer to characterize the alcohol use status of the sample.
Number of Participants Endorsing Substance UseWithin 30 minutes of study visit commencingThe investigators will employ the ASI Lite (McLellan, Luborsky, Woody, & O'Brien, 1980) to assess for current substance use. This measure is included to characterize the sample in respect of substance use; however the ASI Lite did not provide a measure of substance dependance and therefore we report the data from the Mini International Neuropsychiatric Interview substance dependance module (Sheehan et al., 1998) to provide a specific indication of the presence of absence of substance dependance.
SmokingWithin 30 minutes of study visit commencingParticipants will complete a CO breathalyzer and the Fagerstrom Test for Nicotine Dependence (Heatherton, Kozlowski, Frecker, & Fagerstrom, 1991) to assess smoking behavior. These measures are included to characterize the sample in respect of substance use.
AnxietyWithin 20 minutes of study visit commencingThe investigators will assess anxiety using the State-Trait Anxiety Inventory (Spielberger et al., 1970). Specifically, it will be explored whether participant anxiety symptoms are associated with the neural correlates of social and non-social perception during both intervention and placebo visits. It is not yet known the extent to which variation in anxiety symptoms are associated with this methodology, although prior research has suggested anxiety modulates the neural response to social cues. Scores range from 20-80 and a higher score on both state and trait measures indicate higher levels of anxiety. A potential clinical cut off has been proposed for participants scoring over 39-40 as being high anxious.
StressWithin 20 minutes of study visit commencingThe investigators will measure current levels of stress by using the Perceived Stress Scale (Cohen et al., 1983). It is not yet known the extent to which variation in perceived stress is associated with this methodology, but it is anticipated stress will be associated with levels of depression and anxiety in the sample. The PSS consists of 14 items, with scores ranging from 0 to 42, with higher scores indicating higher levels of perceived stress. A score of 21+ is considered to indicate that participants have higher than average stress.

Countries

United States

Participant flow

Participants by arm

ArmCount
Oxytocin
Each participant will receive both the oxytocin nasal spray in one visit AND the placebo nasal spray in another visit (randomized) in this design. Oxytocin: 24 International Units of Oxytocin in a Nasal Spray
12
Placebo
Each participant will receive both the oxytocin nasal spray in one visit AND the placebo nasal spray in another visit (randomized) in this design. Placebo: Placebo will contain all ingredients except the active oxytocin in the Nasal Spray.
14
Total26

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up10

Baseline characteristics

CharacteristicPlaceboOxytocinTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
14 Participants12 Participants26 Participants
Age, Continuous23 years
STANDARD_DEVIATION 3
24 years
STANDARD_DEVIATION 3
24 years
STANDARD_DEVIATION 3
Region of Enrollment
United States
14 participants12 participants26 participants
Sex: Female, Male
Female
14 Participants12 Participants26 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
0 / 260 / 25
serious
Total, serious adverse events
0 / 260 / 25

Outcome results

Primary

Amplitude Non-Social

The investigators analyze the amplitude (i.e., size) of visually elicited event-related potential (ERP) components to the non-social stimuli (houses). This assessment will be completed after administration of the intervention (oxytocin) and the placebo to compare the neural response. The investigators hypothesize that there will be no difference between the intervention and placebo during the non-social condition on the amplitude of the ERPs.

Time frame: Duration of 30 minutes

Population: 1 participant was lost to follow-up (did not complete placebo); 1 participant's data was lost (removed then from placebo and oxytocin arms)

ArmMeasureGroupValue (MEAN)Dispersion
OxytocinAmplitude Non-SocialN170 House-1.15 microvoltsStandard Deviation 1.71
OxytocinAmplitude Non-SocialP300 House1.21 microvoltsStandard Deviation 1.47
OxytocinAmplitude Non-SocialLPP House-0.58 microvoltsStandard Deviation 1.12
PlaceboAmplitude Non-SocialN170 House-1.15 microvoltsStandard Deviation 1.35
PlaceboAmplitude Non-SocialP300 House0.86 microvoltsStandard Deviation 0.91
PlaceboAmplitude Non-SocialLPP House-0.32 microvoltsStandard Deviation 1.06
Comparison: N170 Analysisp-value: >0.14ANOVA
Comparison: P300 Analysisp-value: >0.17t-test, 2 sided
Comparison: LPP Analysisp-value: >0.27t-test, 2 sided
Primary

Amplitude Social

The investigators will analyze the amplitude (i.e., size) of visually elicited event-related potential (ERP) components to the social stimuli (infant and adult faces). This assessment will be completed after administration of the intervention (oxytocin) and the placebo to compare the neural response. The investigators hypothesize that the intervention will modulate the amplitude of the neural response to social stimuli given its previously identified role in social interactions, most likely increasing the size of the ERPs.

Time frame: Duration of 30 minutes

Population: 1 participant was lost to follow-up (did not complete placebo); 1 participant's data was lost (removed then from placebo and oxytocin arms); for LPP analysis, 1 participant was a statistical outlier and removed from oxytocin and placebo arms

ArmMeasureGroupValue (MEAN)Dispersion
OxytocinAmplitude SocialN170 Infant Distress Faces-3.72 microvoltsStandard Deviation 2.81
OxytocinAmplitude SocialP300 Infant Distress Face0.94 microvoltsStandard Deviation 1.26
OxytocinAmplitude SocialP300 Adult Distress Face0.65 microvoltsStandard Deviation 1.22
OxytocinAmplitude SocialP300 Infant Neutral Face1.10 microvoltsStandard Deviation 1.47
OxytocinAmplitude SocialN170 Infant Neutral-3.28 microvoltsStandard Deviation 2.55
OxytocinAmplitude SocialLPP Infant Distress Face-0.56 microvoltsStandard Deviation 1.53
OxytocinAmplitude SocialLPP Infant Neutral Face-0.24 microvoltsStandard Deviation 1.4
OxytocinAmplitude SocialN170 Adult Distress-3.70 microvoltsStandard Deviation 2.72
OxytocinAmplitude SocialLPP Adult Distress Face-0.38 microvoltsStandard Deviation 1.33
OxytocinAmplitude SocialP300 Adult Neutral Face0.52 microvoltsStandard Deviation 1.38
OxytocinAmplitude SocialLPP Adult Neutral Face-0.71 microvoltsStandard Deviation 1.49
OxytocinAmplitude SocialN170 Adult Neutral-3.23 microvoltsStandard Deviation 2.48
PlaceboAmplitude SocialLPP Adult Neutral Face-0.40 microvoltsStandard Deviation 1.27
PlaceboAmplitude SocialP300 Adult Distress Face0.39 microvoltsStandard Deviation 0.91
PlaceboAmplitude SocialN170 Infant Distress Faces-3.55 microvoltsStandard Deviation 2.64
PlaceboAmplitude SocialN170 Infant Neutral-3.30 microvoltsStandard Deviation 2.94
PlaceboAmplitude SocialN170 Adult Distress-3.27 microvoltsStandard Deviation 2.64
PlaceboAmplitude SocialN170 Adult Neutral-2.87 microvoltsStandard Deviation 2.33
PlaceboAmplitude SocialP300 Infant Distress Face0.50 microvoltsStandard Deviation 1.21
PlaceboAmplitude SocialP300 Infant Neutral Face0.55 microvoltsStandard Deviation 1.34
PlaceboAmplitude SocialLPP Infant Distress Face-0.50 microvoltsStandard Deviation 0.94
PlaceboAmplitude SocialLPP Infant Neutral Face-0.54 microvoltsStandard Deviation 1.51
PlaceboAmplitude SocialLPP Adult Distress Face-0.57 microvoltsStandard Deviation 1.4
PlaceboAmplitude SocialP300 Adult Neutral Face0.61 microvoltsStandard Deviation 1.09
Comparison: N170 Analysisp-value: 0.003ANOVA
Comparison: N170 Analysisp-value: 0.034ANOVA
Comparison: P300 Analysisp-value: 0.03ANOVA
Comparison: P300 Analysisp-value: 0.03ANOVA
Comparison: LPP Analysisp-value: >0.22ANOVA
Primary

Latency Non-Social

The investigators will analyze the latency (i.e., efficiency of processing) of visually elicited ERP components to the non-social stimuli (houses). This assessment will be completed after administration of the intervention (oxytocin) and the placebo to compare the neural response. The investigators hypothesize that there will be no difference between the intervention and placebo on ERP latency measures in the non-social condition.

Time frame: Duration of 30 minutes

Population: 1 participant was lost to follow-up (did not complete placebo); 1 participant's data was lost (removed then from placebo and oxytocin arms); 2 participants were statistical outliers and removed from oxytocin and placebo arms for N170 latency analysis

ArmMeasureGroupValue (MEAN)Dispersion
OxytocinLatency Non-SocialLeft N170 House171 millisecondsStandard Deviation 13
OxytocinLatency Non-SocialRight N170 House166 millisecondsStandard Deviation 9
PlaceboLatency Non-SocialLeft N170 House174 millisecondsStandard Deviation 14
PlaceboLatency Non-SocialRight N170 House169 millisecondsStandard Deviation 13
Comparison: Only relevant for N170p-value: 0.03ANOVA
Comparison: Only relevant for N170p-value: 0.008ANOVA
Primary

Latency Social

The investigators analyze the latency (i.e., efficiency of processing) of visually elicited ERP components to the social stimuli (infant and adult faces). This assessment will be completed after administration of the intervention (oxytocin) and the placebo to compare the neural response. The investigators hypothesize that there will be more efficient processing (i.e., earlier latency) of ERPs during the social condition following administration of the intervention relative to the placebo condition.

Time frame: Duration of 30 minutes

Population: 1 participant was lost to follow-up (did not complete placebo); 1 participant's data was lost (removed then from placebo and oxytocin arms); for LPP analysis, 1 participants were statistical outliers and removed from oxytocin and placebo arms for N170 latency analysis

ArmMeasureGroupValue (MEAN)Dispersion
OxytocinLatency SocialN170 Adult Distress164 millisecondsStandard Deviation 10
OxytocinLatency SocialN170 Adult Neutral161 millisecondsStandard Deviation 9
OxytocinLatency SocialN170 Infant Neutral163 millisecondsStandard Deviation 9
OxytocinLatency SocialN170 Infant Distress164 millisecondsStandard Deviation 8
OxytocinLatency SocialLeft N170 Infant Distress165 millisecondsStandard Deviation 9
OxytocinLatency SocialRight N170 Infant Distress164 millisecondsStandard Deviation 8
OxytocinLatency SocialLeft N170 Infant Neutral165 millisecondsStandard Deviation 11
OxytocinLatency SocialRight N170 Infant Neutral161 millisecondsStandard Deviation 7
OxytocinLatency SocialLeft N170 Adult Distress166 millisecondsStandard Deviation 11
OxytocinLatency SocialRight N170 Adult Distress162 millisecondsStandard Deviation 9
OxytocinLatency SocialLeft N170 Adult Neutral163 millisecondsStandard Deviation 10
OxytocinLatency SocialRight N170 Adult Neutral159 millisecondsStandard Deviation 8
PlaceboLatency SocialLeft N170 Adult Neutral162 millisecondsStandard Deviation 13
PlaceboLatency SocialN170 Adult Distress163 millisecondsStandard Deviation 12
PlaceboLatency SocialLeft N170 Infant Neutral163 millisecondsStandard Deviation 10
PlaceboLatency SocialN170 Adult Neutral161 millisecondsStandard Deviation 11
PlaceboLatency SocialRight N170 Adult Distress161 millisecondsStandard Deviation 9
PlaceboLatency SocialN170 Infant Neutral161 millisecondsStandard Deviation 9
PlaceboLatency SocialRight N170 Infant Neutral160 millisecondsStandard Deviation 9
PlaceboLatency SocialN170 Infant Distress164 millisecondsStandard Deviation 10
PlaceboLatency SocialRight N170 Adult Neutral160 millisecondsStandard Deviation 10
PlaceboLatency SocialLeft N170 Infant Distress166 millisecondsStandard Deviation 10
PlaceboLatency SocialLeft N170 Adult Distress165 millisecondsStandard Deviation 14
PlaceboLatency SocialRight N170 Infant Distress162 millisecondsStandard Deviation 9
Comparison: Only relevant for N170p-value: 0.006ANOVA
Comparison: Only relevant for N170p-value: 0.01ANOVA
Secondary

Anxiety

The investigators will assess anxiety using the State-Trait Anxiety Inventory (Spielberger et al., 1970). Specifically, it will be explored whether participant anxiety symptoms are associated with the neural correlates of social and non-social perception during both intervention and placebo visits. It is not yet known the extent to which variation in anxiety symptoms are associated with this methodology, although prior research has suggested anxiety modulates the neural response to social cues. Scores range from 20-80 and a higher score on both state and trait measures indicate higher levels of anxiety. A potential clinical cut off has been proposed for participants scoring over 39-40 as being high anxious.

Time frame: Within 20 minutes of study visit commencing

Population: Only participants included that have ERP data to analyze (excluding participant lost to follow-up and data loss)

ArmMeasureGroupValue (MEAN)Dispersion
OxytocinAnxietyState Anxiety31.54 units on a scaleStandard Deviation 10.67
OxytocinAnxietyTrait Anxiety30.58 units on a scaleStandard Deviation 10.11
PlaceboAnxietyState Anxiety35.50 units on a scaleStandard Deviation 11.27
PlaceboAnxietyTrait Anxiety30.79 units on a scaleStandard Deviation 7.82
p-value: 0.05correlation
Secondary

Depression

The investigators will assess depression by employing the Beck Depression Inventory (Beck et al., 1961). Specifically addressing whether the level of depression symptomatology in participants and whether this is associated with the neural correlates of social and non-social perception during both intervention and placebo visits. It is not yet known the extent to which variation in depression symptoms are associated with this methodology, although prior research has suggested depression modulates the neural response to social cues. This measure includes a question regarding suicidal ideation and therefore it is acknowledged there may be a safety issue in response to the questionnaire. Scores range from 0-63, with higher scores indicating greater levels of depression (scores 29+ indicates severe depression).

Time frame: Within 20 minutes of study visit commencing

Population: Only participants included that have ERP data to analyze (excluding participant lost to follow-up and data loss)

ArmMeasureValue (MEAN)Dispersion
OxytocinDepression4.00 units on a scaleStandard Deviation 6.06
PlaceboDepression4.33 units on a scaleStandard Deviation 5.75
p-value: 0.05correlation
Secondary

Early Experience

The investigators will employ the Parental Bonding Instrument (Parker, Tupling, & Brown, 1979) to assess the early relationship experiences participants have with their caregivers. Existing research employing intranasal oxytocin suggests that the quality of early relationships may impact the strength of any modulation of brain or behavior by oxytocin administration and therefore this variable will be included in the analyses in support of this hypothesis. There are 12 items that capture parental care and 13 items that capture parental overprotection. Items are scored on a 4-point likert scale from very like to very unlike. The PBI is typically scored by identifying optimal (High Care Scores, Low Protection Scores) and less optimal (Low Care Scores, Low Protection Scores) scores on the mother and father subscales (NB: protection refers to overprotection). For the care items, scores can range from 0 to 36; for overprotection items, scores can range from 0 to 39.

Time frame: Within 20 minutes of study visit commencing

Population: Only participants included that have ERP data to analyze (excluding participant lost to follow-up and data loss); 1 participant did not know their father and did not complete the measure for paternal assessment

ArmMeasureGroupValue (MEAN)Dispersion
OxytocinEarly ExperienceMaternal Care Score30.13 units on a scaleStandard Deviation 6.69
OxytocinEarly ExperiencePaternal Care Score27.74 units on a scaleStandard Deviation 8.67
OxytocinEarly ExperienceMaternal Protectiveness Score13.71 units on a scaleStandard Deviation 8.01
OxytocinEarly ExperiencePaternal Protectiveness Score11.91 units on a scaleStandard Deviation 8.3
PlaceboEarly ExperiencePaternal Protectiveness Score10.91 units on a scaleStandard Deviation 9.34
PlaceboEarly ExperienceMaternal Care Score29.50 units on a scaleStandard Deviation 6.79
PlaceboEarly ExperienceMaternal Protectiveness Score13.75 units on a scaleStandard Deviation 8.51
PlaceboEarly ExperiencePaternal Care Score28.13 units on a scaleStandard Deviation 8.95
p-value: 0.05correlation
Secondary

Number of Participants Endorsing Substance Use

The investigators will employ the ASI Lite (McLellan, Luborsky, Woody, & O'Brien, 1980) to assess for current substance use. This measure is included to characterize the sample in respect of substance use; however the ASI Lite did not provide a measure of substance dependance and therefore we report the data from the Mini International Neuropsychiatric Interview substance dependance module (Sheehan et al., 1998) to provide a specific indication of the presence of absence of substance dependance.

Time frame: Within 30 minutes of study visit commencing

Population: 1 participant lost to follow-up; count of participants where substance dependence indicated

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
OxytocinNumber of Participants Endorsing Substance Use0 Participants
PlaceboNumber of Participants Endorsing Substance Use2 Participants
Secondary

Number of Participants Testing Positive for Alcohol Use Following a Breathalyzer

Participants will complete an alcohol breathalyzer to characterize the alcohol use status of the sample.

Time frame: Within 30 minutes of study visit commencing

Population: 1 participant lost to follow-up; data indicates number of participants with alcohol in their system

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
OxytocinNumber of Participants Testing Positive for Alcohol Use Following a Breathalyzer0 Participants
PlaceboNumber of Participants Testing Positive for Alcohol Use Following a Breathalyzer0 Participants
Secondary

Smoking

Participants will complete a CO breathalyzer and the Fagerstrom Test for Nicotine Dependence (Heatherton, Kozlowski, Frecker, & Fagerstrom, 1991) to assess smoking behavior. These measures are included to characterize the sample in respect of substance use.

Time frame: Within 30 minutes of study visit commencing

Population: 1 participant was lost to follow-up

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
OxytocinSmokingCO indicated smoking status0 Participants
OxytocinSmokingFTND indicated smoking status1 Participants
PlaceboSmokingFTND indicated smoking status0 Participants
PlaceboSmokingCO indicated smoking status0 Participants
Secondary

Stress

The investigators will measure current levels of stress by using the Perceived Stress Scale (Cohen et al., 1983). It is not yet known the extent to which variation in perceived stress is associated with this methodology, but it is anticipated stress will be associated with levels of depression and anxiety in the sample. The PSS consists of 14 items, with scores ranging from 0 to 42, with higher scores indicating higher levels of perceived stress. A score of 21+ is considered to indicate that participants have higher than average stress.

Time frame: Within 20 minutes of study visit commencing

Population: Only participants included that have ERP data to analyze (excluding participant lost to follow-up and data loss)

ArmMeasureValue (MEAN)Dispersion
OxytocinStress17.54 units on a scaleStandard Deviation 8.28
PlaceboStress18.13 units on a scaleStandard Deviation 8.23
p-value: 0.05correlation

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026