Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Department of Psychology, Binghamton University - State University of New York, Binghamton, NY, USA.
Psychiatry Res. 2018 Dec;270:404-411. doi: 10.1016/j.psychres.2018.10.003. Epub 2018 Oct 2.
Emerging literature indicates individual and contextual differences impact response to oxytocin (OT). Intimate partner violence (IPV) is one chronic stressor that may moderate OT response. To test the hypothesis that IPV moderates the association between OT and reactivity to a dyadic conflict task, data from a larger randomized controlled study was collected from heterosexual couples (N = 60 individuals; 30 couples) at high risk for IPV due to substance misuse. Partners within each dyad completed a 10-minute dyadic conflict task in the laboratory, and then self-administered a single dose of OT (40 IU) or placebo. Forty-five minutes later, participants completed another 10-minute dyadic conflict task. Stress reactivity was measured before and after the second conflict task using neuroendocrine (i.e., salivary cortisol), physiological (i.e., skin conductance), and subjective responses. Couple conflict behaviors were observed during the conflict tasks and assessed using a validated coding system. Among women, physical IPV modulated skin conductance in those administered OT, and OT interacted with physical and psychological IPV to yield less positive subjective and behavioral responses. No main or moderating effects were found for men. Findings support emerging literature on sex differences in response to OT. Future research is needed to effectively translate OT into therapeutic intervention.
新兴文献表明,个体和环境差异会影响催产素(OT)的反应。亲密伴侣暴力(IPV)是一种慢性应激源,可能会调节 OT 的反应。为了验证假设,即 IPV 调节 OT 与二元冲突任务反应之间的关联,从由于药物滥用而处于 IPV 高风险的异性恋夫妇(N=60 人;30 对夫妇)的更大规模随机对照研究中收集了数据。每个二人组中的伴侣在实验室中完成了 10 分钟的二元冲突任务,然后自行服用单剂量 OT(40IU)或安慰剂。45 分钟后,参与者完成了另一个 10 分钟的二元冲突任务。使用神经内分泌(即唾液皮质醇)、生理(即皮肤电导)和主观反应,在第二次冲突任务前后测量应激反应。在冲突任务期间观察夫妻冲突行为,并使用经过验证的编码系统进行评估。在女性中,物理 IPV 调节了接受 OT 治疗的人的皮肤电导,OT 与物理和心理 IPV 相互作用,导致主观和行为反应不那么积极。未发现男性的主要或调节作用。研究结果支持关于 OT 反应的性别差异的新兴文献。需要进一步的研究将 OT 有效转化为治疗干预。