Bargiota Stavroula I, Papakonstantinou Anna V, Christodoulou Nikolaos G
Department of Psychiatry, Faculty of Medicine, University of Thessaly, Larissa, Greece.
Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Front Psychiatry. 2023 Aug 17;14:1232776. doi: 10.3389/fpsyt.2023.1232776. eCollection 2023.
Individuals at clinical high risk for psychosis (CHR-P) present as help-seeking individuals with social deficits as well as cognitive and functional impairment and have a 23-36% risk of transition to first-episode psychosis. The therapeutic role of intranasal oxytocin (ΟΤ) in psychiatric disorders has been widely studied during the last decades, concerning its effects on social behavior in humans. A literature search was conducted via Pubmed and Scopus, using the search terms "oxytocin" and "psychosis." Six studies were included in the current review. There were differences in terms of demographics, intervention type, and outcome measures. ΟΤ may affect the social cognition skills of people at prodromal and early stages of psychosis, but its effect on clinical symptoms is ambiguous. Because of the high level of heterogeneity of existing studies, more original studies are needed to examine and clarify whether OT improves high-risk and early psychosis populations.
临床高危精神病个体(CHR-P)表现为寻求帮助的个体,存在社交缺陷以及认知和功能障碍,并有23%-36%的风险转变为首发精神病。在过去几十年中,鼻内催产素(OT)在精神疾病中的治疗作用已得到广泛研究,涉及它对人类社交行为的影响。通过PubMed和Scopus进行文献检索,使用检索词“催产素”和“精神病”。本综述纳入了六项研究。在人口统计学、干预类型和结果测量方面存在差异。OT可能会影响精神病前驱期和早期阶段人群的社会认知技能,但其对临床症状的影响尚不明确。由于现有研究的异质性程度较高,需要更多的原创性研究来检验和阐明OT是否能改善高危和早期精神病患者群体。