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Case Report

Oxytocin and Its Association With Psychotherapy Process and Outcome

Bibliographic Data

ID15525864
AuthorsAriella Grossman‐Giron (0000-0002-1023-0868, Shalvata Mental Health Center), Dana Tzur Bitan (0000-0002-7948-9616, Tel Aviv University, corresponding author), Sigal Zilcha‐Mano (0000-0002-5645-4429, University of Haifa), Uri Nitzan (Tel Aviv University), Shlomo Mendlovic (0000-0002-0587-1169, Shalvata Mental Health Center), Hagai Maoz (0000-0002-3155-903X, Tel Aviv University)
Year2021
Volume12
Pages691055-691055
Publication date2021-09-14
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.691055
PMID34594245
OpenAlexW3200405462
LanguageEN
Citations received1
References cited3

The potential of Oxytocin (OT) as a facilitator of psychotherapy has been previously acknowledged, nonetheless, randomized controlled trials thus far have not yielded conclusive results. One approach suggested to clarify empirical inconsistencies is to refine the study hypotheses and data collection process by utilizing an in-depth idiographic exploration of the investigated phenomena. In this case illustration we provide an in-depth analysis comparing two patients hospitalized in a closed psychiatric ward with depression and undergoing psychotherapy twice a week. These two patients were randomly allocated to receive either OT or placebo, twice a day for a period of 4 weeks. Both patients completed longitudinal assessments of process and outcome measures, and therapists' clinical notes were extracted and reviewed. Reliable clinical change was calculated for all outcome and process measures. The results indicated that the patient receiving OT showed significant improvement in interpersonal distress, as well as in anxiety and depression symptoms, while the placebo patient showed no significant change during the study period. Furthermore, while both patients showed no significant changes in the therapeutic alliance ratings, the therapist of the OT patient regularly reported positive changes in alliance in the medical notes, while no such report was observed in the placebo patient. These results suggest that changes produced by OT administration may be more noticeable by the therapist. Implications for future studies aimed at assessing the effect of OT on psychotherapy process and outcome are discussed

Alternative medicine · Anxiety · Depression (economics · Distress · Facilitator · Placebo · Psychiatry · Psychotherapist · Randomized controlled trial · Attachment and Relationship Dynamics · Clinical Psychology · Evolutionary Psychology and Human Behavior · Medicine · Neuroendocrine regulation and behavior · Psychology · Internal Medicine

  • Oxytocin administration to clinicians in acute psychiatric care settings

    Open Access•Ayelet Nir, Amiram Nir et al.•Frontiers in Psychiatry•2025

  • The alliance in adult psychotherapy

    Open Access•Christoph Flückiger, A C Del Re et al.•Psychotherapy•2018

  • A Rating Scale for Depression

    M Hamilton•Journal of Neurology Neurosurgery…•1960

  • Clinical significance

    Neil S Jacobson, Paula Truax•Journal of Consulting and…•1991

Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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