The Role of Oxytocin
in Traumatic Stress (Audio Training, 1.5 Credits)
with
Miranda Olff, PhD, Sue Carter, PhD, Blaise Pierrehumbert, PhD, Jennifer
Bartz, PhD
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Early adverse experience dramatically increases the risk for psychiatric
disorders in adulthood. The neuropeptide oxytocin (OT) plays a seminal
role in mediating social affiliation, attachment, social support,
maternal behavior, and trust, as well as protection against stress and
anxiety. In this study of an urban community sample, 906 participants
were assessed for history of childhood abuse, other trauma exposure,
treatment for depression and anxiety disorders, suicide attempts, and
current depression and PTSD symptoms. Resilience was defined as the
absence of depression, PTSD, prior suicide attempts, and lifetime
treatment for depression or anxiety disorders, despite a history
of trauma exposure. Of the 906 individuals assessed, 595 met criteria
for resilience (n=238) or nonresilience (n=357). We did not find a
direct association between oxytocin receptor (OTR) genetic polymorphisms
(SNPs) and resilience. However, SNP rs53576 interacted with
childhood abuse (p=0.0004) and developmental family environment
(p=0.016) in mediating resilience. Specifically, rs53576 GG carriers
were associated with resilience among individuals not exposed to prior
childhood abuse but were associated with nonresilience among individuals
exposed to childhood abuse. OTR rs53576 GG individuals appear to be more
susceptible to adverse effects of childhood abuse but also more
responsive to the beneficial effect of nurturing family environment than
AA/AG individuals. Our results are consistent with other studies
examining the rs53576 SNP, in which AA/AG carriers were more associated
with autism-spectrum phenotypes, and GG carriers were associated with
empathy and parental sensitivity. These findings, while awaiting
replication, have important implications in treatment and prevention
strategies for at-risk individuals and add to our knowledge of
neurobiological mechanisms underpinning resilience.
Learing Objectives
1. Recognize how the oxytocin system is of relevance for a number of psychiatric disorders
2. Describe the relation between (childhood) stress and the oxytocin response
3. Apply potential application of oxytocin in PTSD.