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Using EEG to measure the neural effects of oxytocin administration: A meta-analysis and systematic review

Deilhaug, E.; Moerkerke, M.; Sartorius, A. I.; Kang, H.; Kildal, E. S.; Kjersti, W. M.; Elvsashagen, T.; Westlye, L. T.; Naerland, T.; Andreassen, O. A.; Quintana, D. S.

2025-08-26 psychiatry and clinical psychology
10.1101/2025.08.25.25334355 medRxiv
Show abstract

Electroencephalography (EEG) has emerged as a key method for investigating the neural mechanisms through which oxytocin influences cognition and behaviour. EEG is cost-effective, has excellent temporal precision, and may elucidate neural correlates of emotional and cognitive processes. EEG studies evaluating oxytocins electrophysiological effects have, however, yielded mixed results, which is likely driven by heterogeneity in EEG measures, study designs, dosages, and samples. To investigate the effect of oxytocin administration on EEG measures, we performed two multilevel random effects meta-analyses: The first meta-analysis synthesized studies investigating the effects of oxytocin administration on different neural correlates of social and cognitive processing; the second meta-analysis synthesized studies evaluating effects of oxytocin administration on exploratory, less task-specific neural activity measures, such as the modulation of microstates. Across both meta-analyses, we synthesized 161 effect sizes from 28 randomised controlled trials with a total of 1361 participants from different population groups. These multilevel meta-analyses yielded small effect sizes of oxytocin administration across different EEG measures reflecting social and cognitive processes (Hedges g = 0.14), and exploratory neural activity (Hedges g = 0.28) with significant heterogeneity estimates (p < 0.01 and p < 0.001, respectively). Moderator analyses revealed that the different EEG measurements of interest (e.g., event-related potentials) and the proportion of female participants were found to significantly moderate the effect of oxytocin on neural EEG activity. Altogether, these meta-analyses present tentative evidence for oxytocin administration modulating a wide range of neural activity. We observed substantial heterogeneity across studies - in terms of study designs, experimental paradigms and EEG measurements, and participant characteristics. More research is warranted to map out the context-specific effects of oxytocin administration on different neural markers, to better understand the neurobiological mechanisms of oxytocin.

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