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Here, we combined a naturalistic fMRI\u2010design that elicited strong and immersive fear experience in social and non\u2010social contexts with a preregistered between\u2010subjects randomized double\u2010blind placebo\u2010controlled intranasal OT trial (24 IU,\n                    <jats:italic>n<\/jats:italic>\n                    \u2005 = \u200567 healthy men). OT selectively reduced subjective fear in social contexts but not in non\u2010social contexts. On the neural level OT enhanced left middle cingulate cortex (lMCC) activation and its functional connectivity with the contralateral amygdala, with both neural indices significantly and inversely associated with subjective fear following OT. On the network level, OT enhanced communication between the dorsal attention network (DAN) with the fronto\u2010parietal (FPN) and the default\u2010mode network (DMN), and modulated brain\u2010wide communication patterns. Utilizing an independent activity\u2010connectivity neuromarker for fear in naturalistic contexts (CAFE) confirmed that OT attenuated brain\u2010wide fear expressions. Findings indicate an ecologically valid and socially specific fear\u2010reducing effect of OT, highlighting its promise as a treatment option for disorders characterized by excessive fear in social situations.\n                  <\/jats:p>","DOI":"10.1002\/advs.202503251","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T11:16:22Z","timestamp":1752837382000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Oxytocin Reduces Subjective Fear in Naturalistic Social Contexts via Enhancing Top\u2010Down Middle Cingulate Amygdala Regulation and Brain\u2010Wide Fear Representations"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4475-3851","authenticated-orcid":false,"given":"Kun","family":"Fu","sequence":"first","affiliation":[{"name":"The Center of Psychosomatic Medicine Sichuan Provincial Center for Mental Health Sichuan Provincial People's 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