Adult attachment style is associated with cerebral μ‐opioid receptor availability in humans
Open accessAbstract
Human attachment behavior mediates establishment and maintenance of social relationships. Adult attachment characteristically varies on anxiety and avoidance dimensions, reflecting the tendencies to worry about the partner breaking the social bond (anxiety) and feeling uncomfortable about depending on others (avoidance). In primates and other mammals, the endogenous μ‐opioid system is linked to long‐term social bonding, but evidence of its role in human adult attachment remains more limited. We used in vivo positron emission tomography to reveal how variability in μ‐opioid receptor (MOR) availability is associated with adult attachment in humans. We scanned 49 healthy subjects using a MOR‐specific ligand [11 C]carfentanil and measured their attachment avoidance and anxiety with the Experiences in Close Relationships‐Revised scale. The avoidance dimension of attachment correlated negatively with MOR availability in the thalamus and anterior cingulate cortex, as well as the frontal cortex, amygdala, and insula. No associations were observed between MOR availability and the anxiety dimension of attachment. Our results suggest that the endogenous opioid system may underlie interindividual differences in avoidant attachment style in human adults, and that differences in MOR availability are associated with the individuals’ social relationships and psychosocial well‐being. Hum Brain Mapp 36:3621–3628, 2015. © 2015 Wiley Periodicals, Inc.
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PET and genetic studies have linked β-endorphin (μ-opioid) receptor variation with attachment style.
“Positron emission tomography (PET) and genetic studies have linked β -endorphin ( μ -opioid) receptor variation with attachment style (31, 32)”
From Variation in the β-endorphin, oxytocin, and dopamine receptor genes is associated with different dimensions of human sociality (2017) · cites this paper as [32]
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Cites
(1970) · Cited by 24,983 · see citing works
(1969) · Cited by 18,340 · see citing works
Tzourio-Mazoyer, N., Landeau, B., Papathanassiou, D., Crivello, F., Etard, O., Delcroix, N., Mazoyer, B., & Joliot, M. (2002) · NeuroImage · doi:10.1006/nimg.2001.0978 · Cited by 16,319 · see citing works
Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
Beck, A. T., Steer, R. A., & Carbin, M. G. (1988) · Clinical Psychology Review · doi:10.1016/0272-7358(88)90050-5 · Cited by 11,696 · see citing works
Romantic love conceptualized as an attachment process.
Hazan, C., & Shaver, P. R. (1987) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.52.3.511 · Cited by 8,783 · see citing works
Dissociable intrinsic connectivity networks for salience processing and executive control
Seeley, W. W., Menon, V., Schatzberg, A. F., Keller, J., Glover, G. H., Kenna, H., Reiss, A. L., & Greicius, M. D. (2007) · The Journal of Neuroscience · doi:10.1523/jneurosci.5587-06.2007 · Cited by 7,426 · see citing works
Social Relationships and Mortality Risk: A Meta-analytic Review
Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010) · PLoS Medicine · doi:10.1371/journal.pmed.1000316 · Cited by 7,272 · see citing works
Romantic love conceptualized as an attachment process.
Hazan, C., & Shaver, P. (1987) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.52.3.511 · Cited by 6,247 · see citing works
A new SPM toolbox for combining probabilistic cytoarchitectonic maps and functional imaging data
Eickhoff, S. B., Stephan, K. E., Mohlberg, H., Grefkes, C., Fink, G. R., Amunts, K., & Zilles, K. (2005) · NeuroImage · doi:10.1016/j.neuroimage.2004.12.034 · Cited by 4,033 · see citing works
(1998) · Cited by 3,968 · see citing works
Meeting of minds: the medial frontal cortex and social cognition
Amodio, D. M., & Frith, C. D. (2006) · Nature Reviews Neuroscience · doi:10.1038/nrn1884 · Cited by 3,782 · see citing works
Attachment theory and close relationships
(1998) · Choice Reviews Online · doi:10.5860/choice.35-6513 · Cited by 3,642 · see citing works
An Item-Response Theory Analysis of Self-Report Measures of Adult Attachment
Fraley, R. C., Waller, N. G., & Brennan, K. A. (2000) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.78.2.350 · Cited by 3,385 · see citing works
Avoidance of Intimacy: An Attachment Perspective
Bartholomew, K. (1990) · Journal of Social and Personal Relationships · doi:10.1177/0265407590072001 · Cited by 2,153 · see citing works
Models of the self and other: Fundamental dimensions underlying measures of adult attachment.
Griffin, D. W., & Bartholomew, K. (1994) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.67.3.430 · Cited by 1,762 · see citing works
Parametric Imaging of Ligand-Receptor Binding in PET Using a Simplified Reference Region Model
Gunn, R. N., Lammertsma, A. A., Hume, S. P., & Cunningham, V. J. (1997) · NeuroImage · doi:10.1006/nimg.1997.0303 · Cited by 1,085 · see citing works
Chris Fraley, R. (2002) · Personality and Social Psychology Review · doi:10.1207/s15327957pspr0602_03 · Cited by 1,066 · see citing works
Eisenberger, N. I. (2012) · Nature Reviews Neuroscience · doi:10.1038/nrn3231 · Cited by 1,016 · see citing works
THE EPIDEMIOLOGIC EVIDENCE FOR A RELATIONSHIP BETWEEN SOCIAL SUPPORT AND HEALTH
Broadhead, W. E., Kaplan, B. H., James, S. A., Wagner, E. H., Schoenbach, V. J., GRIMSON, R. C., Heyden, S., Tibblin, G., & Gehlbach, S. H. (1983) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113575 · Cited by 917 · see citing works
Dimensions of Adult Attachment, Affect Regulation, and Romantic Relationship Functioning
Brennan, K. A., & Shaver, P. R. (1995) · Personality and Social Psychology Bulletin · doi:10.1177/0146167295213008 · Cited by 915 · see citing works
Regional Mu Opioid Receptor Regulation of Sensory and Affective Dimensions of Pain
Zubieta, J.-K., Smith, Y. R., Bueller, J. A., Xu, Y., Kilbourn, M. R., Jewett, D. M., Meyer, C. R., Koeppe, R. A., & Stohler, C. S. (2001) · Science · doi:10.1126/science.1060952 · Cited by 842 · see citing works
Nelson, E. E., & Panksepp, J. (1998) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(97)00052-3 · Cited by 688 · see citing works
Allelic Expression Imbalance of Human mu Opioid Receptor (OPRM1) Caused by Variant A118G
Zhang, Y., Wang, D., Johnson, A. D., Papp, A. C., & Sadée, W. (2005) · Journal of Biological Chemistry · doi:10.1074/jbc.m504942200 · Cited by 563 · see citing works
Opioid receptors: Distinct roles in mood disorders
Lutz, P.-E., & Kieffer, B. L. (2013) · Trends in Neurosciences · doi:10.1016/j.tins.2012.11.002 · Cited by 542 · see citing works
Endogenous opioids and social behavior
Panksepp, J., Herman, B. H., Vilberg, T., Bishop, P., & DeEskinazi, F. G. (1980) · Neuroscience & Biobehavioral Reviews · doi:10.1016/0149-7634(80)90036-6 · Cited by 531 · see citing works
Keverne, E. B., Martensz, N. D., & Tuite, B. (1989) · Psychoneuroendocrinology · doi:10.1016/0306-4530(89)90065-6 · Cited by 525 · see citing works
Cellular Mechanisms of Social Attachment
Young, L. J., Lim, M. M., Gingrich, B., & Insel, T. R. (2001) · Hormones and Behavior · doi:10.1006/hbeh.2001.1691 · Cited by 523 · see citing works
Long, C. G., Blundell, J. E., & Finlayson, G. (2015) · Obesity Facts · doi:10.1159/000442403 · Cited by 510 · see citing works
The biology of social attachments: opiates alleviate separation distress.
Panksepp, J., Herman, B., Conner, R., Bishop, P., & Scott, J. P. (1978) · PubMed · Cited by 473 · see citing works
Deficit in Attachment Behavior in Mice Lacking the µ-Opioid Receptor Gene
Moles, A., Kieffer, B. L., & D'Amato, F. R. (2004) · Science · doi:10.1126/science.1095943 · Cited by 449 · see citing works
Regulation of Human Affective Responses by Anterior Cingulate and Limbic µ-Opioid Neurotransmission
Zubieta, J., Ketter, T. A., Bueller, J. A., Xu, Y., Kilbourn, M. R., Young, E. A., & Koeppe, R. A. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.11.1145 · Cited by 377 · see citing works
The brain opioid theory of social attachment: a review of the evidence
Machin, A. J., & Dunbar, R. I. M. (2011) · Behaviour · doi:10.1163/000579511x596624 · Cited by 343 · see citing works
Self-citationVentromedial prefrontal volume predicts understanding of others and social network size
Lewis, P. A., Rezaie, R., Brown, R., Roberts, N., & Dunbar, R. I. M. (2011) · NeuroImage · doi:10.1016/j.neuroimage.2011.05.030 · Cited by 321 · see citing works
Self-citationFeeling the Pain of Social Loss
Panksepp, J. (2003) · Science · doi:10.1126/science.1091062 · Cited by 318 · see citing works
Shultz, S., & Dunbar, R. (2010) · Behaviour · doi:10.1163/000579510x501151 · Cited by 292 · see citing works
Self-citationNeuroscience of human social interactions and adult attachment style
Vrtička, P., & Vuilleumier, P. (2012) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2012.00212 · Cited by 285 · see citing works
Way, B. M., Taylor, S. E., & Eisenberger, N. I. (2009) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0812612106 · Cited by 264 · see citing works
Individual Attachment Style Modulates Human Amygdala and Striatum Activation during Social Appraisal
Vrtička, P., Andersson, F., Grandjean, D., Sander, D., & Vuilleumier, P. (2008) · PLoS ONE · doi:10.1371/journal.pone.0002868 · Cited by 260 · see citing works
Powell, J., Lewis, P. A., Roberts, N., García‐Fiñana, M., & Dunbar, R. (2012) · Proceedings of the Royal Society B Biological Sciences · doi:10.1098/rspb.2011.2574 · Cited by 254 · see citing works
Self-citationBayesian image reconstruction for emission tomography based on median root prior
Sakari Alenius, B., & Ruotsalainen, U. (1997) · European Journal of Nuclear Medicine and Molecular Imaging · doi:10.1007/bf01728761 · Cited by 243 · see citing works
Shultz, S., & Dunbar, R. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1005246107 · Cited by 238 · see citing works
Self-citationSocial laughter is correlated with an elevated pain threshold
Dunbar, R. I. M., Baron, R., Frangou, A., Pearce, E., van Leeuwen, E. J. C., Stow, J., Partridge, G., MacDonald, I., Barra, V., & van Vugt, M. (2012) · Proceedings of the Royal Society B: Biological Sciences · doi:10.1098/rspb.2011.1373 · Cited by 228 · see citing works
Self-citationRoss, J. E., Teesson, M., Darke, S. G., Lynskey, M. T., Ali, R. L., Ritter, A. J., & COOKE, R. (2005) · Drug and Alcohol Review · doi:10.1080/09595230500286039 · Cited by 227 · see citing works
Response of the μ-opioid system to social rejection and acceptance
Hsu, D. T., Sanford, B. J., Meyers, K. K., Love, T. M., Hazlett, K. E., Wang, H., Ni, L., Walker, S. J., Mickey, B. J., Korycinski, S. T., et al. (2013) · Molecular Psychiatry · doi:10.1038/mp.2013.96 · Cited by 225 · see citing works
Karlsson, H. K., Tuominen, L. J., Tuulari, J. J., Hirvonen, J., Parkkola, R. K., Helin, S., Salminen, P. T. P., Nuutila, P., & Nummenmaa, L. (2015) · Journal of Neuroscience · doi:10.1523/jneurosci.4744-14.2015 · Cited by 225 · see citing works
Self-citationDo neural responses to rejection depend on attachment style? An fMRI study
DeWall, C. N., Masten, C. L., Powell, C., Combs, D., Schurtz, D. R., & Eisenberger, N. I. (2012) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsq107 · Cited by 206 · see citing works
Role of receptor internalization in opioid tolerance and dependence
Koch, T., & Höllt, V. (2007) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2007.10.003 · Cited by 198 · see citing works
Barr, C. S., Schwandt, M. L., Lindell, S. G., Higley, J. D., Maestripieri, D., Goldman, D., Suomi, S. J., & Heilig, M. (2008) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0710225105 · Cited by 191 · see citing works
Adult attachment security and college student substance use
Kassel, J. D., Wardle, M. C., & Roberts, J. E. (2006) · Addictive Behaviors · doi:10.1016/j.addbeh.2006.08.005 · Cited by 181 · see citing works
Neurobiological mechanisms of social attachment and pair bonding
Johnson, Z. V., & Young, L. J. (2015) · Current Opinion in Behavioral Sciences · doi:10.1016/j.cobeha.2015.01.009 · Cited by 169 · see citing works
Van Ree, J. M., Niesink, R. J. M., Van Wolfswinkel, L., Ramsey, N. F., Kornet, M. (. ). M. W., Van Furth, W. R., Vanderschuren, L. J. M. J., Gerrits, M. A. F. M., & Van den Berg, C. L. (2000) · European Journal of Pharmacology · doi:10.1016/s0014-2999(00)00544-6 · Cited by 166 · see citing works
Peciña, M., Love, T., Stohler, C. S., Goldman, D. A., & Zubieta, J.-K. (2014) · Neuropsychopharmacology · doi:10.1038/npp.2014.272 · Cited by 161 · see citing works
Mouse model of OPRM1 (A118G) polymorphism has sex-specific effects on drug-mediated behavior
Mague, S. D., Isiegas, C., Huang, P., Liu‐Chen, L., Lerman, C. E., & Blendy, J. A. (2009) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0901800106 · Cited by 160 · see citing works
Schindler, A., Thomasius, R., Sack, P., Gemeinhardt, B., Küstner, U. J., & Eckert, J. (2005) · Attachment & Human Development · doi:10.1080/14616730500173918 · Cited by 154 · see citing works
Opiate antagonists stimulate affiliative behaviour in monkeys
Fabre-Nys, C., Meller, R. E., & Keverne, E. B. (1982) · Pharmacology Biochemistry and Behavior · doi:10.1016/0091-3057(82)90432-4 · Cited by 141 · see citing works
Burkett, J. P., Spiegel, L. L., Inoue, K., Murphy, A. Z., & Young, L. J. (2011) · Neuropsychopharmacology · doi:10.1038/npp.2011.117 · Cited by 133 · see citing works
Troisi, A., Frazzetto, G., Carola, V., Di Lorenzo, G., Coviello, M., D'Amato, F. R., Moles, A., Siracusano, A., & Gross, C. (2011) · Social Neuroscience · doi:10.1080/17470919.2010.482786 · Cited by 118 · see citing works
Attachment-security priming attenuates amygdala activation to social and linguistic threat
Norman, L. J., Lawrence, N., Iles, A. T., Benattayallah, A., & Karl, A. (2014) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsu127 · Cited by 116 · see citing works
Colasanti, A., Rabiner, E. A., Lingford-Hughes, A. R., & Nutt, D. (2010) · Journal of Psychopharmacology · doi:10.1177/0269881110367726 · Cited by 111 · see citing works
Resendez, S. L., Dome, M., Gormley, G., Franco, D., Nevárez, N., Hamid, A. A., & Aragona, B. J. (2013) · The Journal of Neuroscience · doi:10.1523/jneurosci.4123-12.2013 · Cited by 93 · see citing works
Influence of adult attachment style on the perception of social and non-social emotional scenes
Vrtička, P., Sander, D., & Vuilleumier, P. (2012) · Journal of Social and Personal Relationships · doi:10.1177/0265407512443451 · Cited by 73 · see citing works
Schindler, A., Thomasius, R., Petersen, K. U., & Sack, P. (2009) · Attachment & Human Development · doi:10.1080/14616730902815009 · Cited by 71 · see citing works
Weerts, E. M., McCaul, M. E., Kuwabara, H., Yang, X., Xu, X., Dannals, R. F., Frost, J. J., Wong, D. F., & Wand, G. S. (2012) · The International Journal of Neuropsychopharmacology · doi:10.1017/s146114571200017x · Cited by 69 · see citing works
Opioids and attachment in rhesus macaque (Macaca mulatta) abusive mothers.
Graves, F. C., Wallen, K., & Dario Maestripieri, A. (2002) · Behavioral Neuroscience · doi:10.1037//0735-7044.116.3.489 · Cited by 61 · see citing works
Attachment, Social Network Size, and Patterns of Social Exchange in Later Life
Fiori, K. L., Consedine, N. S., & Merz, E. (2011) · Research on Aging · doi:10.1177/0164027511401038 · Cited by 53 · see citing works
Opioids and attachment in rhesus macaque (Macaca mulatta) abusive mothers.
Graves, F. C., Wallen, K., & Maestripieri, D. (2002) · Behavioral Neuroscience · doi:10.1037/0735-7044.116.3.489 · Cited by 51 · see citing works
Adult attachment style and social anhedonia in healthy volunteers
Troisi, A., Alcini, S., Coviello, M., Nanni, R. C., & Siracusano, A. (2010) · Personality and Individual Differences · doi:10.1016/j.paid.2010.01.002 · Cited by 40 · see citing works
μオピオイド受容体遺伝子(OPRM1)変異は社会的拒否への気質感受性と神経感受性と関連する
Baldwin, M. W., Shelley, E. T., & Naomi, I. E. (2009) · Cited by 37 · see citing works
Family ties: Maternal-offspring attachment and young adult nonmedical prescription opioid use
Cerdá, M., Bordelois, P., Keyes, K. M., Roberts, A. L., Martins, S. S., Reisner, S. L., Austin, S. B., Corliss, H. L., & Koenen, K. C. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2014.06.026 · Cited by 16 · see citing works
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- Authors
- Nummenmaa, L., Manninen, S., Tuominen, L., Hirvonen, J., Kalliokoski, K. K., Nuutila, P., Jääskeläinen, I. P., Hari, R., Dunbar, R. I. M., & Sams, M.
- Affiliations
- University of Turku (FI)
- Aalto University (FI)
- University of Oxford (GB)
- ORCID
- Venue
- Human Brain Mapping
- Publisher
- Wiley
- Published
- 2015-06-05
- Volume
- 36
- Issue
- 9
- Pages
- 3621-3628
- ISSN
- 1065-9471 (ISSN-L)
- 1097-0193
- PMC
- PMC6869236
- OpenAlex
- W1813448369
- Cited by
- 133
- References
- 69
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 9 · 2023: 2 · 2022: 10 · 2021: 10 · 2020: 52 · 2019: 11 · 2018: 12 · 2017: 11 · 2016: 8 · 2014: 1
- FWCI
- 16.91
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Human Brain Mapping (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- aivoAALTO Project of the Aalto University
- Academy of Finland (265917 (to L.N.), 138145 (to I.P.J.), and 131483 (to R.H.))
- European Research Council (ERC) (313000 (to L.N.), 232946 (to R.H.), 295663 (to R.D.))
- Topics
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- adult attachment, attachment avoidance, attachment anxiety, endogenous opioid system, carfentanil, thalamus, anterior cingulate cortex, social bonding, individual differences, interpersonal relationships
- MeSH terms
- Adult, Brain, Brain Mapping, Carbon Radioisotopes, Female, Fentanyl, Humans, Individuality, Male, Middle Aged, Object Attachment, Psychological Tests, Surveys and Questionnaires, Receptors, Opioid, mu, Radiopharmaceuticals, Positron-Emission Tomography, Young Adult
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