Separate neural representations for physical pain and social rejection
Open accessAbstract
Current theories suggest that physical pain and social rejection share common neural mechanisms, largely by virtue of overlapping functional magnetic resonance imaging (fMRI) activity. Here we challenge this notion by identifying distinct multivariate fMRI patterns unique to pain and rejection. Sixty participants experience painful heat and warmth and view photos of ex-partners and friends on separate trials. FMRI pattern classifiers discriminate pain and rejection from their respective control conditions in out-of-sample individuals with 92% and 80% accuracy. The rejection classifier performs at chance on pain, and vice versa. Pain- and rejection-related representations are uncorrelated within regions thought to encode pain affect (for example, dorsal anterior cingulate) and show distinct functional connectivity with other regions in a separate resting-state data set (N = 91). These findings demonstrate that separate representations underlie pain and rejection despite common fMRI activity at the gross anatomical level. Rather than co-opting pain circuitry, rejection involves distinct affective representations in humans.
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TL;DR
Whole-brain fMRI pattern classifiers identified distinct, separately modifiable multivariate representations for physical pain and social rejection, even within regions commonly activated by both. The findings challenge the “shared representation” theory by showing that overlapping univariate activity can arise from uncorrelated pain- and rejection-related patterns.
Key findings
- Pain and rejection classifiers were separately modifiable: the pain classifier discriminated Heat-pain versus Ex-partner with 100% accuracy (95% CI: 100–100%, P<0.00001) and Heat-pain versus Warmth with 92% accuracy (95% CI: 84–99%, P<0.00001), but performed at chance for Ex-partner versus Friend (59%, 95% CI: 47–72%, P=0.193). The rejection classifier discriminated Ex-partner versus Heat-pain with 88% accuracy (95% CI: 80–96%, P<0.00001) and Ex-partner versus Friend with 80% accuracy (95% CI: 69–90%, P<0.00001), but performed at chance for Heat-pain versus Warmth (59%, 95% CI: 47–72%, P=0.193).
- The two whole-brain pattern maps were uncorrelated, r = −0.04, P = 0.28, and showed different predictive weights: pain was more strongly predicted by supramarginal gyrus, middle insula, dpINS, ventral insula, PAG, amygdala and thalamus; rejection by dmPFC, right inferior frontal gyrus, vmPFC, perigenual ACC, TPJ and precuneus (q < 0.05, FDR corrected).
- Within dACC, aINS, S2 and dpINS, no significant correlation was found between pain and rejection SVM weights or between first-level contrast images. Cross-classification identified shared local patterns outside core pain-processing regions, including left parahippocampal/fusiform gyri, retrosplenial cortex, right TPJ, posterior cingulate cortex and striatum (q < 0.05, FDR corrected).
- In an independent resting-state sample (Study 2, N = 91), dACC pain and rejection patterns were distinct (r = −0.04, P = 0.23) and engaged different functional connectivity networks.
Methods
- Study 1 scanned 60 healthy, right-handed participants (31 females, Mage = 20.8, SD = 3.0) who had recently experienced an unwanted romantic breakup; participants underwent painful heat versus warmth and viewed ex-partner versus friend photographs on separate trials. Imaging analyses used 59 participants because task data were lost for one participant. Study 2 used 91 healthy, right-handed participants (48 females, Mage = 20.8, SD = 2.8) for resting-state fMRI.
- Multivariate pattern analysis used linear support vector machines with leave-one-subject-out cross-validation, trained on whole-brain activation parametric maps masked by an a priori meta-analytic pain/emotion/social map. Classifiers were trained one-against-all for Heat-pain and Ex-partner, tested on out-of-sample participants, and evaluated with bootstrap tests (10,000 iterations), multi-voxel pattern similarity, and searchlight/parcellation cross-classification.
- Resting-state functional connectivity in Study 2 used dACC pain and rejection pattern expression as seed time courses, with random-effects GLM analyses to estimate whole-brain connectivity and connectivity differences.
Limitations
- Stated in the paper: the five-point Likert scale and only two intensity levels for pain and rejection may mean the patterns do not capture fine-grained subjective intensity; the authors cannot rule out contributions from response preparation, attention or other consequences rather than central representations; the rejection task used ex-partner photos referring to past experience whereas thermal pain was acute; and the study focused on cross-individual classification rather than individual-specific patterns.
- Stated in the paper: BOLD fMRI has limited spatial resolution and acts as a spatial low-pass filter, so shared fMRI patterns do not necessarily imply shared neuron-level representations, though dissociable fMRI patterns do imply different neuron-level population codes.
- Evident from the text: the samples were young, predominantly Caucasian, native English speakers recruited in specific locations, which may limit generalizability; the study is experimental and correlational with respect to brain representation, so it does not establish causal interactions between pain and rejection systems.
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Claims the paper makes
0 of 27 cited sources checked · 0 supported · 0 flagged
- Findingown data
The rejection classifier discriminated Ex-partner versus Friend with 80% accuracy.
“and Ex-partner versus Friend with 80% accuracy (95% CI: 69–90%, P<0.00001).”
Quote in the paperSubstantial claim- Rests on an assumption: Viewing photographs of an ex-partner elicits social rejection in recently rejected individuals.
- Findingown data
The pain classifier performed at chance for Ex-partner versus Friend, with 59% accuracy.
“However, it performed at chance for Ex-partner versus Friend (accuracy = 59%, with 95% CI: 47–72%, P = 0.193), demonstrating responsivity only to somatic pain.”
Quote in the paperSubstantial claim - Findingown data
Heat-pain versus Warmth was predicted by activation in regions associated with nociceptive processing and endogenous pain control, including right dpINS, bilateral S2, medial thalamus and PAG.
“Heat-pain versus Warmth was predicted by activation in many regions associated with nociceptive processing and endogenous pain control36,37, such as right (contralateral) dpINS, bilateral S2, medial thalamus and periaqueductal gray (PAG).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [36] Apkarian, A. V., Bushnell, M. C., Treede, R. D. & Zubieta, J. K. Human brain mechanisms of pain perception and regulation in health and disease. Eur. J. Pain 9, 463–484 (2005). source
Not checked in the free run.
- cites [37] Bushnell, M. C., Ceko, M. & Low, L. A. Cognitive and emotional control of pain and its disruption in chronic pain. Nat. Rev. Neurosci. 14, 502–511 (2013). source
Not checked in the free run.
- Findingown data
Activation was more strongly predictive of pain in the supramarginal gyrus, middle insula, dpINS, ventral insula, PAG, amygdala and thalamus.
“Activation was more strongly predictive of pain in the supramarginal gyrus, middle insula, dpINS and ventral insula, PAG, amygdala and thalamus (warm colours in Fig. 3a, q < 0.05, false discovery rate [FDR] corrected; for the full list of the regions, see Supplementary Table 1).”
Quote in the paperSubstantial claim - Findingown data
Activation was more strongly predictive of social rejection in dmPFC, right inferior frontal gyrus, ventromedial prefrontal cortex, perigenual anterior cingulate cortex, TPJ and precuneus.
“Activation was more strongly predictive of social rejection in dmPFC, right inferior frontal gyrus, ventromedial prefrontal cortex, perigenual anterior cingulate cortex, TPJ and precuneus (cool colours in Fig. 3a).”
Quote in the paperSubstantial claim- Rests on an assumption: Viewing photographs of an ex-partner elicits social rejection in recently rejected individuals.
- Findingown data
dACCpain and dACCrejection engage distinct functional connectivity patterns.
“The whole-brain functional connectivity patterns for dACCpain and dACCrejection (Fig. 6b) and their difference map (Fig. 6c) showed that dACCpain and dACCrejection engage distinct functional connectivity patterns.”
Quote in the paperSubstantial claim - Findingown data
In Study 1, the Heat-pain condition elicited greater negative affect than the Warmth control condition.
“both the Heat-pain and Ex-partner conditions elicited substantial negative affect on numerical rating scales (MHeat-pain = 4.07±0.55 (s.d.); MEx-partner = 4.28±0.39 on a five-point scale), compared with their respective control (Friend and Warmth) conditions, tHeat-pain versus Warmth (59) = 29.07, P<0.001, tEx-partner versus Friend (59) = 28.37, P<0.001.”
Quote in the paperNot a substantial claim - Findingown data
The pain classifier discriminated Heat-pain versus Warmth with 92% accuracy.
“and Heat-pain versus Warmth with 92% accuracy (CI: 84–99%, P<0.00001).”
Quote in the paperSubstantial claim - Findingown data
Rejection-related stimuli elicited multiple intense negative emotions, including sadness, anger and stress, in addition to pain-related words.
“The photos also evoked other negative emotions, including sadness (for example, sad, cry; 40.3% of negative emotion words used, and 85% of participants), anger (for example, angry, mad; 23.3% of negative emotion words, and 97% of participants) and stress (for example, upset, confused; 14.2% of negative emotion words, and 77% of participants). Thus, rejection-related stimuli did not only evoke ‘pai”
Quote in the paperNot a substantial claim- Rests on an assumption: Viewing photographs of an ex-partner elicits social rejection in recently rejected individuals.
- Findingown data
The pain classifier discriminated Heat-pain versus Ex-partner with 100% accuracy in out-of-sample test participants.
“the pain classifier discriminated Heat-pain versus Ex-partner with 100% accuracy in the test participants (95% confidence interval (CI): 100–100%, P<0.00001)”
Quote in the paperSubstantial claim - Findingcitation
None of the regions showing significant cross-classification between pain and rejection are primary pain-processing regions.
“Critically, none of these regions are primary ‘pain-processing’ regions36,42.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [36] Apkarian, A. V., Bushnell, M. C., Treede, R. D. & Zubieta, J. K. Human brain mechanisms of pain perception and regulation in health and disease. Eur. J. Pain 9, 463–484 (2005). source
Not checked in the free run.
- cites [42] Willis, W. D. & Westlund, K. N. Neuroanatomy of the pain system and of the pathways that modulate pain. J. Clin. Neurophysiol. 14, 2–31 (1997). source
Not checked in the free run.
- Findingown data
The pain and rejection manipulations elicited equally strong increases in negative affect.
“Pain and rejection manipulations elicited equally strong increases in negative affect (for Heat-pain versus Ex-partner, β^=0.066, t (118) = 0.26, P = 0.80).”
Quote in the paperSubstantial claim - Findingown data
In Study 1, the Ex-partner condition elicited greater negative affect than the Friend control condition.
“both the Heat-pain and Ex-partner conditions elicited substantial negative affect on numerical rating scales (MHeat-pain = 4.07±0.55 (s.d.); MEx-partner = 4.28±0.39 on a five-point scale), compared with their respective control (Friend and Warmth) conditions, tHeat-pain versus Warmth (59) = 29.07, P<0.001, tEx-partner versus Friend (59) = 28.37, P<0.001.”
Quote in the paperNot a substantial claim - Findingown data
The rejection classifier discriminated Ex-partner versus Heat-pain with 88% accuracy.
“The rejection classifier discriminated Ex-partner versus Heat-pain with 88% accuracy (95% CI: 80–96%, P<0.00001)”
Quote in the paperSubstantial claim- Rests on an assumption: Viewing photographs of an ex-partner elicits social rejection in recently rejected individuals.
- Findingown data
Ex-partner versus Friend was predicted by increased activity in dmPFC, right TPJ, precuneus, and other regions associated with negative emotion and its regulation.
“Ex-partner versus Friend was predicted by increased activity in dorsomedial prefrontal cortex (dmPFC), right temporal parietal junction (TPJ) and precuneus, which are reliably associated with mentalizing about others38,39, and several other regions associated with negative emotion and its regulation20,40,41, including thalamus, supplementary motor area and inferior frontal gyrus.”
Quote in the paperSubstantial claim0 of 5 sources checked- cites [38] Denny, B. T., Kober, H., Wager, T. D. & Ochsner, K. N. A meta-analysis of functional neuroimaging studies of self- and other judgments reveals a spatial gradient for mentalizing in medial prefrontal cortex. J. Cogn. Neurosci. 24, 1742–1752 (2012). source
Not checked in the free run.
- cites [39] Amodio, D. M. & Frith, C. D. Meeting of minds: the medial frontal cortex and social cognition. Nat. Rev. Neurosci. 7, 268–277 (2006). source
Not checked in the free run.
- cites [20] Wager T. D.et al. inHandbook of Emotions Ch. 15, eds Lewis M., Haviland-Jones J. M., Barrett L. F. 249–271Guilford (2008).
Not checked in the free run.
- cites [40] Wager, T. D., Davidson, M. L., Hughes, B. L., Lindquist, M. A. & Ochsner, K. N. Prefrontal-subcortical pathways mediating successful emotion regulation. Neuron 59, 1037–1050 (2008). source
Not checked in the free run.
- cites [41] Urry, H. L., van Reekum, C. M., Johnstone, T. & Davidson, R. J. Individual differences in some (but not all) medial prefrontal regions reflect cognitive demand while regulating unpleasant emotion. Neuroimage 47, 852–863 (2009). source
Not checked in the free run.
- Rests on an assumption: Viewing photographs of an ex-partner elicits social rejection in recently rejected individuals.
- Findingown data
The two pattern classifiers for pain and rejection were uncorrelated with each other, r = −0.04, P = 0.28.
“The two pattern classifiers were uncorrelated with each other, r = −0.04, P = 0.28”
Quote in the paperSubstantial claim - Findingown data
The rejection classifier performed at chance for Heat-pain versus Warmth, with 59% accuracy.
“However, it performed at chance for Heat-pain versus Warmth (accuracy = 59%, with 95% CI: 47–72%, P = 0.193), demonstrating responsivity only to rejection.”
Quote in the paperSubstantial claim - Findingown data
The distinct multivariate patterns for pain and rejection within the dACC engaged distinct functional brain networks using a separate resting-state data set (N = 91).
“(v) we showed that the distinct multivariate patterns for pain and rejection within the dACC engaged distinct functional brain networks using a separate resting-state data set (N = 91)”
Quote in the paperSubstantial claim - Findingown data
The study identified brain regions with similar neural patterns for pain and rejection using a searchlight approach.
“(iv) we identified brain regions with similar neural patterns for pain and rejection using a searchlight approach”
Quote in the paperNot a substantial claim - Findingown data
The study identified a multivariate fMRI pattern sensitive and specific to rejection.
“(i) we identified a multivariate fMRI pattern sensitive and specific to rejection”
Quote in the paperSubstantial claim - Findingown data
The rejection pattern is qualitatively different from the pain pattern.
“(ii) we demonstrated that the rejection pattern is qualitatively different from the pain pattern”
Quote in the paperSubstantial claim - Findingown data
Pain and rejection yielded distinct multivariate patterns even in the overlapping regions activated by both pain and rejection.
“(iii) we showed that pain and rejection yielded distinct multivariate patterns even in the overlapping regions activated by both pain and rejection”
Quote in the paperSubstantial claim - Findingown data
The rejection pattern did not respond to pain.
“and the rejection pattern did not respond to pain”
Quote in the paperSubstantial claim - Findingown data
dACCpain showed stronger functional connectivity with thalamus, posterior insula, midbrain regions, ventral and anterior medial frontal regions, posterior cingulate cortex and cerebellum.
“dACCpain showed stronger functional connectivity with thalamus, posterior insula, midbrain regions, ventral and anterior part of medial frontal regions, posterior cingulate cortex and cerebellum (yellow in Fig. 6c)”
Quote in the paperSubstantial claim - Findingown data
dACCrejection was more strongly associated with ventral and dorsal lateral prefrontal cortex, parietal cortex, temporal pole, middle temporal lobe, dmPFC and TPJ.
“whereas dACCrejection was more strongly associated with ventral and dorsal lateral prefrontal cortex, parietal cortex, temporal pole and middle temporal lobe, dmPFC and TPJ (blue in Fig. 6c).”
Quote in the paperSubstantial claim- Rests on an assumption: Viewing photographs of an ex-partner elicits social rejection in recently rejected individuals.
- Study design and conductown data
The multivariate patterns identified may not be sensitive to fine-grained differences in the subjective intensity of pain and rejection experience, because the study used a five-point Likert scale and only two intensity levels of stimulation.
“Given that we used a five-point Likert scale for pain and emotion ratings and applied only two different intensity levels of stimulation for both pain and rejection, the multivariate patterns we identify here may not be sensitive to fine-grained differences in the subjective intensity of pain and rejection experience.”
Quote in the paperNot a substantial claim - Interpretationown data
The overlapping fMRI activity between pain and rejection arises from distinct neural representations.
“Here we used a more fine-grained analysis technique to demonstrate that the overlapping activity arises from distinct neural representations18.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [18] Peelen, M. V. & Downing, P. E. Using multi-voxel pattern analysis of fMRI data to interpret overlapping functional activations. Trends Cogn. Sci. 11, 4–5 (2007). source
Not checked in the free run.
- Interpretationreasoning
Finding that two manipulations activate similar fMRI patterns does not necessarily imply similar neuron-level representations.
“Because of the spatial blurring properties of fMRI, finding that two manipulations activate similar fMRI patterns does not necessarily imply similar neuron-level representations.”
Quote in the paperSubstantial claim - Interpretationreasoning
The involvement of common neuropeptides and regulatory mechanisms in both pain and rejection does not necessarily imply shared neural representations.
“Therefore, the involvement of common neuropeptides and regulatory mechanisms in both pain and rejection do not necessarily imply shared neural representations.”
Quote in the paperSubstantial claim - Interpretationreasoning
These multivariate patterns cannot be regarded as fully characterized representations of pain and rejection experience.
“Therefore, these multivariate patterns cannot be regarded as fully characterized representations of pain and rejection experience.”
Quote in the paperNot a substantial claim - Study design and conductreasoning
The study cannot rule out the possibility that some of the activity in the multivariate patterns could be related to response preparation, attention and other consequences, instead of mental representations central to the experience of pain and rejection.
“We cannot also rule out the possibility that some of the activity in the multivariate patterns we identified could be related to response preparation, attention and other consequences, instead of mental representations central to the experience of pain and rejection.”
Quote in the paperNot a substantial claim - Interpretationreasoning
The separate modifiability criterion strongly implies the existence of distinct, non-shared neural representations for pain and rejection.
“The criterion of separate modifiability, which is a stronger version of the classic ‘double dissociation’ logic, strongly implies the existence of distinct, non-shared neural representations for pain and rejection.”
Quote in the paperSubstantial claim - Interpretationreasoning
The separate modifiability criterion rules out a single-process interpretation, such as salience, arousal or general aversiveness, of the fMRI multivariate patterns observed within and across regions.
“The criterion also rules out a single-process interpretation (for example, based on salience, arousal or general aversiveness) of the fMRI multivariate patterns that we observed within and across regions.”
Quote in the paperSubstantial claim - Interpretationown data
The current findings at the multivariate pattern level suggest that the representations of pain and rejection are in fact distinct within and across regions.
“However, the current findings at the multivariate pattern level suggest that the representations of pain and rejection are in fact distinct within and across regions.”
Quote in the paperSubstantial claim - Interpretationreasoning
Overlapping univariate fMRI activity between pain and rejection is not anatomically specific enough to bear on whether the underlying neural representations are similar.
“claims about shared representation in the previous studies have been based on findings of overlapping univariate fMRI activity between pain and rejection2,4,5, which is not anatomically specific enough to bear on the question of whether the underlying neural representations are similar.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [2] Eisenberger, N. I., Lieberman, M. D. & Williams, K. D. Does rejection hurt? An fMRI study of social exclusion. Science 302, 290–292 (2003). source
Not checked in the free run.
- cites [4] Kross, E., Berman, M. G., Mischel, W., Smith, E. E. & Wager, T. D. Social rejection shares somatosensory representations with physical pain. Proc. Natl Acad. Sci. USA 108, 6270–6275 (2011). source
Not checked in the free run.
- cites [5] Novembre, G., Zanon, M. & Silani, G. Empathy for social exclusion involves the sensory-discriminative component of pain: a within-subject fMRI study. Soc. Cogn. Affect Neurosci doi: 10.1093/scan/nsu038 (2014). source
Not checked in the free run.
- Interpretationcitation
Similar neurochemical responses to pain and rejection may reflect common physiological regulatory responses to general aversive events, such as stress.
“similar neurochemical responses to pain and rejection (for example, endogenous opioids and oxytocin12) may reflect common physiological regulatory responses to general aversive events (for example, stress).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [12] Panksepp, J., Nelson, E. & Bekkedal, M. Brain systems for the mediation of social separation-distress and social-reward. Evolutionary antecedents and neuropeptide intermediaries. Ann. N.Y. Acad. Sci. 807, 78–100 (1997). source
Not checked in the free run.
- Interpretationreasoning
Finding dissociable fMRI patterns implies that the neuron-level population codes are different.
“However, finding dissociable fMRI patterns, as we did here, implies that the neuron-level population codes are different.”
Quote in the paperSubstantial claim - Interpretationown data
Local regions such as dACC can contain multiple, distinct neural population codes that encode distinct mental processes.
“This finding supports the idea that local regions such as dACC can contain multiple, distinct neural population codes25 that encode distinct mental processes.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [25] Kvitsiani, D. et al. Distinct behavioural and network correlates of two interneuron types in prefrontal cortex. Nature 498, 363–366 (2013). source
Not checked in the free run.
- Interpretationown data
Our results provide the first neuroimaging evidence that pain and rejection do not share neural representations within core pain-processing brain regions.
“our results provide the first neuroimaging evidence that pain and rejection do not share neural representations within core pain-processing brain regions.”
Quote in the paperSubstantial claim
- May combine two claims. 22
- Classified as probably not a substantial claim. 10
May combine two claims.
Findingown dataA number of regions showed significant cross-classification between pain and rejection, implying shared representation at the local pattern level; these included left parahippocampal and fusiform gyri, retrosplenial cortex, right TPJ, posterior cingulate cortex and striatum.
“a number of regions showed significant cross-classification between pain and rejection (yellow in Fig. 5), implying shared representation at the local pattern level. These included the left parahippocampal and fusiform gyri, retrosplenial cortex, right TPJ, posterior cingulate cortex and striatum (q<0.05, FDR corrected).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataNo core pain-processing regions showed a significant correlation between SVM classifier weights for pain and rejection or between fMRI contrast images for pain and rejection.
“No core pain-processing regions showed a significant correlation between (i) SVM classifier weights for pain and rejection (Fig. 4b, left) or (ii) fMRI contrast images for pain and rejection (Fig. 4b, right).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe dACC patterns for pain and rejection were distinct, r = −0.04, P = 0.23, and separately modifiable by pain and rejection.
“the dACC patterns for pain and rejection were distinct, r = −0.04, P = 0.23 and separately modifiable by pain and rejection, as we expected.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn participants' verbal descriptions of viewing their ex-partner's photo, 9.7% of negative emotion words were pain-related, and 23% of participants used at least one pain-related word.
“9.7% of all negative emotion words provided by participants were pain-related words (for example, painful, hurt and so on), with 23% of participants using at least one pain-related word.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataMany regions showed significant classification accuracy for both pain and rejection but without significant cross-classification, indicating separate modifiability; these included dACC, aINS and dpINS/S2.
“Many other regions showed significant classification accuracy for both pain and rejection (orange in Fig. 5), but without significant cross-classification (that is, separate modifiability). Such regions did include those targeted by primary nociceptive afferents (for example, dACC, aINS and dpINS/S2).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe significant weight differences between pain and rejection patterns were mainly driven by significant positive weights for pain or rejection, but in some regions by significant negative weights, particularly negative weights for rejection in amygdala and thalamus.
“The significant weight differences in these regions were mainly driven by significant positive weights for pain or rejection (Fig. 3b), but in some regions by significant negative weights; in particular, by negative weights for rejection in amygdala and thalamus.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataBoth pain and rejection activate somatosensory areas such as S2 and dpINS, but they activate different multivariate patterns within these areas.
“although both pain and rejection activate somatosensory areas, such as S2 and dpINS, we demonstrate here that they activate different multivariate patterns within these areas.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataWhole-brain fMRI multivariate patterns for pain and rejection are separately modifiable, suggesting functionally independent neural representations for pain and rejection.
“These findings provide the first evidence for separate modifiability of whole-brain fMRI multivariate patterns for pain and rejection, suggesting the existence of functionally independent neural representations for pain and rejection.”
Quote in the paperSubstantial claim- Rests on an assumption: Viewing photographs of an ex-partner elicits social rejection in recently rejected individuals.
May combine two claims.
InterpretationreasoningTogether, the findings indicate separable neural representations that are co-localized at the gross anatomical level.
“Thus, together, the findings indicate separable neural representations that are co-localized at the gross anatomical level.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataThe functional connectivity networks for dACCpain and dACCrejection correspond well to the regions with differential predictive weights for pain and rejection in Study 1, although they were identified using distinct methodology in an independent sample.
“These networks correspond well to the regions with differential predictive weights for pain and rejection in Study 1, but they were identified using distinct methodology (resting-state fMRI connectivity) in an independent sample in the absence of overt pain or social rejection.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataMultivariate patterns encoding the intensity of pain and rejection are separately modifiable at the whole-brain level and within pain-processing regions.
“We demonstrate that multivariate patterns encoding the intensity of pain and rejection are separately modifiable30 by showing that pain and rejection each influenced distinct, uncorrelated fMRI patterns at the whole-brain level and within ‘pain-processing’ regions.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [30] Sternberg, S. Separate modifiability, mental modules, and the use of pure and composite measures to reveal them. Acta Psychol. 106, 147–246 (2001). source
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
PremisecitationThis is an important issue with all MVPA analyses and fMRI results in general.
“This is an important issue with all MVPA analyses and fMRI results in general61”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [61] Davis, T. & Poldrack, R. A. Measuring neural representations with fMRI: practices and pitfalls. Ann. N.Y. Acad. Sci. 1296, 108–134 (2013). source
Not checked in the free run.
May combine two claims.
Interpretationown dataPain- and rejection-related multivariate patterns were uncorrelated and separately modifiable even within regions thought to encode pain affect, including dACC and aINS.
“pain- and rejection-related multivariate patterns were uncorrelated and separately modifiable even within the regions thought to encode ‘pain affect,’ including the dACC and aINS.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningShared representations may exist, but they are not likely associated with nociceptive pain; rather, they are likely broadly associated with processes related to context, memory, motivated action, social inferences, and/or endogenous regulation.
“Thus, shared representations may exist (proviso considerations outlined above), but they are not likely associated with nociceptive pain. Rather, they are likely to be broadly associated with processes related to context, memory, motivated action, social inferences, and/or endogenous regulation”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown dataThe difference between the current conclusion and the previous interpretation does not result from the addition of 20 more participants, but rather from the different level of analysis.
“This conclusion, which differs from our previous interpretation of the data, does not result from the addition of 20 more participants (see Supplementary Fig. 7), but rather from the different level of analysis.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationMVPA is more likely to reflect population codes across neurons and has greater sensitivity and specificity to particular types of mental events.
“MVPA is more likely to reflect population codes across neurons43,45,48, as they have demonstrably greater sensitivity and specificity to particular types of mental events17,31,32.”
Quote in the paperSubstantial claim0 of 6 sources checked- cites [43] Kriegeskorte, N., Mur, M. & Bandettini, P. Representational similarity analysis—connecting the branches of systems neuroscience. Front. Sys. Neurosci. 2, 4 (2008). source
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- cites [45] Kriegeskorte, N., Goebel, R. & Bandettini, P. Information-based functional brain mapping. Proc. Natl Acad. Sci. USA 103, 3863–3868 (2006). source
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- cites [48] Shmuel, A., Chaimow, D., Raddatz, G., Ugurbil, K. & Yacoub, E. Mechanisms underlying decoding at 7 T: Ocular dominance columns, broad structures, and macroscopic blood vessels in V1 convey information on the stimulated eye. Neuroimage 49, 1957–1964 (2010). source
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- cites [17] Peelen, M. V., Wiggett, A. J. & Downing, P. E. Patterns of fMRI activity dissociate overlapping functional brain areas that respond to biological motion. Neuron 49, 815–822 (2006). source
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- cites [31] Kamitani, Y. & Tong, F. Decoding the visual and subjective contents of the human brain. Nat. Neurosci. 8, 679–685 (2005). source
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- cites [32] Wager, T. D. et al. An fMRI-based neurologic signature of physical pain. New Engl J. Med. 368, 1388–1397 (2013). source
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductnone givenAll results were thresholded at q < 0.05, FDR corrected, two-tailed.
“All results were thresholded at q < 0.05, FDR corrected, two-tailed.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataThe present findings suggest that pain and rejection are represented in distinct mesoscopic neural systems whose locations are conserved across individuals.
“Instead, the present findings suggest that pain and rejection are represented in distinct mesoscopic neural systems whose locations are conserved across individuals.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductcitationWith a calibration procedure, the study chose two temperatures on a participant-by-participant basis to ensure that the subjective pain intensity was constant across participants.
“With a calibration procedure65, we chose two temperatures on a participant-by-participant basis to be sure that the subjective pain intensity was constant across participants.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [65] Wager, T. D. et al. Placebo-induced changes in fMRI in the anticipation and experience of pain. Science 303, 1162–1167 (2004). source
Not checked in the free run.
Classified as probably not a substantial claim. May combine two claims.
Study design and conductnone givenParticipants were screened to ensure that they did not suffer from any neurological or psychiatric illness, experience chronic pain, take psychoactive medications, antihistamine or steroids, have metal in their bodies, or have a history of substance use or abuse.
“Participants were screened to ensure that they did not suffer from any neurological or psychiatric illness, experience chronic pain, take psychoactive medications, antihistamine or steroids, have metal in their bodies, or have a history of substance use or abuse.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductown dataThe study used a leave-one-subject-out cross-validation procedure to assess classification accuracy of the SVM classifiers.
“With a leave-one-subject-out cross-validation procedure, we assessed classification accuracy of the SVM classifiers using the forced-choice test”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown dataAll participants experienced an unwanted romantic relationship break-up within the past 6 months and indicated that they felt rejected when thinking about their break-up; all participants rated high on a 1-7 rejection scale (M = 5.52, s.d. = 1.08).
“All participants experienced an unwanted romantic relationship break-up within the past 6 months, and indicated that they felt rejected when thinking about their break-up; all participants rated high on a 1 (not at all rejected) to 7 (very rejected) scale asking how rejected they felt when they thought about their rejection experience (M = 5.52, s.d. = 1.08).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataFMRI task data were lost for one participant, so all imaging analyses were completed on 59 participants.
“FMRI task data (for example, trial onset times) were lost for one participant. Thus, all imaging analyses were completed on 59 participants.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenEach time-point identified as an outlier was included as a separate nuisance covariate in the first-level models.
“Each time-point identified as outliers was included as a separate nuisance covariate in the first-level models.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductnone givenThe stimuli used in the current social rejection task (e.g., ex-partner photos) refer to past experience and only indirectly to present circumstance, whereas the somatic pain task elicits acute thermal pain.
“Particularly, the stimuli used in the current social rejection task (for example, ex-partner photos) refer to past experience and only indirectly to present circumstance, whereas the somatic pain task elicits acute thermal pain.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe smoothing level (8-mm FWHM Gaussian kernel) has been shown to improve inter-subject functional alignment while retaining sensitivity to mesoscopic activity patterns that are consistent across individuals.
“This smoothing level has been shown to improve inter-subject functional alignment, while retaining sensitivity to mesoscopic activity patterns that are consistent across individuals48,66.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [48] Shmuel, A., Chaimow, D., Raddatz, G., Ugurbil, K. & Yacoub, E. Mechanisms underlying decoding at 7 T: Ocular dominance columns, broad structures, and macroscopic blood vessels in V1 convey information on the stimulated eye. Neuroimage 49, 1957–1964 (2010). source
Not checked in the free run.
- cites [66] Op de Beeck, H. P. Against hyperacuity in brain reading: spatial smoothing does not hurt multivariate fMRI analyses? Neuroimage 49, 1943–1948 (2010). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe study cropped all images to ensure the total area of the photograph taken up by the face was constant across Ex-partner and Friend images.
“We cropped all images to ensure the total area of the photograph taken up by the face to be constant across Ex-partner and Friend images.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationParticipants provided cue phrases before the day of fMRI scanning using a procedure developed in prior research.
“Participants provided these cue phrases before the day of fMRI scanning using a procedure developed in prior research64”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [64] Kross, E., Davidson, M., Weber, J. & Ochsner, K. Coping with emotions past: the neural bases of regulating affect associated with negative autobiographical memories. Biol. Psychiat. 65, 361–366 (2009). source
Not checked in the free run.
May combine two claims.
Study design and conductown dataRatings of picture quality and attractiveness by ten individuals blind to the study goals and hypotheses indicated that the level of picture quality and attractiveness for each photograph did not differ between Ex-partner and Friend photographs.
“Ratings of the picture quality and attractiveness by a group of ten individuals who were blind to the study goals and hypotheses indicated that the level of picture quality and attractiveness for each photograph did not differ between Ex-partner and Friend photographs.”
Quote in the paperSubstantial claim
The paper relies on this without support.
Viewing photographs of an ex-partner elicits social rejection in recently rejected individuals.
“We recruited individuals who recently experienced an unwanted break-up with their romantic partners and felt intensely rejected.”
“In the social rejection task, in order to elicit emotions of social rejection, participants viewed a headshot photograph of their ex-partner (‘Ex-partner’ condition) or a close friend (‘Friend’ condition).”
The paper relies on this without support.
The across-individual pattern-based classification approach is more stable and generalizable than the within-subject approach.
“We also focused only on pattern-based classification across individuals because this approach is more stable and generalizable than the within-subject approach.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Recent studies suggest that pain and social rejection have distinct representations in the dACC and AI.
“recent studies suggest that pain and social rejection have distinct representations in the dACC and AI (Woo et al., 2014; Kragel et al., 2018)”
From Feeling left out or just surprised? Neural correlates of social exclusion and overinclusion in adolescence (2020) · cites this paper as Woo et al., 2014
Research using multivariate pattern analyses suggests distinct neural representations of physical pain and social rejection in the dACC and anterior insula, which are not distinguishable using traditional task-based fMRI contrasts.
“research using multivariate pattern analyses suggests distinct neural representations of physical pain and social rejection in the dACC and anterior insula, which are not distinguishable using traditional task-based fMRI contrasts (Woo et al., 2014).”
From Neural correlates of social exclusion across ages: A coordinate-based meta-analysis of functional MRI studies (2017) · cites this paper as Woo et al., 2014
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Consistentt(118) = 0.26reported p = .8 · recomputed p = .795
“t (118) = 0.26, p = .80”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Self-check results appear here once an independent check has confirmed them.
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Martins, D., Rademacher, L., Gabay, A. S., Taylor, R., Richey, J. A., Smith, D. V., Goerlich, K. S., Nawijn, L., Cremers, H. R., Wilson, R., et al. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.12.034 · Cited by 119 · see citing works
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Pathophysiology of Alzheimer’s Disease
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The opioid system and the social brain: implications for depression and suicide
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Parkinson’s disease as a somato-cognitive action network disorder
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The neural correlates of low social integration as a risk factor for suicide
Cáceda, R., James, G. A., Stowe, Z. N., Delgado, P. L., Kordsmeier, N., & Kilts, C. D. (2020) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-019-00990-6 · Cited by 25 · see citing works
- Authors
- Woo, C.-W., Koban, L., Kross, E., Lindquist, M. A., Banich, M. T., Ruzic, L., Andrews-Hanna, J. R., & Wager, T. D.
- Affiliations
- University of Colorado Boulder (US)
- University of Michigan (US)
- Johns Hopkins University (US)
- Corresponding author
- Wager, Tor D.
- Venue
- Nature Communications
- Published
- 2014-11-17
- Volume
- 5
- Issue
- 1
- Pages
- 5380-5380
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC4285151
- OpenAlex
- W2110646298
- Cited by
- 310
- References
- 73
- Citations by year
- 2026: 19 · 2025: 24 · 2024: 20 · 2023: 22 · 2022: 17 · 2021: 27 · 2020: 37 · 2019: 31 · 2018: 23 · 2017: 30 · 2016: 35 · 2015: 24 · 2014: 1
- FWCI
- 44.38
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Nature Communications (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Science Foundation
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (142252)
- National Institutes of Health (RR009784, MH079485, NIH P41 RR009784)
- U.S. Public Health Service (NIMH P50 MH079485, NIMH R01MH076136, NIDAR01DA035484-01)
- National Institute of Mental Health (P50MH079485, MH079485, R01MH076136, NIMH P50)
- National Institute on Drug Abuse (R01DA035484)
- National Institute of Biomedical Imaging and Bioengineering (NIBIB R01EB016061, P41EB015909, R01EB016061)
- National Center for Research Resources (NIHP41 RR009784, P41RR009784)
- Topics
- Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- bodily pain, social rejection, neural representations, dorsal anterior cingulate cortex, functional connectivity, resting-state functional connectivity, affective representations
- MeSH terms
- Brain, Female, Humans, Magnetic Resonance Imaging, Male, Pain, Pain Measurement, Psychological Distance, Young Adult, Functional Neuroimaging
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