Social rejection shares somatosensory representations with physical pain
Open accessAbstract
How similar are the experiences of social rejection and physical pain? Extant research suggests that a network of brain regions that support the affective but not the sensory components of physical pain underlie both experiences. Here we demonstrate that when rejection is powerfully elicited—by having people who recently experienced an unwanted break-up view a photograph of their ex-partner as they think about being rejected—areas that support the sensory components of physical pain (secondary somatosensory cortex; dorsal posterior insula) become active. We demonstrate the overlap between social rejection and physical pain in these areas by comparing both conditions in the same individuals using functional MRI. We further demonstrate the specificity of the secondary somatosensory cortex and dorsal posterior insula activity to physical pain by comparing activated locations in our study with a database of over 500 published studies. Activation in these regions was highly diagnostic of physical pain, with positive predictive values up to 88%. These results give new meaning to the idea that rejection “hurts.” They demonstrate that rejection and physical pain are similar not only in that they are both distressing—they share a common somatosensory representation as well.
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Written from the paper’s full text.
TL;DR
In 40 people who had recently experienced an unwanted romantic breakup, viewing an ex-partner’s photograph while thinking about rejection activated somatosensory pain regions (S2/OP1, dpINS) as well as affective pain regions, overlapping with physical heat pain in the same individuals. A meta-analysis of 524 studies indicated these somatosensory activations were highly diagnostic of physical pain, with positive predictive values up to 88%.
Key findings
- Self-reported distress was greater for Ex-partner than Friend trials (M = 1.72, SD = 0.36 vs. M = 4.23, SD = 0.41; t(39) = −26.05, P < 0.001) and for Hot than Warm trials (M = 1.88, SD = 0.57 vs. M = 4.46, SD = 0.52; t(39) = −19.45, P < 0.001); the increases were equivalent (t(39) = −0.56, ns).
- Whole-brain conjunction of social rejection (Ex-partner > Friend) and physical pain (Hot > Warm) showed overlapping activity in affective pain regions including dACC and AI, and also in thalamus and right parietal opercular/insular cortex (S2), contralateral to thermal stimulation.
- A priori OP1 and dpINS ROI analyses showed bilateral overlap between social rejection and physical pain (P < 0.05 FWER-corrected); in the subset who did Social Rejection before Physical Pain (n = 19), right OP1 showed 88 voxels and right dpINS 54 voxels.
- In a meta-analytic database of 524 studies, activations within 10 mm of OP1/dpINS peaks were selective for physical pain, with positive predictive values of 0.88 for right OP1, 0.74 for left OP1, 0.87 for right dpINS, and 0.75 for left dpINS.
Methods
- Forty participants (21 females; mean age 20.78, SD = 2.59) who had experienced an unwanted romantic breakup within the past 6 months (M = 2.74 months, SD = 1.70) and felt rejected when thinking about it (M = 5.60, SD = 1.06 on a 1–7 scale) completed counterbalanced fMRI tasks: Social Rejection (Ex-partner vs. Friend photographs with cue phrases) and Physical Pain (Hot vs. Warm thermal stimulation on the left forearm).
- Analyses used random-effects general linear models with whole-brain conjunction, thresholded at P < 0.05 FWER-corrected (primary P < 0.001, 11-voxel extent), plus a priori ROI analyses using an independent physical pain localizer (n = 75 from three thermal pain studies) and OP1/dpINS ROIs.
- Specificity was tested by comparing activated locations with a meta-analytic database of 524 published studies across physical pain and non-pain task categories.
Limitations
- The authors state that all participants were trained on both tasks before scanning and knew they would perform both, so participants may have been primed to think about physical pain on Social Rejection trials; they argue against this because tasks were administered separately, the thermode was not placed on the forearm during Social Rejection, and participants were trained to relive rejection. They also state future research is needed to test powerful social rejection without any physical pain manipulation and whether expectation of rejection activates sensory pain regions.
- Evident from the text: the sample was small (n = 40), young (mean age 20.78), restricted to right-handed native English speakers who had recently experienced an unwanted breakup and were screened for neurological/psychiatric illness and chronic pain, limiting generalizability.
- Evident from the text: the design is correlational fMRI and cannot establish that social rejection causes somatosensory activation; scanning used a 1.5 T scanner and cluster-threshold methods, and a later placebo manipulation in half the participants is noted but not reported in this article.
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Claims the paper makes
0 of 35 cited sources checked · 0 supported · 0 flagged
- Findingown data§ Results
Whole-brain conjunction analysis indicated that both social rejection and physical pain led to overlapping increases in activity in affective pain regions found in previous studies, including the dACC and AI.
“This whole-brain analysis indicated that both types of experiences led to overlapping increases in activity in affective pain regions found in previous studies, including the dACC and AI.”
Quote in the paperSubstantial claim - Findingown data§ Results
There was no evidence of lateralization when comparing β-values extracted from right and left OP1 and right and left dpINS in the subset of participants.
“we found no evidence of lateralization when we compared the β -values extracted from right and left OP1, and right and left dpINS (all, F s < 0.318, ns).”
Quote in the paperNot a substantial claim - Findingown data§ Results
Activations in OP1 and dpINS were selective for physical pain.
“activations in OP1 [right hemisphere: χ 2 (5) = 92.32, P < 0.001; left hemisphere: χ 2 (5) = 37.21, P < 0.005] and dpINS [right hemisphere: χ 2 (5) = 91.83, P < 0.001; left hemisphere: χ 2 (5) = 32.19, P < 0.01] were selective for physical pain.”
Quote in the paperSubstantial claim - Findingown data§ Results
Each pain intensity-encoding region identified by the independent localizer was activated in response to social rejection (P < 0.05 FWER-corrected).
“The results again show that each of the pain intensity-encoding regions was activated in response to social rejection ( P < 0.05 FWER-corrected) (Table 2).”
Quote in the paperSubstantial claim - Findingown data§ Results
Participants reported greater distress on Ex-partner trials (M = 1.72, SD = 0.36) than Friend trials (M = 4.23, SD = 0.41).
“As expected, participants reported experiencing greater distress on Ex-partner trials (M = 1.72, SD = 0.36) than Friend trials [M = 4.23, SD = 0.41; t (39) = -26.05, P < 0.001]”
Quote in the paperSubstantial claim
- Findingown data§ Results
The overlap between social rejection and physical pain fell within OP1 and dpINS bilaterally (P < 0.05 FWER-corrected for each ROI).
“As Fig. 3 illustrates, the overlap between social rejection and physical pain fell within both of these regions bilaterally ( P < 0.05 FWER-corrected for each ROI)”
Quote in the paperSubstantial claim - Findingown data§ Results
Whole-brain conjunction analysis found overlapping increases in thalamus and right parietal opercular/insular cortex (i.e., S2), contralateral to the site of thermal stimulation.
“Critically, we also found overlapping increases in thalamus and right parietal opercular/insular cortex (i.e., S2), contralateral to the site of thermal stimulation (Fig. 2 A and Table 1; see Tables S1 and S2 for the individual contrast results).”
Quote in the paperSubstantial claim - Findingown data§ Results
Participants reported greater distress on Hot trials (M = 1.88, SD = 0.57) than Warm trials (M = 4.46, SD = 0.52).
“and Hot trials (M = 1.88, SD = 0.57) than Warm trials [M = 4.46, SD = 0.52; t (39) = -19.45, P < 0.001].”
Quote in the paperSubstantial claim - Findingown data§ Social rejection shares somatosensory representations with physical pain
Social rejection and physical pain overlap in the same individuals in areas supporting sensory components of physical pain, as shown by comparing both conditions with fMRI.
“We demonstrate the overlap between social rejection and physical pain in these areas by comparing both conditions in the same individuals using functional MRI.”
Quote in the paperSubstantial claim - Findingown data§ Social rejection shares somatosensory representations with physical pain
Activation in secondary somatosensory cortex and dorsal posterior insula is highly diagnostic of physical pain, with positive predictive values up to 88%.
“Activation in these regions was highly diagnostic of physical pain, with positive predictive values up to 88%.”
Quote in the paperSubstantial claim - Findingown data§ Results
An independent localizer for physical pain identified a network of common physical pain regions, including the operculo-insular region, thalamus, dACC, and AI.
“This localizer identi fi ed a network of common physical pain regions, including the operculo-insular region, thalamus, dACC, and AI.”
Quote in the paperSubstantial claim - Findingown data§ Social rejection shares somatosensory representations with physical pain
When rejection is powerfully elicited by having people who recently experienced an unwanted breakup view a photograph of their ex-partner as they think about being rejected, areas that support the sensory components of physical pain (secondary somatosensory cortex; dorsal posterior insula) become active.
“Here we demonstrate that when rejection is powerfully elicited -by having people who recently experienced an unwanted break-up view a photograph of their ex-partner as they think about being rejected -areas that support the sensory components of physical pain (secondary somatosensory cortex; dorsal posterior insula) become active.”
Quote in the paperSubstantial claim - Findingown data§ Results
The increases in distress on Ex-partner vs Friend trials and on Hot vs Warm trials were equivalent.
“Importantly, the increases in distress participants experienced on Expartner vs. Friend trials (M = -2.50, SD = 0.61) and on Hot vs. Warm trials (M = -2.59, SD = 0.84) were equivalent [ t (39) = -0.56, ns]”
Quote in the paperSubstantial claim - Findingown data§ Discussion
The meta-analysis including multiple studies contrasting high vs. low intensity nonphysical pain-related emotional stimuli demonstrates that not any intense induction of emotion activates the S2/dpINS.
“Our meta-analysis, which included multiple studies that contrasted high vs. low intensity nonphysical pain-related emotional stimuli, also demonstrates that it is not the case that any intense induction of emotion activates the S2/dpINS.”
Quote in the paperSubstantial claim - Findingown data§ Results
Social rejection and physical pain share neural overlap in dpINS, with right hemisphere 24 voxels at x = 39, y = -15, z = 18, t peak = 2.85 and left hemisphere 23 voxels at x = -39, y = -9, z = 23, t peak = 2.75.
“and ( B ) dpINS (RH: 24 voxels; x = 39, y = -15, z = 18, t peak = 2.85; LH: 23 voxels; x = -39, y = -9, z = 23, t peak = 2.75).”
Quote in the paperSubstantial claim - Findingown data§ Discussion
The S2 (as well as the dpINS) responds to distress related to social rejection when it is elicited intensely.
“The current results differ from these fi ndings by demonstrating that the S2 (as well as the dpINS) also respond to distress related to social-rejection when it is elicited intensely.”
Quote in the paperSubstantial claim- Rests on an assumption: Romantic relationship break-up rejection is a valid model of social rejection more generally.
- Findingown data§ Discussion
In meta-analyses of fMRI studies of specific emotions, OP1 and dpINS were rarely activated.
“The results of the meta-analyses we performed in this study, which indicated that fMRI studies of speci fi c emotions rarely activate OP1 and dpINS, are consistent with this view.”
Quote in the paperSubstantial claim - Findingown data§ Results
Social rejection and physical pain share neural overlap in OP1, with right hemisphere 46 voxels at x = 56, y = -23, z = 21, t peak = 3.52 and left hemisphere 43 voxels at x = -48, y = -17, z = 21, t peak = 2.97.
“The neural overlap between social rejection and physical pain in ( A ) OP1 [right hemisphere (RH): 46 voxels; x = 56, y = -23, z = 21, t peak = 3.52; left hemisphere (LH): 43 voxels; x = -48, y = -17, z = 21, t peak = 2.97)”
Quote in the paperSubstantial claim - Premisecitation§ Social rejection shares somatosensory representations with physical pain
A network of brain regions that support the affective but not the sensory components of physical pain underlies both social rejection and physical pain.
“The consensus that has emerged is that a network of brain regions that support the aversive quality of physical pain (the ' affective ' component), principally the dorsal anterior cingulate (dACC) and anterior insula (AI), also underlie the feeling of social rejection.”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisereasoning§ Social rejection shares somatosensory representations with physical pain
Extant fMRI research has induced feelings of rejection that may not be particularly intense.
“This fi nding is noteworthy because extant fMRI research has induced feelings of rejection that may not be particularly intense.”
Quote in the paperSubstantial claim0 of 5 sources checked - Premisecitation§ Social rejection shares somatosensory representations with physical pain
The intensity of rejection induced by prior manipulations (Cyberball, rejection-themed paintings, anonymous feedback) is lower than the pain surrounding an unwanted romantic relationship breakup.
“Although these manipulations elicit distress, few would attribute to them the same level of intensity as the pain surrounding an unwanted romantic relationship breakup (14 -16).”
Quote in the paperSubstantial claim0 of 3 sources checked - Interpretationown data§ Social rejection shares somatosensory representations with physical pain
Social rejection and physical pain share a common somatosensory representation, not only both being distressing.
“They demonstrate that rejection and physical pain are similar not only in that they are both distressing -they share a common somatosensory representation as well.”
Quote in the paperSubstantial claim - Interpretationown data§ Results
The Social Rejection and Physical Pain tasks were matched in their subjective intensity.
“suggesting that the two tasks were matched in their subjective intensity”
Quote in the paperSubstantial claim- Rests on an assumption: The five-point scales used for the Social Rejection and Physical Pain tasks measure distress on a common metric, so equivalent increases in distress indicate that the two tasks were matched in subjective intensity.
- Premisecitation§ Results
Prior research identified OP1 and dpINS as two regions in the operculoinsular region specifically involved in pain-related somatosensory processing.
“Prior research has identi fi ed two regions in the operculoinsular region that are speci fi cally involved in pain-related somatosensory processing: OP1, the most caudal area of the parietal operculum, and dpINS (19 -23).”
Quote in the paperSubstantial claim0 of 5 sources checked - Premisecitation§ Social rejection shares somatosensory representations with physical pain
Cultures around the world use the same language-words like 'hurt' and 'pain'-to describe both social rejection and physical pain.
“However, cultures around the world use the same language -words like ' hurt ' and ' pain '-to describe both experiences (1), raising the question: How similar are social rejection and physical pain?”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [1] source
Not checked in the free run.
- Study design and conductown data§ Results
The pain-specificity analysis used a meta-analytic database of 524 studies to compare physical pain studies with studies of tasks that do not involve physical pain or intense social rejection.
“we used a metaanalytic database of 524 studies to compare the frequency with which published studies of physical pain (24) led to activations within 10 mm of the peak coordinates in right and left OP1 and dpINS (see Fig. 3 C for coordinates), in comparison with published studies on a range of tasks that do not involve physical pain or intense social rejection”
Quote in the paperSubstantial claim - Premisecitation§ Social rejection shares somatosensory representations with physical pain
The dACC and AI respond broadly to stimuli that elicit negative affect.
“Both social rejection and physical pain are distressing, and both the dACC and AI respond broadly to stimuli that elicit negative affect (3).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [3]
Not checked in the free run.
- Interpretationown data§ Discussion
The distress elicited in response to intense social rejection may represent a distinct emotional experience that is uniquely associated with physical pain.
“Thus, the combined fMRI and meta-analysis results suggest that the distress elicited in response to intense social rejection may represent a distinct emotional experience that is uniquely associated with physical pain.”
Quote in the paperSubstantial claim- Rests on an assumption: Romantic relationship break-up rejection is a valid model of social rejection more generally.
- Interpretationown data§ Discussion
Social rejection and physical pain share a common representation in somatosensory brain systems.
“The current fi ndings substantively extend these views by demonstrating that social rejection and physical pain are similar not only in that they are both distressing, they share a common representation in somatosensory brain systems as well.”
Quote in the paperSubstantial claim- Rests on an assumption: Romantic relationship break-up rejection is a valid model of social rejection more generally.
- May combine two claims. 15
- The quote only partly states this claim. 2
- Classified as probably not a substantial claim. 18
May combine two claims.
Findingown data§ ResultsThe positive predictive value for physical pain was 0.88 in the right OP1, 0.74 in the left OP1, 0.87 in the right dpINS, and 0.75 in the left dpINS.
“the positive predictive value for physical pain (i.e., the probability that a study involved physical pain given activation) was 0.88 in the right OP1, 0.74 in the left OP1, 0.87 in the right dpINS, and 0.75 in the left dpINS.”
Quote in the paperSubstantial claimThe quote only partly states this claim.
Findingown data§ ResultsIn the subset of participants who engaged in the Social Rejection task before the Physical Pain task (n = 19), activity was revealed in both sensory pain ROIs (right OP1: 88 voxels; right dpINS: 54 voxels).
“these analyses revealed activity in both sensory pain ROIs (right OP1: 88 voxels; right dpINS: 54 voxels).*”
Quote in the paperSubstantial claimMay combine two claims.
Findingown data§ ResultsIn the dpINS ROI, repeated-measures ANOVA found no significant main effects of pain type or hemisphere and no interaction.
“These analyses revealed no signi fi cant main effects (OP1: all F < 0.84, all P > 0.36: dpINS: all F < 2.64, P > 0.11) or interactions (OP1: F = 0.31, P = 0.58: dpINS: F = 2.25, all P > 0.14).”
Quote in the paperSubstantial claimMay combine two claims.
Findingcitation§ DiscussionIn the meta-analysis, only 3 of 164 studies activated left OP1, 1 of 164 activated right OP1, and 3 of 164 activated each left and right dpINS; none of these proportions were significantly higher than expected by chance.
“Only 3 of 164 studies and 1 of 164 studies activated the left OP1 and right OP1, respectively, and only 3 of 164 studies activated each of the left and right dpINS; none of which are proportions signi fi cantly higher than expected by chance (cf, 25).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [25] source
Not checked in the free run.
May combine two claims.
Findingown data§ ResultsIn the OP1 ROI, repeated-measures ANOVA found no significant main effects of pain type or hemisphere and no interaction.
“These analyses revealed no signi fi cant main effects (OP1: all F < 0.84, all P > 0.36: dpINS: all F < 2.64, P > 0.11) or interactions (OP1: F = 0.31, P = 0.58: dpINS: F = 2.25, all P > 0.14).”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Premisecitation§ Social rejection shares somatosensory representations with physical painBrain regions that support the sensory components of physical pain are more likely to become active in response to intensely painful stimuli.
“This prediction is motivated by research indicating that the brain regions that support the sensory components of physical pain are more likely to become active in response to intensely painful stimuli (4 -6, cf 7).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 4 -6, cf 7
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductown data§ ResultsThe whole-brain analysis used a statistical threshold that controls the family-wise error rate based on a cluster extent at P < 0.05 corrected across the whole brain (P < 0.001; 11 voxel extent threshold).
“we set a statistical threshold that controls for the family-wise error rate (FWER) based on a cluster extent at P < 0.05 corrected across the whole brain ( P < 0.001; 11 voxel extent threshold).”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown data§ ResultsFollow-up regression analyses controlled for task order and several theoretically relevant variables (sex, rejection sensitivity, self-esteem, and relationship lengths) and did not substantively alter the whole-brain findings.
“A series of follow-up regression analyses that controlled for task order and several theoretically relevant variables [e.g., sex, rejection sensitivity (17), self-esteem (18), and the length of participants relationships with their former romantic partner and friend] did not substantively alter these fi ndings.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductown data§ ResultsA priori ROI analyses were performed in pain-processing network regions defined by an independent localizer for physical pain.
“we ran a priori region of interest (ROI) analyses in pain-processing network regions de fi ned by an independent localizer for physical pain.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductown data§ ResultsTo rule out the possibility that activations in sensory pain ROIs resulted from testing participants on both tasks in a within-subjects design, ROI analyses were rerun on the subset of participants who engaged in the Social Rejection task before the Physical Pain task (n = 19).
“To rule out the possibility that the activations observed in these sensory pain ROIs were a result of testing participants on both the Physical Pain and Social Rejection tasks in a withinsubjects design, we reran these ROI analyses on the subset of participants who engaged in the Social Rejection task before the Physical Pain task ( n = 19).”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown data§ ResultsIntense social rejection activated somatosensory regions that are strongly associated with physical pain, which are virtually never associated with emotion as typically studied.
“In short, intense social rejection activated somatosensory regions that are strongly associated with physical pain, which are virtually never associated with emotion as typically studied.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Premisecitation§ DiscussionCurrent theorizing suggests that the brain systems underlying social rejection developed by coopting brain circuits that support the affective component of physical pain.
“Current theorizing suggests that the brain systems that underlie social rejection developed by coopting brain circuits that support the affective component of physical pain (1, 2, 9).”
Quote in the paperSubstantial claim0 of 3 sources checkedMay combine two claims.
Interpretationown data§ ResultsThe ANOVA findings indicate that neither type of pain led to significantly greater activation than the other, and activations were not lateralized to one side of the brain in these ROIs.
“These fi ndings indicate that it was not the case that one type of pain led to signi fi cantly greater activation compared with the other, or that the activations were lateralized to one side of the brain in these ROIs.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductnone given§ DiscussionParticipants were explicitly told that the Social Rejection and Physical Pain tasks would be administered separately and were informed during the scan when each task began and ended.
“First, participants were explicitly told that the Social Rejection and Physical Pain tasks would be administered separately, and they were informed during the scan when each task was about to begin and when each task was over.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone given§ DiscussionAll participants were trained on the Social Rejection and Physical Pain task before scanning and knew they would engage in both tasks during the fMRI scan.
“Before concluding, it is important to acknowledge that all of the participants in this study were trained on the Social Rejection and Physical Pain task before scanning and knew that they would be engaging in both tasks during the fMRI scan.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductreasoning§ DiscussionThe thermode was not placed on participants' forearms during the Social Rejection task, so they knew it was impossible to receive thermal stimulation on Social Rejection trials.
“Second, the thermode was not placed on participants ' forearms during the Social Rejection task, so they knew it was impossible for them to receive thermal stimulation on Social Rejection trials.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationreasoning§ DiscussionThe findings offer new insight into how rejection experiences may lead to various physical pain disorders, highlighting the role that somatosensory processing may play in this process.
“These fi ndings offer new insight into how rejection experiences may lead to various physical pain disorders (e.g., somatoform disorders; fi bromyalgia), highlighting the role that somatosensory processing may play in this process.”
Quote in the paperNot a substantial claim- Rests on an assumption: Romantic relationship break-up rejection is a valid model of social rejection more generally.
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation§ DiscussionResearch on empathy for pain indicates that under some circumstances the S2 becomes activated when individuals observe other people in physical pain.
“Research on empathy for pain indicates, for example, that under some circumstances the S2 becomes activated when individuals observe other people in physical pain (see refs. 40 and 41 for reviews).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [40] Keysers C, Kaas JH, Gazzola V (2010) Somatosensation in social perception. Nat Rev Neurosci 11:417 -428. source
Not checked in the free run.
- cites [41] Hein G, Singer T (2008) I feel how you feel but not always: The empathic brain and its modulation. Curr Opin Neurobiol 18(2):153 -158. source
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductown data§ MethodsVoxelwise statistical parametric maps were thresholded at P < 0.05 FWER-corrected for multiple comparisons across gray and white matter.
“Voxelwise statistical parametric maps summarizing differences between trial types were calculated for each participant and then entered into random-effects group analyses, with statistical maps thresholded at P < 0.05 FWER-corrected for multiple comparisons across gray and white matter.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductnone given§ MethodsParticipants 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 conductcitation§ MethodsPainful and nonpainful temperatures were calibrated on a participant-by-participant basis to ensure that the subjective intensity of the stimuli was constant across participants.
“Following prior research (49 -51), we used calibrated painful and nonpainful temperatures on a participant-by-participant basis to ensure that the subjective intensity of the stimuli was constant across participants.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [49] Buhle J, Wager TD (2010) Performance-dependent inhibition of pain by an executive working memory task. Pain 149(1):19 -26. source
Not checked in the free run.
- cites [50] Wager TD, et al. (2004) Placebo-induced changes in FMRI in the anticipation and experience of pain. Science 303:1162 -1167. source
Not checked in the free run.
- cites [51] Wager TD, Scott DJ, Zubieta JK (2007) Placebo effects on human mu-opioid activity during pain. Proc Natl Acad Sci USA 104:11056 -11061. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown data§ MethodsThe between-subjects placebo vs. control manipulation was independent of all within-subjects effects that are the focus of the present article, and controlling for placebo vs. control manipulation at the group level did not qualitatively alter any of the results.
“The between-subjects placebo vs. control manipulation was independent of all of the within-subjects effects that are the focus of the present article, and controlling for placebo vs. control manipulation at the group level did not qualitatively alter any of the results.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone given§ MethodsColumbia University's Institutional Review Board approved the study.
“Columbia University ' s Institutional Review Board approved the study.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone given§ DiscussionParticipants were trained to relive their rejection experience on Social Rejection trials to powerfully manipulate social rejection and minimize the influence of task-irrelevant thoughts.
“Finally, participants were trained to relive their rejection experience on Social Rejection trials to powerfully manipulate social rejection and minimize the infl uence of task-irrelevant thoughts.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Premisecitation§ DiscussionIt is generally assumed that the various emotions commonly accompanying social rejection cumulatively give rise to a unique experience of 'social pain'.
“Although the experience of social rejection is commonly accompanied by reports of various emotions (e.g., fear, sadness, anger, anxiety, and shame), it is generally assumed that these feelings cumulatively give rise to a unique experience of ' social pain ' (35 -37).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [35] Leary M, Springer C (2001) Hurt feelings: The neglected emotion. Behaving Badly: Aversive Behaviors in Interpersonal Relationships , ed Kowalski RM (American Psychological Association, Washington, D.C.), pp 151 -175. source
Not checked in the free run.
- cites [36] Leary M, Springer C, Negel L, Ansell E, Evans K (1998) The causes, phenomenology, an consequences of hurt feelings. J Pers Soc Psychol 74:1225 -1237. source
Not checked in the free run.
- cites [37] Macdonald G (2007) Social pain and hurt feelings. Cambridge Handbook of Personality Psychology , eds Corr PJ, Matthews G (Cambridge University Press, New York), Vol 541 -555.
Not checked in the free run.
The quote only partly states this claim.
Study design and conductown data§ DiscussionParticipants' ratings and postscan interviews suggested that they complied with the instructions to relive their rejection experience.
“Participants ' ratings and postscan interviews suggested that they complied with these instructions.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Premisecitation§ MethodsThe cluster-based method of thresholding is often more sensitive to activation when multiple contiguous activated voxels are expected and is widely used in fMRI research.
“This cluster-based method of thresholding is often more sensitive to activation when one can reasonably expect multiple contiguous activated voxels (52, 53), and is widely used in fMRI research.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [52] Forman SD, et al. (1995) Improved assessment of signi fi cant activation in functional magnetic resonance imaging (fMRI): Use of a cluster-size threshold. Magn Reson Med 33:636 -647. source
Not checked in the free run.
- cites [53] Petersson KM, Nichols TE, Poline JB, Holmes AP (1999) Statistical limitations in functional neuroimaging. II. Signal detection and statistical inference. Philos Trans R Soc Lond B Biol Sci 354:1261 -1281. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Premisecitation§ MethodsThe Social Rejection task was modeled after prior fMRI research using photographs to elicit powerful emotions and behavioral research indicating that cueing recall of autobiographical rejection experiences effectively reactivates social rejection-related distress.
“The Social Rejection task was modeled after ( i ) fMRI research that used photographs provided by participants to elicit powerful emotions, including maternal love, romantic love, and rejection (8, 44 -46), and ( ii ) behavioral research indicating that cueing people to recall autobiographical rejection experiences is an effective way of reactivating social rejection-related distress (e.g., refs.”
Quote in the paperNot a substantial claim0 of 3 sources checkedClassified as probably not a substantial claim.
Study design and conductreasoning§ MethodsOne-tailed tests were used for these analyses because there were a priori hypotheses about activity increases with physical pain and social rejection.
“One-tailed tests were used for these analyses because we had a priori hypotheses about activity increases with physical pain and social rejection.”
Quote in the paperSubstantial claim
The paper relies on this without support.
The five-point scales used for the Social Rejection and Physical Pain tasks measure distress on a common metric, so equivalent increases in distress indicate that the two tasks were matched in subjective intensity.
“Participants rated how they felt after each task trial using a fi ve-point scale, with lower numbers re fl ecting more distress.”
“see Fig. 1 for a description of scale anchors”
The paper relies on this without support.
The Ex-partner > Friend contrast isolates social rejection rather than other cognitive or affective processes.
“the Social Rejection task compared Ex-partner trials, in which participants viewed a headshot of their former partner and thought about their speci fi c rejection experience, and Friend trials, in which participants viewed a headshot of a friend who was the same sex as their ex-partner and thought about a recent positive experience they shared with that person.”
The paper relies on this without support.
Romantic relationship break-up rejection is a valid model of social rejection more generally.
“All participants experienced an unwanted romantic relationship break-up within the past 6 months (M = 2.74 mo; SD = 1.70 mo), and indicated that thinking about their break-up experience led them to feel rejected”
“The Social Rejection task was modeled after ( i ) fMRI research that used photographs provided by participants to elicit powerful emotions, including maternal love, romantic love, and rejection (8, 44 -46), and ( ii ) behavioral research indicating that cueing people to recall autobiographical rejection experiences is an effective way of reactivating social rejection-related distress (e.g., refs.”
Claims other papers make about this one
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Upon learning of one's own desirability, the posterior temporal sulcus, medial prefrontal cortex, anterior insular cortex, and dorsal anterior cingulate cortex are activated; following rejection from a potential romantic interest, the anterior insular cortex and dorsal anterior cingulate cortex are also recruited.
“Upon learning of one’s own desirability, the posterior temporal sulcus, mPFC, aIC, and the dorsal anterior cingulate cortex (dACC) are activated; however, following rejection from a potential romantic interest, the aIC and dACC are also recruited [106,107,108].”
From The Neurobiology of Love and Pair Bonding from Human and Animal Perspectives (2023) · cites this paper as [108]
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredOverlapping 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.”
From Separate neural representations for physical pain and social rejection (2014) · cites this paper as [4]
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(39) = -0.56reported n.s. · recomputed p = .579
“t (39) = -0.56, ns”
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.
Cites
Society and the Adolescent Self-Image
Rosenberg, M. (1965) · doi:10.1515/9781400876136 · Cited by 30,126 · see citing works
Barsalou, L. W. (2008) · Annual Review of Psychology · doi:10.1146/annurev.psych.59.103006.093639 · Cited by 5,936 · see citing works
Does Rejection Hurt? An fMRI Study of Social Exclusion
Eisenberger, N. I., Lieberman, M. D., & Williams, K. D. (2003) · Science · doi:10.1126/science.1089134 · Cited by 3,849 · see citing works
Forman, S. D., Cohen, J. D., Fitzgerald, M., Eddy, W. F., Mintun, M. A., & Noll, D. C. (1995) · Magnetic Resonance in Medicine · doi:10.1002/mrm.1910330508 · Cited by 3,202 · see citing works
Human brain mechanisms of pain perception and regulation in health and disease
Apkarian, A. V., Bushnell, M. C., Treede, R., & Zubieta, J. (2005) · European Journal of Pain · doi:10.1016/j.ejpain.2004.11.001 · Cited by 3,126 · see citing works
Functional imaging of brain responses to pain. A review and meta-analysis (2000)
Peyron, R., Laurent, B., & García-Larrea, L. (2000) · Neurophysiologie Clinique/Clinical Neurophysiology · doi:10.1016/s0987-7053(00)00227-6 · Cited by 2,171 · see citing works
Subcortical and cortical brain activity during the feeling of self-generated emotions
Damasio, A. R., Grabowski, T. J., Bechara, A., Damasio, H., Ponto, L. L. B., Parvizi, J., & Hichwa, R. D. (2000) · Nature Neuroscience · doi:10.1038/79871 · Cited by 2,117 · see citing works
Implications of rejection sensitivity for intimate relationships
Downey, G., & Feldman, S. I. (1996) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.70.6.1327 · Cited by 2,110 · cited 1× · see citing works
“, sex, rejection sensitivity (17), self-esteem (18), and the length of participants relationships with their former romantic partner and friend] did not substantively alter these findings.”
BackgroundPsychological and neural mechanisms of the affective dimension of pain
Price, D. D. (2000) · Science · doi:10.1126/science.288.5472.1769 · Cited by 2,092 · see citing works
Placebo-Induced Changes in fMRI in the Anticipation and Experience of Pain
Wager, T. D., Rilling, J. K., Smith, E. E., Sokolik, A., Casey, K. L., Davidson, R. J., Kosslyn, S. M., Rose, R. M., & Cohen, J. D. (2004) · Science · doi:10.1126/science.1093065 · Cited by 1,992 · see citing works
Self-citationNeuroimaging studies of working memory:
Wager, T. D., & Smith, E. E. (2003) · Cognitive, Affective, & Behavioral Neuroscience · doi:10.3758/cabn.3.4.255 · Cited by 1,889 · see citing works
Self-citationWhy Does Social Exclusion Hurt? The Relationship Between Social and Physical Pain.
MacDonald, G., & Leary, M. R. (2005) · Psychological Bulletin · doi:10.1037/0033-2909.131.2.202 · Cited by 1,712 · see citing works
Loneliness: human nature and the need for social connection
(2008) · Choice Reviews Online · doi:10.5860/choice.46-1765 · Cited by 1,572 · see citing works
The neural correlates of maternal and romantic love
Bartels, A., & Zeki, S. (2004) · NeuroImage · doi:10.1016/j.neuroimage.2003.11.003 · Cited by 1,448 · see citing works
Niedenthal, P. M. (2007) · Science · doi:10.1126/science.1136930 · Cited by 1,406 · see citing works
Dissociating pain from its anticipation in the human brain
Ploghaus, A., Tracey, I., Gati, J. S., Clare, S., Menon, R. S., Matthews, P. M., & Rawlins, J. N. P. (1999) · Science · doi:10.1126/science.284.5422.1979 · Cited by 1,151 · see citing works
Kober, H., Barrett, L. F., Joseph, J., Bliss-Moreau, E., Lindquist, K., & Wager, T. D. (2008) · NeuroImage · doi:10.1016/j.neuroimage.2008.03.059 · Cited by 1,144 · see citing works
Self-citationPain intensity processing within the human brain: a bilateral, distributed mechanism
Coghill, R. C., Sang, C. N., Maisog, J. M., & Iadarola, M. J. (1999) · Journal of Neurophysiology · doi:10.1152/jn.1999.82.4.1934 · Cited by 1,077 · see citing works
The neural basis of romantic love
Bartels, A., & Zeki, S. (2000) · NeuroReport · doi:10.1097/00001756-200011270-00046 · Cited by 1,020 · see citing works
Reward, Motivation, and Emotion Systems Associated With Early-Stage Intense Romantic Love
Aron, A., Fisher, H., Mashek, D. J., Strong, G., Li, H., & Brown, L. L. (2005) · Journal of Neurophysiology · doi:10.1152/jn.00838.2004 · Cited by 963 · see citing works
Getting a cue: the need to belong and enhanced sensitivity to social cues
Pickett, C. L., Gardner, W. L., & Knowles, M. (2004) · Personality and Social Psychology Bulletin · doi:10.1177/0146167203262085 · Cited by 862 · see citing works
Interference resolution: Insights from a meta-analysis of neuroimaging tasks
NEE, D. E., WAGER, T. D., & JONIDES, J. (2007) · Cognitive, Affective, & Behavioral Neuroscience · doi:10.3758/cabn.7.1.1 · Cited by 798 · see citing works
Self-citationSomatosensation in social perception
Keysers, C., Kaas, J. H., & Gazzola, V. (2010) · Nature Reviews Neuroscience · doi:10.1038/nrn2833 · Cited by 787 · see citing works
Neuroimaging studies of shifting attention: a meta-analysis
Wager, T. D., Jonides, J., & Reading, S. (2004) · NeuroImage · doi:10.1016/j.neuroimage.2004.03.052 · Cited by 654 · see citing works
Self-citationI feel how you feel but not always: the empathic brain and its modulation
Hein, G., & Singer, T. (2008) · Current Opinion in Neurobiology · doi:10.1016/j.conb.2008.07.012 · Cited by 607 · see citing works
Placebo effects on human μ-opioid activity during pain
Wager, T. D., Scott, D. J., & Zubieta, J.-K. (2007) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0702413104 · Cited by 562 · see citing works
Self-citationThe causes, phenomenology, and consequences of hurt feelings.
Leary, M. R., Springer, C., Negel, L., Ansell, E., & Evans, K. (1998) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.74.5.1225 · Cited by 485 · see citing works
Does anticipation of pain affect cortical nociceptive systems?
Porro, C. A., Baraldi, P., Pagnoni, G., Serafini, M., Facchin, P., Maieron, M., & Nichelli, P. (2002) · The Journal of Neuroscience · doi:10.1523/jneurosci.22-08-03206.2002 · Cited by 469 · see citing works
Anterior cingulate cortex responds differentially to expectancy violation and social rejection
Somerville, L. H., Heatherton, T. F., & Kelley, W. M. (2006) · Nature Neuroscience · doi:10.1038/nn1728 · Cited by 460 · see citing works
The Human Parietal Operculum. I. Cytoarchitectonic Mapping of Subdivisions
Eickhoff, S. B., Schleicher, A., Zilles, K., & Amunts, K. (2005) · Cerebral Cortex · doi:10.1093/cercor/bhi105 · Cited by 437 · see citing works
Neural correlates of individual ratings of emotional salience: A trial-related fMRI study
Phan, K. L., Taylor, S. F., Welsh, R. C., Ho, S.-H., Britton, J. C., & Liberzon, I. (2004) · NeuroImage · doi:10.1016/j.neuroimage.2003.09.072 · Cited by 416 · see citing works
The Human Parietal Operculum. II. Stereotaxic Maps and Correlation with Functional Imaging Results
Eickhoff, S. B., Amunts, K., Mohlberg, H., & Zilles, K. (2006) · Cerebral Cortex · doi:10.1093/cercor/bhi106 · Cited by 411 · see citing works
Davis, D., Shaver, P. R., & Vernon, M. L. (2003) · Personality and Social Psychology Bulletin · doi:10.1177/0146167203029007006 · Cited by 408 · see citing works
Brooks, J. C. W., Zambreanu, L., Godinez, A., Craig, A. D. (., & Tracey, I. (2005) · NeuroImage · doi:10.1016/j.neuroimage.2005.03.041 · Cited by 355 · see citing works
Reward, Addiction, and Emotion Regulation Systems Associated With Rejection in Love
Fisher, H. E., Brown, L. L., Aron, A., Strong, G., & Mashek, D. (2010) · Journal of Neurophysiology · doi:10.1152/jn.00784.2009 · Cited by 328 · see citing works
Feeling the Pain of Social Loss
Panksepp, J. (2003) · Science · doi:10.1126/science.1091062 · Cited by 318 · see citing works
An fMRI study of cytokine-induced depressed mood and social pain: The role of sex differences
Eisenberger, N. I., Inagaki, T. K., Rameson, L. T., Mashal, N. M., & Irwin, M. R. (2009) · NeuroImage · doi:10.1016/j.neuroimage.2009.04.040 · Cited by 313 · 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
Performance-dependent inhibition of pain by an executive working memory task
Buhle, J., & Wager, T. D. (2010) · Pain · doi:10.1016/j.pain.2009.10.027 · Cited by 249 · see citing works
Self-citationHurt feelings: The neglected emotion.
Leary, M. R., & Springer, C. A. (2001) · Behaving badly: Aversive behaviors in interpersonal relationships. · doi:10.1037/10365-006 · Cited by 232 · see citing works
Understanding Genetic Risk for Aggression: Clues From the Brain’s Response to Social Exclusion
Eisenberger, N. I., Way, B. M., Taylor, S. E., Welch, W. T., & Lieberman, M. D. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.08.007 · Cited by 229 · see citing works
Neural Dynamics of Rejection Sensitivity
Kross, E., Egner, T., Ochsner, K., Hirsch, J., & Downey, G. (2007) · Journal of Cognitive Neuroscience · doi:10.1162/jocn.2007.19.6.945 · Cited by 225 · see citing works
Self-citationMazzola, L., Isnard, J., Peyron, R., Guénot, M., & Mauguière, F. (2009) · Pain · doi:10.1016/j.pain.2009.07.014 · Cited by 217 · see citing works
From affect to control: Functional specialization of the insula in motivation and regulationPreprint
Wager, T. D., & Barrett, L. F. (2017) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/102368 · Cited by 200 · see citing works
Self-citationStatistical limitations in functional neuroimaging II. Signal detection and statistical inference
Petersson, K. M., Nichols, T. E., Poline, J.-B., & Holmes, A. P. (1999) · Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences · doi:10.1098/rstb.1999.0478 · Cited by 186 · see citing works
Baumgärtner, U., Iannetti, G. D., Zambreanu, L., Stoeter, P., Treede, R.-D., & Tracey, I. (2010) · Journal of Neurophysiology · doi:10.1152/jn.00253.2010 · Cited by 145 · see citing works
The Cambridge Handbook of Personality Psychology
(2020) · Cambridge University Press eBooks · doi:10.1017/9781108264822 · Cited by 140 · see citing works
In-group and out-group membership mediates anterior cingulate activation to social exclusion
Krill, A. (2009) · Frontiers in Evolutionary Neuroscience · doi:10.3389/neuro.18.001.2009 · Cited by 118 · see citing works
Ayduk, Ö. N., Mischel, W., & Downey, G. (2002) · Psychological Science · doi:10.1111/1467-9280.00478 · Cited by 116 · see citing works
Self-citationThe neural temporal dynamics of the intensity of emotional experience
Waugh, C. E., Hamilton, J. P., & Gotlib, I. H. (2009) · NeuroImage · doi:10.1016/j.neuroimage.2009.10.006 · Cited by 75 · see citing works
Baumgärtner, U., Tiede, W., Treede, R.-D., & Craig, A. D. (. (2006) · Journal of Neurophysiology · doi:10.1152/jn.00512.2006 · Cited by 73 · see citing works
Luria's Legacy in the 21st Century
(2009) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780195176704.001.0001 · Cited by 46 · see citing works
Cognitive and Motivational Functions of the Human Prefrontal Cortex
Snellenberg, J. V. V., & Wager, T. (2009) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780195176704.003.0004 · Cited by 46 · see citing works
Self-citationThe Cambridge Handbook of Personality Psychology: Social pain and hurt feelings
Macdonald, G. (2009) · Cambridge University Press eBooks · doi:10.1017/cbo9780511596544.034 · Cited by 30 · see citing works
Understanding the Moderators of Physical and Emotional Pain: A Neural Systems-Based Approach
Eisenberger, N. (2008) · Psychological Inquiry · doi:10.1080/10478400802608855 · Cited by 19 · see citing works
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Large-scale automated synthesis of human functional neuroimaging data.
Yarkoni, T., Poldrack, R. A., Nichols, T. E., Van Essen, D. C., & Wager, T. D. (2011) · Nature Methods · doi:10.1038/nmeth.1635 · Cited by 3,686 · see citing works
Self-citationThe social motivation theory of autism
Chevallier, C., Kohls, G., Troiani, V., Brodkin, E. S., & Schultz, R. T. (2012) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2012.02.007 · Cited by 2,072 · see citing works
Regulatory Flexibility: An Individual Differences Perspective on Coping and Emotion Regulation
Bonanno, G. A., & Burton, C. L. (2013) · Perspectives on Psychological Science · doi:10.1177/1745691613504116 · Cited by 1,676 · see citing works
Facebook Use Predicts Declines in Subjective Well-Being in Young Adults
Kross, E., Verduyn, P., Demiralp, E., Park, J., Lee, D. S., Lin, N., Shablack, H., Jonides, J., & Ybarra, O. (2013) · PLoS ONE · doi:10.1371/journal.pone.0069841 · Cited by 1,596 · see citing works
Self-citationAn fMRI-Based Neurologic Signature of Physical Pain
Wager, T. D., Atlas, L. Y., Lindquist, M. A., Roy, M., Woo, C.-W., & Kross, E. (2013) · New England Journal of Medicine · doi:10.1056/nejmoa1204471 · Cited by 1,597 · see citing works
Self-citationEisenberger, N. I. (2012) · Nature Reviews Neuroscience · doi:10.1038/nrn3231 · Cited by 1,016 · see citing works
The neuroscience of placebo effects: connecting context, learning and health
Wager, T. D., & Atlas, L. Y. (2015) · Nature Reviews Neuroscience · doi:10.1038/nrn3976 · Cited by 844 · see citing works
Self-citationThe neurobiology of rewards and values in social decision making
Ruff, C. C., & Fehr, E. (2014) · Nature reviews. Neuroscience · doi:10.1038/nrn3776 · Cited by 716 · see citing works
Eisenberger, N. I., & Cole, S. W. (2012) · Nature Neuroscience · doi:10.1038/nn.3086 · Cited by 590 · see citing works
The Emerging Field of Human Social Genomics
Slavich, G. M., & Cole, S. W. (2013) · Clinical Psychological Science · doi:10.1177/2167702613478594 · Cited by 523 · see citing works
Vachon, D. D., Krueger, R. F., Rogosch, F. A., & Cicchetti, D. (2015) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2015.1792 · Cited by 478 · see citing works
Atlas, L. Y., & Wager, T. D. (2012) · Neuroscience Letters · doi:10.1016/j.neulet.2012.03.039 · Cited by 463 · see citing works
Self-citationFear of missing out: relationships with depression, mindfulness, and physical symptoms
Baker, Z. G., Krieger, H., & LeRoy, A. S. (2016) · Translational Issues in Psychological Science · doi:10.1037/tps0000075 · Cited by 388 · see citing works
Emotions and brain function are altered up to one month after a single high dose of psilocybin.
Barrett, F. S., Doss, M. K., Sepeda, N. D., Pekar, J. J., & Griffiths, R. R. (2020) · Scientific Reports · doi:10.1038/s41598-020-59282-y · Cited by 375 · see citing works
A meta-analysis of the anterior cingulate contribution to social pain
Rotge, J.-Y., Lemogne, C., Hinfray, S., Huguet, P., Grynszpan, O., Tartour, E., George, N., & Fossati, P. (2015) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsu110 · Cited by 325 · see citing works
Separate neural representations for physical pain and social rejection
Woo, C.-W., Koban, L., Kross, E., Lindquist, M. A., Banich, M. T., Ruzic, L., Andrews-Hanna, J. R., & Wager, T. D. (2014) · Nature Communications · doi:10.1038/ncomms6380 · Cited by 310 · see citing works
Self-citationLife Stress and Health: A Review of Conceptual Issues and Recent Findings
Slavich, G. M. (2016) · Teaching of Psychology · doi:10.1177/0098628316662768 · Cited by 300 · see citing works
A quantitative meta-analysis of functional imaging studies of social rejection
Cacioppo, S., Frum, C., Asp, E., Weiss, R. M., Lewis, J. W., & Cacioppo, J. T. (2013) · Scientific Reports · doi:10.1038/srep02027 · Cited by 290 · see citing works
Intrinsic Amygdala–Cortical Functional Connectivity Predicts Social Network Size in Humans
Bickart, K. C., Hollenbeck, M. C., Barrett, L. F., & Dickerson, B. C. (2012) · The Journal of Neuroscience · doi:10.1523/jneurosci.1599-12.2012 · Cited by 272 · see citing works
Distinct Brain Systems Mediate the Effects of Nociceptive Input and Self-Regulation on Pain
Woo, C.-W., Roy, M., Buhle, J. T., & Wager, T. D. (2015) · PLoS Biology · doi:10.1371/journal.pbio.1002036 · Cited by 263 · see citing works
Self-citationKragel, P. A., Kano, M., Van Oudenhove, L., Ly, H. G., Dupont, P., Rubio, A., Delon-Martin, C., Bonaz, B. L., Manuck, S. B., Gianaros, P. J., et al. (2018) · Nature Neuroscience · doi:10.1038/s41593-017-0051-7 · Cited by 272 · see citing works
Self-citationGard, T., Holzel, B. K., Sack, A. T., Hempel, H., Lazar, S. W., Vaitl, D., & Ott, U. (2012) · Cerebral Cortex · doi:10.1093/cercor/bhr352 · Cited by 276 · see citing works
Kross, E., & Ayduk, O. (2017) · Advances in Experimental Social Psychology · doi:10.1016/bs.aesp.2016.10.002 · Cited by 245 · see citing works
Self-citationMuscatell, K. A., Dedovic, K., Slavich, G. M., Jarcho, M. R., Breen, E. C., Bower, J. E., Irwin, M. R., & Eisenberger, N. I. (2015) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2014.06.201 · Cited by 240 · see citing works
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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
Sturgeon, J. A., & Zautra, A. J. (2013) · Current Pain and Headache Reports · doi:10.1007/s11916-012-0317-4 · Cited by 221 · see citing works
Pain and analgesia: the value of salience circuits
Borsook, D., Edwards, R., Elman, I., Becerra, L., & Levine, J. (2013) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2013.02.003 · Cited by 215 · see citing works
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Wolf, W., Levordashka, A., Ruff, J. R., Kraaijeveld, S., Lueckmann, J.-M., & Williams, K. D. (2015) · Behavior Research Methods · doi:10.3758/s13428-014-0475-x · Cited by 212 · see citing works
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Barton, R. A. (2012) · Philosophical Transactions of the Royal Society B: Biological Sciences · doi:10.1098/rstb.2012.0112 · Cited by 210 · see citing works
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Conejero, I., Olié, E., Calati, R., Ducasse, D., & Courtet, P. (2018) · Current Psychiatry Reports · doi:10.1007/s11920-018-0893-z · Cited by 206 · see citing works
Hsu, D. T., Sanford, B. J., Meyers, K. K., Love, T. M., Hazlett, K. E., Walker, S. J., Mickey, B. J., Koeppe, R. A., Langenecker, S. A., & Zubieta, J.-K. (2015) · Molecular Psychiatry · doi:10.1038/mp.2014.185 · Cited by 205 · see citing works
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Kanai, R., Bahrami, B., Duchaine, B., Janik, A., Banissy, M. J., & Rees, G. (2012) · Current Biology · doi:10.1016/j.cub.2012.08.045 · Cited by 181 · see citing works
Hoffart, A., Johnson, S. U., & Ebrahimi, O. V. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.589127 · Cited by 176 · see citing works
Lai, C., Altavilla, D., Ronconi, A., & Aceto, P. (2016) · Computers in Human Behavior · doi:10.1016/j.chb.2016.03.072 · Cited by 177 · see citing works
Effects of serotonin 2A/1A receptor stimulation on social exclusion processing
Preller, K. H., Pokorny, T., Hock, A., Kraehenmann, R., Stämpfli, P., Seifritz, E., Scheidegger, M., & Vollenweider, F. X. (2016) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1524187113 · Cited by 169 · see citing works
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Eisenberger, N. I. (2012) · Current Directions in Psychological Science · doi:10.1177/0963721411429455 · Cited by 127 · see citing works
Achterberg, M., van Duijvenvoorde, A. C. K., Bakermans-Kranenburg, M. J., & Crone, E. A. (2016) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsv154 · Cited by 125 · see citing works
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Freedman, G., Powell, D. N., Le, B., & Williams, K. D. (2019) · Journal of Social and Personal Relationships · doi:10.1177/0265407517748791 · Cited by 120 · see citing works
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Falk, E. B., Cascio, C. N., Brook O'Donnell, M., Carp, J., Tinney, F. J., Bingham, C. R., Shope, J. T., Ouimet, M. C., Pradhan, A. K., & Simons-Morton, B. G. (2014) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2013.12.035 · Cited by 115 · see citing works
Moser, J. S., Dougherty, A., Mattson, W. I., Katz, B., Moran, T. P., Guevarra, D., Shablack, H., Ayduk, O., Jonides, J., Berman, M. G., et al. (2017) · Scientific Reports · doi:10.1038/s41598-017-04047-3 · Cited by 114 · see citing works
Self-citationPosttraumatic stress disorder: a theoretical model of the hyperarousal subtype
Weston, C. S. E. (2014) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2014.00037 · Cited by 114 · see citing works
Feinstein, J. S., Khalsa, S. S., Salomons, T. V., Prkachin, K. M., Frey-Law, L. A., Lee, J. E., Tranel, D., & Rudrauf, D. (2016) · Brain Structure and Function · doi:10.1007/s00429-014-0986-3 · Cited by 108 · see citing works
Protecting the self: The effect of social-evaluative threat on neural representations of self
Hughes, B. L., & Beer, J. S. (2013) · Journal of Cognitive Neuroscience · doi:10.1162/jocn_a_00343 · Cited by 101 · see citing works
Common representation of pain and negative emotion in the midbrain periaqueductal gray
Buhle, J. T., Kober, H., Ochsner, K. N., Mende-Siedlecki, P., Weber, J., Hughes, B. L., Kross, E., Atlas, L. Y., McRae, K., & Wager, T. D. (2013) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nss038 · Cited by 100 · see citing works
Self-citationZhang, J., Tong, L., Lamberson, P. J., Durazo-Arvizu, R. A., Luke, A., & Shoham, D. A. (2015) · Social Science & Medicine · doi:10.1016/j.socscimed.2014.05.049 · Cited by 97 · see citing works
Novembre, G., Zanon, M., & Silani, G. (2015) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsu038 · Cited by 92 · see citing works
Slavich, G. M., Tartter, M. A., Brennan, P. A., & Hammen, C. (2014) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2014.07.009 · Cited by 83 · see citing works
Primitive mechanisms of trauma response: an evolutionary perspective on trauma-related disorders.
Baldwin, D. V. (2013) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2013.06.004 · Cited by 85 · see citing works
Neural responses to maternal criticism in healthy youth
Lee, K. H., Siegle, G. J., Dahl, R. E., Hooley, J. M., & Silk, J. S. (2015) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsu133 · Cited by 81 · see citing works
Moral injury: An overview of conceptual, definitional, assessment, and treatment issues
Litz, B. T., & Walker, H. E. (2025) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-081423-022604 · Cited by 73 · see citing works
Schreiner, M. W., Klimes‐Dougan, B., & Cullen, K. R. (2019) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12471 · Cited by 69 · see citing works
Bungert, M., Koppe, G., Niedtfeld, I., Vollstädt-Klein, S., Schmahl, C., Lis, S., & Bohus, M. (2015) · PLOS ONE · doi:10.1371/journal.pone.0133693 · Cited by 62 · see citing works
Mindfulness meditation regulates anterior insula activity during empathy for social pain.
Laneri, D., Krach, S., Paulus, F. M., Kanske, P., Schuster, V., Sommer, J., & Müller‐Pinzler, L. (2017) · Human Brain Mapping · doi:10.1002/hbm.23646 · Cited by 61 · see citing works
The Neurobiology of Love and Pair Bonding from Human and Animal Perspectives
Blumenthal, S. A., & Young, L. J. (2023) · Biology · doi:10.3390/biology12060844 · Cited by 59 · see citing works
Interpersonal interactions and empathy modulate perception of threat and defensive responses
Fossataro, C., Sambo, C. F., Garbarini, F., & Iannetti, G. D. (2016) · Scientific Reports · doi:10.1038/srep19353 · Cited by 59 · see citing works
Bonenberger, M., Plener, P. L., Groschwitz, R. C., Grön, G., & Abler, B. (2015) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2015.10.013 · Cited by 35 · see citing works
Cooper, J. C., Dunne, S., Furey, T., & O'Doherty, J. P. (2014) · Cerebral Cortex · doi:10.1093/cercor/bht102 · Cited by 39 · see citing works
Psychological pain and suicidal behavior: A review
Baryshnikov, I., & Isometsä, E. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.981353 · Cited by 33 · see citing works
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
The brain signature of paracetamol in healthy volunteers: a double-blind randomized trial
Pickering, G., Kastler, A., Macian, N., Pereira, B., Valabregue, R., Lehericy, S., Boyer, L., Dubray, C., & Jean, B. (2015) · Drug Design, Development and Therapy · doi:10.2147/dddt.s81004 · Cited by 22 · see citing works
Bursky, M., Kosuri, M., Walsh Carson, K., Babad, S., Iskhakova, A., & Nikulina, V. (2023) · Psychological Reports · doi:10.1177/00332941211048734 · Cited by 13 · see citing works
- Authors
- Kross, E., Berman, M. G., Mischel, W., Smith, E. E., & Wager, T. D.
- Affiliations
- University of Michigan (US)
- Columbia University (US)
- New York State Psychiatric Institute (US)
- University of Colorado Boulder (US)
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2011-03-28
- Volume
- 108
- Issue
- 15
- Pages
- 6270-6275
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC3076808
- OpenAlex
- W2096802921
- Semantic Scholar
- ebf57cf417df0462af4a0a15f90f0d584aebacc3
- Cited by
- 689
- References
- 56
- Citations by year
- 2026: 29 · 2025: 50 · 2024: 49 · 2023: 40 · 2022: 69 · 2021: 46 · 2020: 48 · 2019: 44 · 2018: 56 · 2017: 32 · 2016: 38 · 2015: 41 · 2014: 53 · 2013: 48 · 2012: 33
- FWCI
- 63.95
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (RR009784)
- National Institute of Mental Health (R01MH076136)
- National Institute on Drug Abuse (RC1DA028608)
- National Center for Research Resources (P41RR009784)
- Topics
- Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- social rejection, bodily pain, somatosensory representation, secondary somatosensory cortex, breakup, emotional pain
- MeSH terms
- Brain Mapping, Female, Humans, Magnetic Resonance Imaging, Male, Pain, Rejection, Psychology, Social Desirability, Somatosensory Cortex, Self Report
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-09.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-09.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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