Brain-to-brain coupling during handholding is associated with pain reduction
Open accessAbstract
The mechanisms underlying analgesia related to social touch are not clear. While recent research highlights the role of the empathy of the observer to pain relief in the target, the contribution of social interaction to analgesia is unknown. The current study examines brain-to-brain coupling during pain with interpersonal touch and tests the involvement of interbrain synchrony in pain alleviation. Romantic partners were assigned the roles of target (pain receiver) and observer (pain observer) under pain-no-pain and touch-no-touch conditions concurrent with EEG recording. Brain-to-brain coupling in alpha-mu band (8-12 Hz) was estimated by a three-step multilevel analysis procedure based on running window circular correlation coefficient and post hoc power of the findings was calculated using simulations. Our findings indicate that hand-holding during pain administration increases brain-to-brain coupling in a network that mainly involves the central regions of the pain target and the right hemisphere of the pain observer. Moreover, brain-to-brain coupling in this network was found to correlate with analgesia magnitude and observer's empathic accuracy. These findings indicate that brain-to-brain coupling may be involved in touch-related analgesia.
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Social touch between romantic partners during pain strengthens inter-partner brain-to-brain coupling in the alpha/mu-band.
“Interestingly, social touch between romantic partners during the experience of pain strengthens inter-partner brain-to-brain coupling in the alpha/mu-band”
From Oxytocin enhances the pain‐relieving effects of social support in romantic couples (2019) · cites this paper as Goldstein, Weissman-Fogel, Dumas, & Shamay-Tsoory, 2018
Brain-to-brain coupling enhances touch-related analgesia and empathic accuracy.
“and this brain-to-brain coupling enhances touchrelated analgesia and empathic accuracy (Goldstein, Weissman-Fogel, Dumas, & Shamay-Tsoory, 2018).”
From Oxytocin enhances the pain‐relieving effects of social support in romantic couples (2019) · cites this paper as Goldstein, Weissman-Fogel, Dumas, & Shamay-Tsoory, 2018
Cites
Empathy for Pain Involves the Affective but not Sensory Components of Pain
Singer, T., Seymour, B., O'Doherty, J., Kaube, H., Dolan, R. J., & Frith, C. D. (2004) · Science · doi:10.1126/science.1093535 · Cited by 3,929 · see citing works
The biopsychosocial approach to chronic pain: Scientific advances and future directions.
Gatchel, R. J., Peng, Y. B., Peters, M. L., Fuchs, P. N., & Turk, D. C. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.4.581 · Cited by 3,392 · cited 1× · see citing works
“The biopsychosocial model posits that a physical illness such as pain can be explained by a dynamic interaction between physiologic, psychological, and social factors (40).”
BackgroundPutting the Altruism Back into Altruism: The Evolution of Empathy
de Waal, F. B. M. (2008) · Annual Review of Psychology · doi:10.1146/annurev.psych.59.103006.093625 · Cited by 2,483 · see citing works
Lamm, C., Decety, J., & Singer, T. (2011) · NeuroImage · doi:10.1016/j.neuroimage.2010.10.014 · Cited by 2,016 · cited 1× · see citing works
“Moreover, research has repeatedly demonstrated that both pain and empathy for pain activate frontal brain areas (35).”
BackgroundSocial cognition and the brain: A meta-analysis
Van Overwalle, F. (2009) · Human Brain Mapping · doi:10.1002/hbm.20547 · Cited by 1,792 · cited 2× · see citing works
“In contrast, the observer’s empathic accuracy correlated with links that partially involved the observer’s central zone and right parietal-occipital-temporal zone (cluster 1), which are related to self–other discrimination and the perspective-taking aspect of empathy (89, 90).”
BackgroundLending a Hand: Social Regulation of the Neural Response to Threat
Coan, J. A., Schaefer, H. S., & Davidson, R. J. (2006) · Psychological Science · doi:10.1111/j.1467-9280.2006.01832.x · Cited by 1,218 · see citing works
Inter-Brain Synchronization during Social Interaction
Dumas, G., Nadel, J., Soussignan, R., Martinerie, J., & Garnero, L. (2010) · PLoS ONE · doi:10.1371/journal.pone.0012166 · Cited by 966 · see citing works
Self-citationPain and emotion: a biopsychosocial review of recent research
Lumley, M. A., Cohen, J. L., Borszcz, G. S., Cano, A., Radcliffe, A. M., Porter, L. S., Schubiner, H., & Keefe, F. J. (2011) · Journal of Clinical Psychology · doi:10.1002/jclp.20816 · Cited by 836 · see citing works
Touch communicates distinct emotions.
Hertenstein, M. J., Keltner, D., App, B., Bulleit, B. A., & Jaskolka, A. R. (2006) · Emotion · doi:10.1037/1528-3542.6.3.528 · Cited by 770 · cited 3× · see citing works
“Moreover, in the touch conditions, partner’s empathy predicted analgesia in the target, indicating that touch can serve as a tool for communicating empathy, as has been shown for different emotions (9).”
BackgroundInfluentialMogan, R., Fischer, R., & Bulbulia, J. A. (2017) · Journal of Experimental Social Psychology · doi:10.1016/j.jesp.2017.03.009 · Cited by 477 · cited 1× · see citing works
“Therefore, behavioral and neural coupling during touch may be related to the understanding an observer exhibits toward a target’s distress, thus blurring the boundaries between self and others (58, 59) and promoting analgesia for the target.”
BackgroundA biopsychosocial formulation of pain communication.
Hadjistavropoulos, T., Craig, K. D., Duck, S., Cano, A., Goubert, L., Jackson, P. L., Mogil, J. S., Rainville, P., Sullivan, M. J. L., Williams, A. C. D. C., et al. (2011) · Psychological Bulletin · doi:10.1037/a0023876 · Cited by 466 · see citing works
Brains swinging in concert: cortical phase synchronization while playing guitar.
Lindenberger, U., Li, S.-C., Gruber, W., & Müller, V. (2009) · BMC Neuroscience · doi:10.1186/1471-2202-10-22 · Cited by 444 · see citing works
Touch attenuates infants' physiological reactivity to stress
Feldman, R., Singer, M., & Zagoory, O. (2010) · Developmental Science · doi:10.1111/j.1467-7687.2009.00890.x · Cited by 436 · see citing works
Follow you, follow me: continuous mutual prediction and adaptation in joint tapping
Konvalinka, I., Vuust, P., Roepstorff, A., & Frith, C. D. (2010) · Quarterly Journal of Experimental Psychology · doi:10.1080/17470218.2010.497843 · Cited by 421 · see citing works
Granot, M., Weissman-Fogel, I., Crispel, Y., Pud, D., Granovsky, Y., Sprecher, E., & Yarnitsky, D. (2008) · Pain · doi:10.1016/j.pain.2007.06.029 · Cited by 371 · see citing works
Self-citationSynchrony and exertion during dance independently raise pain threshold and encourage social bonding
Tarr, B., Launay, J., Cohen, E., & Dunbar, R. (2015) · Biology Letters · doi:10.1098/rsbl.2015.0767 · Cited by 367 · see citing works
Younger, J., Aron, A., Parke, S., Chatterjee, N., & Mackey, S. (2010) · PLoS ONE · doi:10.1371/journal.pone.0013309 · Cited by 314 · see citing works
The Efficiency of Simulation-Based Multiple Comparisons
Edwards, D., & Berry, J. J. (1987) · Biometrics · doi:10.2307/2531545 · Cited by 298 · see citing works
The role of shared neural activations, mirror neurons, and morality in empathy – A critical comment
Lamm, C., & Majdandžić, J. (2015) · Neuroscience Research · doi:10.1016/j.neures.2014.10.008 · Cited by 252 · see citing works
Warm Partner Contact Is Related to Lower Cardiovascular Reactivity
Grewen, K. M., Anderson, B. J., Girdler, S. S., & Light, K. C. (2003) · Behavioral Medicine · doi:10.1080/08964280309596065 · Cited by 240 · see citing works
Massage Therapy for Infants and Children
FIELD, T. (1995) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-199504000-00008 · Cited by 181 · see citing works
Assessing cross-partner associations in physiological responses via coupled oscillator models.
Helm, J. L., Sbarra, D., & Ferrer, E. (2012) · Emotion · doi:10.1037/a0025036 · Cited by 179 · see citing works
Golland, Y., Arzouan, Y., & Levit-Binnun, N. (2015) · PLOS ONE · doi:10.1371/journal.pone.0125804 · Cited by 152 · see citing works
Validating pain communication: current state of the science
Edmond, S. N., & Keefe, F. J. (2015) · Pain · doi:10.1097/01.j.pain.0000460301.18207.c2 · Cited by 151 · see citing works
Touch increases autonomic coupling between romantic partners
Chatel-Goldman, J., Congedo, M., Jutten, C., & Schwartz, J.-L. (2014) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2014.00095 · Cited by 135 · see citing works
Empathic and nonempathic interaction in chronic pain couples.
Cano, A., Barterian, J. A., & Heller, J. B. (2008) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e31816753d8 · Cited by 125 · see citing works
The role of touch in regulating inter-partner physiological coupling during empathy for pain
Goldstein, P., Weissman-Fogel, I., & Shamay-Tsoory, S. G. (2017) · Scientific Reports · doi:10.1038/s41598-017-03627-7 · Cited by 118 · see citing works
Self-citationIntegrative Reiki for Cancer Patients: A Program Evaluation
Fleisher, K. A., Mackenzie, E. R., Frankel, E. S., Seluzicki, C., Casarett, D., & Mao, J. J. (2014) · Integrative Cancer Therapies · doi:10.1177/1534735413503547 · Cited by 57 · see citing works
Neural correlates of emotional intelligence in a visual emotional oddball task: An ERP study
Raz, S., Dan, O., & Zysberg, L. (2014) · Brain and Cognition · doi:10.1016/j.bandc.2014.09.003 · Cited by 35 · see citing works
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Shamay-Tsoory, S. G., Saporta, N., Marton-Alper, I. Z., & Gvirts, H. Z. (2019) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2019.01.002 · Cited by 289 · see citing works
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Hoehl, S., Fairhurst, M., & Schirmer, A. (2021) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsaa024 · Cited by 231 · see citing works
Pan, Y., Dikker, S., Goldstein, P., Zhu, Y., Yang, C., & Hu, Y. (2020) · NeuroImage · doi:10.1016/j.neuroimage.2020.116657 · Cited by 187 · see citing works
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Koul, A., Ahmar, D., Iannetti, G. D., & Novembre, G. (2023) · NeuroImage · doi:10.1016/j.neuroimage.2023.120233 · Cited by 75 · see citing works
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Kreuder, A., Wassermann, L., Wollseifer, M., Ditzen, B., Eckstein, M., Stoffel‐Wagner, B., Hennig, J., Hurlemann, R., & Scheele, D. (2019) · Human Brain Mapping · doi:10.1002/hbm.24368 · Cited by 60 · see citing works
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Golland, Y., Mevorach, D., & Levit-Binnun, N. (2019) · Scientific Reports · doi:10.1038/s41598-019-40060-4 · Cited by 42 · see citing works
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- Authors
- Goldstein, P., Weissman-Fogel, I., Dumas, G., & Shamay-Tsoory, S. G.
- Affiliations
- University of Colorado Boulder (US)
- Physical Therapy Department, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa 3498838, Israel;
- Centre National de la Recherche Scientifique (FR)
- Department of Psychology, University of Haifa, Haifa 3498838, Israel;
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2018-02-26
- Volume
- 115
- Issue
- 11
- Pages
- E2528-E2537
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC5856497
- OpenAlex
- W2793106680
- Cited by
- 311
- References
- 29
- Citations by year
- 2026: 32 · 2025: 36 · 2024: 47 · 2023: 35 · 2022: 34 · 2021: 48 · 2020: 38 · 2019: 24 · 2018: 17
- FWCI
- 42.99
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Funders
- United States - Israel Binational Science Foundation (2015068)
- Topics
- Social Sciences › Psychology › Social Psychology › Action Observation and Synchronization
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural dynamics and brain function
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- inter-brain synchrony, social touch, hand-holding, empathic accuracy, romantic partners, EEG
- MeSH terms
- Adult, Brain, Brain Chemistry, Electroencephalography, Empathy, Family Characteristics, Female, Hand, Humans, Interpersonal Relations, Male, Pain, Pain Measurement, Young Adult
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