The neural bases of social pain: Evidence for shared representations with physical pain
Open accessAbstract
Experiences of social rejection or loss have been described as some of the most "painful" experiences that we, as humans, face and perhaps for good reason. Because of our prolonged period of immaturity, the social attachment system may have co-opted the pain system, borrowing the pain signal to prevent the detrimental consequences of social separation. This review summarizes a program of research that has explored the idea that experiences of physical pain and social pain rely on shared neural substrates. First, evidence showing that social pain activates pain-related neural regions is reviewed. Then, studies exploring some of the expected consequences of such a physical pain-social pain overlap are summarized. These studies demonstrate that a) individuals who are more sensitive to one kind of pain are also more sensitive to the other and b) factors that increase or decrease one kind of pain alter the other in a similar manner. Finally, what these shared neural substrates mean for our understanding of socially painful experience is discussed.
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The dACC has been implicated in processing experiences of physical pain.
“the dACC has been implicated in processing experiences of physical pain”
From From stress to inflammation and major depressive disorder: A social signal transduction theory of depression. (2014) · cites this paper as Eisenberger, 2012a
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“Although the manner by which these brain regions regulate inflammation is complex (Pavlov & Tracey, 2004), the anterior insula and dACC are key nodes in a network of brain regions known to be engaged during experiences of physical pain (Eisenberger, 2012a, 2012b).”
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- Authors
- Eisenberger, N. I.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Eisenberger, Naomi I.
- Venue
- Psychosomatic Medicine
- Published
- 2012-02
- Volume
- 74
- Issue
- 2
- Pages
- 126-135
- ISSN
- 0033-3174 (ISSN-L)
- PMC
- PMC3273616
- OpenAlex
- W1979503776
- Cited by
- 492
- References
- 26
- Citations by year
- 2026: 30 · 2025: 83 · 2024: 31 · 2023: 32 · 2022: 44 · 2021: 45 · 2020: 31 · 2019: 47 · 2018: 47 · 2017: 27 · 2016: 15 · 2015: 18 · 2014: 25 · 2013: 12 · 2012: 5
- FWCI
- 2.74
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH056880, R01MH56880, R21MH066709, R21MH66709-01, R21MH071521, R01MH091352)
- Topics
- Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- social pain, social rejection, bodily pain, shared neural substrates, social attachment, pain sensitivity, pain modulation
- MeSH terms
- Brain Mapping, Emotions, Gyrus Cinguli, Humans, Interpersonal Relations, Magnetic Resonance Imaging, Pain, Polymorphism, Genetic, Rejection, Psychology, Research Design, Social Isolation, Somatosensory Cortex, Receptors, Opioid, mu, Pain Perception
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