Psychobiology of social support: The social dimension of stress buffering
Open accessAbstract
Social integration and social support have a substantial influence on individual health and longevity, an effect assumed to be mediated through reduced stress reactivity in support recipients. However, considerable variability in individual responses to social support has been documented, suggesting that the beneficial effect of social support interacts with early experiences, genetically influenced differences in biological systems mediating social behavior, personality traits, and psychopathology. Here we outline the historical background of social support research, including epidemiological studies, laboratory studies, and field studies on the subject of social support and health, with regard to different psychobiological effector systems. Most recent research has focused on brain mechanisms which link social integration or social support with reduced neural threat responses. As numerous mental disorders are associated with considerable social impairment, understanding the potentially underlying mechanisms of neural plasticity in relation to social support, stress buffering and health in these disorders can help tailor new diagnostic and treatment strategies. Thus, theories of socially-driven emotional learning and memory, as presented in this review, might eventually lead to psychobiology-based treatment concepts for mental disorders involving social deficits.
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Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Stress, social support, and the buffering hypothesis
Cohen, S., & Wills, T. A. (1985) · Psychological Bulletin · doi:10.1037/0033-2909.98.2.310 · Cited by 18,093 · see citing works
Social Relationships and Mortality Risk: A Meta-analytic Review
Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010) · PLoS Medicine · doi:10.1371/journal.pmed.1000316 · Cited by 7,272 · cited 1× · see citing works
“…social support would be available in case of need has considerable consequences for an individual's health and even survival (Berkman et al., 2000; Holt-Lunstad et al., 2010; Seeman, 2000), with effect sizes equaling or exceeding those of well-established behavioral factors, such as…”
Social support as a moderator of life stress
Cobb, S. (1976) · Psychosomatic Medicine · doi:10.1097/00006842-197609000-00003 · Cited by 6,936 · see citing works
Protective and Damaging Effects of Stress Mediators
McEwen, B. S. (1998) · New England Journal of Medicine · doi:10.1056/nejm199801153380307 · Cited by 6,733 · cited 1× · see citing works
“Stress is considered a principal cause for a series of health problems, irrespective of the physical system affected (Adler & Matthews, 1994; McEwen, 1998).”
Kirschbaum, C., Pirke, K.-M., & Hellhammer, D. H. (2008) · Neuropsychobiology · doi:10.1159/000119004 · Cited by 6,093 · see citing works
BERKMAN, L. F., & SYME, S. L. (1979) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112674 · Cited by 5,341 · see citing works
From social integration to health: durkheim in the new millennium
Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000) · Social Science & Medicine · doi:10.1016/s0277-9536(00)00065-4 · Cited by 4,821 · see citing works
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
Oxytocin increases trust in humans
Kosfeld, M., Heinrichs, M., Zak, P. J., Fischbacher, U., & Fehr, E. (2005) · Nature · doi:10.1038/nature03701 · Cited by 3,690 · see citing works
Self-citationBergin and Garfield's Handbook of Psychotherapy and Behavior Change
Lambert, M. J. (2003) · Cited by 3,383 · see citing works
Stress and disorders of the stress system
Chrousos, G. P. (2009) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2009.106 · Cited by 3,215 · see citing works
Rozanski, A., Blumenthal, J. A., & Kaplan, J. (1999) · Circulation · doi:10.1161/01.cir.99.16.2192 · Cited by 2,846 · see citing works
Uchino, B. N., Cacioppo, J. T., & Kiecolt-Glaser, J. K. (1996) · Psychological Bulletin · doi:10.1037/0033-2909.119.3.488 · Cited by 2,727 · see citing works
Positive Events and Social Supports as Buffers of Life Change Stress <sup>1</sup>
Cohen, S., & Hoberman, H. M. (1983) · Journal of Applied Social Psychology · doi:10.1111/j.1559-1816.1983.tb02325.x · Cited by 2,675 · see citing works
Social support: An interactional view.
Sarason, B. R., Sarason, I. G., & Pierce, G. R. (1990) · Wiley eBooks · Cited by 2,657 · see citing works
Marriage and health: His and hers
Kiecolt-Glaser, J. K., & Newton, T. L. (2001) · Psychological Bulletin · doi:10.1037//0033-2909.127.4.472 · Cited by 2,460 · see citing works
Heinrichs, M., Baumgartner, T., Kirschbaum, C., & Ehlert, U. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(03)00465-7 · Cited by 2,091 · see citing works
Self-citationDoes positive affect influence health?
Pressman, S. D., & Cohen, S. (2005) · Psychological Bulletin · doi:10.1037/0033-2909.131.6.925 · Cited by 2,087 · see citing works
Cassel, J. C. (1995) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a117515 · Cited by 1,947 · see citing works
THE CONTRIBUTION OF THE SOCIAL ENVIRONMENT TO HOST RESISTANCE1
CASSEL, J. (1976) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112281 · Cited by 1,816 · see citing works
Phelps, E. A., Delgado, M. R., Nearing, K. I., & LeDoux, J. E. (2004) · Neuron · doi:10.1016/j.neuron.2004.08.042 · Cited by 1,753 · see citing works
Oxytocin and vasopressin in the human brain: social neuropeptides for translational medicine
Meyer-Lindenberg, A., Domes, G., Kirsch, P., & Heinrichs, M. (2011) · Nature Reviews Neuroscience · doi:10.1038/nrn3044 · Cited by 1,688 · see citing works
Self-citationOxytocin Modulates Neural Circuitry for Social Cognition and Fear in Humans
Kirsch, P., Esslinger, C., Chen, Q., Mier, D., Lis, S., Siddhanti, S., Gruppe, H., Mattay, V. S., Gallhofer, B., & Meyer-Lindenberg, A. (2005) · The Journal of Neuroscience · doi:10.1523/jneurosci.3984-05.2005 · Cited by 1,639 · see citing works
Attachment Across the Life Cycle
Stevenson‐Hinde, J., & Marris, P. (1991) · Taylor & Francis eBooks · doi:10.4324/9780203317914 · Cited by 1,635 · see citing works
The neurobiology of pair bonding.
Young, L. J., & Wang, Z. (2004) · Nature Neuroscience · doi:10.1038/nn1327 · Cited by 1,523 · cited 1× · see citing works
“…animal studies showing an involvement of the neuropeptides oxytocin and vasopressin in social behavior, anxiety, and stress regulation (Insel, 2010; Young & Wang, 2004), there is growing literature suggesting that these very same mechanisms are involved in the regulation of human sociality…”
HOUSE, J. S., ROBBINS, C., & METZNER, H. L. (1982) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113387 · Cited by 1,381 · cited 3× · see citing works
“In another large epidemiological study (2754 participants) in Tecumseh, Michigan, House et al. (1982) reached the same conclusions and were additionally able to support their results by including several medical risk factors (e.g., blood pressure, cholesterol level) from a medical baseline examination as control varia…”
Sniffing neuropeptides: A transnasal approach to the human brain
Born, J., Lange, T., Kern, W., McGregor, G. P., Bickel, U., & Fehm, H. L. (2002) · Nature Neuroscience · doi:10.1038/nn0602-849 · Cited by 1,356 · see citing works
Social Ties and Susceptibility to the Common Cold
Heeler, R. M. (1997) · JAMA · doi:10.1001/jama.1997.03550150035019 · Cited by 1,300 · see citing works
Oxytocin improves “mind-reading” in humans
Domes, G., Heinrichs, M., Michel, A., Berger, C., & Herpertz, S. C. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.07.015 · Cited by 1,298 · see citing works
Self-citationPsychosocial models of the role of social support in the etiology of physical disease.
Cohen, S. (1988) · Health Psychology · doi:10.1037/0278-6133.7.3.269 · Cited by 1,273 · see citing works
Oxytocin shapes the neural circuitry of trust and trust adaptation in humans
Baumgartner, T., Heinrichs, M., Vonlanthen, A., Fischbacher, U., & Fehr, E. (2008) · Neuron · doi:10.1016/j.neuron.2008.04.009 · Cited by 1,258 · see citing works
Self-citationSocial Ties and Susceptibility to the Common Cold
Cohen, S. (1997) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1997.03540480040036 · Cited by 1,238 · see citing works
Family Status and Health Behaviors: Social Control as a Dimension of Social Integration
Umberson, D. (1987) · Journal of Health and Social Behavior · doi:10.2307/2136848 · Cited by 1,224 · see citing works
Lending 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
Loneliness and health: potential mechanisms
Cacioppo, J. T., Hawkley, L. C., Crawford, L. E., Ernst, J. M., Burleson, M. H., Kowalewski, R. B., Malarkey, W. B., Van Cauter, E., & Berntson, G. G. (2002) · Psychosomatic Medicine · doi:10.1097/00006842-200205000-00005 · Cited by 1,149 · see citing works
Invisible support and adjustment to stress.
Bolger, N. P., Zuckerman, A., & Kessler, R. C. (2000) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.79.6.953 · Cited by 1,104 · see citing works
Insel, T. R. (2010) · Neuron · doi:10.1016/j.neuron.2010.03.005 · Cited by 1,044 · see citing works
THE EPIDEMIOLOGIC EVIDENCE FOR A RELATIONSHIP BETWEEN SOCIAL SUPPORT AND HEALTH
Broadhead, W. E., Kaplan, B. H., James, S. A., Wagner, E. H., Schoenbach, V. J., GRIMSON, R. C., Heyden, S., Tibblin, G., & Gehlbach, S. H. (1983) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113575 · Cited by 917 · see citing works
Oxytocin receptor genetic variation relates to empathy and stress reactivity in humans
Rodrigues, S. M., Saslow, L. R., Garcia, N., John, O. P., & Keltner, D. (2009) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0909579106 · Cited by 812 · see citing works
Vasopressin and Oxytocin Excite Distinct Neuronal Populations in the Central Amygdala
Huber, D., Veinante, P., & Stoop, R. (2005) · Science · doi:10.1126/science.1105636 · Cited by 804 · see citing works
Oxytocin, vasopressin, and human social behavior
Heinrichs, M., von Dawans, B., & Domes, G. (2009) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2009.05.005 · Cited by 799 · see citing works
Self-citationDitzen, B., Schaer, M., Gabriel, B., Bodenmann, G., Ehlert, U., & Heinrichs, M. (2009) · Biological Psychiatry · doi:10.1016/j.biopsych.2008.10.011 · Cited by 784 · cited 2× · see citing works
“, 2012), couple interaction (Ditzen, Nater, et al., 2012; Ditzen et al., 2009), and social cognition, namely empathic evaluation of emotions (Domes, Heinrichs, Michel, et al.”
Self-citationOxytocin attenuates amygdala responses to emotional faces regardless of valence
Domes, G., Heinrichs, M., Gläscher, J., Büchel, C., Braus, D. F., & Herpertz, S. C. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2007.03.025 · Cited by 774 · see citing works
Self-citationBurman, B., & Margolin, G. (1992) · Psychological Bulletin · doi:10.1037/0033-2909.112.1.39 · Cited by 734 · see citing works
Interaction and Adaptation: Intimacy as a Critical Variable
Lowenthal, M. F., & Haven, C. (1968) · American Sociological Review · doi:10.2307/2092237 · Cited by 694 · see citing works
Prefrontal mechanisms in extinction of conditioned fear
Quirk, G. J., Garcia, R., & González-Lima, F. (2006) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.03.010 · Cited by 682 · see citing works
Models for the Stress-Buffering Functions of Coping Resources
Wheaton, B. (1985) · Journal of Health and Social Behavior · doi:10.2307/2136658 · Cited by 639 · see citing works
Health Promoting Effects of Friends and Family on Health Outcomes in Older Adults
Seeman, T. E. (2000) · American Journal of Health Promotion · doi:10.4278/0890-1171-14.6.362 · Cited by 634 · see citing works
Broken Heart: A Statistical Study of Increased Mortality among Widowers
Parkes, C. M., Benjamin, B., & Fitzgerald, R. G. (1969) · BMJ · doi:10.1136/bmj.1.5646.740 · Cited by 633 · see citing works
Olsson, A., & Phelps, E. A. (2007) · Nature Neuroscience · doi:10.1038/nn1968 · Cited by 622 · see citing works
Social support as an individual difference variable: Its stability, origins, and relational aspects.
Sarason, I. G., Sarason, B. R., & Shearin, E. N. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.50.4.845 · Cited by 621 · see citing works
Transcranial magnetic stimulation highlights the sensorimotor side of empathy for pain.
Avenanti, A., Bueti, D., Galati, G., & Aglioti, S. M. (2005) · Nature Neuroscience · doi:10.1038/nn1481 · Cited by 615 · see citing works
Social Relationships and Mortality Risk: A Meta-analytic Review
Holt-Lunstad, J., Smith, T., & Layton, J. (2010) · SciVee · doi:10.4016/19865.01 · Cited by 613 · see citing works
Kirschbaum, C., Klauer, T., Filipp, S., & Hellhammer, D. H. (1995) · Psychosomatic Medicine · doi:10.1097/00006842-199501000-00004 · Cited by 583 · see citing works
Tost, H., Kolachana, B., Hakimi, S., Lemaitre, H., Verchinski, B. A., Mattay, V. S., Weinberger, D. R., & Meyer–Lindenberg, A. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1003296107 · Cited by 564 · see citing works
Allen, K. (2002) · Psychosomatic Medicine · doi:10.1097/01.psy.0000024236.11538.41 · Cited by 561 · see citing works
Social Support and Health: A Theoretical and Empirical Overview
Schwarzer, R., & Leppin, A. (1991) · Journal of Social and Personal Relationships · doi:10.1177/0265407591081005 · Cited by 560 · see citing works
Neural pathways link social support to attenuated neuroendocrine stress responses
Eisenberger, N. I., Taylor, S. E., Gable, S. L., Hilmert, C. J., & Lieberman, M. D. (2007) · NeuroImage · doi:10.1016/j.neuroimage.2007.01.038 · Cited by 543 · see citing works
Ditzen, B., Neumann, I. D., Bodenmann, G., von Dawans, B., Turner, R. A., Ehlert, U., & Heinrichs, M. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2007.03.011 · Cited by 525 · see citing works
Self-citationPresence of human friends and pet dogs as moderators of autonomic responses to stress in women.
Allen, K., Blascovich, J., Tomaka, J., & Kelsey, R. M. (1991) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.61.4.582 · Cited by 511 · see citing works
SOCIAL TIES AND MORTALITY IN EVANS COUNTY, GEORGIA
SCHOENBACH, V. J., KAPLAN, B. H., FREDMAN, L., & KLEINBAUM, D. G. (1986) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114278 · Cited by 503 · cited 1× · see citing works
“Finally, Schoenbach et al. (1986) replicated these findings in a sample of 2059 persons in Evans County, Georgia, taking into consideration age, medical and self-reported health risk factors.”
Health Psychology: Why Do Some People Get Sick and Some Stay Well?
Adler, N. E., & Matthews, K. A. (1994) · Annual Review of Psychology · doi:10.1146/annurev.ps.45.020194.001305 · Cited by 489 · see citing works
Attachment figures activate a safety signal-related neural region and reduce pain experience
Eisenberger, N. I., Master, S. L., Inagaki, T. K., Taylor, S. E., Shirinyan, D., Lieberman, M. D., & Naliboff, B. D. (2011) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1108239108 · Cited by 471 · see citing works
From Fear to Safety and Back: Reversal of Fear in the Human Brain
Schiller, D., Levy, I., Niv, Y., LeDoux, J. E., & Phelps, E. A. (2008) · The Journal of Neuroscience · doi:10.1523/jneurosci.2265-08.2008 · Cited by 429 · see citing works
KAPLAN, G. A., SALONEN, J. T., COHEN, R. D., BRAND, R. J., LEONARD SYME, S., & PUSKA, P. (1988) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114977 · Cited by 401 · see citing works
Social support reduces cardiovascular reactivity to psychological challenge: a laboratory model.
Kamarck, T. W., Manuck, S. B., & Jennings, J. R. (1990) · Psychosomatic Medicine · doi:10.1097/00006842-199001000-00004 · Cited by 400 · see citing works
Social support: The sense of acceptance and the role of relationships.
Sarason, B. R., Pierce, G. R., & Sarason, I. G. (1990) · Cited by 399 · see citing works
Empathy for pain and touch in the human somatosensory cortex.
Bufalari, I., Aprile, T., Avenanti, A., Di Russo, F., & Aglioti, S. M. (2007) · Cerebral Cortex · doi:10.1093/cercor/bhl161 · Cited by 395 · see citing works
Attachments and other affectional bonds across the life cycle
Ainsworth, M. D. S. (2006) · Routledge eBooks · doi:10.4324/9780203132470-6 · Cited by 388 · see citing works
Social network interaction and mortality
Orth‐Gomér, K., & Johnson, J. V. (1987) · Journal of Chronic Diseases · doi:10.1016/0021-9681(87)90145-7 · Cited by 351 · see citing works
Kim, H. S., Sherman, D. K., Sasaki, J. Y., Xu, J., Chu, T. Q., Ryu, C., Suh, E. M., Graham, K., & Taylor, S. E. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1010830107 · Cited by 341 · see citing works
Couple Observational Coding Systems
Dorian, M., & Cordova, J. V. (2004) · Routledge eBooks · doi:10.4324/9781410610843 · Cited by 329 · see citing works
Rilling, J. K., DeMarco, A. C., Hackett, P. D., Thompson, R., Ditzen, B., Patel, R., & Pagnoni, G. (2012) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2011.07.013 · Cited by 303 · see citing works
Self-citationSocial support lowers cardiovascular reactivity to an acute stressor.
Lepore, S. J., Allen, K. A., & Evans, G. W. (1993) · Psychosomatic Medicine · doi:10.1097/00006842-199311000-00007 · Cited by 298 · see citing works
PROSPECTIVE STUDY OF SOCIAL INFLUENCES ON MORTALITY
Welin, L., Svärdsudd, K., Ander, S., Tibblin, G., Tibblin, B., Larsson, B., & Wilhelmsen, L. (1985) · The Lancet · doi:10.1016/s0140-6736(85)91684-8 · Cited by 284 · see citing works
Chen, F. S., Kumsta, R., von Dawans, B., Monakhov, M., Ebstein, R. P., & Heinrichs, M. (2011) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1113079108 · Cited by 268 · see citing works
Self-citationOxytocin, stress and social behavior: neurogenetics of the human oxytocin system
Kumsta, R., & Heinrichs, M. (2012) · Current Opinion in Neurobiology · doi:10.1016/j.conb.2012.09.004 · Cited by 265 · see citing works
Self-citationProtective and Damaging Effects of Stress Mediators
McEwen, B. S. (2002) · The MIT Press eBooks · doi:10.7551/mitpress/3077.003.0079 · Cited by 256 · see citing works
Chang, S. W. C., Barter, J. W., Ebitz, R. B., Watson, K. K., & Platt, M. L. (2012) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1114621109 · Cited by 252 · cited 1× · see citing works
“…that intranasally administered neuropeptides reach the brain (for vasopressin, see Born et al., 2002; with regard to oxytocin, see recent data from Chang et al., 2012), several studies have investigated the effects of oxytocin (and to a lesser extent of vasopressin ) intranasal administration on…”
Singer, T., Snozzi, R., Bird, G., Petrovic, P., Silani, G., Heinrichs, M., & Dolan, R. J. (2008) · Emotion · doi:10.1037/a0014195 · Cited by 248 · see citing works
Self-citationSocial support in social interaction: a moderator of cardiovascular reactivity.
Gerin, W., Pieper, C. F., Levy, R., & Pickering, T. G. (1992) · Psychosomatic Medicine · doi:10.1097/00006842-199205000-00008 · Cited by 239 · see citing works
Shrout, P. E., HERMAN, C. M., & Bolger, N. P. (2006) · Personal Relationships · doi:10.1111/j.1475-6811.2006.00108.x · Cited by 224 · see citing works
Mediating Influences of Social Support on Stress at Three Mile Island
Fleming, R., Baum, A. E., Gisriel, M. M., & Gatchel, R. J. (1982) · Journal of Human Stress · doi:10.1080/0097840x.1982.9936110 · Cited by 219 · see citing works
Bradley, B., Westen, D., Mercer, K. B., Binder, E. B., Jovanovic, T., Crain, D., Wingo, A., & Heim, C. (2011) · Development and Psychopathology · doi:10.1017/s0954579411000162 · Cited by 213 · see citing works
Thompson, R. J., Parker, K. J., Hallmayer, J. F., Waugh, C. E., & Gotlib, I. H. (2011) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2010.07.003 · Cited by 211 · see citing works
Social Ties and Support and Neuroendocrine Function: the MacArthur Studies of Successful Aging
Seeman, T. E., Berkman, L. F., Blazer, D. G., & Rowe, J. W. (1994) · Annals of Behavioral Medicine · doi:10.1093/abm/16.2.95 · Cited by 210 · see citing works
Gender, Social Support, and Cardiovascular Responses to Stress
Glynn, L. M., Christenfeld, N. J. S., & Gerin, W. (1999) · Psychosomatic Medicine · doi:10.1097/00006842-199903000-00016 · Cited by 202 · see citing works
Health and Behavior: The Interplay of Biological, Behavioral, and Societal Influences
Sepinwall, D. R. (2002) · Psychosomatics · doi:10.1176/appi.psy.43.5.431 · Cited by 180 · see citing works
Review of The Blackwell Encyclopedia of Social Psychology.
Gullickson, T. (1996) · Contemporary Psychology · doi:10.1037/002837 · Cited by 178 · see citing works
Cynicism, social support, and cardiovascular reactivity.
Lepore, S. J. (1995) · Health Psychology · doi:10.1037//0278-6133.14.3.210 · Cited by 164 · see citing works
Association between the oxytocin receptor gene and amygdalar volume in healthy adults
Inoue, H., Yamasue, H., Tochigi, M., Abe, O., Liu, X., Kawamura, Y., Takei, K., Suga, M., Yamada, H., Rogers, M. A., et al. (2010) · Biological Psychiatry · doi:10.1016/j.biopsych.2010.07.019 · Cited by 164 · see citing works
Social support and ambulatory blood pressure: An examination of both receiving and giving
Piferi, R. L., & Lawler, K. A. (2006) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2006.06.002 · Cited by 160 · see citing works
Social Support Effects on Cardiovascular Reactivity
Christenfeld, N. J. S., Gerin, W., Linden, W., Sanders, M., Mathur, J., Deich, J. D., & Pickering, T. G. (1997) · Psychosomatic Medicine · doi:10.1097/00006842-199707000-00009 · Cited by 155 · see citing works
2006 Curt P. Richter award winner
DeVries, A. C., Craft, T. K. S., Glasper, E. R., Neigh, G. N., & Alexander, J. K. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2007.04.007 · Cited by 153 · see citing works
Variant in oxytocin receptor gene is associated with amygdala volume
Furman, D. J., Chen, M. C., & Gotlib, I. H. (2011) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2010.12.004 · Cited by 151 · see citing works
Neural correlates of giving support to a loved one
Inagaki, T. K., & Eisenberger, N. I. (2012) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3182359335 · Cited by 141 · see citing works
Health and Behavior, the Interplay of Biological, Behavioral and Societal Influences.
Sharby, N. (2005) · Journal of Physical Therapy Education · doi:10.1097/00001416-200507000-00016 · Cited by 136 · see citing works
Karb, R. A., Elliott, M. R., Dowd, J. B., & Morenoff, J. D. (2012) · Social Science & Medicine · doi:10.1016/j.socscimed.2012.03.031 · Cited by 136 · see citing works
von der Linden, W., Chambers, L., Maurice, J., & Lenz, J. W. (1993) · Health Psychology · doi:10.1037//0278-6133.12.5.376 · Cited by 135 · see citing works
Uno, D., Uchino, B. N., & Smith, T. W. (2002) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm0903_06 · Cited by 125 · see citing works
Luecken, L. J., Suarez, E. C., Kuhn, C. M., Barefoot, J. C., Blumenthal, J. A., Siegler, I. C., & Williams, R. B. (1997) · Psychosomatic Medicine · doi:10.1097/00006842-199707000-00003 · Cited by 123 · see citing works
Taylor, S. E., Seeman, T. E., Eisenberger, N. I., Kozanian, T. A., Moore, A. N., & Moons, W. G. (2010) · Journal of Personality and Social Psychology · doi:10.1037/a0016563 · Cited by 119 · see citing works
Modeling Social Influences on Human Health
Karelina, K., & DeVries, A. C. (2011) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3182002116 · Cited by 115 · see citing works
Stress, social support and cardiovascular activity over the working day
Steptoe, A. (2000) · International Journal of Psychophysiology · doi:10.1016/s0167-8760(00)00109-4 · Cited by 115 · see citing works
Lf, B., & Syme, S. L. (1994) · Cambridge University Press eBooks · doi:10.1017/cbo9780511759048.005 · Cited by 112 · see citing works
Ditzen, B., Nater, U. M., Schaer, M., La Marca, R., Bodenmann, G., Ehlert, U., & Heinrichs, M. (2013) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nss083 · Cited by 111 · see citing works
Self-citationLevy, R. L. (1983) · Social Science & Medicine · doi:10.1016/0277-9536(83)90192-2 · Cited by 108 · see citing works
The effect of social support and physical touch on cardiovascular reactions to mental stress
Edens, J. L., Larkin, K. T., & Abel, J. L. (1992) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(92)90073-b · Cited by 102 · see citing works
Oxytocin Gene Polymorphisms Influence Human Dopaminergic Function in a Sex-Dependent Manner
Love, T. M., Enoch, M.-A., Hodgkinson, C. A., Peciña, M., Mickey, B., Koeppe, R. A., Stohler, C. S., Goldman, D., & Zubieta, J.-K. (2012) · Biological Psychiatry · doi:10.1016/j.biopsych.2012.01.033 · Cited by 97 · see citing works
Social support at work, heart rate, and cortisol: A self-monitoring study.
Evans, O., & Steptoe, A. (2001) · Journal of Occupational Health Psychology · doi:10.1037/1076-8998.6.4.361 · Cited by 95 · see citing works
Workplace Social Support and Ambulatory Cardiovascular Activity in New York City Traffic Agents
Karlin, W. A., Brondolo, E. N., & Schwartz, J. E. (2003) · Psychosomatic Medicine · doi:10.1097/01.psy.0000033122.09203.a3 · Cited by 94 · see citing works
Associative learning and conditioning theory : human and non-human applications
Schachtman, T. R., & Reilly, S. (2011) · Oxford University Press eBooks · Cited by 87 · see citing works
Herlitz, J. D., Wiklund, I. E., Caidahl, K., Hartford, M., Haglid, M., Karlsson, B., Sjöland, H., & Karlsson, T. (1998) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/s1078-5884(98)80152-4 · Cited by 84 · see citing works
Psychoneuroimmune and endocrine pathways in cancer: Effects of stress and support
Spiegel, D., & Sephton, S. E. (2001) · Seminars in Clinical Neuropsychiatry · doi:10.1053/scnp.2001.26995 · Cited by 84 · see citing works
Knox, S. S., Adelman, A., Ellison, R. C., Arnett, D. K., Siegmund, K. D., Weidner, G., & Province, M. A. (2000) · The American Journal of Cardiology · doi:10.1016/s0002-9149(00)01164-4 · Cited by 76 · see citing works
Stress-reducing properties of social stimuli.
Kissel, S. J. (1965) · Journal of Personality and Social Psychology · doi:10.1037/h0022223 · Cited by 67 · see citing works
The influence of social situations on ambulatory blood pressure.
Spitzer, S. B., Llabre, M. M., Ironson, G. H., Gellman, M. D., & Schneiderman, N. (1992) · Psychosomatic Medicine · doi:10.1097/00006842-199201000-00010 · Cited by 66 · see citing works
Knox, S. S., Theorell, T., Svensson, J. C., & Waller, D. (1985) · Social Science & Medicine · doi:10.1016/0277-9536(85)90036-x · Cited by 59 · see citing works
Evolahti, A., Hultcrantz, M., & Collins, A. (2006) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2006.07.022 · Cited by 58 · see citing works
Social Cohesion: Essays toward a Sociophysiological Perspective.
Collins, R., Barchas, P. R., & Mendoza, S. P. (1986) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2071001 · Cited by 48 · see citing works
Smith, A. M., Loving, T. J., Crockett, E. E., & Campbell, L. (2009) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181b492e6 · Cited by 41 · see citing works
Social support as a moderator of the aftereffects of stress in female psychiatric inpatients.
Kiecolt-Glaser, J., & Greenberg, B. (1984) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.93.2.192 · Cited by 33 · see citing works
Oxytocin Increases Trust in Humans Nature
Kosfeld, M., Heinrichs, M., Zak, P. J., Fischbacher, U., & Fehr, E. (2015) · Cited by 30 · see citing works
Self-citationPsychobiologische Mechanismen sozialer Unterstützung
Ditzen, B., & Heinrichs, M. (2007) · Zeitschrift für Gesundheitspsychologie · doi:10.1026/0943-8149.15.4.143 · Cited by 21 · see citing works
Self-citation29. Interaction and Adaptation: Intimacy as a Critical Variable
Lowenthal, M. F., & Haven, C. (1981) · Columbia University Press eBooks · doi:10.7312/stei93738-030 · Cited by 15 · see citing works
Oxytocin and Pair Bonding: On Possible Influences During the Life Course
Ditzen, B., Bradley, B., & Heim, C. C. (2012) · Biological Psychiatry · doi:10.1016/j.biopsych.2012.01.029 · Cited by 5 · see citing works
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Holt-Lunstad, J. (2018) · Annual Review of Psychology · doi:10.1146/annurev-psych-122216-011902 · Cited by 873 · see citing works
“Indeed, many recent reviews summarize the processes, conditions, and biological mechanisms by which this effect operates (Ditzen & Heinrichs 2014, Hostinar 2015, Hostinar & Gunnar 2015).”
BackgroundStress and the social brain: behavioural effects and neurobiological mechanisms
Sandi, C., & Haller, J. (2015) · Nature reviews. Neuroscience · doi:10.1038/nrn3918 · Cited by 614 · see citing works
Interpersonal mechanisms linking close relationships to health.
Pietromonaco, P. R., & Collins, N. L. (2017) · American Psychologist · doi:10.1037/amp0000129 · Cited by 390 · see citing works
“Neuropeptides involved in social bonding (e.g., endogenous opioids, oxytocin) may mediate these effects (Ditzen & Heinrichs, 2014; Eisenberger & Cole, 2012).”
BackgroundJakubiak, B. K., & Feeney, B. C. (2016) · Personality and Social Psychology Review · doi:10.1177/1088868316650307 · Cited by 302 · see citing works
“…positive regard and the resulting perceptions of social inclusion, felt security, and social support availability can collectively reduce or prevent stress (e.g., Brown, Sheffield, Leary, & Robinson, 2004; Ditzen & Heinrichs, 2014; Lepore, Allen, & Evan, 1993; Thorsteinsson & James, 1999).”
BackgroundThe nuts and bolts of animal emotion
Kremer, L., Holkenborg, S. E. J. K., Reimert, I., Bolhuis, J. E., & Webb, L. E. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.01.028 · Cited by 198 · see citing works
“affective states via the presence of another individual is a process found in a wide range of species including mammals, birds, fish and even invertebrates (Ditzen and Heinrichs, 2014; Oliveira and Faustino, 2017; Kiyokawa and Hennessy, 2018).”
BackgroundMeta-analytic evaluation of stress reduction interventions for undergraduate and graduate students.
Yusufov, M., Nicoloro‐SantaBarbara, J. M., Grey, N. E., Moyer, A. E., & Lobel, M. (2018) · International Journal of Stress Management · doi:10.1037/str0000099 · Cited by 193 · see citing works
Does Self-Compassion Protect Adolescents from Stress?
Bluth, K., Roberson, P. N. E., Gaylord, S. A., Faurot, K. R., Grewen, K., Arzon, S., & Girdler, S. S. (2015) · Journal of Child and Family Studies · doi:10.1007/s10826-015-0307-3 · Cited by 186 · see citing works
“In laboratory stress research, social support has been shown to have buffering effects on both hypothalamic–pituitary–adrenal (HPA) axis and cardiovascular reactivity (Ditzen and Heinrichs 2014).”
BackgroundThe soothing function of touch: affective touch reduces feelings of social exclusion
Mohr, M. V., Kirsch, L. P., & Fotopoulou, A. (2017) · Scientific Reports · doi:10.1038/s41598-017-13355-7 · Cited by 178 · see citing works
Oxytocin and Social Relationships: From Attachment to Bond Disruption
Bosch, O. J., & Young, L. J. (2017) · Current Topics in Behavioral Neurosciences · doi:10.1007/7854_2017_10 · Cited by 162 · see citing works
“Consequently, OT is thought to buffer against physical and emotional stressors (Uvnas-Moberg 1998; Neumann 2002; Smith and Wang 2014; Ditzen and Heinrichs 2014).”
BackgroundRoles of Oxytocin in Stress Responses, Allostasis and Resilience
Takayanagi, Y., & Onaka, T. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms23010150 · Cited by 164 · see citing works
Che, X., Cash, R. F. H., Ng, S. K., Fitzgerald, P. B., & Fitzgibbon, B. M. (2018) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000624 · Cited by 149 · see citing works
Kim, E. S., Tkatch, R., Martin, D., MacLeod, S., Sandy, L. G., & Yeh, C. S. (2021) · Gerontology and Geriatric Medicine · doi:10.1177/23337214211002951 · Cited by 163 · see citing works
“For example, those with high levels of perceived social support feel increased levels of security because they are less likely to appraise a stressful situation as threatening, thus blunting the likelihood of physiological dysregulation (Ditzen & Heinrichs, 2014).”
BackgroundMohr, M. V., Kirsch, L. P., & Fotopoulou, A. (2021) · Royal Society Open Science · doi:10.1098/rsos.210287 · Cited by 146 · see citing works
Bishop-Fitzpatrick, L., Mazefsky, C. A., & Eack, S. M. (2018) · Autism · doi:10.1177/1362361317703090 · Cited by 142 · see citing works
“…1970s and 1980s in both the United States and Scandinavia that identify reductions in medical risk factors and risk of mortality (e.g. high blood pressure and high cholesterol) of as much as 50% among those individuals with high levels of social support (for review, see Ditzen and Heinrichs, 2014).”
BackgroundEngel, S., Klusmann, H., Ditzen, B., Knaevelsrud, C., & Schumacher, S. (2018) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2018.11.002 · Cited by 121 · see citing works
Self-citationEckstein, M., Mamaev, I., Ditzen, B., & Sailer, U. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.555058 · Cited by 121 · see citing works
“Clinical implications can be drawn for touch as a treatment for an acute physical or mental health problem under consideration of the disorder-specific reactions to touch and also for preventive applications during phases of high stress in order to reduce the chance of stress-induced diseases (148).”
BackgroundSelf-citationMilatz, A., Lüftenegger, M., & Schober, B. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01949 · Cited by 143 · see citing works
The social buffering of pain by affective touch: a laser-evoked potential study in romantic couples
Mohr, M. V., Krahé, C., Beck, B., & Fotopoulou, A. (2018) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsy085 · Cited by 113 · see citing works
Subramanian, I., Farahnik, J., & Mischley, L. K. (2020) · npj Parkinson s Disease · doi:10.1038/s41531-020-00128-9 · Cited by 118 · see citing works
Social and affective touch in primates and its role in the evolution of social cohesion
Jablonski, N. G. (2020) · Neuroscience · doi:10.1016/j.neuroscience.2020.11.024 · Cited by 111 · see citing works
“The roles of social touch in primate lives and groups All mammals need social proximity and attachment, and the CT afferent system provides the neurobiological support for these essential functions (Ditzen and Heinrichs, 2014; Hostinar et al., 2014; von Mohr et al., 2017).”
The social nature of mitochondria: Implications for human health
Picard, M. A., & Sandi, C. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.04.017 · Cited by 102 · see citing works
Hilari, K., & Northcott, S. (2016) · Aphasiology · doi:10.1080/02687038.2016.1218436 · Cited by 97 · see citing works
“Ditzen and Heinrichs (2013) define received support as “an intended and observable act of help (including all functional types)” whereas perceived support is “understood as a general expectation of being supported.””
BackgroundRoberts, M. H., Klatzkin, R. R., & Mechlin, B. (2015) · Annals of Behavioral Medicine · doi:10.1007/s12160-015-9686-3 · Cited by 96 · see citing works
“Support from both romantic partners as well as close friends have been reported to attenuate physiological stress [17, 26], while social support from friends, strangers, and significant others have each been shown to reduce pain perception in the laboratory [20, 27], regardless of whether the support is active (i.”
BackgroundResultOpendak, M., Gould, E., & Sullivan, R. (2017) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2017.02.002 · Cited by 94 · see citing works
“…al., 2014; Hostinar et al., 2015; Sanchez et al., 2015; Sandi and Haller, 2015) which is consistent with the animal literature (Barr et al., 2009; Ditzen and Heinrichs, 2014; Hennessy et al., 2015; Kiyokawa et al., 2004; Sanchez et al., 2015; Shionoya et al., 2007; Sullivan and Perry, 2015;…”
Hostinar, C. E., Johnson, A. E., & Gunnar, M. R. (2015) · Developmental Psychology · doi:10.1037/dev0000029 · Cited by 91 · see citing works
“The Social Buffering of the HPA Axis Support from close relationships can be an important source of comfort during distress and can dampen the reactivity of the hypothalamic-pituitary-adrenal (HPA) stress system (Ditzen & Heinrichs, 2014; Hostinar, Sullivan, & Gunnar, 2014).”
Backgroundvon Dawans, B., Strojny, J., & Domes, G. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.11.026 · Cited by 90 · see citing works
Social touch, CT touch and massage therapy: A narrative review
Field, T. (2019) · Developmental Review · doi:10.1016/j.dr.2019.01.002 · Cited by 90 · see citing works
Pohl, T. T., Young, L. J., & Bosch, O. J. (2019) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2017.12.011 · Cited by 83 · see citing works
“…intranasal administration of OT potentiates the calming effects of social support; these effects are most likely based on a reduction of the stress-induced cortisol levels (Ditzen and Heinrichs, 2014; Heinrichs et al., 2003; Heinrichs et al., 2009; Olff et al., 2013; Quirin et al., 2011).”
BackgroundEnhanced emotional empathy after psychosocial stress in young healthy men
Wolf, O. T., Schulte, J. M., Drimalla, H., Hamacher‐Dang, T. C., Knoch, D., & Dziobek, I. (2015) · Stress · doi:10.3109/10253890.2015.1078787 · Cited by 80 · see citing works
“In contrast, experiencing prosocial behavior in the form of social support is a potent stress buffer (Ditzen & Heinrichs, 2014).”
BackgroundEffects of acute stress on social behavior in women
von Dawans, B., Ditzen, B., Trueg, A., Fischbacher, U., & Heinrichs, M. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.08.031 · Cited by 77 · see citing works
Self-citationLonga, L. D., Valori, I., & Farroni, T. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.795283 · Cited by 82 · see citing works
“Notably, physical contact and affective tactile exchanges may increase the feeling of closeness and social connection (Morrison, 2016), thus promoting the subjective experience of security and comfort that in tune may result in a decrease of stress reactivity (Ditzen and Heinrichs, 2014).”
BackgroundSocial Monogamy in Nonhuman Primates: Phylogeny, Phenotype, and Physiology
French, J. A., Cavanaugh, J., Mustoe, A. C., Carp, S. B., & Womack, S. L. (2017) · The Journal of Sex Research · doi:10.1080/00224499.2017.1339774 · Cited by 72 · see citing works
“…support, including the sympathetic nervous system, limbic and cortical regions (e.g., amygdala, hippocampus, prefrontal cortex), and the HPA axis (Ditzen & Heinrichs, 2014; Hostinar, Sullivan, & Gunnar, 2014), the OT system has been identified as a leading candidate for the regulation of social…”
BackgroundHill, M. L., Nichter, B., Na, P. J., Norman, S. B., Morland, L. A., Krystal, J. H., & Pietrzak, R. H. (2021) · Psychological Medicine · doi:10.1017/s0033291721002361 · Cited by 75 · see citing works
“…consistent with a literature showing that social support may help buffer the deleterious effects of stressors through psychobiological mechanisms (Ditzen & Heinrichs, 2014), align with calls for health care providers to regularly monitor social factors in populations at increased risk for…”
BackgroundKothgassner, O. D., Goreis, A., Kafka, J. X., Kaufmann, M., Atteneder, K., Beutl, L., Hennig‐Fast, K., Hlavacs, H., & Felnhofer, A. (2018) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2018.11.003 · Cited by 74 · see citing works
Title: “Labels Matter: Is it stress or is it Trauma?”
Richter‐Levin, G., & Sandi, C. (2021) · Translational Psychiatry · doi:10.1038/s41398-021-01514-4 · Cited by 82 · see citing works
The role of social connection on the experience of COVID-19 related post-traumatic growth and stress
Matos, M., McEwan, K., Kanovský, M., Halamová, J., Steindl, S. R., Ferreira, N., Linharelhos, M., Rijo, D., Asano, K., Vilas, S. P., et al. (2021) · PLOS ONE · doi:10.1371/journal.pone.0261384 · Cited by 73 · see citing works
“This is congruent with the notion that having access to caring, supportive social connections has a range of benefits for mental wellbeing [19, 20].”
BackgroundZhu, S., Kong, X., Han, F., Tian, H., Sun, S., Sun, Y., Feng, W., & Wu, Y. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.01.106 · Cited by 74 · see citing works
Aïn, S. A., Perry, R. E., Nuñez, B. S., Kayser, K. E., Hochman, C., Brehman, E., LaComb, M., Wilson, D. A., & Sullivan, R. M. (2016) · Social Neuroscience · doi:10.1080/17470919.2016.1159605 · Cited by 63 · see citing works
“This aspect of social support has been described in myriad species, including humans and rodents, and occurs throughout the lifespan (Ditzen & Heinrichs, 2014; Gee et al., 2014; Hennessy, Kaiser, & Sachser, 2009; Hennessy et al., 2015; Hostinar & Gunnar, 2013; Kikusui, Winslow, & Mori, 2006;…”
BackgroundOxytocin modulates behavioral and physiological responses to a stressor in marmoset monkeys
Cavanaugh, J., Carp, S. B., Rock, C. M., & French, J. A. (2016) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2015.12.027 · Cited by 64 · see citing works
“Brosnan et al. (2015) suggested that treatment with OXT elicited an anxiolytic response, thus diminished the motivation, and potentially the need, for social contact (which can be anxiolytic itself; Ditzen and Heinrichs, 2014).”
BackgroundInfluentialSocial Isolation, Sleep Disturbance, and Cognitive Functioning (HRS): A Longitudinal Mediation Study
Qi, X., Pei, Y., Malone, S. K., & Wu, B. (2023) · The Journals of Gerontology Series A · doi:10.1093/gerona/glad004 · Cited by 62 · see citing works
Minkley, N., Schröder, T. P., Wolf, O. T., & Kirchner, W. H. (2014) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2014.03.022 · Cited by 59 · see citing works
“In addition, evidence suggests that stress responses may be enhanced in a group-design, despite the possible buffering effects of social support (Ditzen and Heinrichs, 2014).”
BackgroundIntimacy as Related to Cortisol Reactivity and Recovery in Couples Undergoing Psychosocial Stress
Ditzen, B., Germann, J., Meuwly, N., Bradbury, T. N., Bodenmann, G., & Heinrichs, M. (2018) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000633 · Cited by 58 · see citing works
Self-citationGilbert, P. (2024) · British Journal of Clinical Psychology · doi:10.1111/bjc.12466 · Cited by 56 · see citing works
Mechanisms and functional implications of social buffering in infants: Lessons from animal models
Sullivan, R. M., & Perry, R. E. (2015) · Social Neuroscience · doi:10.1080/17470919.2015.1087425 · Cited by 52 · see citing works
“…species, including in human, nonhuman primates, and rodents, and there are profound positive effects of social buffering on health and well-being (Ditzen & Heinrichs, 2014; Gee et al., 2014; Hennessy, Kaiser, & Sachser, 2009; Hostinar, Sullivan, & Gunnar, 2014; Uchino, Cacioppo, &…”
BackgroundOptogenetic reactivation of prefrontal social neural ensembles mimics social buffering of fear
Gutzeit, V. A., Ahuna, K., Santos, T. L., Cunningham, A. M., Rooney, M. S., Zamora, A., Denny, C. A., & Donaldson, Z. R. (2020) · Neuropsychopharmacology · doi:10.1038/s41386-020-0631-1 · Cited by 53 · see citing works
“In humans, social buffering consistently attenuates behavioral fear responses and anxiety levels in both experimental and self-reported contexts [25].”
BackgroundThe relationship between real-life social support and Internet addiction among the elderly in China
Jia, Y., Liu, T., & Yang, Y. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.981307 · Cited by 55 · see citing works
Dominance rank causally affects personality and glucocorticoid regulation in female rhesus macaques
Kohn, J. N., Snyder‐Mackler, N., Barreiro, L. B., Johnson, Z. P., Tung, J., & Wilson, M. E. (2016) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2016.09.005 · Cited by 48 · see citing works
“These findings were unexpected and contrary to our initial predictions, as they seem to contradict reports that social affiliation is stress buffering (Ditzen and Heinrichs, 2014; Sanchez et al., 2015; Young et al., 2014), and that anxiousness is associated with increased cortisol output (Shackman et al.”
Wang, C., Yan, S., Jiang, H., Guo, Y., Gan, Y., Lv, C., & Lu, Z. (2022) · BMC Public Health · doi:10.1186/s12889-022-14002-1 · Cited by 56 · see citing works
Mindfulness‐Based Couple Interventions: A Systematic Literature Review
Winter, F., Steffan, A., Warth, M., Ditzen, B., & Aguilar‐Raab, C. (2021) · Family Process · doi:10.1111/famp.12683 · Cited by 47 · see citing works
Self-citationThe neurobiology of safety and threat learning in infancy
Dębiec, J., & Sullivan, R. M. (2016) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2016.10.015 · Cited by 45 · see citing works
Virtual and real-life ostracism and its impact on a subsequent acute stressor
Kothgassner, O. D., Goreis, A., Glenk, L. M., Kafka, J. X., Beutl, L., Kryspin‐Exner, I., Hlavacs, H., Palme, R., & Felnhofer, A. (2020) · Physiology & Behavior · doi:10.1016/j.physbeh.2020.113205 · Cited by 43 · see citing works
McGlone, F. P., Moberg, K. U., Norholt, H., Eggart, M., & Müller-Oerlinghausen, B. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1390673 · Cited by 47 · see citing works
Oxytocin regulates reunion affiliation with a pairmate following social separation in marmosets
Cavanaugh, J., Mustoe, A. C., & French, J. A. (2018) · American Journal of Primatology · doi:10.1002/ajp.22750 · Cited by 41 · see citing works
“High-quality partnerships and support systems are critical social resources, and serve as protective mechanisms against the deleterious outcomes associated with social stress (Carter, 1998; Cohen & Willis, 1985; Ditzen & Heinrichs, 2014; Wittig et al., 2016).”
BackgroundKofman, Y. B., Eng, Z. E., Busse, D., Godkin, S., Campos, B., Sandman, C. A., Wing, D. A., & Yim, I. S. (2019) · Biological Psychology · doi:10.1016/j.biopsycho.2019.01.016 · Cited by 40 · see citing works
Khan, M. A. S., Du, J., Usman, M., & Ahmad, M. I. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.02158 · Cited by 38 · see citing works
“The perception of a positive regard from the romance partner offers a sense of security and social inclusion and contributes to the reduction and prevention of stress (Ditzen and Heinrichs, 2014).”
BackgroundXu, H., Song, X., Wang, S., Zhang, S., Xu, S., & Wan, Y. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16204023 · Cited by 38 · see citing works
“Some scholars have shown that social support is an important mental health resource so far, which plays a buffering effect on the relationship between childhood abuse and adverse outcomes [16,17].”
BackgroundFloyd, K., & Ray, C. D. (2016) · Journal of Social and Personal Relationships · doi:10.1177/0265407516673161 · Cited by 37 · see citing works
“Although offers of social support can contribute to relationship satisfaction (Cutrona, Shaffer, Wesner, & Gardner, 2007), promote individual health (Ditzen & Heinrichs, 2014), and bolster esteem (Holmstrom & Kim, 2015), it is instructive to note that they can create a quandary for receivers, who…”
BackgroundSauer, C., Weis, J., Faller, H., Junne, F., Hönig, K., Bergelt, C., Hornemann, B., Stein, B., Teufel, M., Goerling, U., et al. (2019) · Acta Oncologica · doi:10.1080/0284186x.2019.1631471 · Cited by 39 · see citing works
“Social support has positive effects on health and longevity and acts as a buffer under high levels of stress [1].”
BackgroundRab, S. L., & Admon, R. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.09.007 · Cited by 34 · see citing works
Qi, X., Ng, T. K. S., & Wu, B. (2023) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2023.106023 · Cited by 31 · see citing works
Schwaiger, M., Heinrichs, M., & Kumsta, R. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.08.025 · Cited by 34 · see citing works
“protective resources such as social support (Ditzen and Heinrichs, 2014).”
Self-citationHegde, S., Ji, H., Oliver, D., Patel, N. S., Poupore, N. S., Shtutman, M. S., & Kelly, M. P. (2016) · Neuroscience · doi:10.1016/j.neuroscience.2016.08.019 · Cited by 33 · see citing works
“, the stress-reducing effect elicited by the presence of a conspecific (Ditzen and Heinrichs, 2014; Hostinar et al., 2014; Gobrogge and Wang, 2015)), since it does not appear that a PDE11A mutant mouse is simply more motivated to explore a novel object vs.”
BackgroundCo-variation of fatigue and psychobiological stress in couples’ everyday life
Doerr, J. M., Nater, U. M., Ehlert, U., & Ditzen, B. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.01.016 · Cited by 32 · see citing works
Self-citationEzeamama, A. E., Woolfork, M. N., Guwatudde, D., Bagenda, D. S., Manabe, Y. C., Fawzi, W. W., & Fawzi, M. C. S. (2016) · Medicine · doi:10.1097/md.0000000000002525 · Cited by 31 · see citing works
Residential segregation and mental health among Latinos in a nationally representative survey
Nobles, C. J., Valentine, S. E., Zepeda, E. D., Wang, Y., Ahles, E. M., Shtasel, D. L., & Marques, L. M. (2016) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2016-208034 · Cited by 31 · see citing works
Birmingham, W. C., & Holt‐Lunstad, J. (2018) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2018.03.023 · Cited by 31 · see citing works
Huang, Z., Hou, C.-L., Huang, Y.-H., He, X.-Y., Wang, Q.-W., Chen, X., Wang, Z.-L., Wang, S., & Jia, F. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.01.060 · Cited by 26 · see citing works
Felnhofer, A., Kaufmann, M., Atteneder, K., Kafka, J., Hlavacs, H., Beutl, L., Hennig-Fast, K., & Kothgassner, O. (2019) · Int. J. Hum. Comput. Stud. · doi:10.1016/j.ijhcs.2019.07.010 · Cited by 27 · see citing works
Ray, C. D., & Veluscek, A. M. (2016) · Health Communication · doi:10.1080/10410236.2016.1228027 · Cited by 30 · see citing works
“Although support has been shown to have many benefits for recipients (for a review, see Ditzen & Heinrichs, 2014), researchers have contended that some support is actually harmful (Albrecht, Burleson, & Goldsmith, 1994), and failed support attempts from significant others can have a negative effect…”
BackgroundAnalyzing factors affecting quality of life in patients hospitalized with chronic wound
Yan, R., Yu, F., Strandlund, K., Han, J., Lei, N., & Song, Y. (2020) · Wound Repair and Regeneration · doi:10.1111/wrr.12870 · Cited by 32 · see citing works
“Research has found that social support can reduce overall individual stress by main effects and buffering effects to promote health in the long term.(31) The main effect of social support refers to the direct positive effect of social support on various health parameters without considering stress factors, and the buf…”
Backgroundvan Loon, A. W. G., Creemers, H. E., Vogelaar, S., Saab, N., Miers, A. C., Westenberg, P. M., & Asscher, J. J. (2019) · BMC Public Health · doi:10.1186/s12889-019-6999-3 · Cited by 35 · see citing works
“Dysfunctional social interactions can trigger stress [24], hence, improving social skills by teaching adolescents to better communicate with others, might reduce perceived social stress.”
Bai, Y., Chen, Y., Tian, M., Gao, J., Song, Y., Zhang, X., Yin, H., & Xu, G. (2024) · Clinical Interventions in Aging · doi:10.2147/cia.s461288 · Cited by 29 · see citing works
“15 Conversely, older adults with social isolation often encounter a deficiency in both material and emotional support and show higher rates of depression and depressive symptoms.”
BackgroundOxytocin and the emergence of individual differences in the social regulation of stress
Chen, F. S., Heinrichs, M., & Johnson, S. C. (2017) · Social and Personality Psychology Compass · doi:10.1111/spc3.12332 · Cited by 29 · see citing works
“We focus on the role of the oxytocin system, which has been theorized to underlie the social buffering of stress (Ditzen & Heinrichs, 2014; Hostinar, Sullivan, & Gunnar, 2014).”
BackgroundSelf-citationVariability in Brain Structure and Function Reflects Lack of Peer Support
Schurz, M., Uddin, L. Q., Kanske, P., Lamm, C., Sallet, J., Bernhardt, B. C., Mars, R. B., & Bzdok, D. (2021) · Cerebral Cortex · doi:10.1093/cercor/bhab109 · Cited by 26 · see citing works
Nobari, T. Z., Whaley, S. E., Blumenberg, E., Prelip, M. L., & Wang, M. C. (2018) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2018.12.003 · Cited by 30 · see citing works
“These individuals may help with child care or they may provide the mother social support which can buffer feelings of stress and depression (Campos et al., 2014; Ditzen and Heinrichs, 2014).”
Higashida, H., Yuhi, T., Akther, S., Amina, S., Zhong, J., Liang, M., Nishimura, T., Liu, H.-X., & Lopatina, O. L. (2017) · Neurochemistry International · doi:10.1016/j.neuint.2017.07.009 · Cited by 27 · see citing works
“In addition, OT is released in response to emotional, physical, and pharmacological stresses (Butterweck et al., 2003; Ebner et al., 2005; Quirin et al., 2011; Onaka et al., 2012; Ditzen and Heinrichs, 2014; Engert et al., 2016; Torner et al., 2017).”
BackgroundHealth Literacy and Medication Adherence in COPD Patients: When Caregiver Presence Is Not Sufficient
Muellers, K., Chen, L., O’Conor, R. M., Wolf, M. S., Federman, A. D., & Wisnivesky, J. P. (2019) · COPD Journal of Chronic Obstructive Pulmonary Disease · doi:10.1080/15412555.2019.1665007 · Cited by 27 · see citing works
“Throughout the literature, there is evidence that caregiver support can mitigate patients’ health-related stress [10], improve self-management of chronic illness, and positively affect long-term outcomes in conditions such as COPD [11,12].”
BackgroundMemories of and influenced by the Trier Social Stress Test
Wolf, O. T. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.10.031 · Cited by 28 · see citing works
“Here stress reduction techniques or social support might be useful strategies to buffer the stress response (Ditzen and Heinrichs, 2014).”
The Development of Stress Reactivity and Regulation in Children and Adolescents
Filetti, C. R., Kane‐Grade, F., & Gunnar, M. R. (2023) · Current Neuropharmacology · doi:10.2174/1570159x21666230808120504 · Cited by 30 · see citing works
“For both males and females, recovery from the stressor is accelerated by social support from their romantic partner if the partner provides high versus low positive support [183].”
BackgroundPenn, T. M., Trost, Z., Parker, R., Wagner, W. P., Owens, M. A., Gonzalez, C. E., White, D. M., Merlin, J. S., & Goodin, B. R. (2019) · PAIN Reports · doi:10.1097/pr9.0000000000000710 · Cited by 26 · see citing works
“Moreover, the stress-buffering hypothesis of social support posits that access to social support can eliminate or weaken the negative effects of a perceived stressor on health and quality of life.(6,13) Social support refers to the perception and actuality that one is cared for, has assistance available from other peo…”
BackgroundHow Does Workplace Romance Influence Employee Performance in the Hospitality Industry?
Jung, H. S., & Yoon, H. H. (2020) · Sustainability · doi:10.3390/su12135478 · Cited by 26 · see citing works
“Ditzen and Heinrichs [31] noted that workplace romances provide a sense of stability and social inclusion while also reducing stress in the workplace.”
BackgroundXu, H., Liu, X., & Zeng, P. (2022) · Psychology Research and Behavior Management · doi:10.2147/prbm.s360611 · Cited by 26 · see citing works
“Social Support as a Positive Social Resource for Depression In parallel, the ability of social support (SS) to serve as a crucial social factor with beneficial effects on human health has long been recognized(27) and well documented for several decades now.(27,28) People persist, cope, and thrive not as isolated indiv…”
BackgroundPaganini, S., Meier, E. P., Terhorst, Y., Wurst, R., Hohberg, V., Schultchen, D., Strahler, J., Wursthorn, M., Baumeister, H., & Meßner, E.-M. (2023) · JMIR mhealth and uhealth · doi:10.2196/42415 · Cited by 26 · see citing works
“Since the availability of a community has beneficial effects on user engagement [80] and social support can positively influence the stress response [81], this seems to be a desirable trend.”
BackgroundOxytocin for learning calm and safety
Eckstein, M., de Minas, A. C. A., Scheele, D., Kreuder, A., Hurlemann, R., Grinevich, V., & Ditzen, B. (2018) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2018.06.004 · Cited by 27 · see citing works
Self-citationKatz, J., Mercer, S. H., & Skinner, S. (2019) · School Mental Health · doi:10.1007/s12310-019-09353-x · Cited by 28 · see citing works
Chbeir, S., & Carrión, V. (2023) · World Journal of Psychiatry · doi:10.5498/wjp.v13.i5.144 · Cited by 25 · see citing works
Loveys, K., Sagar, M., Zhang, X., Fricchione, G., & Broadbent, E. (2021) · Journal of Medical Internet Research · doi:10.2196/30624 · Cited by 25 · see citing works
“Social support may improve health outcomes indirectly through the provision of functional support (eg, transportation to a health appointment) or directly by exerting a stress-buffering effect [15,16].”
Emmering, S. A., Astroth, K. S., Woith, W. M., Dyck, M. J., & Kim, M. (2018) · Nursing Forum · doi:10.1111/nuf.12268 · Cited by 24 · see citing works
Oxytocin and positive couple interaction affect the perception of wound pain in everyday life
Pfeifer, A.-C., Schröder‐Pfeifer, P., Schneider, E., Schick, M., Heinrichs, M., Bodenmann, G., Ehlert, U., Herpertz, S. C., Läuchli, S., Eckstein, M., et al. (2020) · Molecular Pain · doi:10.1177/1744806920918692 · Cited by 23 · see citing works
“Social interactions with significant others have a profound impact on our ability to cope with emotional and physical distress.(1,2) Being married or living in a committed relationship appears to be one of the most powerful sources of social support in humans.”
BackgroundSelf-citationHopf, D., Schneider, E., Aguilar-Raab, C., Scheele, D., Morr, M., Klein, T., Ditzen, B., & Eckstein, M. (2022) · Scientific Reports · doi:10.1038/s41598-022-19224-2 · Cited by 26 · see citing works
Self-citationUlrich, F., & Petermann, F. (2016) · Geburtshilfe und Frauenheilkunde · doi:10.1055/s-0042-118180 · Cited by 24 · see citing works
Perceived social support, loneliness, and later life telomere length following wartime captivity.
Stein, J. Y., Levin, Y., Lahav, Y., Uziel, O., Abumock, H., & Solomon, Z. (2018) · Health Psychology · doi:10.1037/hea0000669 · Cited by 26 · see citing works
“Conversely, evidence suggests that this process may be partially mitigated by increasing social resources and support (Brooks et al., 2014; Zalli et al., 2014), possibly by generating safety signals that may attenuate the activity of the HPA system (Ditzen & Heinrichs, 2014).”
BackgroundInfluentialOxytocin Modulates the Cognitive Appraisal of the Own and Others Close Intimate Relationships
Aguilar‐Raab, C., Eckstein, M., Geracitano, S., Prévost, M., Gold, I., Heinrichs, M., Bilderbeck, A. C., Ehlert, U., & Ditzen, B. (2019) · Frontiers in Neuroscience · doi:10.3389/fnins.2019.00714 · Cited by 23 · see citing works
“Healthy and supportive intimate relationships promote well-being, buffer against the development of mental and physical illnesses, and improve recovery in burdened individuals (Holt-Lunstad et al., 2010; Ditzen and Heinrichs, 2014).”
BackgroundSelf-citationMcDaniels, B. W., & Subramanian, I. (2022) · International review of neurobiology · doi:10.1016/bs.irn.2022.03.003 · Cited by 24 · see citing works
“A robust body of literature exists explicating the role of social support in buffering stress (Ditzen & Heinrichs, 2014; Holt-Lunstad, 2018; Nitschke et al., 2021; Sandi & Haller, 2015).”
BackgroundHegoburu, C., Tang, Y., Niu, R., Ghosh, S., Rio, R. T. D., Salgado, I. D. A., Abatis, M., Caseiro, D. M., van den Burg, E. H., Grundschober, C., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-45626-z · Cited by 29 · see citing works
“In behavioral therapy, social support can play an important role in immediate as well as long-term reduction of stress and anxiety 1,2 and is effective in treating patients suffering from anxiety disorders, such as post-traumaticstressdisorder 3,4 .”
Supportive hand-holding attenuates pupillary responses to stress in adult couples
Graff, T. C., Luke, S. G., & Birmingham, W. C. (2019) · PLoS ONE · doi:10.1371/journal.pone.0212703 · Cited by 24 · see citing works
“Additionally, Ditzen and Heinrichs [9] explain that autonomic activation can be assessed through different physiological markers, such as pulse rate, blood pressure, or skin conductance, but that these measures do not necessarily correlate.”
BackgroundZhao, P., & Lapierre, M. A. (2020) · Cyberpsychology Journal of Psychosocial Research on Cyberspace · doi:10.5817/cp2020-4-3 · Cited by 23 · see citing works
“…a substantial body of empirical support to the buffering model of social support, and these findings suggested that social support can reduce stress reactivity and further decrease negative behavioral and psychobiological outcomes of stress (e.g., Ditzen & Heinrichs, 2014; Takizawa et al., 2006).”
BackgroundLenzi, L., Tonin, F., de Souza, V. D., & Pontarolo, R. (2018) · Psicologia: Teoria e Pesquisa · doi:10.1590/0102.3772e34422 · Cited by 17 · see citing works
COVID-19: Psychologische Folgen für Familie, Kinder und Partnerschaft
Hahlweg, K., Ditzen, B., Job, A., Gastner, J., Schulz, W., Supke, M., & Walper, S. (2020) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443/a000592 · Cited by 20 · see citing works
Self-citationFontaine, H. M., Silva, P. R., Neiswanger, C., Tran, R., Abraham, A. D., Land, B. B., Neumaier, J. F., & Chavkin, C. (2021) · Neuropsychopharmacology · doi:10.1038/s41386-021-01178-0 · Cited by 21 · see citing works
“At the behavioral level, these increases in drug and social reward seeking may represent an attempt to buffer the negative hedonic effects of stress [27, 67].”
Background
- Authors
- Ditzen, B., & Heinrichs, M.
- Affiliations
- University of Zurich (CH)
- University of Freiburg (DE)
- Corresponding author
- Ditzen, Beate
- Heinrichs, Markus
- Venue
- Restorative Neurology and Neuroscience
- Publisher
- SAGE Publications
- Published
- 2014-02
- Volume
- 32
- Issue
- 1
- Pages
- 149-162
- ISSN
- 0922-6028 (ISSN-L)
- 1878-3627
- OpenAlex
- W1671710112
- Cited by
- 298
- References
- 130
- Citations by year
- 2026: 22 · 2025: 31 · 2024: 23 · 2023: 26 · 2022: 28 · 2021: 39 · 2020: 35 · 2019: 20 · 2018: 26 · 2017: 17 · 2016: 15 · 2015: 12 · 2014: 2 · 2013: 2
- FWCI
- 7.52
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Restorative Neurology and Neuroscience (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- FreiDok plus (Universitätsbibliothek Freiburg) (submittedVersion)
- Funders
- National Science Foundation
- Deutsche Forschungsgemeinschaft (5310/1-1)
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (108392, 124627)
- Universität Zürich
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- social support, stress buffering, psychobiology, social integration, stress reactivity, neuroplasticity, social-emotional learning, social memory, mental illness, social dysfunction, genetic factors, personality traits, psychopathology, longevity
- MeSH terms
- Humans, Social Support, Stress, Psychological
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