loves me/loves me not

Painkiller in brain buffers social snubs

Research shows the brain releases natural painkillers during rejection to ease emotional pain. The discovery may help our understanding of depression and social anxieties.

What’s more, people who score high on a personality trait called resilience—the ability to adjust to environmental change—had the highest amount of natural painkiller activation.

The research team, based at the University of Michigan’s Molecular and Behavioral Neuroscience Institute, combined advanced brain-scanning that can track chemical release in the brain with a model of social rejection based on online dating.

They focused on the mu-opioid receptor system in the brain—the same system that the team has studied for years in relation to response to physical pain. Over more than a decade, their work has shown that when a person feels physical pain, their brains release chemicals called opioids into the space between neurons, dampening pain signals.

David T. Hsu, the lead author of the new paper that appears in the journal Nature, says the research on social rejection grew out of recent studies by others, which suggest that the brain pathways that are activated during physical pain and social pain are similar.

“This is the first study to peer into the human brain to show that the opioid system is activated during social rejection,” says Hsu, a research assistant professor of psychiatry. “In general, opioids have been known to be released during social distress and isolation in animals, but where this occurs in the human brain has not been shown until now.”

Caption for dating image Similar to online dating, the study participants chose profiles of people they are most attracted to. They viewed the profiles (left), and their own (right) while lying in a brain scanner that tracked their brain's opioid response when they were told the person they'd chosen did or did not like them (as in the last line of this image). (Credit: U. Michigan)
Similar to online dating, the study participants chose profiles of people they are most attracted to. They viewed the profiles (left), and their own (right) while lying in a brain scanner that tracked their brain’s opioid response when they were told the person they’d chosen did or did not like them (as in the last line of this image). (Credit: U. Michigan)

The study involved 18 adults who were asked to view photos and fictitious personal profiles of hundreds of other adults. Each selected some who they might be most interested in romantically—a setup similar to online dating.

But then, when the participants were lying in a brain imaging machine called a PET scanner, they were informed that the individuals they found attractive and interesting were not interested in them.

Brain scans made during these moments showed opioid release, measured by looking at the availability of mu-opioid receptors on brain cells. The effect was largest in the brain regions called the ventral striatum, amygdala, midline thalamus, and periaqueductal gray—areas that are also known to be involved in physical pain.

The researchers had actually made sure the participants understood ahead of time that the “dating” profiles were not real, and neither was the rejection. But nonetheless, the simulated social rejection was enough to cause both an emotional and opioid response.

Suffering slings and arrows differently

Hsu notes that the underlying personality of the participants appeared to play a role in how much of a response their opioid systems made.

“Individuals who scored high for the resiliency trait on a personality questionnaire tended to be capable of more opioid release during social rejection, especially in the amygdala,” a region of the brain involved in emotional processing, Hsu says. “This suggests that opioid release in this structure during social rejection may be protective or adaptive.”

The more opioid release during social rejection in another brain area called the pregenual cingulate cortex, the less the participants reported being put in a bad mood by the news that they’d been snubbed.

Reducing pain, promoting pleasure

The researchers also examined what happens when the participants were told that someone they’d expressed interest in had expressed interest in them—social acceptance. In this case, some brain regions also had more opioid release. “The opioid system is known to play a role in both reducing pain and promoting pleasure, and our study shows that it also does this in the social environment,” says Hsu.

The new research holds more importance than just pure discovery, note the authors, who also include senior author Jon-Kar Zubieta. Specifically, they are pursuing further research on how those who are vulnerable to, or currently suffering from depression or social anxiety have an abnormal opioid response to social rejection and/or acceptance.

“It is possible that those with depression or social anxiety are less capable of releasing opioids during times of social distress, and therefore do not recover as quickly or fully from a negative social experience. Similarly, these individuals may also have less opioid release during positive social interactions, and therefore may not gain as much from social support,” Hsu theorizes.

Hsu also notes that perhaps new opioid medications without addictive potential may be an effective treatment for depression and social anxiety. Although such medications are not yet available, he adds, “increasing evidence for the neural overlap of physical and social pain suggests a significant opportunity to bridge research in the treatment of chronic pain with the treatment of psychiatric disorders.”

If nothing else, perhaps knowing that our response to a social snub isn’t “all in our heads” can help some people understand their responses and cope better, Hsu says. “The knowledge that there are chemicals in our brains working to help us feel better after being rejected is comforting.”

The National Institutes of Health, the Brain & Behavior Research Foundation, the Michigan Institute for Clinical and Health Research, a Rachel Upjohn Clinical Scholars Award, and the Phil F. Jenkins Foundation funded the research.

Source: University of Michigan

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