Acceptance into groups and intimate relationships is necessary for survival and emotional well-being. Thus, even everyday occurrences of social rejection (when one is not wanted or liked) can cause sadness, anxiety and social withdrawal. Studies using functional magnetic resonance imaging show that responses to social rejection and physical pain share some common neuronal pathways, leading to a theory of ‘social pain’. This theory hypothesizes that the ‘pain’ of social rejection can be dampened by the endogenous opioids, particularly through the μ-opioid receptor (MOR) which alleviates physical pain, but is also known to regulate responses to social distress in several nonhuman species. To test this hypothesis in humans, we used a MOR radiotracer to measure changes in MOR binding potential (that is, in vivo receptor availability) with positron emission tomography during social feedback. We found that social rejection as well as acceptance activated the MOR system above baseline in different brain regions, showing that the endogenous opioid system responds to social feedback in humans. (a) Social rejection shown here activated the MOR system in the left amygdala. (b) Activation levels extracted from the left amygdala were positively correlated with the personality trait resiliency, suggesting that during rejection high-resilient individuals are more capable of MOR activation, which may be protective or adaptive. For more information on this topic, please refer to the article by Hsu et al. on pages 1211–1217.
. Author manuscript; available in PMC: 2017 Feb 6.
Published in final edited form as: Mol Psychiatry. 2013 Nov;18(11):1147. doi: 10.1038/mp.2013.139
Social feedback activates the endogenous opioid system
DT Hsu
1, BJ Sanford
1, KK Meyers
1, TM Love
1, KE Hazlett
2, H Wang
1, L Ni
1, SJ Walker
3, BJ Mickey
1, ST Korycinski
1, RA Koeppe
4, JK Crocker
5, SA Langenecker
1, J-K Zubieta
1,4
DT Hsu
1Department of Psychiatry, The Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA
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BJ Sanford
1Department of Psychiatry, The Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA
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KK Meyers
1Department of Psychiatry, The Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA
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TM Love
1Department of Psychiatry, The Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA
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KE Hazlett
2Department of Psychology, Marquette University, Milwaukee, WI, USA
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H Wang
1Department of Psychiatry, The Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA
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L Ni
1Department of Psychiatry, The Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA
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SJ Walker
3Department of Psychiatry, Oregon Health and Science University, Portland, OR, USA
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BJ Mickey
1Department of Psychiatry, The Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA
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ST Korycinski
1Department of Psychiatry, The Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA
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RA Koeppe
4Department of Radiology, University of Michigan, Ann Arbor, MI, USA
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JK Crocker
5Department of Psychology, Ohio State University, Columbus, OH, USA
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SA Langenecker
1Department of Psychiatry, The Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA
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J-K Zubieta
1Department of Psychiatry, The Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA
4Department of Radiology, University of Michigan, Ann Arbor, MI, USA
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1Department of Psychiatry, The Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA
2Department of Psychology, Marquette University, Milwaukee, WI, USA
3Department of Psychiatry, Oregon Health and Science University, Portland, OR, USA
4Department of Radiology, University of Michigan, Ann Arbor, MI, USA
5Department of Psychology, Ohio State University, Columbus, OH, USA
PMCID: PMC5293180 NIHMSID: NIHMS845849 PMID: 24153054
The publisher's version of this article is available at Mol Psychiatry