Support-Giving Is Associated With Lower Systemic Inflammation.

BACKGROUND: Support-giving has emerged as a health-relevant social behavior, such that giving more support is associated with better physical health. However, biological mechanisms by which support-giving and health are linked remain unclear. Whether support-giving uniquely relates to health relative to other psychosocial factors is also an open research question. PURPOSE: Two studies test the hypothesis that support-giving is uniquely (over-and-above other psychosocial factors) related to lower systemic inflammation, a biological correlate of health. METHODS: Cross-sectional associations of support-giving with markers of systemic inflammation (i.e., interleukin-6 [IL-6], C-reactive protein [CRP]) were examined in two independent samples of midlife adults (Study 1, n = 746; Study 2, n = 350). RESULTS: Consistent with hypotheses, giving to more social targets (to family and friends, and also volunteering for various causes), but not receiving support from similar targets, was associated with lower IL-6. In conceptual replication and extension with a different measure of support-giving, higher frequency of support-giving behavior was associated with lower IL-6, even after adjusting for social network size and individual differences in social desirability. There were no associations between support-giving and CRP in either sample. CONCLUSIONS: Future research needs to establish causality and directly test mechanistic pathways, but together, findings reaffirm the health-relevance of support-giving behavior and shed light on a promising biological mechanism by which such effects may occur.

Support-giving behavior and health are linked such that more support-giving is related to better health and longevity for the person giving. How such a link occurs, however, is an open question for research. Two cross-sectional studies test the hypothesis that support-giving behavior relates to lower systemic inflammation, a potential biological pathway linking supportive behavior with health. Results of Study 1 show that giving to more social targets (to family and friends, and also volunteering) is associated with lower inflammation. Receiving support was not associated with inflammation. In a replication and extension, Study 2 shows that a greater frequency of giving is also related to lower systemic inflammation, over and above the size of one's social network and individual differences in reporting socially desirable responses. Although more research is needed to establish whether support-giving causes systemic inflammation to change, the current findings highlight a promising pathway by which support-giving behavior benefits health.

Recalling prior experiences with a close other can fulfill the need for social connection.

Humans need social connection to thrive, but how we fulfill this need is not well understood. Numerous theoretical perspectives propose that continual positive experiences with a close other fulfill the need for social connection. Despite popular acceptance for this notion, little research has investigated the consequences of having multiple experiences with a close other. As a first step toward this goal, the current studies assessed whether recalling prior experiences of social connection with a close other alters feelings of satisfaction toward the same person, the implications of such feelings for social desires outside of the lab (Study 1), and possible brain mechanisms related to fulfilling the need for social connection (Study 2). Consistent with hypotheses, recalling experiences increased feelings of satisfaction toward the close other, but not toward an acquaintance. Further, recalling prior experiences uniquely increased the desire for additional social interaction with the close other, compared with others in general. In Study 2, brain regions related to satiety-the ventral striatum (VS) and ventromedial prefrontal cortex (VMPFC)-showed different patterns to recalling prior experiences with a single close other such that VS activity decreased over recalled experiences, while VMPFC activity remained stable. VMPFC activity, but not VS activity, to recalling experiences with a close other was associated with greater feelings of satisfaction. Together, results are consistent with the proposal that positive experiences, particularly with close others, satisfy the need for social connection. Implications for preventing feelings of social disconnection and maintaining social relatonships over time are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

American prejudice during the COVID-19 pandemic.

In the United States, anti-Asian sentiment has pervaded the Coronavirus 2019 (COVID-19) pandemic. Could Americans' fear of contracting the virus relate to prejudice against Asian individuals? According to intergroup threat theory, prejudice increases toward groups of people when they are perceived as a likely cause of symbolic and/or real threat, including disease threat. We tested this perspective in the context of the COVID-19 pandemic by investigating the relationship between Americans' concern about contracting COVID-19 and their feelings toward individuals from multiple countries. Between May 12-14 2020, participants residing in the United States (N = 932) completed an online survey assessing their (1) perceived threat of COVID-19 infection, (2) feelings of warmth and coldness toward people in America, China, Italy, Japan, and Greece, and (3) trait-level prejudice. Perceived threat of COVID-19 infection differentially related to feelings toward American and Chinese nationals and was unrelated to feelings toward people from other countries assessed. Specifically, greater threat of infection was associated with less warmth toward individuals from China, an effect moderated by trait-level prejudice. That is, participants high (but not medium or low) in trait prejudice showed a significant relationship between threat of COVID-19 infection and reduced warmth toward Chinese individuals. Threat of infection also related to greater warmth and less coldness toward American nationals, consistent with prior work indicating that disease threats amplify ethnocentrism. Collectively, results suggest that perceived threat of COVID-19 infection may correspond with prejudice toward the national outgroup associated with the disease's origin (i.e., China), as well as national ingroup favoritism, among Americans prone to prejudice.

Resting (Tonic) Blood Pressure Is Associated With Sensitivity to Imagined and Acute Experiences of Social Pain: Evidence From Three Studies.

Social pain is a common experience that has potent implications for health. However, individuals differ in their sensitivity to social pain. Recent evidence suggests that sensitivity to social pain varies according to a biological factor that modulates sensitivity to physical pain: resting (tonic) blood pressure. The current studies extended this evidence by testing whether blood pressure relates to sensitivity to imagined (Study 1: N = 762, 51% female adults) and acute (Study 2, preregistered: N = 204, 57% female adults) experiences of social pain and whether associations extend to general emotional responding (Studies 1-3; Study 3: N = 162, 59% female adults). In line with prior evidence, results showed that higher resting blood pressure was associated with lower sensitivity to social pain. Moreover, associations regarding blood pressure and sensitivity to social pain did not appear to be explained by individual differences in general emotional responding. Findings appear to be compatible with the interpretation that social and physical pain share similar cardiovascular correlates and may be modulated by convergent interoceptive pathways.

Neural correlates of attachment in adolescents with trauma: a preliminary study on frustrative non-reward.

Despite the proposed early life origins of attachment style and its implications for risk for psychopathology, little is known about its neurodevelopmental course. Adolescence represents a key transition period when neural substrates of emotion regulation and reward undergo dramatic maturational shifts. Thus, maladaptive coping strategies associated with insecure attachment styles may have an exaggerated effect during adolescence. The current study, therefore, examined the neural correlates of insecure attachment in a diverse sample of adolescents using a frustrative non-reward task (i.e. repeatedly being denied an expected reward). Although there were no significant interactions in the whole-brain activation averaged over the course of the task, the use of complementary analytic approaches (connectivity, change in activation over the course of the task) revealed widespread alterations associated with avoidant attachment during the immediate reaction to, and ensuing recovery from, being denied a reward. Most strikingly, increased avoidant attachment, adjusting for anxious attachment, predicted functional connectivity and change in activity over time in amygdala-prefrontal and frontostriatal networks to reward blocked vs received trials. These patterns were in the opposite direction compared to those exhibited by adolescents lower in avoidant attachment. The findings suggest that negative emotional experiences, such as receiving frustrating feedback, may be uniquely aversive internal experiences for avoidantly attached adolescents and provide preliminary evidence that early coping strategies may persist into adolescence in the form of altered emotion- and reward-related neural patterns.

Frontostriatal functional connectivity underlies self-enhancement during social evaluation.

Self-enhancement, the tendency to view oneself positively, is a pervasive social motive widely investigated in the psychological sciences. Relatively little is known about the neurocognitive mechanisms underlying this motive, specifically in social-evaluative situations. To investigate whether positive emotion regulation circuitry, circuitry involved in modulating positive affect, relates to the self-enhancement motive in social contexts, we conducted an functional magnetic resonance imaging (fMRI) study in a healthy young adult sample. We hypothesized that self-enhancement indices (state and trait self-esteem) would relate to greater functional connectivity between right ventrolateral prefrontal cortex (RVLPFC), a region implicated in emotion regulation, and the ventral striatum (VS), a region associated with reward-related affect, during a social feedback task. Following social evaluation, participants experienced stable or decreased state self-esteem. Results showed that stable state self-esteem from pre- to post-scan and higher trait self-esteem related to greater RVLPFC-VS connectivity during positive evaluation. Stable-state self-esteem also related to greater RVLPFC-VS connectivity during negative evaluation. Moreover, RVLPFC activation during all types of feedback processing and left VS activation during negative feedback processing was greater for participants with stable-state self-esteem. These findings implicate neurocognitive mechanisms underlying emotion regulation in the self-enhancement motive and highlight a pathway through which self-enhancement may restore feelings of self-worth during threatening situations.

Prosocial and Positive Health Behaviors During a Period of Chronic Stress Protect Socioemotional Well-Being.

Behavior that helps, supports, or protects others-or prosocial behavior-has emerged as a health-relevant behavior that can promote the giver's well-being, yet whether prosocial behavior protects against the effects of a major, ongoing chronic stressor warrants further examination. Thus, in the context of the 2020 COVID-19 pandemic, we examined whether two types of behaviors-those enacted to prevent the spread of disease to the self and others (positive health behaviors) and those enacted to promote others' psychological and financial well-being (prosocial behaviors)-might protect well-being over time. Using a longitudinal survey method, 745 participants (M age = 62.87 years) reported their engagement in positive health behaviors, prosocial behaviors, and socioemotional well-being (depressive symptoms, anxiety symptoms, loneliness) approximately two months into mandated lockdown orders in the USA. Three months later, participants again reported their well-being. Results showed that greater self-reported positive health behaviors (e.g., wearing a facemask, distancing from others) was related to decreased depressive symptoms over time, whereas greater self-reported prosocial behaviors (e.g., donating time or money, thanking an essential worker) was related to decreased loneliness over time. Neither behavior was related to anxiety symptoms. Together, results suggest that both doing things for the benefit of others and engaging in positive health behaviors protects well-being, even during times of chronic stress. Findings are however limited by the use of self-report measures. Future research should use experimental and behavioral approaches beyond self-report to verify findings. Supplementary Information: The online version contains supplementary material available at 10.1007/s42761-021-00095-1.

Stress-Related Inflammation and Social Withdrawal in Mothers of a Child With Cancer: A 1-Year Follow-Up Study.

OBJECTIVE: Acute inflammation-induced sickness behavior involves changes in social behavior that are believed to promote recovery. Whether chronic inflammation can influence social behaviors in ways that promote recovery is unknown. In a sample of mothers of a child with cancer, this report explores the relationship between inflammation that accompanies the stress of diagnosis and changes in social network, cancer-related stress, and inflammation across 1 year. Three hypotheses tested whether a) initial levels of stress associate with initial levels of inflammation, b) initial levels of inflammation predict social network changes over time, and c) social network changes over time buffer changes in stress and inflammation over time. METHODS: Cancer-related stress (Impact of Events Scale), social network (social roles and contacts from the Social Network Inventory), and systemic inflammation (circulating interleukin [IL]-6) were assessed in 120 mothers three times after their child's cancer diagnosis: after diagnosis (T1), 6-month follow-up (T2), and 12-month follow-up (T3). RESULTS: Consistent with predictions, greater cancer-related stress after diagnosis (T1) was associated with higher IL-6 after diagnosis (T1; b = 0.014, standard error [SE] = 0.01, p = .008). In turn, higher IL-6 after diagnosis (T1) was associated with a decrease in social roles over time (T1 ➔ T3; B = -0.030, SE = 0.01, p = .041). Finally, dropping social roles over time (T1 ➔ T3) was associated with decreases in cancer-related stress (B = 25.44, SE = 12.31, p = .039) and slower increases in IL-6 (B = 1.06, SE = 0.52, p = .040) over time. CONCLUSIONS: This study provides a first indication that chronic stress-related systemic inflammation may predict changes in social behavior that associate with stress recovery and slower increases in inflammation in the year after a major life stressor.

Beyond social withdrawal: New perspectives on the effects of inflammation on social behavior.

Decades of research in animals and humans show that inflammation is an important regulator of social behavior. While much research in this area has concluded that inflammation causes a withdrawal from social interaction, closer examination of the literature reveals that the effects of inflammation on social behavior are much more nuanced. Indeed, while many studies do show that increases in inflammation lead to social withdrawal, other studies show the exact opposite, finding that inflammation leads to an increase in social approach behavior. Critically, whether an organism withdraws or approaches when inflamed may depend on the whether the target of the behavior is a close other or a stranger. In the present paper, we review both animal research and our initial research in humans that has utilized experimental manipulations of inflammation and examined their effects on social approach behavior. We argue, based on complementary theoretical perspectives and supporting evidence from the literature, that there are three critical next steps for translational work examining the effects of inflammation on social behavior: (1) We need to study actual social behavior, as expressed toward both close others and strangers; (2) We should examine not just the social behavior of the inflamed individual, but also the behavior of others interacting with an inflamed individual; and (3) We must consider the relative increases in inflammation (i.e., higher vs. lower) as a contributor to social withdrawal vs. approach. Ultimately, we urge the field to move beyond a singular focus on inflammation and social withdrawal so that we can develop a more comprehensive understanding of the effects of inflammation on a variety of social behaviors.

Relationships Between Early Maternal Warmth and Social Connection: A Randomized Clinical Trial With Naltrexone.

OBJECTIVE: Early experiences of having received maternal warmth predict responses to opportunities to connect with others later in life. However, the understanding of neurochemical mechanisms by which such relationships emerge remains incomplete. Endogenous opioids, involved in social connection in both animals and humans, may contribute to this link. Therefore, the current study examined a) relationships between early maternal warmth and brain and self-report responses to novel social targets (i.e., outcomes that may promote social connection) and b) the effect of the opioid antagonist, naltrexone, on such relationships. METHODS: Eighty-two adult participants completed a retrospective report of early maternal warmth. On a second visit, participants were randomized to 50 mg of oral naltrexone (n = 42) or placebo (n = 40), followed by a magnetic resonance imaging scan where functional brain activity in response to images of novel social targets (strangers) was assessed. Approximately 24 hours later, participants reported on their feelings of social connection since leaving the scanner. RESULTS: In the placebo condition, greater early maternal warmth was associated with less dorsal anterior cingulate cortex, anterior insula, ventral striatum, and amygdala activity in response to images of novel social targets (r values ≥ -0.360, p values ≤ .031), and greater feelings of social connection (r = 0.524, p < .001) outside of the laboratory. The same relationships, however, were not present in the naltrexone condition. CONCLUSIONS: Results highlight relationships between early maternal warmth and responses to the social world at large and suggest that opioids might contribute to social connection by supporting the buffering effects of warm early life experiences on social connection later in life.Trial Registration: Clinical Trials NCT02818036.

Replication and extension of the link between the cardiovascular system and sensitivity to social pain in healthy adults.

Resting blood pressure (BP) and heart rate variability (HRV) are linked to physical pain. Research also shows a link between social pain and physical pain, and an inverse association between resting BP and social pain. However, little is known regarding the relationship between resting HRV and social pain. Therefore, the present study aimed to replicate the link between social pain and physical pain, and the inverse relationship between resting BP and social pain, and explore the relationship between resting HRV and social pain. One-hundred twenty three healthy adults completed 1) resting cardiovascular measurements of BP and low-frequency (LF) and high-frequency (HF) HRV powers, 2) social pain sensitivity assessment via the Brief Fear of Negative Evaluation (BFNE) and Mehrabian's Sensitivity to Rejection (MSR) scales, and 3) physical pain sensitivity assessment via subjective pain responses during cold pressor test. The results indicated that no association was observed between social pain and physical pain, whereas resting BP was inversely associated with the MSR scores. Resting LF-HRV was inversely associated with social pain, whereas resting HF-HRV was positively associated with social pain. These findings suggest that physical pain and social pain may share biological substrates that are involved in BP regulation and pain control.

A body-to-mind perspective on social connection: Physical warmth potentiates brain activity to close others and subsequent feelings of social connection.

Social connection may stem from afferent pathways that bring bodily information to the brain and mind. In support of this perspective, research from animals and humans shows that physical warmth causally affects experiences of social connection. However, whether physical warmth affects feelings of social connection and the brain's response to close others remains unknown. In the current study, 42 participants completed an fMRI scan as they viewed images of a close other and strangers while holding warm, cold, and room-temperature objects. Following the scan, participants reported on their feelings of social connection and pleasure in response to the three temperature conditions. Results revealed a specific effect of physical warmth on brain activity to close others as compared with cooler temperatures (both cold and room temperature) and strangers (e.g., in the ventral striatum, middle-insula, ventromedial prefrontal cortex, pregenual cingulate cortex). Cooler temperatures had no effect on brain activity to close others (vs. strangers). Further, physical warmth increased feelings of social connection, even when adjusting for feelings of pleasure, but not vice versa, suggesting physical warmth may have specific effects on feelings of social connection. Results add to an emerging literature on the contribution of physical warmth to social connection and furthers understanding of why and how connecting with others is a basic need for humans. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The Resting Brain Sets Support-Giving in Motion: Dorsomedial Prefrontal Cortex Activity During Momentary Rest Primes Supportive Responding.

Humans give support, care, and assistance to others on a daily basis. However, the brain mechanisms that set such supportive behavior in motion are unknown. Based on previous findings demonstrating that activity in a portion of the brain's default network-the dorsomedial prefrontal cortex (DMPFC)-during brief rest primes social thinking and behavior, momentary fluctuations in this brain region at rest may prime supportive responding. To test this hypothesis, 26 participants underwent functional magnetic resonance imaging (fMRI) while they alternated between deciding whether to give support to a close other in financial need, receive support for themselves, and make arbitrary decisions unrelated to support. Decisions were interleaved with brief periods of rest. Results showed that, within participants, spontaneous activity in the DMPFC during momentary periods of rest primed supportive-responding: greater activity in this region at the onset of a brief period of rest predicted, on a trial-by-trial basis, faster decisions to give support to the close other. Thus, activating the DMPFC as soon as our minds are free from external demands to attention may help individuals "default" to support-giving. Implications for understanding the prosocial functions of the resting brain are discussed.

Individual differences in resting-state connectivity and giving social support: implications for health.

There is a growing appreciation for the health benefits of giving support, though variability in such behavior exists. Based on the possibility that the dorsomedial (DMPFC) default network subsystem is associated with social thinking and behavior, integrity of this subsystem may facilitate giving support to others. The current study tested associations between DMPFC subsystem connectivity at rest and tendencies related to giving support. During a functional magnetic resonance imaging session, 45 participants completed an emotional social cues task, a resting-state scan and self-report measures of social support. Supportive behavior during the month following the scan was also assessed. Greater DMPFC subsystem connectivity at rest was associated with greater support giving (though not receiving or perceiving support) at the time of the scan and one month later. Results held after adjusting for extraversion. In addition, greater resting-state DMPFC subsystem connectivity was associated with attenuated dorsal anterior cingulate cortex, anterior insula and amygdala activity to others' negative emotional social cues, suggesting that DMPFC subsystem integrity at rest is also associated with the dampened withdrawal response proposed to facilitate care for others in need. Together, results begin to hint at an additional role for the 'default' social brain: giving support to others.

Physical and social warmth: Warmer daily body temperature is associated with greater feelings of social connection.

Growing evidence suggests that physical warmth and social warmth-feeling socially connected to others-are linked. In particular, thermoregulatory systems that maintain a relatively warm internal body temperature may also support feelings of social connection. However, it is unknown whether and how feelings of physical and social warmth fluctuate together across time in daily life. To this end, the current study examined tympanic temperature, a measure of internal body temperature, and feelings of social connection assessed multiple times a day over 1 week. Consistent with hypotheses, moment-to-moment changes in tympanic temperature covaried with feelings of social connection across assessments. Thus, warmer body temperatures, in the nonfebrile range, were associated with greater feelings of social connection, and cooler body temperatures were associated with lower feelings of social connection. These findings provide further evidence for the link between physical and social warmth and contribute to an understanding of the dynamic fluctuation of affective experience across time. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Opioids and social bonding: Effect of naltrexone on feelings of social connection and ventral striatum activity to close others.

Close social bonds are critical to immediate and long-term well-being. However, the neurochemical mechanisms by which we remain connected to our closest loved ones are not well understood. Opioids have long been theorized to contribute to social bonding via their actions on the brain. But feelings of social connection toward one's own close others and direct comparisons of ventral striatum (VS) activity in response to close others and strangers, a neural correlate of social bonding, have not been explored. Therefore, the current clinical trial examined whether opioids causally affect neural and experiential signatures of social bonding. Eighty participants were administered naltrexone (n = 40), an opioid antagonist that blocks natural opioid processing, or placebo (n = 40) before completing a functional MRI scan where they viewed images of their close others and individuals they had not seen before (i.e., strangers). Feelings of social connection to the close others and physical symptoms commonly experienced when taking naltrexone were also collected. In support of hypotheses, naltrexone (vs. placebo) reduced feelings of social connection toward the close others (e.g., family, friends, romantic partners). Furthermore, naltrexone (vs. placebo) reduced left VS activity in response to images of the same close others, but did not alter left VS activity to strangers. Finally, the positive correlation between feelings of connection and VS activity to close others present in the placebo condition was erased by naltrexone. Effects remained after adjusting for physical symptoms. Together, results lend support to theories suggesting that opioids contribute to social bonding, especially with our closest loved ones. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Sex Differences in the Relationship Between Inflammation and Reward Sensitivity: A Randomized Controlled Trial of Endotoxin.

BACKGROUND: There are robust sex differences in the prevalence of depression. Inflammation and anhedonia may play a role in understanding these sex differences. Indeed, sex differences in inflammation-induced neural responses to reward may provide insight into the sex gaps in depression, but no study has examined this question. METHODS: As such, the current study examined whether there were sex differences in reward-related neural activity (i.e., ventral striatum [VS] activity) in response to an experimental inflammatory challenge. Human participants (N = 115; 69 female) were randomly assigned to receive either placebo or low-dose endotoxin, which increases inflammation in a safe, time-limited manner. Two hours after receiving placebo or endotoxin (the height of the inflammatory response to endotoxin), participants completed a task in which they anticipated monetary reward in a functional magnetic resonance imaging scanner. RESULTS: Results demonstrated that endotoxin (vs. placebo) led to reduced VS activity in anticipation of reward and that there were sex differences in this effect. Specifically, in female participants, endotoxin (vs. placebo) led to decreased VS activity in anticipation of reward, but this effect was not present in male participants. In addition, within the endotoxin condition, decreases in VS activity in anticipation of reward were related to increases in inflammation for female but not male participants. CONCLUSIONS: These findings may have implications for understanding how inflammation may contribute to sex differences in rates of depression.

Naltrexone alters responses to social and physical warmth: implications for social bonding.

Socially warm experiences, when one feels connected to others, have been linked with physical warmth. Opioids, hypothesized to support social bonding with close others and, separately, physical warmth, may underlie both experiences. In order to test this hypothesis, 80 participants were randomly assigned to the opioid antagonist, naltrexone or placebo before neural and emotional responses to social and physical warmth were collected. Social and physical warmth led to similar increases in ventral striatum (VS) and middle-insula (MI) activity. Further, feelings of social connection were positively related to neural activity to social warmth. However, naltrexone (vs placebo) disrupted these effects by (i) reducing VS and MI activity to social and physical warmth, (ii) erasing the subjective experience-brain association to social warmth and (iii) disrupting the neural overlap between social and physical warmth. Results provide additional support for the theory that social and physical warmth share neurobiological, opioid receptor-dependent mechanisms and suggest multiple routes by which social connections may be maintained.

Taking rejection to heart: Associations between blood pressure and sensitivity to social pain.

A reliable finding from the physical pain literature is that individuals with higher resting (i.e., tonic) blood pressure experience relatively less pain in response to nociceptive stimuli. Converging lines of evidence suggest that biological factors that influence the experience of physical pain may also relate to social pain. An open question, however, is whether higher blood pressure per se is a biological factor associated with lower sensitivity to social pain. This possible association was tested in three studies. Consistent with prior findings on physical pain, higher resting blood pressure was associated with lower self-reported sensitivity to social pain across individuals (Study 1 r = -.303, Study 2 r = -.262, -.246), even after adjusting for confounding factors related to blood pressure (Study 3 r = -.222). Findings suggest a previously unknown biological correlate of sensitivity to social pain, providing further evidence for possible shared substrates for physical and social pain.