Eisenberger · Science (New York, N.Y.) 2003 · within-subject fMRI laboratory experiment · n=?

Does rejection hurt? An FMRI study of social exclusion.

Cited 3830 times in the scientific literature.

Level 4 - case-series / case-control

Level 4 by design analogy (laboratory experimental neuroimaging study in healthy volunteers; non-clinical question).

PubMed 14551436 · doi:10.1126/science.1089134 · record verified 2026-08-29

What was done

Participants underwent functional magnetic resonance imaging (fMRI) while engaging in a virtual ball-tossing game designed to induce social exclusion after an initial period of inclusion. Self-reported distress was assessed alongside brain activation to evaluate neural overlap with physical pain pathways.

What was found

The abstract reports no numerical data, effect sizes, or exact statistical values. Directionally, anterior cingulate cortex (ACC) activation was higher during social exclusion than during inclusion and positively correlated with self-reported distress. Right ventral prefrontal cortex (RVPFC) was active during exclusion and negatively correlated with self-reported distress; ACC activity mediated the inverse relationship between RVPFC activation and distress.

Why it matters

The study provided early neuroimaging evidence that social rejection recruits brain regions linked to the affective component of physical pain and identified a potential prefrontal down-regulatory mechanism.

Limits

The abstract does not state the sample size, participant demographics, or specific statistical magnitudes and thresholds. The findings rely on a simulated laboratory exclusion task (virtual ball-tossing) and correlational neuroimaging rather than direct behavioral or clinical intervention.

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