The moderating role of attachment insecurities in the association between social and physical pain

We examined the effects of social exclusion and attachment insecurities (anxiety, avoidance) on physical pain sensitivity, hypothesizing that anxiety would predict greater physical pain sensitivity only following social exclusion. Participants were either included in or excluded from a computer-based ball-tossing game and then completed a coldpressor task. Anxious men showed greater physical pain sensitivity when excluded, but not when included. Moreover, individuals (men and women) high on both anxiety and avoidance showed greater physical pain sensitivity when excluded, but not when included. Conclusions: Anxious individuals' heightened physical pain sensitivity following exclusion is a manifestation of hyperactivation of their attachment systems, and when threatened, avoidant individuals who are also high in anxiety are less successful in deactivating their attachment systems.