The social exclusion questionnaire given to a subset of participants (n = 7) confirmed that Cyberball elicited feelings of distress following exclusion. The average response to each question was 2.89 (on a scale from 1 = “not at all” to 5 = “extremely”). The average total score on this questionnaire was 28.86 (± 2.64), This score was significantly greater than the minimum score of 10 reflecting no exclusion-related distress (t(6) = 7.14, p < .001). On the questionnaire consisting of ten different questions aimed to assess distress due to rule violation, the average response to each question was 2.09. The average total score in the same subset of participants was 20.86 (± 1.10), again significantly greater than a minimum score of 10 reflecting no rule violation-related distress (t(6) = 9.87, p < .001).
As illustrated in , we identified a network of brain regions that were differentially active in either social exclusion (left panel of ) or rule violation (right panel of ) compared to fair play in Cyberball and Cybershape. Peak coordinates, statistical values, size, and anatomical labels for the regions of differential activation in Cyberball and Cybershape are displayed in and , respectively. In examining regions that were more active in social exclusion compared to fair play (social exclusion > fair play), we identified three areas that have been implicated in past Cyberball imaging studies: left PCC extending into retrosplenial cortex (t = 5.79, p < .001), right insula (t = 3.75, p < .01), and vACC (t = 3.85, p < .001). Additional areas of interest included bilateral hippocampus (left (posterior): t = 3.80, p < .001, left (anterior): t = 3.42, p < .01, right: t = 4.91, p < .001), left MTG (t = 3.93, p < .001), subgenual ACC (t = 3.62, p < .01), and left ventrolateral PFC (t = 4.22, p < .001). Regions that were more active in fair play compared to exclusion (fair play > social exclusion) that have also been identified in past Cyberball studies included bilateral cerebellum (right: t = -3.65, p < .01, left: t = -3.94, p < .01). Other areas of interest in this contrast included large expanses of parietal cortex (t = -5.78, p < . 001), bilateral precentral gyrus (left: t = -3.86, p < .001, right: t = -4.97, p < .001), and bilateral orbitofrontal cortex (left: t = -4.14, p < .001, right: t = -5.16, p < .001). Addressing the potential concern that the beginning of the Cyberball game yielded stronger responses to exclusion than the end, average activation from the first four blocks (two fair play and two exclusion) was compared to the last four blocks in each participant using a paired-sample t-test in each region of differential activation in exclusion > fair play identified from the whole-game analysis. None of these regions showed significantly different activation in the first and last four blocks of Cyberball (p > .05, corrected for multiple comparisons).
| Table 2Activation in Cyberball. Regions identified in a full brain contrast of social exclusion to fair play. Talairach coordinates and statistics refer to the voxel with the maximum signal change in each region of interest. |
| Table 3Activation in Cybershape. Regions identified in a full brain contrast of rule violation to fair play. Talairach coordinates and statistics refer to the voxel with the maximum signal change in each region of interest. |
As shown in the right column of , in Cybershape, regions that were more active in rule violation compared to fair play (rule violation > fair play) included large areas of parietal cortex (t = 5.47, p < .001), right anterior MTG (t = 4.24, p < .001), contiguous regions of dorsal medial and lateral PFC (t = 5.75, p < .001), left ventrolateral prefrontal cortex (t = 5.27, p < .001), and bilateral superior temporal sulcus (right: t = 3.84, p <.001, left: t = 3.35, p <.005). Regions that were more active in fair play compared to rule violation (fair play > rule violation) included bilateral insula (left: t = -6.57, p < .001, right: t = -5.67, p < .001), ventral/subgenual ACC (t = -5.76, p < .001), bilateral anterior cerebellum (right: t = -3.86, p < .001, left: t = -4.09, p < .001), left hippocampus (t = -4.31, p = < .001), and paracentral lobule (t = -5.68, p < .001).
As shown in , regions more active in the Cyberball contrast (social exclusion – fair play) included bilateral posterior insula (right: t = 5.40, p < .001, left: t = 4.83, p < .001), bilateral posterior cingulate cortex (right: t = 4.97, p < .001, left: t = 5.97, p < .001), right hippocampus (t = 3.73, p < .01), left parahippocampal gyrus (t = 5.00, p < .001), paracentral lobule extending into dorsal ACC (t = 5.00, p < .001), and ventral ACC (t = 6.67, p < .001). Regions more active in the Cybershape contrast (rule the violation – fair play) included bilateral superior frontal gyrus (right: t = -4.75, p < .001, left: t = -5.64, p < .001), bilateral dorsolateral PFC (right: t = -5.31, p < .001, left: t = -5.98, p < .001), and parietal cortex (t = -6.48, p < .001).
Responses to exclusion and rule violation in the structurally-defined vACC are plotted in the bottom panel of . Activation in this region significantly differed as a function of paradigm (t = 3.29, p < .01), characterized by entirely opposite directions of significant activation. The vACC exhibited increased activation to social exclusion versus fair play, yet this same region produced decreased activation in rule violation compared to fair play.
As shown in , in a PPI analysis of activation during Cyberball, regions more functionally connected to the vACC in exclusion compared to fair play included right MTG (right: t = 4.64, p < .001), medial PFC (t = 4.07, p < .005), right inferior parietal lobule (t = 3.15, p < .005), and precuneus (t = 3.59, p < .005). In a PPI analysis using the same vACC seed region in Cybershape, regions more functionally connected in rule violation compared to fair play included bilateral precentral gyrus extending into paracentral lobule (right: t = 4.21, p < .001, left: t = 5.75, p < .001), bilateral dorsolateral prefrontal cortex (dlPFC; right: t = 5.24, p < .001, left: t = 5.05, p < .001), bilateral insula (right: t = 3.81, p < .001, left: t = 4.82, p < .001), right ventrolateral PFC (t = 5.53, p < .001), and bilateral lingual gyri (right: t = 3.80, p < .001, left: t = 4.13, p < .001). Peak coordinates, statistical values, size, and anatomical labels for the regions of differential functional connectivity (Exclusion > Fair Play and Rule Violation > Fair Play) in Cyberball and Cybershape are provided in .
| Table 4Psychophysiological interaction (PPI) analyses. Two PPI analyses, performed for each game, identified regions of statistically reliable functional connectivity. Regions of functional connectivity in social exclusion > fair play (Cyberball) and (more ...) |