Romantic Breakups, Heartbreak and Bereavement—Romantic Breakups
Tiffany Field
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DOI: 10.4236/psych.2011.24060   PDF    HTML     21,960 Downloads   44,809 Views   Citations

Abstract

This literature review suggests that romantic breakups may lead to bereavement symptoms including intrusive thoughts and attempts to suppress them and insomnia as well as morbidity factors including broken heart syndrome and immune dysfunction. Although the broken heart syndrome has mimicked real heart attacks, angiograms revealed no clogged arteries or permanent heart damage. Compromised immune function may result from reduced vagal activity and increased cortisol and catecholamines leading to increased inflammatory cytokines and decreased natural killer cell activity. The model proposed here is that romantic breakups result in the loss of a person as a regulator of stimulation and arousal modulation that can then lead to these physiological and biochemical effects. These data highlight the complexity of romantic breakups, heartbreak and bereavement and the need for multi-variable research on these systems both before and after the breakups occur.

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Field, T. (2011). Romantic Breakups, Heartbreak and Bereavement—Romantic Breakups. Psychology, 2, 382-387. doi: 10.4236/psych.2011.24060.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Akashi, Y. J., Nakazawa, K., Sakakibara, M., Miyake, F., Koike, H., & Sasaka, K. (2003). The clinical features of takotsubo cardiomyopathy. Quarterly Journal of Medicine, 96, 563-573.
[2] Aron, A., Fisher, H., Mashek, D. J., Strong, G., Li, H., & Brown, L. L. (2005). Reward, motivation, and emotion systems associated with early-stage intense romantic love. Journal of Neurophysiology, 94, 327-337. doi:10.1152/jn.00838.2004
[3] Bisconti, T. L., Bergeman, C. S., & Boker, S. M. (2004). Emotional well-being in recently bereaved widows: A dynamical systems approach. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 59, 158-167. doi:10.1093/geronb/59.4.P158
[4] Black, P. H. (2002). Stress and the inflammatory response: A review of neurogenic inflammation. Brain, Behavior, and Immunity, 16, 622-635. doi:10.1016/S0889-1591(02)00021-1
[5] Coan, J. A., Schaefer, H. S., & Davidson, R. J. (2006). Lending a hand: Social regulation of the neural response to threat. Psychological Science, 17, 1032-1039. doi:10.1111/j.1467-9280.2006.01832.x
[6] Davis, D., Shaver, P. R., & Vernon, M. L. (2003). Physical, emotional and behavioral reactions to breaking up: The roles of gender, age, emotional involvement, and attachment style. Personality and Social Psychology Bulletin, 29, 871-884. doi:10.1177/0146167203029007006
[7] Depue, R. A., & Morrone-Strupinksy, J. V. (2005). A neurobehavioral model of affiliative bonding: Implications for conceptualizing a human trait of affiliation. Behavioral and Brain Sciences, 28, 313-395. doi:10.1017/S0140525X05000063
[8] Diamond, L. M., Hicks, A. M., & Otter-Henderson, K. (2008). Every time you go away: Changes in affect, behavior, and physiology associated with travel-related separations from romantic partners. Journal of Personality and Social Psychology, 95, 385-403. doi:10.1037/0022-3514.95.2.385
[9] Diego, M., Field, T., & Hernandez-Reif, M. (2007). Preterm infant massage consistently increases vagal activity and gastric motility. Acta Paediatrica, 96, 1588-1591. doi:10.1111/j.1651-2227.2007.00476.x
[10] Ehlers, C. L., Frank, E., & Kupfer, D. J. (1988). Social zeitgebers and biological rhythms: A unified approach to understanding the etiology of depression. Archives of General Psychiatry, 45, 948-952.
[11] Eisenberger, N. I., Lieberman, M. D., & Williams, K. D. (2003). Does rejection hurt? An fMRI study of social exclusion. Science, 302, 290-292. doi:10.1126/science.1089134
[12] Faschingbauer, T., Zisook, S., & DeVaul, R. (1987). The Texas revised inventory of grief. In S. Zisook, (Ed.), Biopsychosocial aspects of bereavement (pp. 111-124). Washington, DC: American Psychiatric Press, Inc.
[13] Field, T. (1985). Attachment as psychobiological attunement: Being on the same wavelength. In M. Reite and T. Field (Eds.), Psychobiology of attachment. New York: Academic Press.
[14] Field, T. (1996). The effects of mother’s physical and emotional unavailability on emotion regulation. The Development of Emotion Regulation: Biological and Behavioral Considerations, 59, 208-227.
[15] Field, T. (2009). Complementary and alternative therapies research. Washington, DC: American Psychological Association. doi:10.1037/11859-000
[16] Field, T., Diego, M., Pelaez ,M., Deeds, O., & Delgado, J. (2009). Breakup distress in university students. Adolescence, 44, 705-727.
[17] Fisher, H. E. (2004). Why we love: The nature and chemistry of romantic love. New York: Holt Paperbacks.
[18] Fisher, H. E., Aron, A., & Brown, L. L. (2006). Romantic love: A mammalian brain system for mate choice. Philosophical Transactions of the Royal Society, 361, 2173-2186. doi:10.1098/rstb.2006.1938
[19] Frazier, T. W., Strauss, M. E., & Steinhauer, S. R. (2004). Respiratory sinus arrhythmia as an index of emotional response in young adults. Psychophysiology, 41, 75-83. doi:10.1046/j.1469-8986.2003.00131.x
[20] Freyd, J. J., Klest, B., & Allard, C. B. (2005). Betrayal trauma: Relationship to physical health, psychological distress, and a written disclosure intervention. Journal of Trauma Dissociation, 6, 83-104. doi:10.1300/J229v06n03_04
[21] Gerra, G., Monti, D., Panerai, A. E., Sacerdote, P., Anderlini, R., Avanzini, P. et al. (2003). Long-term immune-endocrine effects of bereavement: Relationships with anxiety levels and mood, Psychiatry Research, 121, 145-158. doi:10.1016/S0165-1781(03)00255-5
[22] Griffin M. G., & Taylor, G. T. (1995). Norephinephrine modulation of social memory: Evidence for a time-dependent functional recovery of behavior. Behavioral Neuroscience, 109, 466-538. doi:10.1037/0735-7044.109.3.466
[23] Gündel, H., O’Connor, M. F., Littrell, L., Fort, C., & Lane, R. (2003). Functional neuroanatomy of grief: An fMRI study. American Journal of Psychiatry, 160, 1946-1953. doi:10.1176/appi.ajp.160.11.1946
[24] Hardison, H. G., Neimeyer, R. A., & Lichstein, K. L. (2005). Insomnia and complicated grief symptoms in bereaved college students. Behavioral Sleep Medicine, 3, 99-111. doi:10.1207/s15402010bsm0302_4
[25] Hofer, M. A. (1984). Relationships as regulators: A psychobiologic perspective on bereavement. Psychosomatic Medicine, 46, 183-197.
[26] Hofer, M. A. (1996). On the nature and consequences of early loss. Review. Psychosomatic Medicine, 58, 570-581.
[27] Johnson, A. K., & Grippo, A. J. (2006). Sadness and broken hearts: Neurohumoral mechanisms and co-morbidity of ischemic heart disease and psychological depression. Journal of Physiology and Pharmacology, 57, 529-534.
[28] Kawai, S., Suzuki, H., Yamaguchi, H., Tanaka, K., Sawada, H., Aizawa, T. et al. (2000). Ampulla cardiomyopathy (Takotsubo’ cardiomyopathy)—reversible left ventricular dysfunction: With ST segment elevation. Japan Circulation Journal, 64, 156-159. doi:10.1253/jcj.64.156
[29] Kiecolt-Glaser, J. K., McGuire, L., Robles, T. F., & Glaser, R. (2002). Emotions, morbidity, and mortality: New perspectives from psychoneuroimmunology. Annual Review of Psychology, 53, 83-107. doi:10.1146/annurev.psych.53.100901.135217
[30] Kleinman, A., & Good, B. (1985). Introduction: Culture and depression. In A. Kleinman and B. Good (Eds.), Culture and depression: Studies in the anthropology and cross-cultural psychiatry of affect and disorder. Berkeley and Los Angeles: University of California Press.
[31] Kurisu, S., Sato, H., Kawagoe, T., Masaharu, I., Yuji, S., Kenji, N. et al. (2002). Tako-Tsubo-like left ventricular dysfunction with ST-segment elevation: A novel cardiac syndrome mimicking acute myocardial infarction. American Heart Journal, 143, 448-455. doi:10.1067/mhj.2002.120403
[32] Leonard, B. (2006). HPA and immune axes in stress: involvement of the serotonergic system. Neuroimmunomodulation, 13, 268-276. doi:10.1159/000104854
[33] Luciana, M., Collins, P. F., & Depue, R. A. (1998). Opposing roles for dopamine and serotonin in the modulation of human spatial working memory functions. Cerebral Cortex, 8, 218-244. doi:10.1093/cercor/8.3.218
[34] McDermott, O. D., Prigerson, H. G., Reynolds, C. F. III, Houck, P. R., Dew, M. A., Hall, M. et al. (1997). Sleep in the wake of complicated grief symptoms: An exploratory study. Biological Psychiatry, 41, 710-716. doi:10.1016/S0006-3223(96)00118-7
[35] Monk, T. H., Houck, P. R., & Shear, M. K. (2006). The daily life of complicated grief patients-what gets missed, what gets added? Death Studies, 30, 77-85. doi:10.1080/07481180500348860
[36] Najib, A., Lorberbaum, J. P., Kose, S., Bohning, D. E., & George, M. S. (2004). Regional brain activity in women grieving a romantic relationship breakup. American Journal of Psychiatry, 161, 2245-2256. doi:10.1176/appi.ajp.161.12.2245
[37] Nelson, J., & Harvey, A. G. (2002). The differential functions of imagery and verbal thought in insomnia. Journal of Abnormal Psychology, 111, 665-673. doi:10.1037/0021-843X.111.4.665
[38] Nelson, J., & Harvey, A. G. (2003). Pre-sleep imagery under the microscope: A comparison of patients with insomnia and good sleepers. Behaviour Research and Therapy, 41, 273-356. doi:10.1016/S0005-7967(02)00010-4
[39] Nyui, N., Yamanaka, O., Nakayama, R., Sawano, M., & Kawai, S. (2000). Takotsubo’ transient ventricular dysfunction: A case report. Japanese Circulation Journal, 64, 715-723. doi:10.1253/jcj.64.715
[40] O’Connor, M. F., Wellisch, D. K., Stanton, A. L., Eisenberger, N. I., Irwin, M. R., & Lieberman, M. D. (2008). Craving love? Enduring grief activates brain reward center. Neuroimage, 42, 969-972. doi:10.1016/j.neuroimage.2008.04.256
[41] Powell, L. H., Lovallo, W. R., Matthews, K. A., Meyer, P., Midgley, A. R., Baum, A., et al. (2002). Physiologic markers of chronic stress in premenopausal, middle-aged women. Psychosomatic Medicine, 64, 502-509.
[42] Prigerson, H., & Jacobs, S. (2001). Traumatic grief as a distinct disorder: A rationale, consensus criteria, and a preliminary empirical test. In M. S. Stroebe, R. O. Hansson, W. Stroebe and H. Schut, (Eds.), Handbook of bereavement research: consequences, coping, and care. Washington, DC: American Psychological Association, 613-645. doi:10.1037/10436-026
[43] Raphael, B., Minkov, C., & Dobson, M. (2001). Psychotherapeutic and pharmacological intervention for bereaved persons. In M. S. Stroebe, R. O. Hansson, W. Stroebe and H. Schut, (Eds.), Handbook of bereavement research: Consequences, coping, and care. Washington, DC: American Psychological Association, 587-612. doi:10.1037/10436-025
[44] Reynolds, C. F., Hoch, C. C., Buysse, D. J., Houck, P. R., Schlernitzauer, M., Frank, E. et al. (1992). Electroencephalographic sleep in spousal bereavement and bereavement-related depression of late life. Biological Psychiatry, 31, 69-82. doi:10.1016/0006-3223(92)90007-M
[45] Sbarra, D. A., & Hazan, C. (2008). Coregulation, dysregulation, self regulation: An integrative analysis and empirical agenda for understanding adult attachment, separation, loss, and recovery. Personality and Social Psychology Review, 12, 141-167. doi:10.1177/1088868308315702
[46] Simon, G., VonKorff, M., Piccinelli M., Fullerton, C., & Ormei J. (1999). An international study of the relation between somatic symptoms and depression. The New England Journal of Medicine, 341, 1329-1334. doi:10.1056/NEJM199910283411801
[47] Taylor, F., & Bryant, R. A. (2007). The tendency to suppress inhibiting thoughts, and dream rebound. Behavior Research and Therapy, 45, 163-168. doi:10.1016/j.brat.2006.01.005
[48] Uchino, B. N., Kiecolt-Glaser, J. K., & Glaser, R. (2000). Psychological modulation of cellular immunity. In J. T. Cacioppo, L. G. Tassinary and G. G. Berntson (Eds.), Handbook of psychophysiology (2nd ed., pp. 397-424). New York: Cambridge University Press.
[49] Uvn?s-Moberg, K. (1998). Oxytocin may mediate the benefits of positive social interaction and emotions. Psychoneuroendocrinology, 23, 819-835. doi:10.1016/S0306-4530(98)00056-0
[50] Villareal, R. P., Achari, A., Wilansky, S., & Wilson, J. M. (2001). Anteroapical stunning and left ventricular outflow tract obstruction. Mayo Clinic Proceedings, 76, 79-83. doi:10.4065/76.1.79
[51] Vrana, S. R., Cuthbert, B. N., & Lang, P. J. (1986). Fear imagery and text processing. Psychophysiology, 23, 247-253. doi:10.1111/j.1469-8986.1986.tb00626.x
[52] Wegner, D. M., Wenzlaff, R. M., & Kozak, M. (2004). Dream rebound: The retuned of suppressed/thoughts in dreams. Psychological Science, 15, 232-236. doi:10.1111/j.0963-7214.2004.00657.x
[53] Wikan, U. (1988). Bereavement and loss in two Muslin communities: Egypt and Bali. Social Science and Medicine, 27, 451-460. doi:10.1016/0277-9536(88)90368-1
[54] Wittstein, L. S., Thiemann, D. R., Lima, J. A. C., Baughman, K. T., Schulman, S. P., Gerstenblith, G. et al. (2005). Neurohumoral features of myocardial stunning due to sudden emotional stress. The New England Journal of Medicine, 352, 539-548. doi:10.1056/NEJMoa043046

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