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Home Exclusive Mental Health

Gratitude exercises may help the heart recover from stress

by Karina Petrova
November 24, 2025
in Mental Health
[Adobe Stock]

[Adobe Stock]

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Recent psychological research suggests that writing a letter of appreciation may physically strengthen the heart’s ability to recover from stress. A team of researchers found that gratitude exercises can improve how the cardiovascular system regulates itself, potentially offering long-term health benefits. These findings were published in The Journal of Positive Psychology.

The concept of gratitude is typically defined as a feeling of thankfulness for positive aspects of life. Mental health experts have historically associated this emotion with better wellbeing and reduced stress. However, the biological pathways connecting a grateful mindset to physical health have been less clear. The authors of the new paper sought to close this gap by examining the autonomic nervous system. This system controls involuntary bodily functions like heartbeat and digestion. It acts as a control center that balances the body’s need for energy with its need for rest.

A primary focus of this research was the vagus nerve. This nerve serves as a critical connection between the brain and the heart. It acts somewhat like a brake on a car. When the vagus nerve is active, it slows the heart rate down and promotes calm. When the body faces a challenge, this brake lifts to allow the heart rate to rise. Scientists measure the efficiency of this braking system using a metric called heart rate variability.

High heart rate variability is generally a sign of good health. It indicates that the heart can respond flexibly to changing environments. A healthy heart slows down when safe and speeds up only when necessary. Low variability suggests a system that is stuck or rigid. Andreas R. Schwerdtfeger and his colleagues at the University of Graz in Austria conducted two experiments to see if gratitude could enhance this flexibility. They wanted to determine if gratitude interventions could act as a training tool for the heart.

The first study focused on the immediate physical effects of expressing thanks. The researchers recruited 76 participants for this laboratory experiment. They randomly assigned these individuals to one of two groups. The first group engaged in a gratitude letter intervention. They spent fifteen minutes writing a letter to someone they appreciated.

The second group served as an active control condition. These participants spent fifteen minutes writing a detailed description of their apartment furniture. They were asked to describe what had changed since they moved in. This control task ensured that any differences found were not simply due to the act of writing or holding a pen.

Immediately following the writing session, all participants underwent a social stress test. The researchers used a method known as the “sing-a-song” stress test. Participants had to learn and then perform the song “Angels” by Robbie Williams. To heighten the pressure, they were told that experts would evaluate their performance and self-confidence. They sang in front of a camera while wearing electrodes to monitor their heart rhythms.

The results revealed a distinct difference between the two groups. The participants who wrote gratitude letters showed a specific pattern of heart rate variability. During the stressful singing portion, their variability dropped significantly. This indicates that their bodies efficiently released the “vagal brake” to mobilize energy for the challenge.

Once the singing task ended, the gratitude group showed a rapid recovery. Their heart rate variability rebounded strongly during the rest period. This pattern resembles a U-shape. It suggests that their nervous systems were highly responsive. They engaged fully with the stressor and then relaxed quickly once it passed. The control group did not show this dynamic response to the same degree.

The researchers analyzed the language used in the letters to verify the intervention. They used software to count specific types of words. The gratitude letters contained significantly more positive emotion words and social references. This confirmed that the participants followed the instructions. The physiological data suggests that this mental focus on appreciation primed the body for better stress management.

The second study aimed to test the effects of gratitude over a longer period. This experiment included 133 participants. The goal was to see if regular practice could lower the resting pulse rate. A lower resting pulse is typically a marker of cardiovascular fitness.

The researchers divided the participants into intervention and control groups. The gratitude group performed a daily exercise for two weeks. They either wrote down or mentally rehearsed three things they were grateful for each day. This is often called the “three good things” exercise.

The control group performed a different daily task for the same two-week period. They were asked to list or think about three things that were most time-consuming each day. This focused their attention on daily hassles rather than positives.

Participants measured their own pulse rates at home using a smartphone app. They were instructed to record their pulse in the evenings while sitting quietly. The app used the phone’s camera to detect blood volume changes in the finger. This technique provided a reliable estimate of heart rate outside of a lab setting.

By the end of the two weeks, the groups showed diverging physical trends. The participants in the control group experienced a slight increase in their resting pulse rate. In contrast, the gratitude group maintained a lower pulse rate. The intervention appeared to buffer the heart against the increases seen in the control group.

This finding aligns with the “coping hypothesis” of gratitude. This theory suggests that grateful people use more adaptive strategies to handle daily pressures. Over time, this adaptive coping may reduce the total wear and tear on the cardiovascular system. The result is a calmer, more efficient heart beat during rest.

Despite the positive physical results, the study produced one puzzling finding. The researchers used questionnaires to ask participants how grateful they felt. In both studies, the interventions did not lead to an increase in self-reported feelings of gratitude. The participants also did not report higher levels of happiness or life satisfaction compared to the control group.

This disconnect is notable. The physical benefits occurred even though the participants did not feel subjectively different. It implies that the biological mechanism might work independently of conscious mood. The act of focusing on gratitude may trigger neural pathways that regulate the heart, regardless of whether the person feels a surge of emotion.

There are some limitations to this research. In the first study, the stress task involved singing. Speaking and singing change how a person breathes. Respiration has a direct effect on heart rate variability. The researchers used a standardized song to minimize this issue, but it remains a variable.

In the second study, the measurements were taken in uncontrolled home environments. While the sample size was large enough to show a trend, home measurements are less precise than laboratory data. Additionally, the study combined writing and thinking exercises. Future research might need to separate these to see if one is more effective than the other.

The authors suggest that future studies should look at the brain. They point to the prefrontal cortex as a likely key player. This area of the brain helps regulate emotions and also sends signals to the heart. Understanding how gratitude activates this brain region could explain the link between a thankful mind and a healthy heart.

The study, “Strengthening the heart by means of a gratitude intervention?,” was authored by Andreas R. Schwerdtfeger, Claudia Traunmüller, Bernhard Weber and Christian Rominger.

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