Gratitude And Neurology


The effects of gratitude expression on neural activity

Abstract

Gratitude is a common aspect of social interaction, yet relatively little is known about the neural bases of gratitude expression, nor how gratitude expression may lead to longer-term effects on brain activity. To address these twin issues, we recruited subjects who coincidentally were entering psychotherapy for depression and/or anxiety. One group participated in a gratitude writing intervention, which required them to write letters expressing gratitude. The therapy-as-usual control group did not perform a writing intervention. After three months, subjects performed a “Pay It Forward” task in the fMRI scanner. In the task, subjects were repeatedly endowed with a monetary gift and then asked to pass it on to a charitable cause to the extent they felt grateful for the gift. Operationalizing gratitude as monetary gifts allowed us to engage the subjects and quantify the gratitude expression for subsequent analyses. We measured brain activity and found regions where activity correlated with self-reported gratitude experience during the task, even including related constructs such as guilt motivation and desire to help as statistical controls. These were mostly distinct from brain regions activated by empathy or theory of mind. Also, our between groups cross-sectional study found that a simple gratitude writing intervention was associated with significantly greater and lasting neural sensitivity to gratitude – subjects who participated in gratitude letter writing showed both behavioral increases in gratitude and significantly greater neural modulation by gratitude in the medial prefrontal cortex three months later.


The Cultivation of Pure Altruism via Gratitude: A Functional MRI Study of Change with Gratitude Practice

Abstract

Gratitude is an emotion and a trait linked to well-being and better health, and welcoming benefits to oneself is instrumentally valuable. However, theoretical and empirical work highlights that gratitude is more fully understood as an intrinsically valuable moral emotion. To understand the role of neural reward systems in the association between gratitude and altruistic motivations we tested two hypotheses: First, whether self-reported propensity toward gratitude relates to fMRI-derived indicators of “pure altruism,” operationalized as the neural valuation of passive, private transfers to a charity versus to oneself. In young adult female participants, self-reported gratitude and altruism were associated with “neural pure altruism” in ventromedial prefrontal cortex (VMPFC) and nucleus accumbens. Second, whether neural pure altruism can be increased through practicing gratitude. In a double-blind study, we randomly assigned participants to either a gratitude-journal or active-neutral control journal group for 3 weeks. Relative to pre-test levels, gratitude journaling increased the neural pure altruism response in the VMPFC. We posit that as a context-dependent value-sensitive cortical region, the VMPFC supports change with gratitude practice, a change that is larger for benefits to others versus oneself.


Neural correlates of gratitude

Abstract

Gratitude is an important aspect of human sociality, and is valued by religions and moral philosophies. It has been established that gratitude leads to benefits for both mental health and interpersonal relationships. It is thus important to elucidate the neurobiological correlates of gratitude, which are only now beginning to be investigated. To this end, we conducted an experiment during which we induced gratitude in participants while they underwent functional magnetic resonance imaging. We hypothesized that gratitude ratings would correlate with activity in brain regions associated with moral cognition, value judgment and theory of mind. The stimuli used to elicit gratitude were drawn from stories of survivors of the Holocaust, as many survivors report being sheltered by strangers or receiving lifesaving food and clothing, and having strong feelings of gratitude for such gifts. The participants were asked to place themselves in the context of the Holocaust and imagine what their own experience would feel like if they received such gifts. For each gift, they rated how grateful they felt. The results revealed that ratings of gratitude correlated with brain activity in the anterior cingulate cortex and medial prefrontal cortex, in support of our hypotheses. The results provide a window into the brain circuitry for moral cognition and positive emotion that accompanies the experience of benefitting from the goodwill of others.


Gratitude and well-being: A review and theoretical integration

Abstract

This paper presents a new model of gratitude incorporating not only the gratitude that arises following help from others but also a habitual focusing on and appreciating the positive aspects of life”, incorporating not only the gratitude that arises following help from others, but also a habitual focusing on and appreciating the positive aspects of life. Research into individual differences in gratitude and well-being is reviewed, including gratitude and psychopathology, personality, relationships, health, subjective and eudemonic well-being, and humanistically orientated functioning. Gratitude is strongly related to well-being, however defined, and this link may be unique and causal. Interventions to clinically increase gratitude are critically reviewed, and concluded to be promising, although the positive psychology literature may have neglected current limitations, and a distinct research strategy is suggested. Finally, mechanisms whereby gratitude may relate to well-being are discussed, including schematic biases, coping, positive affect, and broaden-and-build principles. Gratitude is relevant to clinical psychology due to (a) strong explanatory power in understanding well-being, and (b) the potential of improving well-being through fostering gratitude with simple exercises.


A Dark Side of Gratitude?

Distinguishing between Beneficial Gratitude and its Harmful Impostors for the Positive Clinical Psychology of Gratitude and Well-Being

“Gratitude is not only a virtue but the parent of all others” – Cicero

“Gratitude is an illness suffered by dogs” – Joseph Stalin

Throughout history, the concept of gratitude has been seen as central to the understanding of well-being and the smooth running of society, being a mainstay of philosophical and religious accounts of living (Emmons & Crumpler, 2000). However, it wasn’t until research adopted by (although pre-dating) the positive psychology movement was conducted (beginning with McCullough, Kilpatrick, Emmons, & Larson, 2001) that it became a mainstream area of research within personality (McCullough, Emmons, & Tsang, 2001) and then clinical (Wood, Froh, & Geraghty, 2010) psychology. Research has exploded over the last 15 years, with studies on gratitude being amongst the most quickly accruing within psychology. Our recent review (Wood, Froh, & Geraghty, 2010) summarizes this literature, which shows that low gratitude is strongly, uniquely, and possibly causally related to clinical impaired functioning and impaired clinically relevant processes. Our review also outlines the interventions that can be used to increase gratitude in order to improve well-being.