Gratitude Journaling Exercise
Gratitude Journaling
The most common way to practice gratitude is by listing out things you’re grateful for. One of the most cited articles on gratitude references 3 studies where gratitude was shown to have positive benefits for well-being. In these studies gratitude journaling consisted of filling out daily “surveys” that included instructions to list out 5 things from the past week that you’re grateful for. It’s not important that you focus on any particular type of thing or person you’re grateful for as other studies show both are effective.
Other studies asked participants to write out 3 people who were grateful for receiving help. Both variations can be helpful, but some evidence suggests witnessing others express gratitude can have a more powerful effect than expressing gratitude. One important consideration is that gratitude loses its effectiveness if not done authentically. Meaning that we cannot fool ourselves into thinking we are grateful for things we are not.
To implement a traditional gratitude journal we would recommend to write down 5 things you are grateful for. Do this at least 3 times a week.
Gratitude Stories
Gratitude can have lasting effects on the brain. In particular it can prime us to activate the prosocial circuits in the brain more readily. As you’ll see later these sit in opposition to the defensive circuits. One of the most effective ways to do this is through story. This allows us to stimulate the effect of receiving gratitude or help to be grateful for. An effective gratitude practice involves finding a story that resonates with you, and that moves you. The story should be one where you are receiving thanks, or where you observe someone genuinely expressing thanks or receiving help.
It’s important when selecting the story that the thanks being expressed is genuine. As we’ll mention in the Risks section, your brain responds differently to people expressing genuine vs. reluctant thanks.
Once you have such a story, write down 3-4 bullet points which serve as cues/reminders for that story. Consider writing
- The state that you / the person was in before the gratitude
- The state they were in after
- Any other elements that lend some emotional weight or tone to the story.
You can then read off these bullet points on a regular basis as a cue for this sense of gratitude. Spend 1-5 minutes feeling into that genuine experience. Do this 3 times a week.
Tham Luang Cave Rescue Example
- 12 boys age 11-16 and their coach (25) of a Thai Soccer team were stuck in a flooded cave for 10 days before being found.
- The boys were rescued over 3 days by hobbyist cave divers, ferrying the sedated boys for 2 hours, one by one. The day after they rescued them the cave was fully flooded.
- “We want to thank you for what you’ve done. It’s like our children had died and been given another life. And you know, can’t thank you enough”
- The rescue effort involved around 10,000 people.
What are the benefits
Studies show gratitude has a wide range of positive, lasting effects on the body and brain.
Resilience to Trauma
Gratitude can provide resilience to trauma, buffering against negative effects from past or future trauma. In Gratitude Enhances Work Engagement through Reduced Perception of Damage: A Case Study in Nepals’ Earthquake Disaster, researchers put to the test comparing keep a Job Diary (writing 3 major duties), 3 grateful people (people who were grateful to them), or no intervention.
These positive changes seemed related to decreased perceived damage of a natural disaster. Even though there have been mixed results about the effect of gratitude, findings of the present study showed that it is robust even against a real disaster.
Similarly the study Building Nurses ‘Resilience to Trauma through Contemplative Practices found that a regular gratitude practice can be helpful for building up nurses' resilience to trauma.
Improving Cardiovascular Function
- “Increased cardiovascular efficiency while jointly completing an acutely stressful collaborative work task” [Gratitude expressions improve teammates’ cardiovascular stress responses.]
- A metastudy of 19 studies found that gratitude practices improved outcomes in those with cardiovascular disease. [The impact of gratitude interventions on patients with cardiovascular disease: a systematic review]
- Reduced inflammation, and improved heart rate variability in patients with Stage B Heart Failure. [Pilot Randomized Study of a Gratitude Journaling Intervention on Heart Rate Variability and Inflammatory Biomarkers in Patients With Stage B Heart Failure]
Improving Prosocial and Mental Wellbeing
- Gratitude enhances the quality of your relationships and with others and with yourself, and has a strong prosocial effect, meaning it activates parts of our brain that are the opposite of defensive behaviors.
- Increased participants support giving behaviors, which has its own benefits for reducing inflammation. [Exploring the role of gratitude and support-giving on inflammatory outcomes.]
- Improve stress management [Gratitude journals can improve nurses' mental well-being]
- Increased motivation in university students [Enhanced academic motivation in university students following a 2-week online gratitude journal intervention, Gratitude Interventions in a Biology Course to Foster Student Persistence and Success]
- “Individuals who experience more gratitude have lower levels of depression” [The Association between Gratitude and Depression: A Meta-Analysis]
- Pre-covid gratitude levels improved mental health outcomes during the COVID pandemic [Does Gratitude Promote Resilience During a Pandemic? An Examination of Mental Health and Positivity at the Onset of COVID-19][Gratitude and psychological distress among first-year college students: The mediating roles of perceived social support and support provision.], though no conclusive evidence has shown that gratitude levels increased resilience to COVID itself.
- Reduced burnout and exhaustion, mediated through increased interpersonal helping behavior [Paying Gratitude Forward at Work]
- Reduce avoidance coping [silver lining behind the clouds]
Reducing Inflammation
- Reduced inflammation [The Gratitude Campaign]
- Reductions in amygdala activity, threat detection, and large reductions in production in inflammatory cytokines TNF alpha and IL6 [Exploring neural mechanisms of the health benefits of gratitude in women: A randomized controlled trial]
Improving Sleep
- Improved sleep quality [The Gratitude Campaign]
Improving Asthma
- Improved asthma control [Happy asthma: Improved asthma control with a gratitude journal]
Why does it work
There are two main brain circuits that are activated by gratitude: the anterior cingulate cortex, and the medial prefrontal cortex. Activating these circuits produces serotonin, and the amount of activation of these circuits scales with how intensely we experience gratitude. In their experiment Neural correlates of gratitude, the authors explore how participants rated how grateful they felt receiving a gift correlated with the amount of activation of those two circuits.
Unfortunately, we can’t trick those circuits of the brain. Reaching out for things that we don’t actually feel grateful for doesn’t actually elicit feelings of gratitude in a genuine way. As mentioned in the recommended exercise, stories can be a powerful way to get us aligned.
Receiving gratitude is more often shown to be a positive way to activate these neural circuits than giving gratitude. The main reason being that people feel prosocial towards others and themselves when they receive gratitude, as a mechanism to increase altruism, refer to An Adaptation for Altruism. An example of this in action can be found in Prefrontal activation while listening to a letter of gratitude read aloud by a coworker face-to-face: A NIRS study.
Another mechanism by which gratitude may work to have lasting effects is through an upward spiral of positive emotions, as mentioned in the paper Upward spirals of positive emotions counter downward spirals of negativity.
[Positive emotions] broaden thought and action repertoires, increase mental flexibility, augment meaning-based coping, and motivate engagement in novel activities and social relationships. Importantly, positive emotions, although transient, have lasting consequences
In particular, one important factor for the efficacy of gratitude stories is that stories in general have the ability to synchronize listeners heart rates. Meaning stories put us into a predictable physiological state, and in the cases of a gratitude story, perhaps one that is similar to or conducive for receiving gratitude.
Alternatives to gratitude journaling
The main alternative to keeping a gratitude journal, or using gratitude stories, would be to verbally or mentally, such as through meditation, perform a gratitude practice. Studies such as Impact of heartfulness meditation practice compared to the gratitude practices on wellbeing and work engagement among healthcare professionals: Randomized trial show that meditative practices centered around gratitude have positive measurable benefits.
Research in Are Some Ways of Expressing Gratitude More Beneficial Than Others? Results From a Randomized Controlled Experiment found that writing letters or essays of gratitude to other people was more beneficial than writing non-social lists. However they did still find a benefit to writing those lists compared to the control group.
In general most research and evidence points to emphasizing the social aspect of gratitude, and doing so in writing, and more recently through story to simulate receiving gratitude.
References (25)
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