Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2023 Aug 11:21:eRW0371.
doi: 10.31744/einstein_journal/2023RW0371. eCollection 2023.

The effects of gratitude interventions: a systematic review and meta-analysis

Affiliations
Meta-Analysis

The effects of gratitude interventions: a systematic review and meta-analysis

Geyze Diniz et al. Einstein (Sao Paulo). .

Abstract

Introduction: Gratitude has several implications. Over time, a logical relationship has been established between gratitude and well-being. In addition, researchers aimed to establish associations between gratitude and other factors of positive feelings using scientific methods. We conducted a systematic review and meta-analysis of interventions to develop gratitude and its benefits to human beings.

Objective: This study aimed to evaluate and quantify the available scientific evidence on interventions to acquire knowledge on gratitude as a quantifiable causal factor of benefit to human beings.

Methods: A systematic literature search was conducted to identify studies that investigated the effects of gratitude interventions. MEDLINE, Embase, and Central Cochrane databases were searched in addition to gray (Google Scholar) and manual search. Two authors independently evaluated the titles and abstracts, and selected the studies that met the inclusion criteria. The searches were conducted between January and July 2022.

Results: Sixty-four randomized clinical trials were included. The meta-analysis demonstrated that patients who underwent gratitude interventions experienced greater feelings of gratitude, better mental health, and fewer symptoms of anxiety and depression. Moreover, they experienced other benefits such as a more positive mood and emotions.

Conclusion: The results demonstrate that acts of gratitude can be used as a therapeutic complement for treating anxiety and depression and can increase positive feelings and emotions in the general population. Prospero database registration: (www.crd.york.ac.uk/prospero) under the number CRD42021250799.

PubMed Disclaimer

Figures

Figure 1
Figure 1. PRISMA flow diagram
Figure 2
Figure 2. Gratitude forest plot. 2A) Total GQ-6; 2B) Mean GQ-6; 2C) Numerical gratitude scale ranging from 1 to 7
Figure 3
Figure 3. Satisfaction With Life Scale forest plot
Figure 4
Figure 4. Mental Health Continuum - Short Form forest plot
Figure 5
Figure 5. Generalized Anxiety Disorder score forest plot
Figure 6
Figure 6. Patient Health Questionnaire-9 forest plot

Similar articles

Cited by

References

    1. 1. Emmons RA, McCullough ME. Counting blessings versus burdens: an experimental investigation of gratitude and subjective well-being in daily life. J Pers Soc Psychol. 2003;84(2):377-89. - PubMed
    2. Emmons RA, McCullough ME. Counting blessings versus burdens: an experimental investigation of gratitude and subjective well-being in daily life. J Pers Soc Psychol. 2003;84(2):377–389. - PubMed
    1. 2. Mccullough ME, Emmons RA, Tsang JA. The grateful disposition: a conceptual and empirical topography. J Pers Soc Psychol. 2002;82(1):112-27. - PubMed
    2. Mccullough ME, Emmons RA, Tsang JA. The grateful disposition: a conceptual and empirical topography. J Pers Soc Psychol. 2002;82(1):112–127. - PubMed
    1. 3. Watkins PC, Woodward K, Stone T, Kolts RL Gratitude and happiness: Development of a measure of gratitude and relationships with subjective well-being. Soc Behav Pers. 2003;31(5):431-51.
    2. Watkins PC, Woodward K, Stone T, Kolts RL. Gratitude and happiness: Development of a measure of gratitude and relationships with subjective well-being. Soc Behav Pers. 2003;31(5):431–451.
    1. 4. Sansone RA, Sansone LA. Gratitude and well being: the benefits of appreciation. Psychiatry (Edgmont). 2010;7(11):18-22. - PMC - PubMed
    2. Sansone RA, Sansone LA. Gratitude and well being: the benefits of appreciation. Psychiatry (Edgmont) 2010;7(11):18–22. - PMC - PubMed
    1. 5. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. - PMC - PubMed
    2. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. - PMC - PubMed