1. The "3 Good Things" Protocol & Cortisol Reduction
Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84(2), 377–389. https://doi.org/10.1037/0022-3514.84.2.377
McCraty, R., Atkinson, M., Tiller, W. A., Rein, G., & Watkins, A. D. (1998). The effects of emotions on short-term power spectrum analysis of heart rate variability. The American Journal of Cardiology, 82(10), 1237–1241. https://doi.org/10.1016/S0002-9149(98)00604-9 (Source for the 23% reduction in cortisol and HRV shifts during appreciation practices)
2. The Gratitude Letter and Visit
Seligman, M. E. P., Steen, T. A., Park, N., & Peterson, C. (2005). Positive psychology progress: Empirical validation of interventions. American Psychologist, 60(5), 410–421. https://doi.org/10.1037/0033-290X.60.5.410
3. Brain Activity & Neurochemistry (mPFC, Dopamine, Serotonin)
Fox, G. R., Kaplan, J., Damasio, H., & Damasio, A. (2015). Neural correlates of gratitude. Frontiers in Psychology, 6, Article 1491. https://doi.org/10.3389/fpsyg.2015.01491 (Source for medial prefrontal cortex activation and moral cognition)
Kini, P., Wong, J., McInnis, S., Gabana, N., & Brown, J. W. (2016). The effects of gratitude letter writing on neural network functioning in patients seeking mental health psychotherapy. NeuroImage, 128, 1–10. https://doi.org/10.1016/j.neuroimage.2015.12.040
4. Immune Function & Inflammatory Cytokines
Redwine, L. S., Henry, B. L., Wilson, K., Mills, P. J., Chinh, K., Jain, S., Patel, S., Pung, M. A., & Chopra, D. (2016). Pilot randomized study of a gratitude journaling intervention on heart rate variability and inflammatory biomarkers in patients with Stage B heart failure. Psychosomatic Medicine, 78(6), 667–676. https://doi.org/10.1097/PSY.0000000000000316 (Source for inflammatory cytokine reduction, specifically IL-6)
5. Receiving/Observing Gratitude & Vagal Activation
Algoe, S. B., & Haidt, J. (2009). Witnessing excellence in action: The other-praising emotions of elevation, gratitude, and admiration. The Journal of Positive Psychology, 4(2), 105–127. https://doi.org/10.1080/17439760802650519