Journal of Behavioral Medicine

, Volume 26, Issue 5, pp 373–393 | Cite as

A Change of Heart: Cardiovascular Correlates of Forgiveness in Response to Interpersonal Conflict

  • Kathleen A. LawlerEmail author
  • Jarred W. Younger
  • Rachel L. Piferi
  • Eric Billington
  • Rebecca Jobe
  • Kim Edmondson
  • Warren H. Jones


This study sought to examine the psychophysiological correlates of forgiveness in response to interpersonal conflict. One hundred eight college students (44 males and 64 females) participated in two interviews about times of interpersonal betrayal, one about a parent and one about a friend/partner. Measures of forgiving personality and state forgiveness were collected, as well as stress, hostility, empathy, and self-reported illness symptoms. During baseline, interviews and recovery periods, repeated measures were taken of blood pressure, heart rate, frontalis EMG, and skin conductance. Trait forgiveness was associated with lower levels of blood pressure. State forgiveness was associated with lower blood pressure levels, heart rate, and rate pressure product. Acute, stress-induced reactivity was also linked to forgiveness: state forgiveness was associated with diastolic and mean arterial pressure and rate pressure product reactivity during the parent interview. Increased blood pressure recovery after stress was also linked to trait forgiveness. Forgiveness may produce beneficial effects directly by reducing allostatic load associated with betrayal and conflict, and indirectly through reductions in perceived stress.

forgiveness blood pressure health stress 


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  1. Aldwin, C. M. (1994). Stress, Coping and development, Guilford New York.Google Scholar
  2. Al-Mabuk, R. H., Enright, R. D., and Cardis, P. A. (1995). Forgiving education with parentally love-deprived adolescents. J. Moral Educ. 24: 427–444.Google Scholar
  3. Berry, J. W., and Worthington, E. L. (2001). Forgivingness, relationship quality, stress while imagining relationship events, and physical and mental health. J. Couns. Psychol. 48: 447–455.Google Scholar
  4. Buss, A. H., and Durkee, A. (1957). An inventory for assessing different kinds of hostility. J. Consulting. Psychol. 21: 343–349.Google Scholar
  5. Calhoun, C. (1992). Changing one's heart. Ethics 103: 76–96.Google Scholar
  6. Cassel, J. (1976). The contribution of the social environment to host resistance. Am. J. Epidemiol. 164: 107–123.Google Scholar
  7. Chesney, M. A., and Rosenman, R. H. (1985). Anger and hostility in cardiovascular and behavioral disorders. Hemisphere, Washington DC.Google Scholar
  8. Christenfeld, N. (2002). Rumination, forgiveness, and the impact of thoughts on health. Symposium presented at the annual meeting of the Society of Behavioral Medicine, April, Washington, D. C.Google Scholar
  9. Cohen, S., and Hobermann, H. M. (1983). Positive events and supports as buffers of life change stress. J. App. Soc. Psychol. 13: 99–125.Google Scholar
  10. Cohen, S., Kamarck, T., and Mermelstein, R. (1983). A global measure of perceived stress. J. Health Soc. Behav. 24: 385–396.PubMedGoogle Scholar
  11. Coke, J. S., Batson, C. D., and McDavis, K. (1978). Empathic mediation of helping: A two-stage model. J. Soc. Psychol. Pers. 36: 752–766.Google Scholar
  12. Cook, W. W., and Medley, D. M. (1954). Proposed hostility and pharisaic-virtue scales for the MMPI. J. Appl. Psychol. 38: 414–418.Google Scholar
  13. Drinnon, J. R., and Jones, W. H. (1999). Measuring an act of forgiveness. Paper presented at Southeastern Psychological Association, Mobile, AL.Google Scholar
  14. Drinnon, J. R., Jones, W. H., and Lawler, K. A. (2000). Measurement of forgiveness. Paper presented at Society of Personality and Social Psychology, Nashville, TN.Google Scholar
  15. Enright, R. D. (2001). Forgiveness Is a Choice, APA Press, Washington, DC.Google Scholar
  16. Enright, R. D., and Fitzgibbons, R. P. (2000). Helping Clients Forgive: An Empirical Guide for Resolving Anger and Restoring Hope, APA Press, Washington, DC.Google Scholar
  17. Enright, R. D., and the Human Development Study Group. (1991). The moral development of forgiveness. In Kurtines, W., and Gewirtz, J. (Eds.), Handbook of Moral Behavior and Development, vol. 1. Erlbaum, Hillsdale, NJ, pp. 123–152.Google Scholar
  18. Enright, R. D., Santos, M. J. D., and Al-Mabuk, R. (1989). The adolescent as forgiver. J. Adolesc. 12: 99–110.Google Scholar
  19. Friedman, M., Thoresen, C. E., Gill, J., Ulmer, D., Powell, L. H., Price, V. A., Brown, B., Thompson, L., Rabin, D., Breall, W. S., Bourg, W., Levy, R., and Dixon, T. (1986). Alteration of Type A behavior and its effect on cardiac recurrences on postmyocardial infarction patients: Summary results of the Recurrent Coronary Prevention Project. Am. Heart J. 112: 635–665.Google Scholar
  20. Gorsuch, R. L., and Hao, J. Y. (1993). Forgiveness: An exploratory factor analysis and its relationship to religious variables. Rev. Religious Res. 34: 333–347.Google Scholar
  21. Hampton, J. (1988). Forgiveness, resentment and hatred. In Murphy, J. G, and Hampton, J. (Eds.), Forgiveness and Mercy, Cambridge University Press, Cambridge, UK.Google Scholar
  22. Huang, S.T. T., and Enright, R. D. (2000). Forgiveness and anger-related emotions in Taiwan: Implications for therapy. Psychotherapy 37: 71–79.Google Scholar
  23. Johnson, E. H., and Spielberger, C. D. (1992). Assessment of the experience, expression and control of anger in hypertension research. In Johnson, E. H. W. D, Gentry, and Julius, S. (Eds.), Personality, Elevated Blood Pressure and Essential Hypertensionm, Hemisphere, Washington, DC, pp. 3–24.Google Scholar
  24. Jones, L. G. (1995). Embodying Forgiveness: A Theological Analysis, William B. Eerdsmans Publishing, Grand Rapids, MI.Google Scholar
  25. Julius, S. (1992). Relationship between the sympathetic tone and cardiovascular responsiveness in the course of hypertension. In Johnson, E. H. Gentry, W. D, and Julius, S. (Eds.), Personality, elevated blood pressure and essential hypertension. Hemisphere, Washington, DC. pp. 219–230.Google Scholar
  26. Julius, S., Schneider, R., and Egan, B. (1985). Suppressed anger in hypertension: Facts and problems. In Chesney, M. A, and Rosenman, R. H. (Eds.), Anger and Hostility in Cardiovascular and Behavioural Disorders. Hemisphere, Washington, DC, pp. 127–138.Google Scholar
  27. Kaplan, B. H. (1992). Social health and the forgiving heart: The Type B story. J. Behav. Med. 15: 3–14.PubMedGoogle Scholar
  28. Kaplan, B. H., Monroe-Blum, H., and Blazer, D. G. (1994). Religion, health and forgiveness. In Levin, J. S. (Ed.), Religion in Aging and Health, Sage, Thousand Oaks, CA, pp. 52–77.Google Scholar
  29. Kitamura, K., Jorgensen, C. R., Gebel, F. L., and Wang, Y. (1972). Hemodynamic correlates of myocardial oxygen consumption during upright exercise. J. App. Physiol. 32: 516–522.Google Scholar
  30. Koenig, H. G. (1994). Religion and hope for the disabled elder. In Levin, J. S. (Ed.), Religion in Aging and Health, Sage, Thousand Oaks, CA, pp. 18–51.Google Scholar
  31. Kohn, P. M., LaFreniere, K., and Gurevich, M. (1990). The inventory of college students' recent life experiences: A decontaminated hassles scale for a special population. J. Behav. Med. 13: 619–630.PubMedGoogle Scholar
  32. Krantz, D. S, and Manuck, S. B. (1984). Acute psychophysiological reactivity and risk of cardiovascular disease: A review and methodological critique. Psychol. Bull. 96: 435–464.PubMedGoogle Scholar
  33. Lawler, K. A., Harralson, T. L., Armstead, C. A., and Schmied, L. A. (1993). Gender and cardiovascular responses: What is the role of hostility? J. Psychosom. Res. 37: 603–613.PubMedGoogle Scholar
  34. Lawler, K. A., Kline, K. A., Harriman, H. L., and Kelly, K. M. (1999). Stress and illness. In Derlega, V. J, Winstead, B. A, and Jones, W. H. (Eds.), Personality: Contemporary Theories and Research. Nelson-Hall, Chicago, pp. 490–513.Google Scholar
  35. Levin, J. S. (2001). God, Faith and Health. Wiley, New York.Google Scholar
  36. Light, K. C., Girdler, S. S., Sherwood, A., Bragdon, E. E., Brownley, K. A., West, S. G., and Hinderliter, A. L. (1999). High stress responsivity predicts later blood pressure only in combination with positive family history and high life stress. Hypertension 33: 1458–1464.PubMedGoogle Scholar
  37. Manuck, S. B., Morrison, R. L. K., Bellack, A. S., and Polefrone, J. M. (1985). Behavioral factors in hypertension: Cardiovascular responsivity, anger and social competence. In Chesney, M. A. and Rosenman, R. H. (Eds.), Anger and Hostility in Cardiovascular and Behavioural Disorders, Hemisphere, Washington, DC, pp. 149–72.Google Scholar
  38. McCullough, M. E., Bellah, C. G., Kilpatrick, S. D., and Johnson, J. L. (2001). Vengefulness: Relationships with forgiveness, rumination, well-being, and the big five. Pers. Soc. Psychol. Bull. 27: 601–610.Google Scholar
  39. McCullough, M. E., and Worthington, E. L., Jr. (1995). Promoting forgiveness: The comparison of two brief psychoeducational interventions with a waiting-list control. Couns. Values 40: 55–68.Google Scholar
  40. McCullough, M. E., Rachal, K. C., Sandage, S. J., Worthington, E. L., Jr., Brown, S. W., and Hight, T. L. (1998). Interpersonal forgiving in close relationships. II. Theoretical elaboration and measurement. J. Pers. Soc. Psychol. 75: 1586–1603.PubMedGoogle Scholar
  41. McEwen, B. S. (1986). Stress, adaptation, and disease: Allostasis and allostatic load. Ann. N. Y. Acad. Sci. 840: 33–44.Google Scholar
  42. Miller, T. M., Smith, T. W., Turner, C. W., Guijarro, M. L., and Hallet, A. J. (1996). Meta-analytic review of research on hostility and physical health. Psychol. Bull. 119: 322–348.PubMedGoogle Scholar
  43. Moberly, R. C. (1901). Atonement and Personality. John Murray Press, London: pp. 48–72.Google Scholar
  44. Murphy, J. G. (1988). Forgiveness and resentment. In Murphy, J. G. and Hampton J. (Eds.), Forgiveness and Mercy. Cambridge University Press, Cambridge, UK, pp. 14–34.Google Scholar
  45. Papillo, J. F., and Shapiro, D. (1990). The cardiovascular system. In Cacioppo, J. T., and Tassinary, L. G. (Eds.). Principles of Psychophysiology, Cambridge University Press, Cambridge, UK, pp. 456–512.Google Scholar
  46. Piferi, R. L., Kline, K. A., Younger, J. W., and Lawler, K. A. (2000). An alternative approach for achieving cardiovascular baseline: Viewing an aquatic video. Int. J. Psychophysiol. 37: 207–217.PubMedGoogle Scholar
  47. Robinson, B. F. (1967). Relation of heart rate and systolic blood presssure to the onset of pain in angina pectoris. Circulation 35: 1073–1083.PubMedGoogle Scholar
  48. Seybold, K. S., Hill, P. C., Neumann, J. K., and Chi, D. S. (2001). Physiological and psychological correlates of forgiveness. J. Psychol. Christ. 20: 250–259.Google Scholar
  49. Thoresen, C. E., Harris, A. H. S., and Luskin, F. (2000). Forgiveness and health. In McCullough, M. E, Pargament, K. I and Thoresen C. E. (Eds.), Forgiveness: Theory, Research and Practice. Guilford, New York, pp. 254–280.Google Scholar
  50. Williams, R., and Williams, V. (1994). Anger Kills: Seventeen Strategies for Reducing the Hostility That Can Harm Your Health. Times Books/Random House, New York.Google Scholar
  51. Witvliet, C. V. O., Ludwig, T. E., and VanderLaan, K. L. (2001). Granting forgiveness or harbouring grudges: Implications for emotion, physiology and health. Psychol. Sci. 12: 117–123.PubMedGoogle Scholar
  52. Worthington, E. L. (2001). Five Steps to Forgiveness. Crowne Publishers, New York.Google Scholar

Copyright information

© Plenum Publishing Corporation 2003

Authors and Affiliations

  • Kathleen A. Lawler
    • 1
    Email author
  • Jarred W. Younger
    • 1
  • Rachel L. Piferi
    • 1
  • Eric Billington
    • 1
  • Rebecca Jobe
    • 1
  • Kim Edmondson
    • 1
  • Warren H. Jones
    • 1
  1. 1.Department of PsychologyUniversity of TennesseeKnoxville

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