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西羅瓦博士說，她的研究許多是關於感恩能否給飽受慢性病痛折磨的人帶來益處。她說，如果有慢性疾病，可能會經歷持續不斷的緊張壓力折磨，例如，疼痛、各種功能和活動受到限制等。
至於心存感激、或經常記下那些讓人感恩的事對身心健康可能產生積極影響的原因，西羅瓦博士解釋說，人們對此有不同理論和說法，而且取決於具體指的是什麼影響。 以睡眠為例，一些研究顯示，感恩心態讓人心理更積極、正面，凡事總往好處想，而不總是對當天的事情憂心忡忡，從而干擾睡眠。
在減壓方面，西羅瓦博士說，他們所做的一些研究表明，感恩心態可能通過類似的原理來幫人減壓、減少消極心理，同時提升人們對自己以及世界的積極心態。
她說，每個人對此有不同的解讀：有人把感恩看作是一種應對機制；也有人把它看作是調節情緒的手段。他們的研究表明，很難凖確界定是一種機制的作用，很可能是幾種因素和機制在起作用，為人們身心健康帶來益處。
