At the times in my life that I had been upset or angry, a good hug was usually a very quick remedy for what was ailing me.  After receiving a warm and genuine embrace from a loved one or friend, the tension in my body would melt almost immediately.  And while my problem did not change in that brief moment, my reaction to it had.

I have witnessed the same in others—and guess that you have also.  Imagine that someone close to you is giving you a nice hug.  Can you feel the relaxation wash over you?  Probably why anyone with a sign “free hugs” often gets a lot of business.  Most people know that hugs are a great antidote to stress.

How does a hug deliver such a remarkable effect so quickly?  Touch is a powerful means of communication.  Through touch, another’s intention is readily discernible—comforting or helpful versus antagonistic and potentially harmful.  In the positive, prosocial mode, hugs are one type of touch that relays the message: “I care about you.  You matter.”  Even perhaps for opposing tennis players at the US Open[1].

We require touch to flourish. Without touch, especially in children, healthy human development suffers.

We require touch with other living beings to flourish.  The importance of physical contact was painfully observed in the orphanages of Romania: children who were provided food but not held or hugged had significant developmental and socio-emotional delay accompanied by smaller brains[2].  This means that physical contact is not only critical for how these children behaved, but for the development of the brain itself, something also observed in animals subjected to social isolation[3].

In people subjected to less extreme circumstances, touch affects the response to everyday conflict.  Murphy and colleagues interviewed 404 adults daily for 14 days regarding their health, conflicts, how they felt emotionally (positive or negative), and whether or not they received a hug[4].

People who had received a hug and had an interpersonal conflict reported feeling more positive with less severe negative reactions on that day.  They also showed evidence that hugging may favorably influence the rate of infection from a cold as well as symptoms[5].

As hugs are a great way to relieve the response to stress, it is not surprising that the number of hugs that a woman receives from her partner is highly related to lower blood pressure as well as higher levels of hormone known as oxytocin, colloquially labeled the “love hormone”[6].

Hugs, of course, are a form of touch that share elements with other types, like massage as well as gentle, light touch.  Like hugging, massage is a great way to release tension. 

Hugs and massage both help to release tension. They can decrease pain, improve immune responses, and change brain patterns.

Massage has been shown to decrease pain in a variety of conditions, especially pain associated with cancer, back pain, migraines, etc. It affects the biochemistry that mediates pain or sadness[7] and can also lower blood pressure, reduce cortisol[8], improve immune responses, stimulate the vagus nerve, and change EEG (brain wave) patterns.

In pre-term (premature) babies, light massage for 15 minutes over the course of one week caused significant increase in weight gain.  Complementary to the studies of Romanian orphans, it is remarkable that massage helps babies grow, perhaps by changing their metabolism.

Taken together, it is clear that being touched in a loving and caring way can not only decrease stress but can also help nourish the recipient and help them heal, recover, and grow. Physiologically, we observe activation of specific neuronal and hormonal mechanisms that decrease pain, lower blood pressure (and other markers of stress), and better physical and mental health.  Nature gave us this remarkable ability to help and heal one another.

Hugs can help people to decrease stress and can nourish recipients.

The challenge is that social custom and fear of inappropriate contact (and litigation) have decreased our interaction through touching.  In a 1999 study of preschool children from Miami and Paris, Field noted that French parents affectionately touched their children much more than American parents[9].  Associated with this tactile difference, American children showed more aggressive behavior than the French[10].

The discouragement of interpersonal touch is understandably heightened by the inappropriate actions (or reactions) of either the giver or receiver, especially in a highly sensitive and litigious society that rightly has concerns about consent and intent[11]. Despite clear benefits of comforting touch, however, teachers, doctors, and many others have been admonished to be very careful about whom and how they touch someone else[12],[13].

There are creative efforts to satisfy the need to be touched.  Entrepreneurial “professional cuddlers” have opened up shop in different cities, offering a variety of non-sexual ways to be held and with pop up events in different locations[14].  And, as expected, there are tech based solutions, such as a hugging vest, a chair that hugs its occupant, as well as pillows that hug and also communicate with your smartphone[15].  Japanese efforts are particularly notable in the tech approach, perhaps related to the degree of stress reported in Japan.

Even seeing people hugging or touching can have a positive impact on brain function.

A complementary approach may be to allow people see hugging or touching in a gentle way.  Peled and colleagues found that when people simply see images of other people hugging, they exhibited significant EEG changes.  The larger brain wave changes correlated with people who had greater empathic responses to the images[16].

This work is consistent with Envision Kindness’ own research: that images of kindness and compassion, many of which capture caring touch or hugging, are a proven and potent way to induce joy, love, optimism, and connection.  Thus, by simply looking at these images, people can experience lower stress and greater joy. 

Viewing these images should be rounded out by the real thing whenever possible.  So here’s a challenge for you, the reader: begin a regular practice of hugging others.  Start with people you are comfortable with—friends and family.  Try to give at least one each day—you don’t have to wait for National Hug Day (January 21) to do this.  And as you feel comfortable and the situation warrants it, consider extending yourself.  A hug is a gift to someone else.  And remember, giving to someone else is also a gift to you.

With hugs and kindness,

David (Prof K)



[3] Capoccio?

[4] Murphy

[5] Cohen et al RSV paper

[6] Light et al More frequent partner hugs and higher oxytocin levels are linked to lower blood pressure and heart rate in premenopausal women.  Biological Psychology 69 (2005) 5–21 doi:10.1016/j.biopsycho.2004.11.002

[7] Such as Substance P and serotonin.  See Field Massage Therapy Research Review Complement Ther Clin Pract. 2014 November ; 20(4): 224–229. doi:10.1016/j.ctcp.2014.07.002

[8] A hormonal mediator of the stress response

[9] Field  Social touch, CT touch and massage therapy: A narrative review.  Developmental Review (2010) 30:367-383.

[10] Also observed in adolescents




[14] and

[15] There is a research study that this last device is associated with a decrease in cortisol. See Sumioka and colleagues: Huggable communication medium decreases cortisol levels.  Sci Reports 2013.

[16] Peled et al The role of empathy in the neural responses to observed human social touch.  Cogn Affect Behav Neurosci (2016) 16:802–813 DOI 10.3758/s13415-016-0432-5  


  • David Fryburg, M.D., is a physician (internist and endocrinologist), a scientist, and a self-proclaimed nerd who wants to help people achieve a better and more meaningful life. He has been an academic journeyman educated and trained at a lot of great institutions. Following a terrific experience as faculty at the University of Virginia, Dr. Fryburg moved to the pharmaceutical industry to eventually lead translational medicine for cardiovascular, metabolic, and endocrine diseases at Pfizer. For the last 9 years he has led teams of scientists from academia, government, and industry to solve problems in how we measure or diagnose disease for the Foundation for the NIH Biomarkers Consortium. In 2014, with his son Jesse, David co-founded Envision Kindness, a novel non-profit that promotes kindness, compassion, joy, and love through images crowd sourced from around the world. As he dug deeper, the science behind why kindness is so important made itself known. It is through this blog that his alter ego, Prof K, shares these learnings and puts a scientific face on the ancient wisdom “it is better to give than receive.”