Kissing as an Act of Love and a Biopsychosocial Regulator: A Structured Narrative Review of Its Effects on the Eight Dimensions of Well-Being and Happiness
Review Article
DOI:
https://doi.org/10.58372/2835-6276.1387Keywords:
kissing, love, well-being, happiness, attachment, affectionate communication, physical intimacy, relational healthAbstract
Romantic kissing is a complex affectionate behavior in which attachment processes, affiliative communication, physiological regulation, and relational meaning converge. Although the literature focused specifically on kissing is smaller than the broader body of work on affectionate touch, affectionate communication, physical intimacy, and relationship quality, existing studies support an integrative scientific hypothesis: when it is consensual, reciprocal, safe, and emotionally meaningful, kissing may operate as a micro-act of love with direct or indirect implications for well-being. The aim of this article was to critically review the evidence and map it onto an eight-dimension well-being model: body, cognition, emotions, transcendence, social, professional, financial, and technological well-being. A structured narrative review was conducted using focused searches in PubMed, Google Scholar, and DOI-linked publisher pages, complemented by backward reference tracking, prioritizing peer-reviewed articles, meta-analyses, ecological momentary assessment studies, longitudinal designs, and experimental work published through April 2026. Findings indicate comparatively strong support for bodily, emotional, and social-relational dimensions; moderate but mainly indirect support for cognitive and professional well-being; and predominantly conceptual support for transcendence, financial, and technological dimensions. The review also highlights that kissing should not be framed as a universally beneficial intervention: its effects depend on consent, relational context, cultural scripts, and epidemiological boundaries associated with saliva exchange. Overall, kissing deserves greater scholarly attention as a sensitive indicator of relational health and as a potentially salutogenic microbehavior embedded in broader ecologies of care.
References
Blumenthal, S. A., & Young, L. J. (2023). The neurobiology of love and pair bonding from human and animal perspectives. Biology, 12(6), 844. https://doi.org/10.3390/biology12060844
Buczak-Stec, E., König, H.-H., & Hajek, A. (2019). The link between sexual satisfaction and subjective well-being: A longitudinal perspective based on the German Ageing Survey. Quality of Life Research, 28, 3025-3035. https://doi.org/10.1007/s11136-019-02235-4
Busby, D. M., Hanna-Walker, V., & Leavitt, C. E. (2023). A kiss is not just a kiss: Kissing frequency, sexual quality, attachment, and sexual and relationship satisfaction. Sexual and Relationship Therapy, 38(1), 7-23. https://doi.org/10.1080/14681994.2020.1717460
Coan, J. A., Schaefer, H. S., & Davidson, R. J. (2006). Lending a hand: Social regulation of the neural response to threat. Psychological Science, 17(12), 1032-1039. https://doi.org/10.1111/j.1467-9280.2006.01832.x
de Boer, A., van Buel, E. M., & ter Horst, G. J. (2012). Love is more than just a kiss: A neurobiological perspective on love and affection. Neuroscience, 201, 114-124. https://doi.org/10.1016/j.neuroscience.2011.11.017
Debrot, A., Meuwly, N., Muise, A., Impett, E. A., & Schoebi, D. (2017). More than just sex: Affection mediates the association between sexual activity and well-being. Personality and Social Psychology Bulletin, 43(3), 287-299. https://doi.org/10.1177/0146167216684124
Debrot, A., Schoebi, D., Perrez, M., & Horn, A. B. (2013). Touch as an interpersonal emotion regulation process in couples’ daily lives: The mediating role of psychological intimacy. Personality and Social Psychology Bulletin, 39(10), 1373-1385. https://doi.org/10.1177/0146167213497592
Debrot, A., Siegler, S., Klumb, P. L., & Schoebi, D. (2018). Daily work stress and relationship satisfaction: Detachment affects romantic couples’ interactions quality. Journal of Happiness Studies, 19(8), 2283-2301. https://doi.org/10.1007/s10902-017-9922-6
Debrot, A., Stellar, J. E., MacDonald, G., Keltner, D., & Impett, E. A. (2021). Is touch in romantic relationships universally beneficial for psychological well-being? The role of attachment avoidance. Personality and Social Psychology Bulletin, 47(10), 1495-1509. https://doi.org/10.1177/0146167220977709
Dunmire, S. K., Verghese, P. S., & Balfour, H. H. (2018). Primary Epstein-Barr virus infection. Journal of Clinical Virology, 102, 84-92. https://doi.org/10.1016/j.jcv.2018.03.001
Floyd, K., Boren, J. P., Hannawa, A. F., Hesse, C., McEwan, B., & Veksler, A. E. (2009). Kissing in marital and cohabiting relationships: Effects on blood lipids, stress, and relationship satisfaction. Western Journal of Communication, 73(2), 113-133. https://doi.org/10.1080/10570310902856071
Floyd, K., Debrot, A., Horan, S. M., Hesse, C., & Woo, N. T. (2023). Affectionate communication, health, and relationships. Personal Relationships, 30(1), 44-75. https://doi.org/10.1111/pere.12444
Grewen, K. M., Girdler, S. S., Amico, J., & Light, K. C. (2005). Effects of partner support on resting oxytocin, cortisol, norepinephrine, and blood pressure before and after warm partner contact. Psychosomatic Medicine, 67(4), 531-538. https://doi.org/10.1097/01.psy.0000170341.88395.47
Gulledge, A. K., Gulledge, M. H., & Stahmann, R. F. (2003). Romantic physical affection types and relationship satisfaction. The American Journal of Family Therapy, 31(4), 233-242. https://doi.org/10.1080/01926180390201936
Hesse, C., Floyd, K., Rains, S. A., Mikkelson, A. C., Pauley, P. M., Woo, N. T., Custer, B. E., & Duncan, K. L. (2021). Affectionate communication and health: A meta-analysis. Communication Monographs, 88(2), 194-218. https://doi.org/10.1080/03637751.2020.1805480
Hook, E. W., III, & Bernstein, K. (2019). Kissing, saliva exchange, and transmission of Neisseria gonorrhoeae. The Lancet Infectious Diseases, 19(10), e367-e369. https://doi.org/10.1016/S1473-3099(19)30306-8
Jakubiak, B. K. (2022). Affectionate touch in satisfying and dissatisfying romantic relationships. Journal of Social and Personal Relationships, 39(8), 2287-2315. https://doi.org/10.1177/02654075221077280
Jakubiak, B. K., & Feeney, B. C. (2017). Affectionate touch to promote relational, psychological, and physical well-being in adulthood: A theoretical model and review of the research. Personality and Social Psychology Review, 21(3), 228-252. https://doi.org/10.1177/1088868316650307
Jakubiak, B. K., & Feeney, B. C. (2019). Hand-in-hand combat: Affectionate touch promotes relational well-being and buffers stress during conflict. Personality and Social Psychology Bulletin, 45(3), 431-446. https://doi.org/10.1177/0146167218788556
Jakubiak, B. K., Fuentes, J. D., & Feeney, B. C. (2023). Affectionate touch promotes shared positive activities. Personality and Social Psychology Bulletin, 49(6), 939-954. https://doi.org/10.1177/01461672221083764
Kolodziejczak, K., Drewelies, J., Pauly, T., Ram, N., Hoppmann, C., & Gerstorf, D. (2022). Physical intimacy in older couples’ everyday lives: Its frequency and links with affect and salivary cortisol. The Journals of Gerontology: Series B, 77(8), 1416-1430. https://doi.org/10.1093/geronb/gbac037
Kort, R., Caspers, M., van de Graaf, A., van Egmond, W., Keijser, B., & Roeselers, G. (2014). Shaping the oral microbiota through intimate kissing. Microbiome, 2, Article 41. https://doi.org/10.1186/2049-2618-2-41
Packheiser, J., Hartanto, A., Wudarczyk, O., Kuske, N., Wolf, O. T., & Ocklenburg, S. (2024). A systematic review and multivariate meta-analysis of the positive and negative effects of touch interventions. Nature Human Behaviour, 8, 1418-1436. https://doi.org/10.1038/s41562-024-01879-8
Robles, T. F., Slatcher, R. B., Trombello, J. M., & McGinn, M. M. (2014). Marital quality and health: A meta-analytic review. Psychological Bulletin, 140(1), 140-187. https://doi.org/10.1037/a0031859
Schneider, E., Finset, A., Nater, U. M., Ditzen, B., & Vogt, J. (2023). Affectionate touch and diurnal oxytocin levels: An ecological momentary assessment study. eLife, 12, e81241. https://doi.org/10.7554/eLife.81241
Schneiderman, I., Zagoory-Sharon, O., Leckman, J. F., & Feldman, R. (2012). Oxytocin during the initial stages of romantic attachment: Relations to couples’ interactive reciprocity. Psychoneuroendocrinology, 37(8), 1277-1285. https://doi.org/10.1016/j.psyneuen.2011.12.021
Skałacka, K., & Gerymski, R. (2019). Sexual activity and life satisfaction in older adults. Psychogeriatrics, 19(3), 195-201. https://doi.org/10.1111/psyg.12381
Sorokowska, A., Kowal, M., Saluja, S., Oleszkiewicz, A., Groyecka-Bernard, A., Białek, M., Huanca, T., & Sorokowski, P. (2023). Love and affectionate touch toward romantic partners all over the world. Scientific Reports, 13, Article 5497. https://doi.org/10.1038/s41598-023-31502-1
Stentagg, M., Skär, L., Berglund, J. S., et al. (2021). Cross-sectional study of sexual activity and satisfaction among older adults ≥60 years of age. Sexual Medicine, 9(2), 100316. https://doi.org/10.1016/j.esxm.2020.100316
Vasconcelos, P. A., Paúl, C., & Nobre, P. J. (2024). Biopsychosocial determinants of sexual health in older age: The role of health-related, relationship, and psychosexual factors. The Journal of Sexual Medicine, 21(5), 420-429. https://doi.org/10.1093/jsxmed/qdae027
Watkins, C. D., Leongómez, J. D., Bovet, J., Żelaźniewicz, A., Korbmacher, M., Varella, M. A. C., Fernandez, A. M., Wagstaff, D., & Bolgan, S. (2019). National income inequality predicts cultural variation in mouth-to-mouth kissing. Scientific Reports, 9, 6698. https://doi.org/10.1038/s41598-019-43267-7
Wlodarski, R., & Dunbar, R. I. M. (2013). Examining the possible functions of kissing in romantic relationships. Archives of Sexual Behavior, 42(8), 1415-1423. https://doi.org/10.1007/s10508-013-0190-1
Yoneda, T., Curhan, K. B., Pauly, T., Mogle, J., Almeida, D. M., Gerstorf, D., & Hoppmann, C. A. (2025). Coexperienced positive emotions and cortisol secretion in the daily lives of older adult couples. Psychoneuroendocrinology, 171, 107093. https://doi.org/10.1016/j.psyneuen.2024.107093
Zhang, L., Chow, E. P. F., Yin, Y.-P., Wilson, D. P., & Fairley, C. K. (2017). Frequent transmission of gonorrhea in men who have sex with men. Emerging Infectious Diseases, 23(1), 102-104. https://doi.org/10.3201/eid2301.161205
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 American Journal of Medical and Clinical Research & Reviews

This work is licensed under a Creative Commons Attribution 4.0 International License.