Comparing the Effectiveness of Cognitive-Behavioral Therapy and Mindfulness Therapy on Forgiveness and Perceived Fairness in Couples Facing Marital Discord
Downloads
Objective: This study aimed to compare the effectiveness of Cognitive-Behavioral Therapy (CBT) and Mindfulness-Based Therapy (MBT) on interpersonal forgiveness and perceived fairness among couples experiencing marital discord. Interpersonal forgiveness is vital for re-establishing intimacy and emotional connection, while perceived fairness plays a crucial role in marital satisfaction and relationship stability.
Methods and Materials: The study employed a quasi-experimental design with pre-test, post-test, control group, and a two-month follow-up. A total of 45 participants (15 couples) were selected through convenience sampling from a psychiatric clinic in Tehran in 2022. They were randomly assigned to three groups: CBT, MBT, and control (15 participants each). The intervention consisted of eight weekly 90-minute sessions for the experimental groups, whereas the control group received no intervention. Data were collected using the Interpersonal Forgiveness Questionnaire (Ehteshami-Zadeh et al., 2009) and the Perceived Fairness Questionnaire (Perry, 2004). Statistical analyses, including repeated measures ANOVA and Bonferroni post-hoc tests, were conducted using SPSS v26.
Findings: Significant improvements in interpersonal forgiveness and perceived fairness were observed in both experimental groups compared to the control group (p < 0.05). Although CBT and MBT were equally effective in enhancing forgiveness, MBT demonstrated greater effectiveness in improving perceived fairness (p < 0.01). These improvements were sustained at follow-up.
Conclusion: Both CBT and MBT are effective in improving forgiveness and fairness among couples facing marital challenges. However, MBT’s emphasis on non-judgmental awareness and emotional regulation may make it more suitable for addressing issues related to fairness. Integrating mindfulness techniques into marital counseling can enhance relationship dynamics and overall well-being.
Downloads
Bahraini Pour, B. (2022). Effectiveness of cognitive-behavioral therapy on marital adjustment in couples with marital conflicts. 12th International Conference on Psychology, Counseling, and Educational Sciences,
Beck, J. S. (2011). Cognitive-behavioral therapy. Clinical addictive disorders, 12, 474-501. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_15_18
Çelik, E., Çelik, B., Yavas, Ş., & Süler, M. (2022). Investigation of Marital Satisfaction in terms of Proactive Personality, Meaning in Life, and Offense-Specific Forgiveness. Journal of Psychology and Educational Studies, 9(1), 1-11. https://doi.org/10.52380/ijpes.2022.9.1.348
Darwiche, J., Carneiro, C., Vaudan, C., Imesch, C., Eira Nunes, C., Favez, N., & de Roten, Y. (2022). Parents in couple therapy: An intervention targeting marital and coparenting relationships. Family Process, 61(2), 490-506. https://doi.org/10.1111/famp.12773
Dei, D. (2019). The Effect of Cognitive-Behavioral Marital Therapy on Marital Distress among Married Couples in Ghana. Texila International Psychology, 4(1), 1-9. https://doi.org/10.21522/TIJPY.2016.04.01.Art004
Denecke, K., Schmid, N., & Nüssli, S. (2022). Implementation of Cognitive Behavioral Therapy in e-Mental Health Apps. medical Internet research, 24(3), e27791. https://doi.org/10.2196/27791
Dugal, C., Bakhos, G., Bélanger, C., & Godbout, N. (2018). Cognitive-behavioral psychotherapy for couples: An insight into the treatment of couple hardships and struggles. In (Vol. 3, pp. 125-135). https://doi.org/10.5772/intechopen.72104
Edwards, C., Meier, L., Westerhold, K., Botset, K., Shaw, T. J., Mongan, L., & Brem, M. J. (2024). Examining the Role of Forgiveness in the Association Between Trait Mindfulness and Psychological Partner Aggression Among Dating College Students. Partner Abuse, 15(2). https://doi.org/10.1891/PA-2023-0014
Eyring, J., Leavitt, C., Allsop, D., & Clancy, T. (2021). Forgiveness and Gratitude: Links Between Couples' Mindfulness and Sexual and Relational Satisfaction in New Cisgender Heterosexual Marriages. Journal of sex & marital therapy, 47(2), 147-161. https://doi.org/10.1080/0092623X.2020.1842571
Farmanian, A. (2022). Comparing the effectiveness of acceptance and commitment therapy and mindfulness-based stress reduction therapy on relational aggression and marital burnout in women with marital conflicts. Advances in Behavioral Sciences, 7(55), 95-111. https://ijndibs.com/article-1-664-en.html
Garrote‐Caparrós, E., Bellosta‐Batalla, M., Moya‐Albiol, L., & Cebolla, A. (2022). Effectiveness of mindfulness‐based interventions on psychotherapy processes: A systematic review. Clinical Psychology & Psychotherapy, 29(3), 783-798. https://doi.org/10.1002/cpp.2676
Ghasemi, N., Rezaei, F., & Sadeghi, M. (2022). Investigating the effectiveness of cognitive-behavioral therapy on sexual functioning and marital quality in women with sexual desire/arousal disorder. Journal of psychiatric nursing, 10(3), 78-87. https://doi.org/10.22034/IJPN.10.3.78
Gregory Jr, V. L. (2021). Cognitive-behavioral therapy for relationship distress: Meta-analysis of RCTs with social work implications. Evidence-Based Social Work, 18(1), 49-70. https://doi.org/10.1080/26408066.2020.1806164
Hartmann, M., Datta, S., Browne, E. N., Appiah, P., Banay, R., Caetano, V., & Srinivasan, K. (2021). A combined behavioral economics and cognitive behavioral therapy intervention to reduce alcohol use and intimate partner violence among couples in Bengaluru, India: results of a pilot study. interpersonal violence, 36(23-24), 12456-12480. https://doi.org/10.1177/0886260519898431
Hashemi, S. A. U. A. M., Kakaberaei, K., & Chehri, A. (2022). The mediating role of emotional regulation, conflict management, and sexual intimacy in the relationship between marital adjustment and personality traits. Journal of Psychological Achievements, 4(29), 231-250. https://doi.org/10.22055/psy.2022.40111.2799
Heirani Rashtabadi, F. (2020). Effectiveness of cognitive-behavioral therapy on marital commitment and quality of life in couples visiting counseling centers. 3rd International Conference on Psychology, Counseling, and Education,
Jiang, M., Zhao, Q., Li, J., Wang, F., He, T., Cheng, X., & Fu, G. (2024). A Generic Review of Integrating Artificial Intelligence in Cognitive Behavioral TherapyJO - arXiv preprint arXiv. https://doi.org/10.48550/arXiv.2407.19422
Kabat-Zinn, J. (2021). Meditation is not what you think. Mindfulness, 12(3), 784-787. https://doi.org/10.1007/s12671-020-01578-1
Kaya, F., & Odacı, H. (2024). Subjective well-being: self-forgiveness, coping self-efficacy, mindfulness, and the role of resilience? British Journal of Guidance & Counselling, 52(4), 628-644. https://doi.org/10.1080/03069885.2024.2350400
Körner, R., Schütz, A., Zverling, E., & Sha'ked, A. (2022). Revisiting the power to forgive: A dyadic approach for determining the relations between power, self-esteem, and forgiveness in romantic relationships. Social Psychological and Personality Science, 13(7), 1114-1125. https://doi.org/10.1177/19485506211056516ER -
Moggia, D., Saxon, D., Lutz, W., Hardy, G. E., & Barkham, M. (2024). Applying precision methods to treatment selection for moderate/severe depression in person-centered experiential therapy or cognitive behavioral therapy. JO - Psychotherapy Research. 34(8), 1035-1050. https://doi.org/10.1080/10503307.2023.2269297
Mortezaei, N., & Rezazadeh, S. (2021). The mediating role of marital commitment in the relationship between perceived equity and marital satisfaction. Journal of Applied Psychological Research, 11(4), 281-292. https://doi.org/10.22059/japr.2021.304979.643553
Movahedrad, F., Alitabar, S. H. S., Mohammadi, A., & Hosseinifard, V. (2023). The effectiveness of strength-based counseling on the tendency toward marital infidelity and self-compassion of conflicted couples. Journal of Assessment and Research in Applied Counseling (JARAC), 5(2), 8-14. https://journals.kmanpub.com/index.php/jarac/article/view/216
Naseri, A., & Puryousef, S. (2021). Effectiveness of Cognitive-Behavioral Therapy on Resilience and Marital Adjustment in Couples. 4th International Conference on Psychology, Educational Sciences, and Social Studies,
Nazari, A. M., Amani, Z., Sayed Alitabar, S. H., & Mohammad Alipour, Z. (2016). The predictive role of attachment styles in marital disillusionment and attitudes toward infidelity among teachers. Journal of Research and Health, 6(4), 423-430. https://jrh.gmu.ac.ir/article-1-948-en.html
Perry, B. J. (2004). The relationship between equity and marital quality among Hispanics, African Americans, and Caucasians http://rave.ohiolink.edu/etdc/view?acc_num=osu1078783478
Safari, M., Rezakhani, S., & Dokaneh-ye Fard, F. (2022). The mediating role of interpersonal forgiveness in the relationship between differentiation and social competence in students. Rooyesh-e-Ravanshenasi Journal, 11(3), 59-68. http://dorl.net/dor/20.1001.1.2383353.1401.11.3.6.7
Sam Khaniani, E., Mansouri, S., Amiri Moghaddam, D., Shahbazi, G., Ghobadi, R., & Jafari, N. (2020). Effectiveness of mindfulness-based cognitive therapy on forgiveness and marital intimacy in couples. 3rd International Conference on Counseling and Psychology, Mashhad,
Saxey, M. T., LeBaron-Black, A. B., Yorgason, J. B., & Dew, J. P. (2024). Two good forgivers? Forgiveness as a moderator of the association between similarity of financial values and relationship flourishing. The American Journal of Family Therapy, 52(2), 231-248. https://doi.org/10.1080/01926187.2022.2087788ER -
Seyedali Tabar, S. H., PourAvari, M., Habibi Asgarabad, M., & MohammadAli Pour, Z. (2015). Comparative Attitudes Toward Extramarital Relationships and Religious Orientation of Facebook Users and Non-Users. Family Studies, 11(43), 297-308. http://scj.sbu.ac.ir/article_96707.html
Skipper, A. D., Chaney, C. D., Rose, A. H., Wiley Jr, R. W., Wooten, C. C., Myers Curry, T., & Kennedy, J. (2024). Sanctification of African American Couple Relationships and Relational Forgiveness. Family Relations. https://doi.org/10.1111/fare.13026
Stephan, P. (2021). Mindfulness for Everyday Life: A Guide for Mental Health Professionals (translated by Abbas Abdollahi). Tehran: Arjmand Publications. https://www.arjmandpub.com/book/2056
Uzun, K., & Arslan, G. (2024). Rumination and Forgiveness in Emerging Adults: Mediating Role of Mindfulness and Humility. Psychological Reports, 00332941241256641. https://doi.org/10.1177/00332941241256641
Wang, X., Dai, Z., Zhu, X., Li, Y., Ma, L., Cui, X., & Zhan, T. (2024). Effects of mindfulness-based stress reduction on quality of life of breast cancer patients: a systematic review and meta-analysis. PLoS One, 19(7), e0306643. https://doi.org/10.1371/journal.pone.0306643
Worthington, E. L. (2024). REACH forgiveness: A narrative analysis of group effectiveness. International Journal of Group Psychotherapy, 74(3), 330-364. https://doi.org/10.1080/00207284.2024.2340593
Copyright (c) 2025 International Journal of Body, Mind and Culture

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