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Comparing the Effectiveness of Cognitive-Behavioral Therapy and Mindfulness Therapy on Forgiveness and Perceived Fairness in Couples Facing Marital Discord

Nafise Bagheri Magham, Mahin Etemadinia, Ali Khademi

International Journal of Body, Mind and Culture October 22, 2026 DOI: 10.61838/ijbmc.v12i4.912 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Quasi-experimental study with pre-test, post-test, control group, and two-month follow-up Peer reviewed
Sample size 45
Population Couples experiencing marital discord, selected by convenience sampling from a psychiatric clinic in Tehran in 2022
Interventions Cognitive-Behavioral Therapy (CBT) Mindfulness-Based Therapy (MBT)
Duration Eight weekly 90-minute sessions; two-month follow-up
Measures Interpersonal Forgiveness Questionnaire (Ehteshami-Zadeh et al., 2009), Perceived Fairness Questionnaire (Perry, 2004)
Topics Meditation
Keywords Forgiveness Fairness Mindfulness therapy Cognitive-behavioral therapy Marital discord Couples therapy
Key findings Both CBT and MBT improved interpersonal forgiveness and perceived fairness relative to a no-intervention control group, with gains sustained at two-month follow-up. CBT and MBT were equally effective for forgiveness, but MBT was more effective for perceived fairness. The authors suggest MBT's emphasis on non-judgmental awareness and emotional regulation may make it more suitable for fairness-related issues.

Abstract

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.

Comparable studies

Other experimental studies on meditation, most cited first.

Study Year Design Participants
The benefits of being present: Mindfulness and its role in psychological well-being. Cancer patients (clinical intervention study) 2003 Mixed methods: scale development, correlational, quasi-experimental, laboratory, experience-sampling, and clinical intervention study
Loving-kindness meditation increases social connectedness. 2008 Controlled laboratory experiment
Mindfulness and mind-wandering: Finding convergence through opposing constructs. 2012 Two studies: correlational study and experimental study
Mental Training Enhances Attentional Stability: Neural and Behavioral Evidence 2009 Experimental study
Mindfulness meditation and substance use in an incarcerated population. Incarcerated population 2006 Quasi-experimental with treatment-as-usual control condition

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