The Effectiveness of Emotionally Focused Couple Therapy on Attachment Injuries, Dyadic Trust, and Marital Forgiveness among Couples Experiencing Infidelity-Related Distress
Keywords:
Emotionally Focused Couple Therapy, Infidelity, Attachment Injuries, Dyadic Trust, Marital Forgiveness, Affair Recovery, Couple Therapy, Attachment TheoryAbstract
The present study aimed to investigate the effectiveness of Emotionally Focused Couple Therapy (EFCT) on attachment injuries, dyadic trust, and marital forgiveness among couples experiencing distress related to emotional or sexual infidelity. This study employed a quasi-experimental design with pretest, posttest, and three-month follow-up assessments using an experimental and a waitlist control group. The population consisted of couples seeking counseling services for infidelity-related relationship problems in Canada during 2025–2026. Following screening procedures, 60 couples (120 individuals) who met the inclusion criteria were selected and randomly assigned to either the experimental group (30 couples) or the control group (30 couples). Participants in the experimental group received twelve weekly 90-minute sessions of Emotionally Focused Couple Therapy, whereas the control group received no intervention during the study period. Data were collected using the Attachment Injury Resolution Scale, the Dyadic Trust Scale, and the Marital Forgiveness Scale. The data were analyzed using repeated-measures multivariate analysis of variance and Bonferroni post hoc comparisons in SPSS version 29. The results of repeated-measures multivariate analysis of variance revealed significant effects of time, group, and Time × Group interaction for all dependent variables. Significant interaction effects were found for attachment injuries (F = 103.84, p < .001, η² = .66), dyadic trust (F = 95.76, p < .001, η² = .62), and marital forgiveness (F = 129.86, p < .001, η² = .72), indicating that participants receiving EFCT experienced significantly greater improvements than those in the control group. Bonferroni pairwise comparisons demonstrated significant reductions in attachment injuries and significant increases in dyadic trust and marital forgiveness from pretest to posttest and from pretest to follow-up (p < .001). No significant differences were observed between posttest and follow-up scores, indicating maintenance of treatment gains across the follow-up period. The findings indicate that Emotionally Focused Couple Therapy is an effective intervention for couples experiencing infidelity-related distress. By addressing attachment-related vulnerabilities and promoting emotionally corrective interactions, EFCT significantly reduced attachment injuries while enhancing dyadic trust and marital forgiveness. The sustained improvements observed at follow-up suggest that the intervention facilitates enduring changes in relational functioning and supports long-term recovery following experiences of betrayal.
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Alshawarbeh, E., Shafqat, A., Alraqad, T., Moumen, A., Saber, H., & Shafqat, R. (2023). Divorce Prediction Using Machine Learning Algorithms in Ha'il Region, KSA. https://doi.org/10.21203/rs.3.rs-2812556/v1
Babcock, J. C., Kini, S., Godfrey, D. A., & Rodriguez, L. M. (2024). Differential Treatment Response of Proactive and Reactive Partner Abusive Men: Results From a Laboratory Proximal Change Experiment. Psychosocial Intervention, 33(1), 43-54. https://doi.org/10.5093/pi2024a2
Bradford, A. B., & Johnson, L. N. (2022). What to Expect Physiologically When You're Expecting Couples in Therapy: A Changing Hearts and Minds in relationshiPS (CHAMPS) Descriptive Study. Journal of marital and family therapy, 49(1), 222-241. https://doi.org/10.1111/jmft.12619
Bulling, L. J., Heyman, R. E., & Bodenmann, G. (2023). Bringing Behavioral Observation of Couples Into the 21st Century. Journal of Family Psychology, 37(1), 1-9. https://doi.org/10.1037/fam0001036
Chen, K. H., Brown, C. L., Wells, J. L., Rothwell, E. S., Otero, M. C., Levenson, R. W., & Fredrickson, B. L. (2021). Physiological Linkage During Shared Positive and Shared Negative Emotion. Journal of personality and social psychology, 121(5), 1029-1056. https://doi.org/10.1037/pspi0000337
Craven, L. C., Fields, A. M., Carlson, R. G., Combs, E. M., & Howe, E. S. (2023). Counseling Interventions for Victims of Intimate Partner Violence: A Systematic Review. Journal of Counseling & Development, 101(3), 346-358. https://doi.org/10.1002/jcad.12478
Deylami, N., Hassan, S. A., Alareqe, N. A., & Zainudin, Z. N. (2021). Evaluation of an Online Gottman’s Psychoeducational Intervention to Improve Marital Communication Among Iranian Couples. International journal of environmental research and public health, 18(17), 8945. https://doi.org/10.3390/ijerph18178945
Fogel‐Yaakobi, S., Golland, Y., Levit‐Binnun, N., Borelli, J. L., Mikulincer, M., & Shai, D. (2023). The Moderating Role of Attachment in the Association Between Physiological Synchrony in Married Couples and Supportive Behavior in the Transition to Parenthood. Psychophysiology, 60(7). https://doi.org/10.1111/psyp.14263
Gibson, S., Slotter, E. B., & Markey, P. M. (2024). Fighting the Good Fight: Relating Warmth and Dominance Across Romantic Conflict to Resolution. Journal of Social and Personal Relationships, 41(9), 2716-2739. https://doi.org/10.1177/02654075241253627
Gnaulati, E. (2022). Supplanting Prideful Monologue With Humble Dialogue: A Dialogical Existential Approach to Couples Therapy. The Humanistic Psychologist, 50(2), 256-270. https://doi.org/10.1037/hum0000185
Griffes, S. E., Hardy, N., Gregson, T. J., Brosi, M. W., & Gardner, B. C. (2024). Couple Relationship Education Content: What We Have and What We Are Missing. Family Process, 63(4), 1790-1806. https://doi.org/10.1111/famp.13043
Haase, C. M. (2023). Emotion Regulation in Couples Across Adulthood. Annual Review of Developmental Psychology, 5(1), 399-421. https://doi.org/10.1146/annurev-devpsych-120621-043836
Harony, T. N., Einav, G., & Galily, Y. (2021). Let’s WhatsApp! Generation X Couples’ Online and Offline Relationship Patterns in the Digital Age. New Media & Society, 25(12), 3370-3391. https://doi.org/10.1177/14614448211043192
Hosseinpoor, M., Masoumi, S. Z., Kazemi, F., Soltani, F., & Ahmadpanah, M. (2022). Investigating the Effect of Couple-Centered Counseling by Gottman Method on the Intimacy of Infertile Couples Referring to the Infertility Ward of Fatemieh Hospital, Hamadan, Iran in 2020: A Quasi-Experimental Study. BMC psychiatry, 22(1). https://doi.org/10.1186/s12888-022-04228-z
Kee, S., Jensen, J. F., Fish, M., & Reed‐Fitzke, K. (2025). Does My Friend Like My Romantic Partner? Links Among Relationship Work With Partners and Friends and Physiological Implications. Journal of marital and family therapy, 51(2). https://doi.org/10.1111/jmft.70021
Knauss, A., Jensen, J. F., Fish, M., Bolin, L. P., & Brimhall, A. S. (2024). The Impact of a Romantic Partner on Patient Experience of Heart Rate Variability Biofeedback: Recommendations and Considerations for Clinicians. https://doi.org/10.21203/rs.3.rs-4959313/v1
Leaver, E., Phillips, D., Miano‐Burkhardt, A., Curtis, S., & Furman, S. (2024). How Do I Love Thee? You Can Measure the Ways. https://doi.org/10.31234/osf.io/phz59
Lebow, J. L., Fisher, A. R., & Swanson, S. E. (2024). Couple Theory in Psychotherapy. 191-206. https://doi.org/10.1037/0000353-012
Lebow, J. L., & Snyder, D. K. (2022). Couple Therapy in the 2020s: Current Status and Emerging Developments. Family Process, 61(4), 1359-1385. https://doi.org/10.1111/famp.12824
Mardani, M., Marashi, S. A., & Abbaspour, Z. (2021). On the Causal Relationship Between Attachment Styles and Marital Satisfaction: Mediating Role of Gottman's Marital Communication Model. Iranian journal of psychiatry and behavioral sciences, 15(2). https://doi.org/10.5812/ijpbs.108339
Meier, T., Stephens, J. E., & Haase, C. M. (2022). Emotion Regulation in Romantic Relationships. https://doi.org/10.31234/osf.io/gkhvw
Meyer, D., & Sledge, R. L. (2021). The Relationship Between Conflict Topics and Romantic Relationship Dynamics. Journal of Family Issues, 43(2), 306-323. https://doi.org/10.1177/0192513x21993856
Parsons, J., Prager, K. J., Wu, S., Poucher, J., & Hansen, M. P. (2020). How to Kiss and Make-Up (Or Not!): Postconflict Behavior and Affective Recovery From Conflict. Journal of Family Psychology, 34(1), 35-45. https://doi.org/10.1037/fam0000579
Ryjova, Y., Gold, A. I., Timmons, A. C., Han, S. C., Chaspari, T., Pettit, C., Kim, Y., Beale, A., Kazmierski, K. F. M., & Margolin, G. (2024). A Day in the Life: Couples’ Everyday Communication and Subsequent Relationship Outcomes. Journal of Family Psychology, 38(3), 453-465. https://doi.org/10.1037/fam0001180
Salehi, M., Abkenar, B. N., & Rashidi, T. (2024). The Effectiveness of Gottman's Systemic Cognitive Couple Therapy on Marital Conflicts, Communication Patterns, and Alexithymia in Couples With Marital Conflict. Jarac, 6(3), 145-152. https://doi.org/10.61838/kman.jarac.6.3.16
Tourunen, A., Kykyri, V. L., Seikkula, J., Kaartinen, J., Tolvanen, A., & Penttonen, M. (2020). Sympathetic Nervous System Synchrony: An Exploratory Study of Its Relationship With the Therapeutic Alliance and Outcome in Couple Therapy. Psychotherapy, 57(2), 160-173. https://doi.org/10.1037/pst0000198
Weber, D. M., Fischer, M. S., Baucom, D. H., Baucom, B., Engl, J., Thurmaier, F., Wojda, A. K., & Hahlweg, K. (2020). Escalation and Regulation of Emotional Arousal in Couples Predicts Relationship Satisfaction Concurrently and 25 Years Later. Family Process, 60(1), 251-269. https://doi.org/10.1111/famp.12597
Wojda, A. K., Baucom, D. H., Weber, D. M., Heyman, R. E., & Slep, A. M. S. (2022). The Role of Intimate Partner Violence and Relationship Satisfaction in Couples’ Interpersonal Emotional Arousal. Journal of Family Psychology, 36(3), 385-395. https://doi.org/10.1037/fam0000911
Yöntem, M. K., & İlhan, T. (2020). The Predictive Role of the Parenting Styles That Cause Early Maladaptive Schemas on Divorce Indicators. Journal of Humanity and Society (Insan & Toplum), 10(2), 1-20. https://doi.org/10.12658/m0382
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