Differential Effects of Decisional and Emotional Forgiveness on Psychological, Spiritual, Social, Volitional, and Physical Well-Being: A Scoping Review
Abstract
:1. Introduction
1.1. Theoretical Differential Effects of Decisional Forgiveness and Emotional Forgiveness on Well-Being Outcomes
1.2. Types of Well-Being Outcomes
1.3. Differential Hypotheses for Effects of Decisional Forgiveness and Emotional Forgiveness on Well-Being Outcomes
1.4. The Present Review
2. Methods
2.1. Inclusion and Exclusion Criteria
2.2. Literature Search
2.3. Screening and Selection
2.4. Data Extraction and Synthesis
3. Results
3.1. Study Characteristics
3.2. Summary of Findings
3.3. Decisional Forgiveness
3.4. Emotional Forgiveness
4. Discussion
4.1. Methodology
4.2. Content
4.3. Future Directions
4.3.1. Methodology
4.3.2. Content
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Publication Details | Research Methodology | Participants | |||||||
---|---|---|---|---|---|---|---|---|---|
Author/s | Year | Design | Forgiveness Measure/s | Dimension/s of Well-Being Included a | Study Population | Resident Country b | Sample Size c | Sex | Age (yrs) |
Holeman et al. [6] | 2011 | CS | DFS EFS | PS (1 indicator) SP (3 indicators) | University students | US | 437 | ♀ (64%) | M = 31.9 ± 13.5 |
Watkins et al. [27] | 2011 | CS | DFS (3-item PI) EFS (PPE) | V (1 indicator) | University students | NP | 221 | ♀ (40%) | ≤25 (84%) 26+ (16%) |
Scherer et al. [28] | 2012 | CS | DFS EFS | V (1 indicator) | University students hurt by immediate family member due to their alcohol misuse | US | 141 | ♀ (67%) | M = 19.3 ± 1.9 (range: 18–29) |
Hook et al. [7] | 2013 | CS | DFS (7 items) EFS | SO (1 indicator) V (1 indicator) | University students | CN NZ | CN: 172 NZ: 91 | CN: ♀ (38%) NZ: ♀ (63%) | CN:
|
Davis et al. [8] (Study 3) | 2015 | CS | DTFS | SP (1 indicator) | University students who experienced major hurt by a religious/spiritual leader | US | 335 | ♀ (61%) | M = 24.8 ± 6.8 |
Kurniati et al. [29] (Study 2) | 2017 | CS | DFS EFS | PS (1 indicator) | Adolescents in secondary school | ID | 424 | NR | M = 15.5 |
Chi et al. [30] | 2019 | CS | DFS EFS | SO (3 indicators) | Adults who had experienced spousal infidelity | CN | 154 | ♀ (81%) | M = 36.1 ± 6 (range: 26–56) |
Cowden et al. [31] | 2019 | CS | DFS EFS | PS (3 indicators) | Adult females in a heterosexual relationship | ZA | 515 | ♀ (100%) | M = 29.5 ± 10.1 (range: 18–77) |
Choe and Davis [32] | 2020 | CS | DTFS | SP (1 indicator) | University students | US | 238 | ♀ (75%) | Range: 19–58 |
Hong et al. [33] | 2020 | CS | DFS EFS | PS (1 indicator) | Primary and secondary school students (4th to 8th grade) | CN | 1009 | ♀ (47%) | M = 11.8 ± 1.3 (range: 10–15) |
Major et al. [34] | 2020 | CS | DFS (7 items) | PS (1 indicator) | University students | US | 292 | ♀ (55%) | M = 19.2 ± 1.4 (range: 18–28) |
Kaleta and Mróz [35] (Study 2) | 2021 | CS | DTFS EFS | PS (1 indicator) | General adult population | PL | 236 | ♀ (73%) | M = 23.9 ± 7.6 (range: 15–75) |
Byra et al. [9] | 2022 | CS | DTFS EFS | PS (1 indicator) SO (1 indicator) | Adults with physical disabilities | PL | 267 | ♀ (46%) | M = 40.5 ± 11.6 (range: 17–69) |
Mróz and Kaleta [36] | 2022 | CS | DTFS | PS (1 indicator) | Adults who have experienced cyberhate | PL | 246 | ♀ (73%) | M = 23.7 ± 7 (range: 18–50) |
Mróz et al. [37] | 2022 | CS | DTFS EFS | PS (4 indicators) | General adult population | PL | 650 | ♀ (76%) | M = 27.9 ± 11.1 (range: 18–79) |
Wang et al. [38] (Study 2) | 2022 | CS | DFS EFS | PS (2 indicators) | University students | CN | 1101 | ♀ (64%) | M = 22.6 ± 3.5 |
Wu et al. [39] | 2022 | CS | DFS EFS (7 items) | SO (1 indicator) V (1 indicator) | University students currently in a romantic relationship | CN | 103 | ♀ (62%) | M = 19.4 ± 1.3 (range: 18–23) |
Mróz et al. [40] | 2023 | CS | DTFS EFS | SP (1 indicator) | General adult population | PL | 396 | ♀ (69%) | M = 28.9 ± 12.3 (range: 18–79) |
Byra [41] | 2024 | CS | DTFS EFS | PS (1 indicator) SO (1 indicator) | Mothers of children with disabilities | PL | 174 | ♀ (100%) | M = 34.1 ± 11 |
Kaleta et al. [42] | 2024 | CS | DTFS EFS | SO (1 indicator) | Adult amputees | PL | 102 | ♀ (57%) | M = 41.7 ± 14.4 (range: 18–75) |
Mróz et al. [43] | 2024 | CS | DTFS EFS | PS (1 indicator) SP (1 indicator) | Adults who had experienced childhood abuse from a close family member | PL | 309 | ♀ (64%) | M = 30.9 ± 11.9 (range: 18–68) |
Skalski-Bednarz et al. [44] | 2024 | CS | DTFS | PS (1 indicator) SP (3 indicators) | Adult Ukraine war refugees | DE PL | 243 | ♀ (82%) | M = 37.6 ± 8.9 (range: 18–68) |
He et al. [45] | 2018 | L d | DFS EFS | SO (2 indicators) | Married couples | CN | 268 couples | ♀ (50%) | ♂: M = 29.6 ± 3.3 ♀: M = 28.1 ± 2.5 |
Gámiz et al. [46] | 2021 | L d | DTFS | SO (1 indicator) | University students | DE ES | 191 | ♀ (72%) | M = 23.9 ± 9.5 |
Cook et al. [25] | 2022 | L d | DTFS EFS | PH (1 indicator) PS (8 indicators) SO (2 indicators) V (2 indicators) | University students and the general adult population | ID | 595 | ♀ (55%) | M = 22 ± 4.4 (range: 18–55) |
Cornish et al. [47] | 2024 | L d | EFS | PS (7 indicators) SO (3 indicators) V (3 indicators) | Adults in a romantic relationship for ≥ 1 year | US | 302 | ♀ (59%) | NR |
Skalski-Bednarz and Toussaint [48] | 2024 | L d | DTFS EFS | PS (1 indicator) SP (1 indicator) | Adult female sexual assault survivors | PL | 246 | ♀ (100%) | M = 29 ± 7.3 (range: 18–45) |
Skalski-Bednarz et al. [49] | 2024 | L d | DTFS EFS | SP (1 indicator) | General adult population | PL | 292 | ♀ (64%) | M = 40.6 ± 13.5 (range: 18–65) |
Sandage et al. [10] | 2015 | I | DFS EFS | PS (1 indicator) SO (1 indicator) | Treatment-seeking adults meeting criteria for borderline personality disorder | US | 40 | ♀ (88%) | M = 40 ± 12.9 (range: 19–63) |
Toussaint et al. [50] | 2020 | I | DFS EFS | SP (3 indicators) V (1 indicator) | University students | IN | 124 | ♀ (56%) | M = 23 ± 1.4 (range: 21–30) |
Magnitude of Association | DF (Total Score) | IHI | PI | Grand Total Number of Effect Sizes | |||||
---|---|---|---|---|---|---|---|---|---|
CS | L | CS | CS | ||||||
ZO | C | ZO | C | ZO | C | ZO | C | ||
Psychological well-being a | |||||||||
Negligible | 4 | 4 | |||||||
Very small | 4 (1) | 2 | 2 | 1 | 9 (1) | ||||
Small | 7 | (1) | 5 | 2 | 1 | 2 | 17 (1) | ||
Medium | 12 | 1 | 4 | 17 | |||||
Large | 3 | 2 | 5 | ||||||
Very large | 2 | 2 | |||||||
Total number of effect sizes | 28 (1) | 5 (1) | 9 | 8 | 2 | 0 | 2 | 0 | 54 (2) |
Social well-being b | |||||||||
Negligible | 1 | 1 | |||||||
Very small | 1 | 2 | 2 | 5 | |||||
Small | 5 (1) | 1 | 1 | 1 | 1 | 9 (1) | |||
Medium | 4 | 3 | 1 | 1 | 2 | 11 | |||
Large | 5 | 5 | |||||||
Very large | 2 | 2 | |||||||
Total number of effect sizes | 17 (1) | 3 | 6 | 3 | 2 | 0 | 2 | 0 | 33 (1) |
Spiritual well-being c | |||||||||
Negligible | 1 | 2 | 1 | 1 | 1 | 6 | |||
Very small | 2 | 1 (1) | (1) | 3 (2) | |||||
Small | 3 | 1 | 1 | 2 | 1 | 8 | |||
Medium | 2 | 2 | 1 (1) | 5 (1) | |||||
Large | 4 | 1 | 2 | 7 | |||||
Very large | 0 | ||||||||
Total number of effect sizes | 12 | 4 (1) | 2 | 2 (1) | 3 | 1 (1) | 3 | 2 | 29 (3) |
Volitional well-being d | |||||||||
Negligible | 1 | 1 | |||||||
Very small | 0 | ||||||||
Small | 1 | 2 (1) | 1 | 4 (1) | |||||
Medium | 1 | 2 | 2 | 5 | |||||
Large | 4 | 1 | 1 | 6 | |||||
Very large | 1 | 2 | 3 | ||||||
Total number of effect sizes | 7 | 4 | 2 | 2 (1) | 2 | 0 | 2 | 0 | 19 (1) |
Physical well-being e | |||||||||
Negligible | 0 | ||||||||
Very small | 0 | ||||||||
Small | 1 | 1 | 2 | ||||||
Medium | 1 | 1 | |||||||
Large | 0 | ||||||||
Very large | 0 | ||||||||
Total number of effect sizes | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 3 |
Grand total number of effect sizes | 65 (2) | 16 (2) | 20 | 16 (2) | 9 | 1 (1) | 9 | 2 | 138 (7) |
Magnitude of Association | EF (Total Score) | RNE | PPE | Grand Total Number of Effect Sizes | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|
CS | L | CS | L | CS | L | ||||||
ZO | C | ZO | C | ZO | C | ZO | ZO | C | ZO | ||
Psychological well-being a | |||||||||||
Negligible | 4 | 6 | 5 | 15 | |||||||
Very small | 2 | 2 | 2 | 3 (2) | 1 | 10 (2) | |||||
Small | 7 | 1 | 9 | 6 | 1 | 2 | 1 | 27 | |||
Medium | 3 | 1 | 3 | 1 | 1 | 2 | 1 | 1 | 13 | ||
Large | 5 | 2 | 2 | (1) | 9 (1) | ||||||
Very large | 3 | 1 | 2 | 1 | 7 | ||||||
Total number of effect sizes | 24 | 3 | 9 | 8 | 15 | 2 | 3 | 13 (2) | 1 (1) | 3 | 81 (3) |
Social well-being b | |||||||||||
Negligible | 1 | 1 | |||||||||
Very small | (1) | 2 | 1 (1) | 1 | 4 (2) | ||||||
Small | 4 | 2 | 2 | 2 | 10 | ||||||
Medium | 3 | 1 | 2 | 1 | 7 | ||||||
Large | 3 | 1 | 1 | 1 | 6 | ||||||
Very large | 5 | 1 | 1 | 3 | 1 | 3 | 14 | ||||
Total number of effect sizes | 15 (1) | 2 | 6 | 2 | 4 (1) | 1 | 3 | 5 | 1 | 3 | 42 (2) |
Spiritual well-being c | 33 | ||||||||||
Negligible | 1 | 1 | 3 | 1 | 6 | ||||||
Very small | 2 | (1) | 1 | 2 | 5 (1) | ||||||
Small | 2 | 2 | 3 | 3 | 3 | 2 | 15 | ||||
Medium | 1 | 3 | 4 | ||||||||
Large | 1 | 1 | |||||||||
Very large | 1 | 1 | |||||||||
Total number of effect sizes | 6 | 0 | 2 | 2 (1) | 8 | 3 | 0 | 8 | 3 | 0 | 32 (1) |
Volitional well-being d | 25 | ||||||||||
Negligible | 2 | 2 | |||||||||
Very small | 2 | 2 | |||||||||
Small | 2 | 1 | 1 | 1 | 5 | ||||||
Medium | 1 | 3 | 1 | 5 | |||||||
Large | 1 | 2 | 2 | 5 | |||||||
Very large | 2 | 1 | 3 | 6 | |||||||
Total number of effect sizes | 6 | 2 | 2 | 3 | 5 | 0 | 0 | 6 | 1 | 0 | 25 |
Physical well-being e | 3 | ||||||||||
Negligible | 1 | 1 | |||||||||
Very small | 0 | ||||||||||
Small | 1 | 1 | 2 | ||||||||
Medium | 0 | ||||||||||
Large | 0 | ||||||||||
Very large | 0 | ||||||||||
Total number of effect sizes | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 3 |
Grand total number of effect sizes | 52 (1) | 7 | 20 | 16 (1) | 32 (1) | 6 | 6 | 32 (2) | 6 (1) | 6 | 183 (6) |
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Cowden, R.G.; Worthington, E.L., Jr.; Chung, C.A.; Chen, Z.J. Differential Effects of Decisional and Emotional Forgiveness on Psychological, Spiritual, Social, Volitional, and Physical Well-Being: A Scoping Review. Healthcare 2025, 13, 992. https://doi.org/10.3390/healthcare13090992
Cowden RG, Worthington EL Jr., Chung CA, Chen ZJ. Differential Effects of Decisional and Emotional Forgiveness on Psychological, Spiritual, Social, Volitional, and Physical Well-Being: A Scoping Review. Healthcare. 2025; 13(9):992. https://doi.org/10.3390/healthcare13090992
Chicago/Turabian StyleCowden, Richard G., Everett L. Worthington, Jr., Caleb A. Chung, and Zhuo Job Chen. 2025. "Differential Effects of Decisional and Emotional Forgiveness on Psychological, Spiritual, Social, Volitional, and Physical Well-Being: A Scoping Review" Healthcare 13, no. 9: 992. https://doi.org/10.3390/healthcare13090992
APA StyleCowden, R. G., Worthington, E. L., Jr., Chung, C. A., & Chen, Z. J. (2025). Differential Effects of Decisional and Emotional Forgiveness on Psychological, Spiritual, Social, Volitional, and Physical Well-Being: A Scoping Review. Healthcare, 13(9), 992. https://doi.org/10.3390/healthcare13090992