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A randomized controlled trial of acceptance and commitment therapy for aggressive behavior.

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Acceptance and Commitment Therapy (ACT) significantly reduced physical and psychological partner aggression compared to a control group. These improvements were linked to reduced experiential avoidance and emotion dysregulation.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Behavioral Therapy

Background:

  • Partner aggression is a significant issue in clinical populations.
  • Existing treatments for aggression have varying efficacy.
  • Acceptance and Commitment Therapy (ACT) offers a novel approach by focusing on psychological flexibility.

Purpose of the Study:

  • To evaluate the effectiveness of a group-based ACT intervention for adults exhibiting partner aggression.
  • To compare ACT's efficacy against a support and discussion control group.
  • To explore potential mediators of treatment outcomes, such as experiential avoidance and emotion dysregulation.

Main Methods:

  • 101 adults with recent partner aggression were randomized to ACT or a control group.
  • Both interventions involved 12 weekly 2-hour sessions.
  • Aggression, experiential avoidance, and emotion dysregulation were assessed pre-treatment, post-treatment, and at 3 and 6-month follow-ups.

Main Results:

  • The ACT group showed significantly greater reductions in psychological and physical aggression compared to the control group.
  • Treatment gains were maintained at 6-month follow-up.
  • Reductions in experiential avoidance and emotion dysregulation partially mediated the observed treatment effects.

Conclusions:

  • Group-based ACT is an efficacious treatment for reducing both physical and psychological partner aggression.
  • ACT's impact on aggression may be partly explained by improvements in psychological flexibility.
  • This study provides the first evidence for ACT's effectiveness in treating aggressive behavior.