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Integrating Acceptance and Commitment Therapy with Selective Optimization with Compensation to Predict Wellbeing
Mary Moeller1, William H O'Brien2
1Department of Palliative and Supportive Care, Cleveland Clinic, Cleveland, USA.
Objectives:
Selective Optimization with Compensation (SOC) is an empirically supported model of successful aging. Acceptance and Commitment Therapy (ACT) is an empirically supported intervention that has a theoretical model which is complementary to the SOC model. Combining the two models can provide a more comprehensive view of successful aging. The relationships between key SOC and ACT variables in relation to age-related wellbeing were explored among a sample of older American adults.
Methods:
Older adult participants (n = 87) were recruited online from social media sites. This sample size provided sufficient power to test hypotheses. Participants completed measures of demographic characteristics, ACT constructs (acceptance, defusion, present-moment-awareness, self-as-context, values), SOC utilization, geriatric morale, purpose in life, and quality of life.
Results:
Acceptance and defusion were significantly correlated with SOC variables and wellbeing. Acceptance and defusion mediated the relationship between SOC utilization and age-related wellbeing.
Conclusions:
Acceptance and defusion were associated with better adjustment to the potential losses that co-occur with aging. Acceptance and defusion may also promote more openness to making changes in daily behaviors that can permit optimization and compensation of age-related losses.
Clinical Implications:
Interventions that promote acceptance and defusion may be promising for older adults as they navigate the aging process.
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