Social and Behavioral Sciences Commons^™

Increasing Valued Behaviors Precedes Reduction In Suffering: Findings From A Randomized Controlled Trial Using Act, Andrew T. Gloster, Jens Klotsche, Joseph Ciarrochi, Georg Eifert, Rainer Sonntag, Hans-Ulrich Wittchen, Jürgen Hoyer

Psychology Faculty Articles and Research

Background: Psychological flexibility theory (PFT) suggests three key processes of change: increases in value-directed behaviors, reduction in struggle with symptoms, and reduction in suffering. We hypothesized that Acceptance and Commitment Therapy (ACT) would change these processes and that increases in valued action and decreases in struggle would precede change in suffering.

Method: Data were derived from a randomized clinical trial testing ACT (vs. waitlist) for treatment-resistant patients with primary panic disorder with/without agoraphobia (n= 41). Valued behavior, struggle, and suffering were assessed at each of eight sessions.

Results: Valued actions, struggle, and suffering all changed over the …