Integrating Acceptance and Commitment Therapy with Selective Optimization with Compensation to Predict Wellbeing.

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.