Addressing anger, stress, and alcohol-related difficulties in the military: An ACT intervention

The use of alcohol to manage emotion is a common technique seen in military service personnel, the implication of which is evident in the relationship between alcohol misuse and mood disorders. However, investigations into transdiagnostic treatments aimed at addressing the common underlying processes to these problems in military personnel are lacking. The present study aimed to investigate the efficacy of a real-world Acceptance and Commitment Therapy (ACT)-based intervention undergone by 262 military personnel. A quasi-experimental prepost design was employed (interim 1 month postintervention) with a waitlist control group utilized to compare differences over time between those who promptly completed the week-long intervention course and the delayed waitlist participants. In line with predictions, the intervention group showed greater improvement (cf. preintervention waitlist group) in emotion management, and greater reductions in levels of alcohol consumption, aggression, anxiety, stress, and perceptions of others being responsible for their circumstances. No significant differences were found in the comparison of both groups’ 1-month postintervention results (i.e., both groups evidenced similar improvements); suggesting having to wait to start the course had little effect on its impact. The results suggest the course holds promise for helping military service personnel improve a range of psychosocial outcomes. Further testing with a more rigorous methodology is recommended, as is using a more proactive approach in the promotion and implementation of future courses.

This real-world study suggests that acceptance and commitment therapy (ACT) in a group format is an effective approach for enabling military service personnel to better manage their anger/aggression, stress/anxiety, and alcohol related difficulties. The ACT course content resonated with soldiers and outcomes were comparable to individual treatment in clinical settings, making it cost-effective, relevant, and transferable to military contexts.