# Acceptance and Commitment Therapy to Improve Social Support for Veterans with PTSD

> **NIH VA I01** · EDITH NOURSE  ROGERS MEMORIAL VETERANS HOSPITAL · 2021 · —

## Abstract

Veterans with PTSD often have substantial interpersonal problems and low perceived social support from
family, partners, and peers. Interpersonal problems result in poor social reintegration, which in turn permeates
all aspects of their functioning and is associated with greater suicidal ideation. The problems emerge rapidly,
with one study showing a fourfold increase in rates of self-reported interpersonal conflict within six months of
returning from deployment. Veterans with PTSD report considerable avoidance in relationships, marital stress,
intimacy difficulties, and parenting problems. Low social support is a key factor related to poor physical health,
emotional functioning, and increased mortality risk. Given the importance of social relationships in buffering
against negative outcomes and suicidal ideation for persons with PTSD, there is a strong need for more
research and treatment development to improve the social functioning of these Veterans. The proposed project
will focus on evaluating an innovative treatment for improving the social relationships and social support
among Veterans with PTSD.
 The goal of this project is to evaluate the efficacy of Acceptance and Commitment Therapy to Improve
Social Support for Veterans with PTSD (ACT-SS), a treatment focused on helping Veterans with PTSD to
increase social support with family relationships, partners, and peers by targeting maladaptive patterns of
interpersonal difficulties, feelings of detachment from others, irritability, and avoidance of social situations.
ACT-SS provides Veterans with PTSD with more adaptive coping skills (i.e., acceptance and mindfulness,
focus on values-based living) to improve social relationships, social support, and help manage PTSD-related
distress. Our pilot data of ACT-SS indicates that ACT-SS results in improved social relationships and reduced
PTSD symptoms, with preliminary data showing that ACT-SS results in significantly better improvement in
social functioning outcomes compared to Present-Centered Therapy (PCT).
 The primary aim of this study is to conduct a two-site randomized controlled trial of ACT-SS (n=75) vs. PCT
(n=75), a common treatment for social support difficulties. Study outcomes will include measures of social
support, social relationships, quality of life, and PTSD symptoms. This proposal, supported by our promising
pilot data, represents an important step in examining the potential efficacy of ACT-SS, including social
functioning and quality of life in Veterans with PTSD. If positive, results from this study may provide a new
treatment approach for improving the social reintegration of Veterans with PTSD.

## Key facts

- **NIH application ID:** 10068706
- **Project number:** 1I01RX003382-01A1
- **Recipient organization:** EDITH NOURSE  ROGERS MEMORIAL VETERANS HOSPITAL
- **Principal Investigator:** Megan Marie Kelly
- **Activity code:** I01 (R01, R21, SBIR, etc.)
- **Funding institute:** VA
- **Fiscal year:** 2021
- **Award amount:** —
- **Award type:** 1
- **Project period:** 2020-10-01 → 2024-09-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10068706

## Citation

> US National Institutes of Health, RePORTER application 10068706, Acceptance and Commitment Therapy to Improve Social Support for Veterans with PTSD (1I01RX003382-01A1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10068706. Licensed CC0.

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