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Vol. 80, No. 3, 2011
Issue release date: April 2011
Section title: Regular Article
Psychother Psychosom 2011;80:173–181
(DOI:10.1159/000321793)

Effectiveness of Systems Training for Emotional Predictability and Problem Solving (STEPPS) for Borderline Personality Problems in a ‘Real-World’ Sample: Moderation by Diagnosis or Severity?

Bos E.H. · van Wel E.B. · Appelo M.T. · Verbraak M.J.P.M.
aLentis and bUniversity Center for Psychiatry, University Medical Center Groningen, Groningen, cDimence Mental Health Care Overijssel, Deventer, and dBehavioral Science Institute, Radboud University, Nijmegen, The Netherlands

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Article / Publication Details

First-Page Preview
Abstract of Regular Article

Received: 3/15/2010
Accepted: 3/10/2010
Published online: 3/9/2011

Number of Print Pages: 9
Number of Figures: 2
Number of Tables: 3

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS

Abstract

Background: Systems Training for Emotional Predictability and Problem Solving (STEPPS) is a group treatment for borderline personality disorder (BPD). Two prior randomized controlled trials (RCTs) have shown the efficacy of this training. In both RCTs, patients with borderline features who did not meet the DSM-IV criteria for BPD were excluded, which were many. We investigated the effectiveness of STEPPS in a sample representative of routine clinical practice and examined whether DSM-IV diagnosis and/or baseline severity were related to differential effectiveness. Methods: Patients whom their practicing clinician diagnosed with BPD were randomized to STEPPS plus adjunctive individual therapy (STEPPS, n = 84) or to treatment as usual (TAU, n = 84). Results: STEPPS recipients showed more improvement on measures of general and BPD-specific psychopathology as well as quality of life than TAU recipients, both at the end of treatment and at a 6-month follow-up. Presence of DSM-IV-diagnosed BPD was not related to differential treatment effectiveness, but dimensional measures of symptom severity were; STEPPS was superior to TAU particularly in patients with higher baseline severity scores. Conclusions: The findings show the effectiveness of STEPPS in a ‘real-world’ sample, and underscore the importance of dimensional versus categorical measures of personality disturbance.


  

Author Contacts

E.H. Bos, PhD
Lentis, PO Box 86
NL–9700 AB Groningen (The Netherlands)
Tel. +31 50 522 3316, Fax +31 50 522 3101
E-Mail eh.bos@lentis.nl

  

Article Information

Received: March 15, 2010
Accepted after revision: October 3, 2010
Published online: March 9, 2011
Number of Print Pages : 9
Number of Figures : 2, Number of Tables : 3, Number of References : 42

  

Publication Details

Psychotherapy and Psychosomatics

Vol. 80, No. 3, Year 2011 (Cover Date: April 2011)

Journal Editor: Fava G.A. (Bologna)
ISSN: 0033-3190 (Print), eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS


Article / Publication Details

First-Page Preview
Abstract of Regular Article

Received: 3/15/2010
Accepted: 3/10/2010
Published online: 3/9/2011

Number of Print Pages: 9
Number of Figures: 2
Number of Tables: 3

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS


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