THERAPEUTICS
Borderline personality disorder: STEPPS improves symptoms
| The first 150 words of the full text of this article appear below. |
How effective is the STEPPS programme for people with a borderline personality disorder?
165 people with DSM-IV borderline personality disorder (
18 years; 83% female). Main exclusions: psychotic or primary neurological disorder; cognitive impairment; substance abuse or dependence; recent suicidal thoughts or self-harm behaviour.
Outpatient setting, Iowa, USA; recruitment 2002–2006.
Systems Training for Emotional Predictability and Problem Solving (STEPPS) plus usual care or usual care alone (including medication, individual psychotherapy and case management). STEPPS is a manual-based group treatment programme involving psychoeducation, and emotion and behaviour management skills training, delivered in once weekly 2-hour sessions over 20 weeks, which includes education for a friend or relative.
Primary outcome: symptoms (Zanarini Rating Scale for Borderline Personality Disorder Affective (ZRS-BPD), a scale which assesses cognitive disturbance, disturbed relationships, and impulsivity). Secondary outcomes: thoughts, feelings and behaviour (Borderline Evaluation of Severity Over Time scale (BESOT)); positive and negative disposition (Positive and Negative Affect
Professor of Clinical Psychology, Faculty of Medicine, University of Glasgow, Glasgow, UK
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