Predictors of response to Systems Training for Emotional Predictability and Problem Solving (STEPPS) for borderline personality disorder: an exploratory study

D W Black; J Allen; D St John; B Pfohl; B McCormick; N Blum

doi:10.1111/j.1600-0447.2008.01340.x

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Predictors of response to Systems Training for Emotional Predictability and Problem Solving (STEPPS) for borderline personality disorder: an exploratory study

Journal article

Peer reviewed

Predictors of response to Systems Training for Emotional Predictability and Problem Solving (STEPPS) for borderline personality disorder: an exploratory study

D W Black, J Allen, D St John, B Pfohl, B McCormick and N Blum

Acta psychiatrica Scandinavica, Vol.120(1), pp.53-61

07/2009

DOI: 10.1111/j.1600-0447.2008.01340.x

PMCID: PMC3665337

PMID: 19183126

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Abstract

Few predictors of treatment outcome or early discontinuation have been identified in persons with borderline personality disorder (BPD). The aim of the study was to examine the relationship between baseline clinical variables and treatment response and early discontinuation in a randomized controlled trial of System Training for Emotional Predictability and Problem Solving, a new cognitive group treatment. Improvement was rated using the Zanarini Rating Scale for BPD, the Clinical Global Impression Scale, the Global Assessment Scale and the Beck Depression Inventory. Subjects were assessed during the 20 week trial and a 1-year follow-up. Higher baseline severity was associated with greater improvement in global functioning and BPD-related symptoms. Higher impulsivity was predictive of early discontinuation. Optimal improvement was associated with attending > or = 15 sessions. Subjects likely to improve have the more severe BPD symptoms at baseline, while high levels of impulsivity are associated with early discontinuation.

Health Behavior

Emotions

Follow-Up Studies

Family Therapy - methods

Psychotherapy, Group - methods

Humans

Male

Patient Dropouts

Young Adult

Impulsive Behavior - psychology

Borderline Personality Disorder - diagnosis

Adult

Female

Borderline Personality Disorder - therapy

Interview, Psychological

Interpersonal Relations

Impulsive Behavior - therapy

Cognitive Therapy - methods

Borderline Personality Disorder - psychology

Problem Solving

Treatment Outcome

Combined Modality Therapy

Impulsive Behavior - diagnosis

Systems Theory

Iowa

Personality Inventory

Adolescent

Details

Title: Subtitle: Predictors of response to Systems Training for Emotional Predictability and Problem Solving (STEPPS) for borderline personality disorder: an exploratory study
Creators: D W Black - Department of Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA 52242, USA. donald-black@uiowa.edu
J Allen
D St John
B Pfohl
B McCormick
N Blum
Resource Type: Journal article
Publication Details: Acta psychiatrica Scandinavica, Vol.120(1), pp.53-61
DOI: 10.1111/j.1600-0447.2008.01340.x
PMID: 19183126
PMCID: PMC3665337
NLM abbreviation: Acta Psychiatr Scand
ISSN: 0001-690X
eISSN: 1600-0447
Publisher: United States
Grant note: MH63746 / NIMH NIH HHS R01 MH063746 / NIMH NIH HHS
Language: English
Date published: 07/2009
Academic Unit: Psychiatry
Record Identifier: 9984003922402771

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