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  • Title: STEPPS for Borderline Personality Disorder: A Pragmatic Trial and Naturalistic Comparison With Noncompleters.
    Author: González-González S, Marañón-González R, Hoyuela-Zatón F, Gómez-Carazo N, Hernández-Abellán A, Pérez-Poo T, Umaran-Alfageme O, Cordero-Andrés P, López-Sánchez V, Black DW, Blum NS, Artal-Simón J, Ayesa-Arriola R.
    Journal: J Pers Disord; 2021 Dec; 35(6):841-856. PubMed ID: 33661018.
    Abstract:
    Systems Training for Emotional Predictability and Problem Solving (STEPPS) is a group psychotherapy approach that is effective for patients with borderline personality disorder (BPD) in a public health care setting. The sample in this study comprised 118 outpatients with BPD who were asked to participate in a Spanish-adapted version of STEPPS for 18 months, a psychotherapy program that could be added to their usual psychiatric intervention. They were divided into an experimental group who participated in STEPPS, and a control group, who received treatment as usual. Several variables were collected and the Borderline Evaluation of Severity Over Time (BEST) scale was administered at pretest, Months 3 and 6, posttest (Month 18), and 2-year follow-up (Month 42), after which a post hoc data analysis was carried out. The STEPPS program improved the as-usual treatment provided previously, and the results were cost-effective. A higher educational level and good patient collaboration predicted better outcome.
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