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Published on: March 8, 2018
Predictors of response to Systems Training for Emotional Predictability and Problem Solving (STEPPS) for borderline
D W Black1, J Allen, D St John
1Department of Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA 52242, USA. donald-black@uiowa.edu
Acta Psychiatrica Scandinavica
|February 3, 2009
Summary
Individuals with more severe borderline personality disorder (BPD) symptoms at baseline show greater treatment improvement. However, high impulsivity predicts early discontinuation from cognitive group therapy.
Area of Science:
- Psychiatry
- Clinical Psychology
- Mental Health Treatment
Background:
- Predicting treatment outcomes and early discontinuation in borderline personality disorder (BPD) remains challenging.
- Identifying baseline clinical variables associated with treatment response is crucial for optimizing care.
Purpose of the Study:
- To investigate the relationship between baseline clinical variables and treatment response in BPD.
- To examine predictors of early discontinuation in a randomized controlled trial of System Training for Emotional Predictability and Problem Solving (STEPPS).
Main Methods:
- A randomized controlled trial evaluated STEPPS, a cognitive group treatment for BPD.
- Treatment response was assessed using validated scales (Zanarini, CGI, GAS, BDI) over 20 weeks and a 1-year follow-up.
Main Results:
- Greater baseline BPD symptom severity correlated with improved global functioning and BPD symptoms.
- Higher levels of impulsivity predicted early discontinuation from the treatment.
- Attending 15 or more sessions was linked to optimal treatment improvement.
Conclusions:
- More severe BPD symptoms at baseline indicate a higher likelihood of treatment improvement.
- Impulsivity is a significant predictor of early treatment dropout in individuals with BPD.
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