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Systems Training for Emotional Predictability and Problem Solving Program and Emotion Dysregulation: A Pilot Study.

Silvia Boccalon1, Roberta Alesiani, Laura Giarolli

  • 1*Department of Clinical Neurosciences, San Raffaele Hospital, Milan; and †Department of Humanities, LUMSA University, Rome, Italy.

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|January 28, 2017
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Summary
This summary is machine-generated.

The Systems Training for Emotional Predictability and Problem Solving (STEPPS) program significantly improved emotion regulation in individuals with borderline features. This treatment reduced difficulties in emotion regulation, hospitalizations, and suicide attempts.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Science

Background:

  • Emotion dysregulation is a core feature of personality disorders, particularly those with borderline features.
  • Effective interventions are needed to manage emotional instability and associated behaviors.

Purpose of the Study:

  • To evaluate the impact of the Systems Training for Emotional Predictability and Problem Solving (STEPPS) program on emotion dysregulation.
  • To assess changes in difficulties with emotion regulation, suicidal ideation, and hospitalizations.

Main Methods:

  • A sample of 24 participants with borderline personality features completed the STEPPS program.
  • The Difficulties in Emotion Regulation Scale (DERS) was administered pre-treatment, post-treatment, and at 6-month follow-up.
  • Friedman test was used to analyze changes in suicide attempts and hospitalizations.

Main Results:

  • A significant decrease in the DERS total score was observed post-treatment and at follow-up.
  • Significant reductions in suicide attempts and hospitalizations were noted over time.
  • The "goals" and "impulse" subscales of the DERS showed sustained improvement, indicating treatment effects on behavioral control.

Conclusions:

  • STEPPS is an effective intervention for improving emotion regulation in individuals with borderline personality features.
  • The program demonstrates efficacy in reducing impulsive behaviors, enhancing goal attainment, and decreasing crisis-related hospitalizations and self-harm behaviors.