STEPPS: Systems Training for Emotional Predictability and Problem Solving in Women Offenders with Borderline Personality Disorder in Prison—A Pilot Study

CNS Spectrums ◽  
2008 ◽  
Vol 13 (10) ◽  
pp. 881-886 ◽  
Author(s):  
Donald W. Black ◽  
Nancee Blum ◽  
Leanne Eichinger ◽  
Brett McCormick ◽  
Jeff Allen ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Pilot Study ◽  
Problem Solving ◽  
Personality Disorder ◽  
Women Offenders ◽  
Group Treatment ◽  
Negative Affectivity ◽  
Borderline Personality ◽  
Successful Implementation ◽  
Women's Prison

ABSTRACTIntroduction:An uncontrolled pilot study of SystemsTraining for Emotional Predictability and Problem Solving (STEPPS) was conducted with incarcerated women offenders. STEPPS is a promising new cognitive-behavioral group treatment for persons with borderline personality disorder (BPD).Methods:Twelve women offenders withDiagnostic and Statistical Manual of Mental Disorders, Fourth EditionBPD were enrolled in the 20-week program at an Iowa prison. Efficacy assessments included the Borderline Evaluation of Severity overTime, the Positive and Negative Affectivity Scale, and the Beck Depression Inventory. Data were collected at baseline, and weeks 4, 8, 12, 16, and 20. A prison therapist was trained to deliver the STEPPS program.Results:The 12 volunteers had a mean age of 34.8±8.5 years. Two women discontinued early because they were released from prison; the others attended all sessions. The analysis showed significant improvements in BPD-related symptoms, negative affectivity, and depression. The Borderline Evaluation of Severity over Time total score was highly significant at week 20 (P=.009), indicating overall improvement in BPD-related symptoms. Effect sizes for the efficacy measures were moderate to large. The prison therapist showed excellent adherence to the model.Conclusion:This study demonstrated the successful implementation of the STEPPS program in a women's prison. Participants achieved “real-world” benefits, including a reduction in the negative thoughts and behaviors associated with BPD, negative affectivity, and depression. Implications of the findings are discussed.

Systems Training for Emotional Predictability and Problem Solving for Borderline Personality Disorder

2017 ◽  
Keyword(s):  
Borderline Personality Disorder ◽  
Problem Solving ◽  
Personality Disorder ◽  
Group Treatment ◽  
Behavioral Therapy ◽  
Health Care Systems ◽  
Skills Training ◽  
National Registry ◽  
Borderline Personality ◽  
Wide Range

This edited, multi-authored text brings together all that is known about Systems Training for Emotional Predictability and Problem Solving (STEPPS), a group treatment program for outpatients with borderline personality disorder. The book describes the program, the evidence that is supportive of STEPPS, and its implementation in a variety of settings and countries. Created at the University of Iowa in 1995, STEPPS combines cognitive-behavioral therapy, skills training, and psychoeducation with a systems component for family, friends, and significant others. The 5-month-long program is easily learned and delivered by therapists from a wide range of theoretical orientations. Data show that STEPPS is effective and produces clinically important improvement. The program is well accepted by patients and therapists. STEPPS is listed in the US Substance Abuse and Mental Health Services Administration (SAMSHA) National Registry of Evidence-based Practices (NREPP). The program is embraced by the health care systems in the United Kingdom and The Netherlands and is used in correctional settings.

scholarly journals Paliperidone ER in the Treatment of Borderline Personality Disorder: A Pilot Study of Efficacy and Tolerability

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Silvio Bellino ◽  
Paola Bozzatello ◽  
Camilla Rinaldi ◽  
Filippo Bogetto
Keyword(s):  
Borderline Personality Disorder ◽  
Pilot Study ◽  
Personality Disorder ◽  
Adverse Events ◽  
Mechanism Of Action ◽  
Severity Index ◽  
Borderline Personality ◽  
Controlled Trials ◽  
Efficacy And Safety ◽  
Dsm Iv

Antipsychotics are recommended for the treatment of impulsive dyscontrol and cognitive perceptual symptoms of borderline personality disorder (BPD). Three reports supported the efficacy of oral risperidone on BPD psychopathology. Paliperidone ER is the metabolite of risperidone with a similar mechanism of action, and its osmotic release reduces plasmatic fluctuations and antidopaminergic effects. The aim of this study is to evaluate efficacy and safety of paliperidone ER in BPD patients. 18 outpatients with a DSM-IV-TR diagnosis of BPD were treated for 12 weeks with paliperidone ER (3–6 mg/day). They were assessed at baseline, week 4, and week 12, using the CGI-Severity item, the BPRS, the HDRS, the HARS, the SOFAS, the BPD Severity Index (BPDSI), and the Barratt Impulsiveness Scale (BIS-11). Adverse events were evaluated with the DOTES. Paliperidone ER was shown to be effective and well tolerated in reducing severity of global symptomatology and specific BPD symptoms, such as impulsive dyscontrol, anger, and cognitive-perceptual disturbances. Results need to be replicated in controlled trials.

Effects of a modified DBT Skills Group for military personnel and Veterans with OSIs and borderline personality disorder or traits

2021 ◽  
pp. e20190067
Author(s):  
Pamela L. Holens ◽  
Jeremiah N. Buhler ◽  
Stephanie Yacucha ◽  
Alyssa Romaniuk ◽  
Brent Joyal
Keyword(s):  
Mental Health ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Military Personnel ◽  
Group Treatment ◽  
Stress Disorder ◽  
Borderline Personality ◽  
Behaviour Therapy ◽  
Negative Thoughts ◽  
Skills Group

LAY SUMMARY This study looked at the use of a group treatment known as dialectical behaviour therapy skills group (DBT-SG) to see if it was helpful for military personnel and veterans who had a variety of mental health disorders related to their service. The results of the study showed improvements in symptoms of borderline personality disorder, reductions in negative thoughts and feelings, and reductions in unhelpful behaviours. Results also showed improvements in all examined areas of functioning among participants, with the largest change occurring in the area of social functioning. The presence of posttraumatic stress disorder (PTSD), depression, or chronic pain did not impact results, but the presence of a substance abuse disorder did. Overall, the results provide preliminary support for DBT-SG as an intervention for borderline personality disorder symptoms among military and veterans, and perhaps particularly for persons who also have other mental health challenges, or persons considered inappropriate for other treatment.

A Controlled Trial of Short-Term Group Treatment for Borderline Personality Disorder

1995 ◽  
Vol 9 (3) ◽  
pp. 190-198 ◽  
Author(s):  
Heather Munroe-Blum ◽  
Elsa Marziali
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Group Treatment ◽  
Controlled Trial ◽  
Borderline Personality ◽  
Short Term

Effects of a Painful Stimulus on Stress Regulation in Male Patients With Borderline Personality Disorder: A Pilot Study

2019 ◽  
Vol 33 (3) ◽  
pp. 394-412
Author(s):  
Janina Naoum ◽  
Nikolaus Kleindienst ◽  
Ulf Baumgärtner ◽  
Franziska Willis ◽  
Falk Mancke ◽  
...  
Keyword(s):  
Heart Rate ◽  
Borderline Personality Disorder ◽  
Pilot Study ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Pain Stimulus ◽  
Self Injury ◽  
Significant Difference ◽  
Pain Ratings ◽  
Male Patients

Pain processing in relation to stress has so far not been investigated in male patients with borderline personality disorder (BPD). This experimental pilot study examined 17 male BPD patients and 20 male healthy controls (HCs) to assess the effects of a pain stimulus on arousal, aggression, pain (ratings), and heart rate. At baseline, BPD patients showed significantly higher arousal and aggression; however, there was no significant difference in heart rate compared to the HC group. Following stress induction, a noninvasive mechanical pain stimulus was applied. No significant differences in pain ratings or heart rates were found between the groups. For arousal, a significantly stronger decrease was revealed in the BPD group compared to the HC group (t = 2.16, p = .038). Concerning aggression, the BPD group showed a significantly greater decrease after the pain stimulus than the HC group (t = 3.25, p = .002). This data showed that nonsuicidal self-injury can reduce arousal and aggression in male BPD.

EMOTEO: A Smartphone Application for Monitoring and Reducing Aversive Tension in Borderline Personality Disorder Patients, a Pilot Study

2016 ◽  
Vol 53 (4) ◽  
pp. 289-298 ◽  
Author(s):  
Paco Prada ◽  
Ido Zamberg ◽  
Gérald Bouillault ◽  
Naya Jimenez ◽  
Julien Zimmermann ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Pilot Study ◽  
Personality Disorder ◽  
Smartphone Application ◽  
Borderline Personality
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