{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T08:26:47Z","timestamp":1782721607671,"version":"3.54.5"},"reference-count":46,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Problematic emotion management is a core symptom of personality disorders and does not tend to improve spontaneously with age. Systems Training for Emotional Predictability and Problem Solving (STEPPS), a treatment program targeting emotional intensity difficulties, has been found to be effective for younger adults with borderline personality disorder. After a pilot study and a Delphi study, STEPPS was adjusted for older adults to better suit this population. The aim of present study was to evaluate first outcomes (e.g., level of improvement) of the adjusted STEPPS Older Adults (STEPPS\u2010OA). A total of 52 patients, with a mean age of 67 years (range: 60\u201380), participated in this proof\u2010of\u2010concept study with pre\u2010, mid\u2010, and post\u2010treatment measurement points. A total number of 38 patients completed the treatment; 14 patients (27%) dropped out. A majority of the patients (58%) had borderline personality disorder. After treatment, patients reported significantly decreased borderline personality disorder severity and symptomatic distress. Furthermore, there was a significant improvement of adaptive emotion regulation strategies and all personality functioning factors. Finally, some maladaptive personality traits (i.e., Disinhibition and Negative Affectivity) decreased significantly. Results of this proof\u2010of\u2010concept study indicate STEPPS\u2010OA is a promising treatment option for managing emotional intensity difficulties for older adults with personality disorders.<\/jats:p>","DOI":"10.1002\/jclp.70090","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T20:33:07Z","timestamp":1767990787000},"page":"545-553","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Managing Emotional Intensity Difficulties in Older Adults With Personality Disorders: A Proof\u2010of\u2010Concept Study"],"prefix":"10.1002","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7143-5157","authenticated-orcid":false,"given":"Erol","family":"Ekiz","sequence":"first","affiliation":[{"name":"PersonaCura, Clinical Center of Excellence for Personality and Developmental Disorders in Older Adults GGz Breburg Tilburg the Netherlands"},{"name":"Tranzo, Scientific Centre for Care and Wellbeing of the Tilburg School of Social and Behavioral Sciences of Tilburg University Tilburg the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastiaan P. J.","family":"van Alphen","sequence":"additional","affiliation":[{"name":"PersonaCura, Clinical Center of Excellence for Personality and Developmental Disorders in Older Adults GGz Breburg Tilburg the Netherlands"},{"name":"Tranzo, Scientific Centre for Care and Wellbeing of the Tilburg School of Social and Behavioral Sciences of Tilburg University Tilburg the Netherlands"},{"name":"Clinical Center of Excellence for Personality Disorders in Older Adults Mondriaan Mental Health Center Heerlen\u2010Maastricht the Netherlands"},{"name":"Department of Psychology (PE), Personality and Psychopathology Research Group (PEPS) Vrije Universiteit Brussel (VUB) Brussels Belgium"},{"name":"Department of\u00a0Clinical Psychological Science, Faculty of\u00a0Psychology and\u00a0Neuroscience Maastricht University Maastricht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Machteld A.","family":"Ouwens","sequence":"additional","affiliation":[{"name":"PersonaCura, Clinical Center of Excellence for Personality and Developmental Disorders in Older Adults GGz Breburg Tilburg the Netherlands"},{"name":"Tranzo, Scientific Centre for Care and Wellbeing of the Tilburg School of Social and Behavioral Sciences of Tilburg University Tilburg the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjan C.","family":"Videler","sequence":"additional","affiliation":[{"name":"PersonaCura, Clinical Center of Excellence for Personality and Developmental Disorders in Older Adults GGz Breburg Tilburg the Netherlands"},{"name":"Tranzo, Scientific Centre for Care and Wellbeing of the Tilburg School of Social and Behavioral Sciences of Tilburg University Tilburg the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/07317115.2022.2102457"},{"key":"e_1_2_9_3_1","volume-title":"A Systems Approach to Treatment: The Borderline Personality Disorder Skill Training Manual","author":"Bartels N.","year":"1998"},{"key":"e_1_2_9_4_1","volume-title":"Brief Symptom Inventory: Handleiding","author":"De Beurs E.","year":"2006"},{"key":"e_1_2_9_5_1","first-page":"120","article-title":"The Brief Symptom Inventory (BSI): Reliability and Validity of a Practical Alternative to SCL\u201090","volume":"61","author":"De Beurs E.","year":"2006","journal-title":"Maandblad Geestelijke Volksgezondheid"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/comp.2002.33497"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2007.07071079"},{"key":"e_1_2_9_8_1","volume-title":"Systems Training for Emotional Predictability and Problem Solving (STEPPS EI): Group Treatment Programme for Managing Emotional Intensity Difficulties \u2013 Early Intervention","author":"Blum N. 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