{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T00:04:16Z","timestamp":1781309056930,"version":"3.54.1"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T00:00:00Z","timestamp":1643155200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["RO1MH63746"],"award-info":[{"award-number":["RO1MH63746"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Personality &amp; Mental Health"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Differential response to the Systems Training for Emotional Predictability and Problem Solving (STEPPS) program was compared in subgroups identified through latent class analysis (LCA). STEPPS is an evidence\u2010based group treatment program for patients with borderline personality disorder (BPD). A reanalysis of data was conducted using data from a 20\u2010week randomized controlled trial and 1\u2010year follow\u2010up. Subjects (<jats:italic>n<\/jats:italic>\u2009=\u2009164) with DSM\u2010IV BPD were assessed for comorbid Axis I and II disorders and selected clinical variables. Severity was assessed using the Zanarini Rating Scale for BPD (ZAN\u2010BPD) and the Borderline Evaluation of Severity Over Time (BEST). Three\u2010 and four\u2010class models were identified with the four\u2010class model having the better fit. The latter included a high severity (HS) class (26%), an affective instability\/substance abuse (AISA) class (16%), an empty\/dissociation\/identity disturbance (EDID) class (27%), and a low severity (LS) class (30%). High impulsiveness predicted membership in the HS class. Improvement was determined using a linear mixed\u2010effects model. Those most likely to benefit were those in the HS group characterized by high symptom severity, Axis I and II comorbidity, problem relationships, abandonment fears, and intense anger. This work should help further efforts to match patients with treatments based on sociodemographic, diagnostic, and other illness characteristics.<\/jats:p>","DOI":"10.1002\/pmh.1538","type":"journal-article","created":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T23:33:40Z","timestamp":1643240020000},"page":"263-275","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Factor structure of borderline personality disorder and response to Systems Training for Emotional Predictability and Problem Solving"],"prefix":"10.1002","volume":"16","author":[{"given":"Donald W.","family":"Black","sequence":"first","affiliation":[{"name":"Department of Psychiatry The University of Iowa Roy J. and Lucille A. 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