{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T18:30:31Z","timestamp":1774722631632,"version":"3.50.1"},"reference-count":51,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Personality &amp;amp; Mental Health"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Background: Systems Training for Emotional Predictability and Problem Solving (STEPPS) is a well\u2010established treatment for borderline personality disorder (BPD) with good empirical and research support, buttressed by studies conducted in several countries. However, its implementation has not yet been evaluated in Norway; for that reason, the aim of this study was to examine the outcomes associated with STEPPS in a Norwegian routine clinical setting. Methods: An uncontrolled naturalistic study was conducted at three local hospitals using a sample of treatment\u2010seeking patients who completed the 20\u2010week STEPPS programme. T\u2010tests were performed and the effect size results for 168 patients who completed treatment were included in our analysis. Results: The results showed reductions in borderline and depressive symptoms and improvements in daily functioning and quality of life following treatment. Pre\u2010post effect sizes ranged from\n                    <jats:italic>d\u2009=<\/jats:italic>\n                    \u20090.6 to 1.1, indicating medium to large effects. Treatment gains were largely maintained over a 6\u2010month follow\u2010up. Conclusion: The results of this study are comparable with those of previous studies on STEPPS, which were conducted in other countries, indicating that STEPPS may be expected to be successfully implemented in a Norwegian setting as well.\n                  <\/jats:p>","DOI":"10.1002\/pmh.70058","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T09:29:06Z","timestamp":1768987746000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Implementing Systems Training for Emotional Predictability and Problem Solving (STEPPS) in Norway: An Open Multicentre Study"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4318-4490","authenticated-orcid":false,"given":"Kristoffer\u00a0Gunnarshaug","family":"Lien","sequence":"first","affiliation":[{"name":"Nidaros DPS Section\u00a03 St. Olavs Hospital, Trondheim University Hospital  Trondheim Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Audun","family":"Havnen","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Social and Educational Sciences NTNU\u2010 Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara\u00a0Germans","family":"Selvik","sequence":"additional","affiliation":[{"name":"Namsos Hospital, Nord\u2010Tr\u00f8ndelag Hospital Trust  Namsos Norway"},{"name":"Department of Mental Health, Faculty of Medicine and Health Sciences NTNU \u2013 Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"Practice Guideline for the Treatment of Patients With Borderline Personality Disorder","author":"American Psychiatric Association","year":"2001"},{"key":"e_1_2_13_3_1","doi-asserted-by":"crossref","unstructured":"Beck A. 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