{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:13:56Z","timestamp":1761808436791},"reference-count":53,"publisher":"Guilford Publications","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Personality Disorders"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p> Systems Training for Emotional Predictability and Problem Solving (STEPPS) for borderline personality disorder (BPD) has been adapted for a primary care setting into a 13-week group treatment for emotional intensity difficulties (STEPPS EI). This is the first study to examine the effectiveness and potential outcome and dropout predictors of STEPPS EI in a primary care setting. Severity of BPD, depression, and anxiety symptoms were measured pre- and postintervention for 148 participants. Treatment completers showed improvements in depression, anxiety, and BPD symptoms with medium to large effect sizes. A predictor of symptom improvement was higher baseline severity for each of the symptom measures. Attending a psychoeducational group prior to STEPPS EI was associated with lower odds of dropout. The findings support the use of STEPPS EI in a primary care setting, with the potential to alleviate the burden from other local services. <\/jats:p>","DOI":"10.1521\/pedi_2021_35_519","type":"journal-article","created":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T18:42:28Z","timestamp":1616697748000},"page":"902-916","source":"Crossref","is-referenced-by-count":2,"title":["Investigating Effectiveness and Predicting Outcome and Dropout From Systems Training for Emotional Predictability and Problem Solving for Emotional Intensity Difficulties (STEPPS EI) in UK Primary Care"],"prefix":"10.1521","volume":"35","author":[{"given":"Ivana","family":"Hezelyova","sequence":"first","affiliation":[{"name":"Kingston Primary Care Mental Health Team, Camden and Islington NHS Foundation Trust, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Cribben","sequence":"additional","affiliation":[{"name":"Kingston Primary Care Mental Health Team, Camden and Islington NHS Foundation Trust, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha","family":"Melunsky","sequence":"additional","affiliation":[{"name":"Kingston Primary Care Mental Health Team, Camden and Islington NHS Foundation Trust, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shumona","family":"Moalypour","sequence":"additional","affiliation":[{"name":"Kingston Primary Care Mental Health Team, Camden and Islington NHS Foundation Trust, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huw","family":"Goodwin","sequence":"additional","affiliation":[{"name":"Cognacity, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Ma\u00f1os Serrat","sequence":"additional","affiliation":[{"name":"Kingston Primary Care Mental Health Team, Camden and Islington NHS Foundation Trust, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamid","family":"Rahmanian","sequence":"additional","affiliation":[{"name":"Kingston Primary Care Mental Health Team, Camden and Islington NHS Foundation Trust, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman","family":"Duncko","sequence":"additional","affiliation":[{"name":"Primary Care Mental Health Network, Camden and Islington NHS Foundation Trust, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2014.01.003"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1348\/147608305X57987"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2010.01652.x"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2014.06.002"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2008.01340.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1093\/med:psych\/9780199384426.001.0001"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1093\/med:psych\/9780199384426.001.0001"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2018.10.005"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1431"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1017\/S1092852900016989"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e31827f6435"},{"key":"ref13","volume-title":"STEPPS: Systems Training for Emotional Predictability and Problem Solving: Group treatment for borderline personality disorder","author":"Blum N.","year":"2002"},{"key":"ref14","volume-title":"STEPPS EI group programme for managing emotional intensity\u2014Early intervention","author":"Blum N. 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