Do people with borderline personality disorder complicated by antisocial personality disorder benefit from the STEPPS treatment program?
Do people with borderline personality disorder complicated by antisocial personality disorder benefit from the STEPPS treatment program?
复制标题
患有边缘性人格障碍并发反社会人格障碍的人是否可以从 STEPPS 治疗计划中受益？
DOI：
10.1002/pmh.1326
复制
发表时间：
2016
影响因子：
2.7
通讯作者：
Allen,Jeff
中科院分区：
文献类型：
--
作者：
Black,DonaldW;Simsek-Duran,Fatma;Blum,Nancee;McCormick,Brett;Allen,Jeff
Systems Training for Emotional Predictability and Problem Solving (STEPPS) is a group treatment for persons with borderline personality disorder (BPD). We describe results from two data sets on outcome in persons who participated in STEPPS with BPD alone or BPD plus antisocial personality disorder (ASPD). In Study 1, we examined the effect of comorbid ASPD on outcome in 65 persons with BPD who participated in a randomized controlled trial at an academic medical centre. In Study 2, we examined the effect of comorbid ASPD on outcome in 64 offenders with BPD who participated in STEPPS in correctional settings. All subjects were assessed for the presence of BPD and ASPD. In Study 1, subjects with ASPD experienced greater improvement in BPD symptoms, impulsiveness and global symptoms. In Study 2, offenders with ASPD experienced greater improvement in positive and negative behaviours and positive affectivity. We conclude that persons with BPD plus ASPD benefit from STEPPS in community and correctional settings. The findings suggest that persons with BPD plus ASPD show greater improvement in some domains than persons with BPD only. People with ASPD should not be automatically excluded from participation in the program. Copyright © 2015 John Wiley & Sons, Ltd.
