Background:Borderline personality disorder (BPD) usually begins in adolescence and manifests itself in adult life. Early intervention can improve the prognosis or reduce its severity. Nevertheless, there are currently few studies of adolescent patients with severe emotion instability and borderline personality traits.Aims:To evaluate the effectiveness of the Systems Training for Emotional Predictability and Problem Solving (STEPPS) programme in a sample of 21 adolescents (aged 13–17 years) in the Child and Adolescents Mental Health Center of Tarragona in Spain.Method:We evaluated BPD traits using the Diagnostic Interview for Borderline Disorder-Revised (DIB-R) and the Global Clinical Impression Scale of Illness Severity for TLP (CGI-TLP). We compared pre- and post-treatment scores for the DIB-R, CGI-GI scale, general psychopathology using the Personality Inventory for Adolescents (PAI-A) and impulsivity with the Barratt Impulsivity Scale (BIS-11). The therapeutic objectives were evaluated with the Borderline Estimate Severity over Time (BEST) scale.Results:There was a statistically significant improvement in the scores for the affective area and in the total score of the DIB-R, a decrease in the percentage of patients who failed to meet criteria for BPD, and an improvement (although not statistically significant) in the scores of the BEST scale throughout the treatment. The results of the CGI-GI scale showed global improvement in almost 72% of patients.Conclusion:Our study suggests that STEPPS can be an effective treatment to improve BPD symptoms and is very useful in community settings with limited resources in which efficient treatment alternatives must be sought. However, this conclusion must be interpreted with caution, as there is no comparison control group.

中文翻译：

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青少年的情绪调节：通过 STEPPS 计划进行的基于小组的治疗试点研究

背景：边缘型人格障碍（BPD）通常始于青春期，并在成年生活中表现出来。早期干预可以改善预后或降低其严重程度。然而，目前很少有关于严重情绪不稳定和边缘人格特征的青少年患者的研究。目的：在 21 名青少年（13-17 岁）样本中评估情绪可预测性和解决问题系统训练（STEPPS）计划的有效性年）在西班牙塔拉戈纳的儿童和青少年心理健康中心。方法：我们使用修订版边缘障碍诊断访谈 (DIB-R) 和 TLP 疾病严重程度全球临床印象量表 (CGI-TLP) 评估 BPD 特征）。我们比较了 DIB-R、CGI-GI 量表的治疗前和治疗后评分，使用青少年人格量表 (PAI-A) 和使用 Barratt 冲动量表 (BIS-11) 的冲动进行一般精神病理学。治疗目标采用随时间变化的临界估计严重性 (BEST) 量表进行评估。结果：情感区域的得分和 DIB-R 的总分有统计学意义的改善，患者百分比下降未能达到 BPD 标准的患者，并且在整个治疗过程中 BEST 量表的得分有所改善（尽管没有统计学意义）。CGI-GI 量表的结果显示，近 72% 的患者在整体上有所改善。结论：我们的研究表明 STEPPS 可以成为改善 BPD 症状的有效治疗方法，并且在必须寻求有效治疗替代方案的资源有限的社区环境中非常有用。然而，这个结论必须谨慎解释，因为没有对照组。