Systems Training for Emotional Predictability and Problem Solving (STEPPS) is a group psychotherapy approach that is effective for patients with borderline personality disorder (BPD) in a public health care setting. The sample in this study comprised 118 outpatients with BPD who were asked to participate in a Spanish-adapted version of STEPPS for 18 months, a psychotherapy program that could be added to their usual psychiatric intervention. They were divided into an experimental group who participated in STEPPS, and a control group, who received treatment as usual. Several variables were collected and the Borderline Evaluation of Severity Over Time (BEST) scale was administered at pretest, Months 3 and 6, posttest (Month 18), and 2-year follow-up (Month 42), after which a post hoc data analysis was carried out. The STEPPS program improved the as-usual treatment provided previously, and the results were cost-effective. A higher educational level and good patient collaboration predicted better outcome.

中文翻译：

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边缘型人格障碍的STEPPS：与未完成者的务实试验和自然主义比较。

情绪可预测性和解决问题的系统培训（STEPPS）是一种团体心理治疗方法，在公共卫生保健机构中对边缘性人格障碍（BPD）的患者有效。这项研究的样本包括118名BPD门诊患者，他们被要求参加西班牙语版本的STEPPS，为期18个月，这是一项心理治疗计划，可以添加到他们通常的精神病学干预措施中。他们分为参加STEPPS的实验组和照常接受治疗的对照组。收集了几个变量，并在测试前，测试第3个月和第6个月，测试后（第18个月）和2年随访（第42个月）中进行了随时间推移严重程度的边界评估（BEST）量表，之后是事后数据进行了分析。STEPPS程序改进了以前提供的常规处理方式，并且结果具有成本效益。较高的教育水平和良好的患者协作预示了更好的结果。