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.

中文翻译：

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在英国初级保健中调查情绪可预测性和解决情绪强度困难 (STEPPS EI) 系统培训的有效性和预测结果和辍学。

针对边缘性人格障碍 (BPD) 的情绪可预测性和问题解决系统培训 (STEPPS) 已适用于初级保健环境，用于情绪强度困难的为期 13 周的团体治疗 (STEPPS EI)。这是第一项研究 STEPPS EI 在初级保健环境中的有效性和潜在结果以及辍学预测因素的研究。在干预前后测量了 148 名参与者的 BPD、抑郁和焦虑症状的严重程度。治疗完成者表现出抑郁、焦虑和 BPD 症状的改善，影响大小为中到大。症状改善的一个预测因素是每种症状测量的基线严重程度更高。在 STEPPS EI 之前参加心理教育小组与较低的辍学几率相关。