• Implementing Systems Training...

*Result*: Implementing Systems Training for Emotional Predictability and Problem Solving (STEPPS) in Norway: An Open Multicentre Study.

Title:
Implementing Systems Training for Emotional Predictability and Problem Solving (STEPPS) in Norway: An Open Multicentre Study.
Authors:
Lien KG; Nidaros DPS Section 3, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway., Havnen A; Department of Psychology, Faculty of Social and Educational Sciences, NTNU- Norwegian University of Science and Technology, Trondheim, Norway., Selvik SG; Namsos Hospital, Nord-Trøndelag Hospital Trust, Namsos, Norway.; Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, Trondheim, Norway.
Source:
Personality and mental health [Personal Ment Health] 2026 Feb; Vol. 20 (1), pp. e70058.
Publication Type:
Journal Article; Multicenter Study
Language:
English
Journal Info:
Publisher: John Wiley & Sons Country of Publication: England NLM ID: 101473502 Publication Model: Print Cited Medium: Internet ISSN: 1932-863X (Electronic) Linking ISSN: 19328621 NLM ISO Abbreviation: Personal Ment Health Subsets: MEDLINE
Imprint Name(s):
Original Publication: West Sussex, UK : John Wiley & Sons, 2007-
MeSH Terms:
Problem Solving* , Borderline Personality Disorder*/therapy , Emotions* , Depression*/therapy , Cognitive Behavioral Therapy*/methods, Humans ; Norway ; Female ; Male ; Adult ; Middle Aged ; Young Adult ; Quality of Life
References:
Br J Psychiatry. 2002 May;180:461-4. (PMID: 11983645)
J Consult Clin Psychol. 2024 May;92(5):275-295. (PMID: 37902689)
Personal Ment Health. 2023 Feb;17(1):20-39. (PMID: 35729869)
Qual Life Res. 2004 Mar;13(2):299-310. (PMID: 15085902)
J Pers Disord. 2009 Jun;23(3):281-93. (PMID: 19538082)
Compr Psychiatry. 2002 Jul-Aug;43(4):301-10. (PMID: 12107867)
J Nerv Ment Dis. 2013 Feb;201(2):124-9. (PMID: 23364121)
J Pers Disord. 2021 Mar;35(Suppl A):21-38. (PMID: 32250206)
Compr Psychiatry. 2001 Nov-Dec;42(6):482-7. (PMID: 11704940)
Am J Psychiatry. 2001 Oct;158(10 Suppl):1-52. (PMID: 11665545)
Eur Psychiatry. 2007 Sep;22(6):354-61. (PMID: 17544636)
Arch Gen Psychiatry. 2006 Jun;63(6):649-58. (PMID: 16754838)
Qual Life Res. 2005 Feb;14(1):151-60. (PMID: 15789949)
Drug Alcohol Rev. 2018 Jan;37(1):79-86. (PMID: 28480521)
J Clin Psychol. 2023 Aug;79(8):1752-1769. (PMID: 36916214)
J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57. (PMID: 9881538)
Braz J Psychiatry. 2013 Oct-Dec;35(4):416-31. (PMID: 24402217)
CNS Spectr. 2008 Oct;13(10):881-6. (PMID: 18955943)
Front Psychiatry. 2023 May 09;14:1163347. (PMID: 37229394)
J Med Internet Res. 2016 Aug 31;18(8):e234. (PMID: 27582341)
Tidsskr Nor Laegeforen. 2018 Mar 05;138(5):. (PMID: 29513447)
Am J Psychiatry. 2008 Apr;165(4):468-78. (PMID: 18281407)
Personal Ment Health. 2017 Nov;11(4):215-228. (PMID: 28681505)
Am J Psychiatry. 2024 Nov 1;181(11):1024-1028. (PMID: 39482953)
J Nerv Ment Dis. 2010 Apr;198(4):299-304. (PMID: 20386260)
Psychiatr Clin North Am. 2018 Dec;41(4):583-593. (PMID: 30447726)
Compr Psychiatry. 2018 Nov;87:134-137. (PMID: 30393119)
Harv Rev Psychiatry. 2016 Sep-Oct;24(5):342-56. (PMID: 27603742)
Aust N Z J Psychiatry. 2010 Feb;44(2):162-73. (PMID: 20113305)
Psychother Psychosom. 2011;80(3):173-81. (PMID: 21389754)
Am J Psychiatry. 2002 Feb;159(2):276-83. (PMID: 11823271)
Psychiatr Serv. 2019 Sep 1;70(9):772-781. (PMID: 31138059)
Aust J Rural Health. 2025 Apr;33(2):e70036. (PMID: 40178168)
Eval Program Plann. 1979;2(3):197-207. (PMID: 10245370)
BMC Psychol. 2025 Jan 16;13(1):43. (PMID: 39819704)
Personal Ment Health. 2026 Feb;20(1):e70058. (PMID: 41560681)
Eval Program Plann. 1983;6(3-4):299-313. (PMID: 10267258)
Contributed Indexing:
Keywords: STEPPS; borderline personality disorder; comparable results; psychotherapy; treatment
Entry Date(s):
Date Created: 20260121 Date Completed: 20260121 Latest Revision: 20260123
Update Code:
20260130
PubMed Central ID:
PMC12820748
DOI:
10.1002/pmh.70058
PMID:
41560681
Database:
MEDLINE

*Further Information*

*Background: Systems Training for Emotional Predictability and Problem Solving (STEPPS) is a well-established treatment for borderline personality disorder (BPD) with good empirical and research support, buttressed by studies conducted in several countries. However, its implementation has not yet been evaluated in Norway; for that reason, the aim of this study was to examine the outcomes associated with STEPPS in a Norwegian routine clinical setting.
Methods: An uncontrolled naturalistic study was conducted at three local hospitals using a sample of treatment-seeking patients who completed the 20-week STEPPS programme. T-tests were performed and the effect size results for 168 patients who completed treatment were included in our analysis.
Results: The results showed reductions in borderline and depressive symptoms and improvements in daily functioning and quality of life following treatment. Pre-post effect sizes ranged from d = 0.6 to 1.1, indicating medium to large effects. Treatment gains were largely maintained over a 6-month follow-up.
Conclusion: The results of this study are comparable with those of previous studies on STEPPS, which were conducted in other countries, indicating that STEPPS may be expected to be successfully implemented in a Norwegian setting as well.
(© 2026 The Author(s). Personality and Mental Health Published by John Wiley & Sons Ltd.)*