Evidence map›Paper›PMID 41560681›Full record

ArticlePersonality and mental health2026

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

Kristoffer Gunnarshaug Lien, Audun Havnen, Sara Germans Selvik

Abstract readMulticenter Study
In one paragraph

Article in Personality and mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kristoffer Gunnarshaug LienNidaros DPS Section 3, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.ORCID 0009-0001-4318-4490
Audun HavnenDepartment of Psychology, Faculty of Social and Educational Sciences, NTNU- Norwegian University of Science and Technology, Trondheim, Norway.
Sara Germans SelvikNamsos Hospital, Nord-Trøndelag Hospital Trust, Namsos, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystems 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.

methodsAn 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.

resultsThe 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.

conclusionThe 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.

Indexed as

Borderline Personality DisorderCognitive Behavioral TherapyDepressionEmotionsProblem SolvingAdultFemaleHumansMaleMiddle AgedNorwayQuality of LifeYoung Adultborderline personality disordercomparable resultspsychotherapySTEPPStreatment

Identifiers

PMID41560681
PMCPMC12820748

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.