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Cited by 120Personality Disorders and PsychopathologyChild and Adolescent Psychosocial and Emotional DevelopmentBipolar Disorder and Treatment

Effectiveness of an emotion regulation group training for adolescents—a randomized controlled pilot study

Schuppert, H. Marieke, Giesen‐Bloo, Josephine, van Gemert, Tonny G., Wiersema, Herman M., Minderaa, Ruud B., Emmelkamp, Paul M. G., Nauta, Maaike H.·2009·Clinical Psychology & Psychotherapy
DOI 10.1002/cpp.637
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Abstract

Emotion Regulation Training (ERT) was developed for adolescents with symptoms of borderline personality disorder (BPD) and emotion dysregulation. ERT is an adaptation of the Systems Training for Emotional Predictability and Problem Solving (STEPPS) programme. This paper describes the background of the programme, and gives an outline of the treatment programme. The effectiveness of ERT was examined in a randomized controlled pilot study with 43 youth (aged 14–19 years) in five mental health centres in the Netherlands. Subjects were assessed before and after random assignment to ERT plus treatment as usual (TAU) (n = 23) or to TAU alone (n = 20). Outcome measures included assessment of BPD symptoms, locus of control, and internalizing and externalizing behaviour. Both groups showed equal reductions in BPD symptoms over time. The group receiving ERT plus TAU (and not the TAU‐only group) had a significant increase in internal locus of control: ERT participants reported more sense of control over their own mood swings, and attributed changes in mood swings not only to external factors. The study was complicated by a high attrition. The implications of the findings are discussed, including the difficulties inherent in treating and researching an adolescent population, and the need for researchers to develop age‐appropriate assessments. Copyright © 2009 John Wiley & Sons, Ltd. Key Practitioner Message: • There is a clear need for the recognition of BPD symptoms in adolescents. • Early interventions could alleviate the symptoms of BPD, and prevent the development of full‐blown BPD and poor psychosocial outcome. • ERT is a 17‐session adjunctive group programme for adolescents with BPD symptoms that improves internal locus of control. • ERT shows equal results on BPD symptoms as treatment as usual. • The attrition rate in this study was high; this finding is similar to other studies with BPD patients.

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Authors
Schuppert, H. M., Giesen‐Bloo, J., van Gemert, T. G., Wiersema, H. M., Minderaa, R. B., Emmelkamp, P. M. G., & Nauta, M. H.
Affiliations
  • University Medical Center Groningen (NL)
  • University of Amsterdam (NL)
  • University of Groningen (NL)
Corresponding author
Schuppert, H. Marieke
ORCID
Venue
Clinical Psychology & Psychotherapy
Publisher
Wiley
Published
2009-07-23
Volume
16
Issue
6
Pages
467-478
ISSN
  • 1063-3995 (ISSN-L)
  • 1099-0879
DOI
10.1002/cpp.637
OpenAlex
W2129166067
Cited by
120
References
43
Citations by year
2026: 6 · 2025: 2 · 2024: 10 · 2023: 5 · 2022: 2 · 2021: 10 · 2020: 10 · 2019: 9 · 2018: 8 · 2017: 4 · 2016: 5 · 2015: 13 · 2014: 12 · 2013: 8 · 2012: 8
FWCI
5.65
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Clinical Psychology & Psychotherapy (publishedVersion)
  • PubMed (publishedVersion)
  • UvA-DARE (University of Amsterdam) (publishedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Keywords
emotion regulation training, borderline personality disorder, adolescents, emotional dysregulation, STEPPS, locus of control, internalizing behaviour, externalizing problems, group therapy, treatment discontinuation, early intervention
MeSH terms
Adaptation, Psychological, Adolescent, Behavior Therapy, Borderline Personality Disorder, Community Mental Health Centers, Emotions, Female, Humans, Internal-External Control, Male, Netherlands, Patient Dropouts, Personality Assessment, Pilot Projects, Problem Solving, Psychotherapy, Group, Cognitive Behavioral Therapy

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