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. Author manuscript; available in PMC: 2013 Mar 26.
Published in final edited form as: Am J Psychiatry. 2008 Feb 15;165(4):468–478. doi: 10.1176/appi.ajp.2007.07071079

TABLE 3.

Primary and Secondary Outcome Measures in Outpatients With Borderline Personality Disorder Randomly Assigned to STEPPS Plus Treatment as Usual or Treatment as Usual Alone

Outcome Measure Treatment Assignment
Analysis of Difference in Rate of Change
STEPPS Plus Treatment as Usual (N=65)
Treatment as Usual Alone (N=59)a
Mean SD/SEb Mean SD/SEb F df p Effect Sizec SE
Primary measure
Zanarini Rating Scale for Borderline
 Personality Disorder (total score) 11.0 1, 89 0.001 0.84 0.25
 Baseline 18.9 6.8 17.3 7.0
 Week 20 9.8 1.0 13.4 1.0

Secondary measures
Affective subscaled 7.6 1, 89 0.007 0.70 0.25
 Baseline 10.8 2.7 10.1 2.8
 Week 20 3.9 0.4 4.9 0.4
Cognitive subscaled 5.1 1, 89 0.027 0.51 0.23
 Baseline 6.1 2.3 6.2 2.2
 Week 20 2.0 0.3 3.0 0.3
Impulsivity subscaled 6.9 1, 89 0.010 0.65 0.25
 Baseline 5.0 2.1 4.3 2.0
 Week 20 1.9 0.3 2.3 0.3
Disturbed relationships subscaled 5.1 1, 88 0.026 0.61 0.27
 Baseline 6.0 2.0 5.8 2.0
 Week 20 2.2 0.3 3.2 0.3
CGI severity rating 14.1 1, 398 <0.001 0.75 0.20
 Baseline 5.1 0.8 4.9 0.9
 Week 20 4.4 0.1 4.7 0.1
CGI improvement rating 11.6 1, 277 <0.001 1.09 0.32
 Baseline 3.8 1.0 4.0 1.1
 Week 20 2.7 0.2 3.8 0.2
CGI patient self-rating 9.0 1, 254 0.003 0.90 0.30
 Baseline 3.6 1.3 3.7 1.4
 Week 20 2.4 0.2 3.3 0.2
Global Assessment Scale 12.1 1, 84 <0.001 0.65 0.19
 Baseline 39.7 11.2 39.6 11.4
 Week 20 50.5 1.6 43.5 1.6
Thoughts/feelingse 4.9 1, 379 0.027 0.51 0.23
 Baseline 23.1 6.6 23.6 7.7
 Week 20 18.7 1.0 20.6 1.1
Negative behaviorse 0.3 1, 375 0.578 0.12 0.22
 Baseline 9.3 3.3 9.6 4.3
 Week 20 8.2 0.5 7.9 0.5
Positive behaviorse 2.6 1, 368 0.110 0.41 0.26
 Baseline 8.5 2.7 8.6 2.8
 Week 20 10.1 0.4 9.3 0.4
Total scoree 3.5 1, 364 0.063 0.47 0.25
 Baseline 39.0 9.7 39.8 12.6
 Week 20 31.8 1.7 34.1 1.8
Positive affectivity (PANAS) 0.6 1, 374 0.440 0.15 0.19
 Baseline 21.6 9.3 22.3 7.9
 Week 20 23.4 1.1 22.4 1.1
Negative affectivity (PANAS) 4.3 1, 376 0.038 0.43 0.21
 Baseline 28.9 9.4 29.9 9.0
 Week 20 23.6 1.2 26.1 1.2
Beck Depression Inventory 4.6 1, 377 0.033 0.50 0.23
 Baseline 29.0 11.6 29.7 15.0
 Week 20 22.0 2.0 25.8 2.0
Barratt Impulsiveness Scale 9.0 1, 80 0.004 0.54 0.18
 Baseline 80.6 12.6 77.4 12.8
 Week 20 72.7 1.8 76.8 1.8
Sympton Checklist-90-Revised Global
 Severity Indexf 4.8 1, 78 0.031 0.44 0.20
 Baseline 16.0 7.2 16.8 6.0
 Week 20 12.5 1.0 14.9 1.1
Social Adjustment Scale total scoref 3.5 1, 80 0.065 0.43 0.23
 Baseline 27.8 5.0 28.2 5.0
 Week 20 24.6 0.8 26.3 0.8
a

Estimated mean and standard error from linear mixed-effects model adjusted for last assessment time and avoidant personality disorder. All subjects with postbaseline assessment contributed to the estimation of baseline and week 20 means.

b

Standard deviation was used at baseline, and standard error was used at week 20.

c

Effect size is estimated as the group difference in week 20 mean improvement divided by the pooled standard deviation at baseline.

d

From the Zanarini Rating Scale for Borderline Personality Disorder.

e

From the Borderline Evaluation of Severity Over Time scale.

f

To facilitate the reporting of significant digits, we scaled this measure by multiplying item means by 10.

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