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 |
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.
Standard deviation was used at baseline, and standard error was used at week 20.
Effect size is estimated as the group difference in week 20 mean improvement divided by the pooled standard deviation at baseline.
From the Zanarini Rating Scale for Borderline Personality Disorder.
From the Borderline Evaluation of Severity Over Time scale.
To facilitate the reporting of significant digits, we scaled this measure by multiplying item means by 10.