Systems Training for Emotional Predictability and Problem Solving (STEPPS) in the United Kingdom: A Preliminary Report

The authors report the results of a pilot project to introduce the STEPPS (systems training for emotional predictability and problem solving) treatment program for persons with borderline personality disorder (BPD) to the United Kingdom. STEPPS combines cognitive-behavioral principles and skills training with a systems component that includes family members and significant others. STEPPS was developed to supplement the patient’s ongoing treatment program (e.g. medication, individual therapy, case management) and boost its effectiveness, but not replace it. Thirty-eight subjects agreed to participate at six sites in West Sussex, England. A pre- and post-intervention comparison design was used, and over the 20 week program were found to have significant improvement in their mood, BPD-related symptoms (including affective, cognitive, and impulsive domains), and both negative and positive affectivity. Subjects reported high levels of satisfaction with the program. This study provides further evidence that STEPPS, a relatively brief fully manualized group treatment program, may be used in other countries and achieves high levels of acceptance from patients and therapists.     

Perinatally acquired HIV infection: Long-term neuropsychological consequences and challenges ahead

Over the past three decades, perinatal HIV infection in the United States has evolved from a fatal disease to a manageable chronic illness. As the majority of youth with perinatal HIV infection age into adolescence and adulthood, management of this stigmatizing, transmittable disease in the backdrop of a cadre of environmental stressors presents challenges beyond those of other chronic illnesses. The neurologic and neuropsychological consequences of this neurotropic virus have important implications for the successful navigation of responsibilities related to increasingly independent living of this aging population. This article will review the neurologic and neuropsychological consequences of perinatal HIV infection and concomitant factors in the era of highly active antiretroviral therapy and will provide an overview of the neuropathology, pathogenesis, neuroimaging findings, and treatment of perinatal HIV infection, as well as recommendations for service provision and future research.     

Religion and Well-Being: The Mediating Role of Positive Emotions

Research has consistently shown that endorsing a religion or spirituality is to some extent related to one’s well-being. Common studied explanations tap into the social and cognitive aspects of religion and spirituality. The present research aims at understanding how religiosity and spirituality exert their impact on well-being and investigates the role of a surprisingly neglected mechanism: positive emotions. Two cross-sectional studies using a quantitative approach are presented. In two different contexts (churchgoers in a European country and US university employees interested in meditation), results showed that the relation between religion (Study 1), spirituality (Study 2) and well-being is mediated by positive emotions. Distinguishing between more and less relevant positive emotions in a religious/spiritual context, it was found that the effect was mediated by self-transcendent positive emotions (awe, gratitude, love, and peace) but not by other positive emotions (amusement and pride).