Clinical significance: History, application, and current practice

被引:171
作者
Ogles, BM [1 ]
Lunnen, KM [1 ]
Bonesteel, K [1 ]
机构
[1] Ohio Univ, Dept Psychol, Athens, OH 45701 USA
关键词
clinical significance; social validity; outcome assessment;
D O I
10.1016/S0272-7358(99)00058-6
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The meaningfulness of psychotherapy outcome as measured in therapy research is a persistent and important issue. Following a period of emphasis on statistically significant findings for treated versus control groups, many researchers are renewing efforts to investigate the meaningfulness of individual change. Several statistical methods are available to evaluate the meaningfulness of clients' changes occurring as a result of treatment. This article reviews the history of the clinical significance concept; describes the various methods for defining improvement, recovery, and clinically significant change; examines current criticisms of the methods; and describes the current use of the methods in practice. (C) 2001 Elsevier Science Ltd.4.
引用
收藏
页码:421 / 446
页数:26
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