The meanings and measurement of clinical significance.

The meanings and measurement of clinical significance.
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临床意义的含义和测量。

DOI:
10.1037//0022-006x.67.3.332
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发表时间:
1999
影响因子:
5.9
通讯作者:
Kazdin,AE
Kazdin,AE
中科院分区:
心理学1区
文献类型:
--
作者:
Kazdin,AE

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本专题之前的文章(PC Kendall等人,见record 1999-03648-001; NS Jacobson等人,见record 1999-03648-002; SL Foster和EJ Mash,见record 1999-03648-003; MM Gladis等人,见record 1999-03648-004)论证了评估治疗改变的临床意义的重要性,提出了关键措施和创新的应用方法,更普遍地为评估治疗改变提供了重要的指导原则。临床意义的概念和之前文章中讨论的方法所提出的基本问题是本评论的基础。在这些问题中,突出的是目前临床意义测量的含义不明确,临床意义评估与治疗目标相关的重要性,以及评估临床意义所反映的结构。讨论的研究方向包括制定治疗目标的类型,评估临床意义的临界值和阈值,以及关注治疗的社会和临床影响。(PsycINFO数据库记录(c) 2016 APA,版权所有)
The previous articles in this special section (PC Kendall et al, see record 1999-03648-001; NS Jacobson et al, see record 1999-03648-002; SL Foster and EJ Mash, see record 1999-03648-003; and MM Gladis et al, see record 1999-03648-004) make the case for the importance of evaluating the clinical significance of therapeutic change, present key measures and innovative ways in which they are applied, and more generally provide important guidelines for evaluating therapeutic change. Fundamental issues raised by the concept of clinical significance and the methods discussed in the previous articles serve as the basis of the present comments. Salient among these issues are ambiguities regarding the meaning of current measures of clinical significance, the importance of relating assessment of clinical significance to the goals of therapy, and evaluation of the construct (s) that clinical significance reflects. Research directions that are discussed include developing a typology of therapy goals, evaluating cutoff scores and thresholds for clinical significance, and attending to social as well as clinical impact of treatment.(PsycINFO Database Record (c) 2016 APA, all rights reserved)
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