A multiperspective, multivariable evaluation of reliable change
A multiperspective, multivariable evaluation of reliable change
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DOI：
10.1037/0022-006x.66.2.400
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发表时间：
1998-04-01
影响因子：
5.9
通讯作者：
Ogles, BM
中科院分区：
文献类型：
--
作者：
Lunnen, KM;Ogles, BM
N. S. Jacobson和P. Truax（1991）评估来访者改变的临床意义的方法在心理治疗结果研究中获得了一些突出地位。然而，很少有人调查这种方法的有效性。本研究解决了这一局限性，但比较了(a)从三个不同的角度主观报告的感知变化水平！基于Jacobson和Truax的可靠变化指数（RCI）和(b)跨结果组的治疗联盟和满意度的主观报告。这些比较的结果表明，RCI在识别那些在治疗中取得可靠改善的患者方面是有效的，但在区分无改变者和恶化者方面效果较差。此外，治疗结果与服务满意度之间的关系也受到质疑。
N. S. Jacobson and P. Truax's (1991) method for evaluating the clinical significance of client change has gained some prominence in psychotherapy outcome research. However, little has been done to investigate the validity of this methodology. This study addresses this limitation bu comparing (a) the perceived level of change las subjectively reported from 3 distinct perspectives! across outcome groupings based on Jacobson and Truax's reliable change index (RCI) and (b) subjective reports of therapeutic alliance and satisfaction across outcome groupings. The results of these comparisons indicate that the RCI is effective in identifying those who make reliable improvement in therapy but is less effective in differentiating between no-changers and deteriorators. In addition, the relationship between treatment outcome and satisfaction with service is questioned.