The meanings and measurement of clinical significance
The meanings and measurement of clinical significance
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DOI：
10.1037/0022-006x.67.3.332
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发表时间：
1999-06-01
影响因子：
5.9
通讯作者：
Kazdin, AE
中科院分区：
文献类型：
--
作者：
Kazdin, AE
在这个特殊的部分前面的文章中，提出了评估治疗变化的临床意义的重要性，提出了关键措施和创新方法。并且更一般地为评估治疗变化提供重要的指导。临床意义的概念和方法在以前的文章中讨论的基本问题作为本评论的基础。在这些问题中，突出的是关于临床意义的当前测量的含义的模糊性，将临床意义的评估与治疗目标相关联的重要性，以及临床意义所反映的结构的评价。讨论的研究方向包括开发一个类型学的治疗目标，评估临界值和阈值的临床意义，并出席社会以及治疗的临床影响。
The previous articles in this special section 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.