Wise Edward A
Mental Health Resources, Memphis, Tennessee 38119, USA.
J Pers Assess. 2004 Feb;82(1):50-9. doi: 10.1207/s15327752jpa8201_10.
The purpose of this article is to provide a brief review of the history, development, and current status of the concepts of clinical significance (CS) and the reliable change index (RCI). I address issues regarding the development, criticisms, and applications of CS and RCI. I review the use of normative data, cutoff points, formula adjustments, and the comparative validity of various RCI methods. An examination of the convergence of multiple domains and multiple measures demonstrates ways to further develop the concepts of reliable change and CS. Finally, I make some recommendations and implications for future research and the development of assessment tools.
本文旨在简要回顾临床意义（CS）概念和可靠变化指数（RCI）的历史、发展及现状。我探讨了与CS和RCI的发展、批评及应用相关的问题。我回顾了规范数据的使用、临界点、公式调整以及各种RCI方法的比较效度。对多个领域和多种测量方法的趋同性进行考察，展示了进一步发展可靠变化和CS概念的方法。最后，我对未来研究和评估工具的开发提出了一些建议和启示。
