Jacobson N S, Truax P
Department of Psychology, University of Washington, Seattle 98195.
J Consult Clin Psychol. 1991 Feb;59(1):12-9. doi: 10.1037//0022-006x.59.1.12.
In 1984, Jacobson, Follette, and Revenstorf defined clinically significant change as the extent to which therapy moves someone outside the range of the dysfunctional population or within the range of the functional population. In the present article, ways of operationalizing this definition are described, and examples are used to show how clients can be categorized on the basis of this definition. A reliable change index (RC) is also proposed to determine whether the magnitude of change for a given client is statistically reliable. The inclusion of the RC leads to a twofold criterion for clinically significant change.
1984年，雅各布森、福利特和雷文斯托夫将具有临床意义的变化定义为治疗使个体超出功能失调人群范围或进入功能正常人群范围内的程度。在本文中，描述了实现这一定义的方法，并通过示例展示了如何根据这一定义对来访者进行分类。还提出了一个可靠变化指数（RC）来确定特定来访者的变化幅度在统计学上是否可靠。纳入可靠变化指数导致了具有临床意义变化的双重标准。
