Department of Psychology, Brigham Young University, Provo, Utah 84602, USA.
Psychother Res. 2009 Jul;19(4-5):493-501. doi: 10.1080/10503300902849483.
It is recommended that an estimate of clinical significance be included in all psychotherapy outcome studies and that this estimate be based on the work of Jacobson and Truax (1991). The concept of clinical significance is defined and put in the context of broadly accepted statistical methods along with its advantages and a rationale for using the Jacobson methods. One implication of this recommendation is that the use of the term will have a standard meaning. Examples of loss of meaning are provided and suggest that conclusions about best practices will be affected unless such a voluntary step is taken. Some problems with the concept of clinical significance are noted and a call for validity studies is made.
建议在所有心理治疗结果研究中纳入对临床意义的评估，且该评估应基于 Jacobson 和 Truax（1991）的研究。本文定义了临床意义的概念，并结合广泛接受的统计方法，以及使用 Jacobson 方法的优势和原理对其进行了阐述。这一建议的一个含义是，该术语的使用将具有标准含义。本文提供了一些丧失含义的例子，并表明除非采取这一自愿步骤，否则关于最佳实践的结论将会受到影响。本文还注意到临床意义概念存在一些问题，并呼吁开展有效性研究。
