Piersma H L, Smith A Y
Pine Rest Christian Hospital, Grand Rapids, MI 49548-6999.
J Clin Psychol. 1991 Mar;47(2):227-32. doi: 10.1002/1097-4679(199103)47:2<227::aid-jclp2270470208>3.0.co;2-f.
This study evaluated self-reported symptom improvement on the MCM-II Dysthymia (D) scale for 109 depressed psychiatric inpatients. Rather than presenting the findings in traditional "group mean" format, data were analyzed to highlight the variability of clinical improvement for individual patients. Two criteria for judging clinically significant improvement (Jacobson, Follette, & Revenstorf, 1984) were employed, namely, that the client move from the dysfunctional to functional range during treatment and that the change between pretest and posttest be statistically reliable. Results indicated that 39 (35.8%) of the 109 patients met these criteria.
本研究评估了109名抑郁的精神科住院患者在MCM-II恶劣心境（D）量表上自我报告的症状改善情况。数据未采用传统的“组均值”形式呈现，而是进行了分析，以突出个体患者临床改善的变异性。采用了两项判断临床显著改善的标准（雅各布森、福利特和雷文斯托夫，1984年），即患者在治疗期间从功能失调范围转变至功能正常范围，且前测与后测之间的变化具有统计学可靠性。结果表明，109名患者中有39名（35.8%）符合这些标准。
