Child Study Center, Yale University School of Medicine, New Haven, CT 06520, USA.
J Autism Dev Disord. 2011 Feb;41(2):168-74. doi: 10.1007/s10803-010-1035-6.
The objectives of this report are: (a) to trace the theoretical roots of the concept clinical significance that derives from Bayesian thinking, Marginal Utility/Diminishing Returns in Economics, and the "just noticeable difference", in Psychophysics. These concepts then translated into: Effect Size (ES), strength of agreement, clinical significance, and related concepts, and made possible the development of Power Analysis; (b) to differentiate clinical significance from statistical significance; and (c) to demonstrate the utility of measures of ES and related concepts for enhancing the meaning of Autism research findings. These objectives are accomplished by applying criteria for estimating clinical significance, and related concepts, to a number of areas of autism research.
(a)追溯源于贝叶斯思维、经济学中的边际效用/收益递减以及心理物理学中的“可察觉差异”的临床意义这一概念的理论根源。这些概念随后被转化为:效应大小(ES)、一致性强度、临床意义和相关概念,并为功效分析的发展提供了可能;(b)区分临床意义和统计学意义;(c)展示 ES 及相关概念的测量方法在增强自闭症研究结果的意义方面的实用性。通过将临床意义和相关概念的评估标准应用于自闭症研究的多个领域,实现了这些目标。