Toward a standard definition of clinically significant change

Jacobson, Neil S.; Follette, William C.; Revenstorf, Dirk

doi:10.1016/s0005-7894(86)80061-2

Cited by 121 publications

(78 citation statements)

References 3 publications

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“…More specifi cally, the scores for CD and PD were signifi cantly different from ND on all the YSQ and TCI scales. In common for both inventories, the adjusted mean scores for PD resembled the scores for ND, hence highlighting the issue of statistical signifi cance versus clinical signifi cance (Jacobson, Follette, & Revenstorf, 1984). However, it would be premature to disregard the importance of this difference because of the fi nding of a large within-group variability in the sample.…”

Section: Discussionmentioning

confidence: 95%

Early maladaptive schemas, temperament and character traits in clinically depressed and previously depressed subjects

Halvorsen¹,

Wang²,

Richter³

et al. 2009

Clin Psychology and Psychoth

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*Early maladaptive schemas, high harm [correction made here after initial online publication] avoidance and low self-directedness may be a part of vulnerability to depression. *The finding of these personality characteristics in subjects recovered from depression indicates malfunctioning to some degree. *Addressing such characteristics in therapy should be considered in order to prevent and treat depression from its relapsing and recurring course.

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Section: Discussionmentioning

confidence: 95%

Early maladaptive schemas, temperament and character traits in clinically depressed and previously depressed subjects

Halvorsen¹,

Wang²,

Richter³

et al. 2009

Clin Psychology and Psychoth

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show abstract

“…Several approaches were discussed in the literature to operationalize the concept (Kordy & Senf, 1985;Jacobson, Follette, & Revensdorf, 1986;Hsu, 1989;Jacobson & Truax, 1991;Martinovich, Saunders, & Howard, 1996). The various approaches all take measurement error (SE) as well as norms into account.…”

Section: Reliable Clinically Significant (Cs) Changementioning

confidence: 99%

Norms, normality, and clinical significant change: Implications for the evaluation of treatment outcomes for eating disorders

Kordy¹,

Percevic²,

Martinovich

2001

Intl J Eating Disorders

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“…Furthermore, although evaluating group-level changes is useful in determining the efficacy of treatment as a whole, evaluating treatment completers as a single cohort may attenuate or mask significant effects among those who do, or do not, receive benefit from treatment. To determine whether treatment is statistically significant for any particular treatment completer, clinicians must adopt an individual-centric methodology such as the reliable change index (RCI) (Barnett, Wakeling, Mandeville-Norden, & Rakestrow, 2013;Christensen & Mendoza, 1986) or measures of Clinically Significant Change (CSC) (Jacobson, Follette, & Revenstorf, 1986). Few violent offender treatment effectiveness studies have investigated this area and as yet (1) there is a lack of reliable and consistent findings linking within-treatment change with decreased recidivism and (2) no methodology has been proposed for integrating the results (as they pertain to clinically significant and reliable change) when multiple psychological tests like the battery used here, which produced divergent results, are used.…”

mentioning

confidence: 99%

The impact of an intensive inpatient violent offender treatment programme on intermediary treatment targets, violence risk and aggressive behaviour in a sample of mentally disordered offenders

Daffern

Simpson

Ainslie

et al. 2017

The Journal of Forensic Psychiatry & Psychology

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This study examined the impact of an intensive inpatient violent offender treatment programme, Life Minus Violence -Enhanced (LMV-E, Ireland, 2008), on intermediary treatment targets, risk for violence, and aggressive behaviour during treatment in a sample of male mentally disordered offenders. Using quasi-experimental design, offenders who completed LMV-E and a comparison group showed reduced problems with impulsivity and anger regulation and improvements in social problem solving.Aggregate risk for future violence lessened in both treatment and comparison groups, although by a significantly greater degree for the comparison group. The aggressive behaviour of both groups reduced. Completion of the LMV-E conferred additional improvements in some facets of social problem solving and anger regulation. Neither group showed improvements in empathic responses, coping skills or problematic interpersonal style. Overall, these results suggest anger regulation, impulsivity and social problem solving are most amenable to change, that reductions in certain facets of these dynamic risk factors transpires with nonspecific psychiatric inpatient treatment, but that the LMV-E, a cognitive behavioural violence specific psychological treatment, confers greater change in some facets of social problem solving and anger regulation.

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Toward a standard definition of clinically significant change

Cited by 121 publications

References 3 publications

Early maladaptive schemas, temperament and character traits in clinically depressed and previously depressed subjects

Early maladaptive schemas, temperament and character traits in clinically depressed and previously depressed subjects

Norms, normality, and clinical significant change: Implications for the evaluation of treatment outcomes for eating disorders

The impact of an intensive inpatient violent offender treatment programme on intermediary treatment targets, violence risk and aggressive behaviour in a sample of mentally disordered offenders

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