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Original Articles

Clinically Significant Change: Practical Indicators for Evaluating Psychotherapy Outcome

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Pages 144-153 | Published online: 25 Nov 2010

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Eric L. A. Fonseca Wald, Sylvia Klinkenberg, Twan P. C. Voncken, Saskia C. M. Ebus, Albert P. Aldenkamp, Johan S. H. Vles, R. Jeroen Vermeulen, Jos G. M. Hendriksen & Mariette H. J. A. Debeij-Van Hall. (2019) Cognitive development in absence epilepsy during long-term follow-up. Child Neuropsychology 25:8, pages 1003-1021.
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Alice Diedrich, Sandra Schlegl, Martin Greetfeld, Markus Fumi & Ulrich Voderholzer. (2018) Intensive inpatient treatment for bulimia nervosa: Statistical and clinical significance of symptom changes. Psychotherapy Research 28:2, pages 297-312.
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Wolfgang Hiller, AmreiC. Schindler & MichaelJ. Lambert. (2012) Defining response and remission in psychotherapy research: A comparison of the RCI and the method of percent improvement. Psychotherapy Research 22:1, pages 1-11.
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Per Høglend, Paul Johansson, Alice Marble, Kjell-Petter Bøgwald & Svein Amlo. (2007) Moderators of the effects of transference interpretations in brief dynamic psychotherapy. Psychotherapy Research 17:2, pages 160-171.
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MarkJ. Hilsenroth, JaredA. Defife, MargaretM. Blake & ThomasD. Cromer. (2007) The effects of borderline pathology on short-term psychodynamic psychotherapy for depression. Psychotherapy Research 17:2, pages 172-184.
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LucindaE. Woodward, StanleyA. Murrell & RobertF. Bettler$suffix/text()$suffix/text(). (2005) Stability, reliability, and norms for the inventory of interpersonal problems. Psychotherapy Research 15:3, pages 272-286.
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J. Christopher Fowler, Steven J. Ackerman, Stefanie Speanburg, Adrian Bailey, Matthew Blagys & Adam C. Conklin. (2004) Personality and Symptom Change in Treatment-Refractory Inpatients: Evaluation of the Phase Model of Change Using Rorschach, TAT, and DSM-IV Axis V. Journal of Personality Assessment 83:3, pages 306-322.
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Mark J. Hilsenroth & George Stricker. (2004) A Consideration of Challenges to Psychological Assessment Instruments Used in Forensic Settings: Rorschach As Exemplar. Journal of Personality Assessment 83:2, pages 141-152.
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Stephanie Bauer, Michael J. Lambert & Steven Lars Nielsen. (2004) Clinical Significance Methods: A Comparison of Statistical Techniques. Journal of Personality Assessment 82:1, pages 60-70.
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Gary M. Burlingame & Sally H. Barlow. (1996) Outcome and Process Differences Between Professional and Nonprofessional Therapists in Time-Limited Group Psychotherapy. International Journal of Group Psychotherapy 46:4, pages 455-478.
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Chris Evans, Jo-anne Carlyle & Clara Paz. (2023) Rigorous idiography: Exploring subjective and idiographic data with rigorous methods—The method of derangements. Frontiers in Psychology 13.
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Sarah Mather, Peter Fisher, Sarah Nevitt, Mary Gemma Cherry, Camila Maturana, Jasmine G. Warren & Adam Noble. (2022) The limited efficacy of psychological interventions for depression in people with Type 1 or Type 2 diabetes: An Individual Participant Data Meta-Analysis (IPD-MA). Journal of Affective Disorders 310, pages 25-31.
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J. Klein Breteler, N. Ikani, E.S. Becker, J. Spijker & G. Hendriks. (2021) Comorbid depression and treatment of anxiety disorders, OCD, and PTSD: Diagnosis versus severity. Journal of Affective Disorders 295, pages 1005-1011.
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Laura Muzi, Laura Tieghi, Michele A. Rugo & Vittorio Lingiardi. (2019) Evaluating empirically valid and clinically meaningful change in intensive residential treatment for severe eating disorders at discharge and at a 6-month follow-up. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity 25:6, pages 1609-1620.
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Paulo P. P. Machado, Carlos M. Grilo, Tânia F. Rodrigues, Ana R. Vaz & Ross D. Crosby. (2020) Eating Disorder Examination – Questionnaire short forms: A comparison. International Journal of Eating Disorders 53:6, pages 937-944.
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Tânia Rodrigues, Ana R. Vaz, Cátia Silva, Eva Conceição & Paulo P.P. Machado. (2019) Eating Disorder‐15 (ED‐15): Factor structure, psychometric properties, and clinical validation. European Eating Disorders Review 27:6, pages 682-691.
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Gregory Mantzouranis, Vanessa Baier, Laurent Holzer, Sébastien Urben & Eva Villard. (2018) Clinical significance of assertive community treatment among adolescents. Social Psychiatry and Psychiatric Epidemiology 54:4, pages 445-453.
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Deanna Swain, Haley G. Murphy, Tyler A. Hassenfeldt, Jill Lorenzi & Angela Scarpa. (2019) Evaluating response to group CBT in young children with autism spectrum disorder. The Cognitive Behaviour Therapist 12.
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Andrés Roussos, Malena Braun, Saskia Aufenacker & Julieta Olivera. 2017. Neuroscience and Social Science. Neuroscience and Social Science 297 327 .
Anthony D. Hwang & Diane L. Spangler. (2016) Classifying symptom change in eating disorders: clinical significance metrics for the Change in Eating Disorder Symptoms Scale. Eating Behaviors 21, pages 33-40.
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Paulo P. P. Machado, Carla Martins, Ana R. Vaz, Eva Concei??o, Ana Pinto Bastos & S?nia Gon?alves. (2014) Eating Disorder Examination Questionnaire: Psychometric Properties and Norms for the Portuguese Population. European Eating Disorders Review 22:6, pages 448-453.
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Jack A. Naglieri & Sam Goldstein. 2013. Interventions for Autism Spectrum Disorders. Interventions for Autism Spectrum Disorders 39 55 .
Anne K. Bothe & Jessica D. Richardson. (2011) Statistical, Practical, Clinical, and Personal Significance: Definitions and Applications in Speech-Language Pathology. American Journal of Speech-Language Pathology 20:3, pages 233-242.
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A. Hafkenscheid. (2010) Rammelende ROM in de ggz: geen ROM zonder Routine Process Monitoring. GZ - Psychologie 2:8, pages 12-17.
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Julie Sarno Owens, Lindsay M. Johannes & Veronika Karpenko. (2009) The Relation Between Change in Symptoms and Functioning in Children with ADHD Receiving School-Based Mental Health Services. School Mental Health 1:4, pages 183-195.
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Randi Ulberg, Paul Johansson, Alice Marble & Per Høglend. (2009) Patient Sex as Moderator of Effects of Transference Interpretation in a Randomized Controlled Study of Dynamic Psychotherapy. The Canadian Journal of Psychiatry 54:2, pages 78-86.
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Veronika Karpenko, Julie Sarno Owens, Nicole M. Evangelista & Cassandra Dodds. (2008) Clinically significant symptom change in children with attention‐deficit/hyperactivity disorder: does it correspond with reliable improvement in functioning?. Journal of Clinical Psychology 65:1, pages 76-93.
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Michael Barkham, Janice Connell, William B. Stiles, Jeremy N. V. Miles, Frank Margison, Chris Evans & John Mellor-Clark. (2006) Dose-effect relations and responsive regulation of treatment duration: The good enough level.. Journal of Consulting and Clinical Psychology 74:1, pages 160-167.
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Todd C. Campbell. (2016) An Introduction to Clinical Significance: An Alternative Index of Intervention Effect for Group Experimental Designs. Journal of Early Intervention 27:3, pages 210-227.
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Jeremy D. Safran, J. Christopher Muran, Lisa Wallner Samstag & Arnold Winston. (2005) Evaluating alliance-focused intervention for potential treatment failures: A feasibility study and descriptive analysis.. Psychotherapy: Theory, Research, Practice, Training 42:4, pages 512-531.
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William B. Stiles, Chris Leach, Michael Barkham, Mike Lucock, Steve Iveson, David A. Shapiro, Michaela Iveson & Gillian E. Hardy. (2003) Early sudden gains in psychotherapy under routine clinic conditions: Practice-based evidence.. Journal of Consulting and Clinical Psychology 71:1, pages 14-21.
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Christian Wein, Karl-Heinz Schulz & Stefanie Kraft. (2002) Einzelfalldiagnostische Berechnungen in der Klinischen Neuropsychologie: eine praktische Einführung mit Beispielen. Zeitschrift für Neuropsychologie 13:4, pages 291-300.
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Leslie B. Seggar, Michael J. Lambert & Nathan B. Hansen. (2002) Assessing clinical significance: Application to the beck depression inventory. Behavior Therapy 33:2, pages 253-269.
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F. Mattejat & H. Remschmidt. (2001) The List of Individual Symptoms for Therapy Evaluation (LISTE) ? An efficient method for individualized outcome assessment. European Child & Adolescent Psychiatry 10:S1, pages S46-S58.
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Marilyn N. Snell, Brent Mallinckrodt, Robert D. Hill & Michael J. Lambert. (2001) Predicting counseling center clients' response to counseling: A 1-year follow-up.. Journal of Counseling Psychology 48:4, pages 463-473.
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