Caveats Concerning Comparisons of Change Rates Obtained With Five Methods of Identifying Significant Client Changes: Comment on Speer and Greenbaum (1995)

Various methods have been proposed to identify clients who have improved, have not changed, or have deteriorated in psychotherapy. D. D. Speer and P. E. Greenbaum (1995) compared empirically determined change rates (proportions of clients identified as improved, unchanged, or deteriorated) obtained...

Full description

Saved in:
Bibliographic Details
Published in:Journal of consulting and clinical psychology 1999-08, Vol.67 (4), p.594-598
Main Author: Hsu, Louis M
Format: Article
Language:English
Subjects:
Biological and medical sciences
Clinical outcomes
Female
Human
Humans
Individual differences
Individuality
Male
Medical sciences
Miscellaneous
Outcome and Process Assessment (Health Care)
Outpatient
Personality Development
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapeutic Processes
Psychotherapies. Psychological and clinical counseling
Psychotherapy
Statistical Analysis
Therapy
Treatments
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-a470t-d54d8b7991662b0ec65474ea15e06c6147afea78480d9d0f75ceb11d3c0eb18d3
cites
container_end_page 598
container_issue 4
container_start_page 594
container_title Journal of consulting and clinical psychology
container_volume 67
creator Hsu, Louis M
description Various methods have been proposed to identify clients who have improved, have not changed, or have deteriorated in psychotherapy. D. D. Speer and P. E. Greenbaum (1995) compared empirically determined change rates (proportions of clients identified as improved, unchanged, or deteriorated) obtained with 5 of these methods, tested the hypothesis that 1 method would be more sensitive than the other 4 in detecting significant changes, and recommended 2 of the 5 methods. This comment draws attention to problems related to the meaning of their comparisons of change rates and to some implications of their recommendations. These problems include misinterpretation of formulas; use of methods with questionable standard errors; confounding of effects of methods with effects of norms, data sets, and risks of misclassifying patients who do not change; absence of valid external criteria of client changes; and excessive reliance on the Jacobson-Truax method for evaluation of 2-wave data.
doi_str_mv 10.1037/0022-006X.67.4.594
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69968881</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>57578886</sourcerecordid><originalsourceid>FETCH-LOGICAL-a470t-d54d8b7991662b0ec65474ea15e06c6147afea78480d9d0f75ceb11d3c0eb18d3</originalsourceid><addsrcrecordid>eNqF0kuP0zAQB_AIgdiy8AU4oAgQt5Rx4ucRRSystGglHoKb5dqT1qvUydrpSv32ONuKIiTgND785u_HuCieE1gSaMRbgLquAPiPJRdLumSKPigWRDWqqgkRD4vFL3BWPEnpBgAIB_a4OCNAGfCmXhSpNXdoplS2Q7AYgw_rvNyOJvo0hFQOXdluTFhj-dlMmMrr1WR8QFd-99OmvPB3WH7CaTO4e3rpMEy-288pX_w6-M5bE6ay7T3O5T4pPS0edaZP-OxYz4tvF--_th-rq-sPl-27q8pQAVPlGHVyJZQinNcrQMsZFRQNYQjcckKF6dAISSU45aATzOKKENdYyFW65rx4c8gd43C7wzTprU8W-94EHHZJc6W4lJL8FzLBRIY8w5d_wJthF0O-hM7naRoqpPoXqkl-dcpFk9GrvyHCiKQADWVZ1Qdl45BSxE6P0W9N3GsCev4Deh6xnkesudBU5z-Qm14co3erLbrfWg5Dz-D1EZhkTd9FE6xPJyeVAlAnZkajx7S3Jk7e9pi0teNpu5_LP8Pa</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>614334789</pqid></control><display><type>article</type><title>Caveats Concerning Comparisons of Change Rates Obtained With Five Methods of Identifying Significant Client Changes: Comment on Speer and Greenbaum (1995)</title><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>International Bibliography of the Social Sciences (IBSS)</source><source>EBSCOhost APA PsycARTICLES</source><creator>Hsu, Louis M</creator><creatorcontrib>Hsu, Louis M</creatorcontrib><description>Various methods have been proposed to identify clients who have improved, have not changed, or have deteriorated in psychotherapy. D. D. Speer and P. E. Greenbaum (1995) compared empirically determined change rates (proportions of clients identified as improved, unchanged, or deteriorated) obtained with 5 of these methods, tested the hypothesis that 1 method would be more sensitive than the other 4 in detecting significant changes, and recommended 2 of the 5 methods. This comment draws attention to problems related to the meaning of their comparisons of change rates and to some implications of their recommendations. These problems include misinterpretation of formulas; use of methods with questionable standard errors; confounding of effects of methods with effects of norms, data sets, and risks of misclassifying patients who do not change; absence of valid external criteria of client changes; and excessive reliance on the Jacobson-Truax method for evaluation of 2-wave data.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/0022-006X.67.4.594</identifier><identifier>PMID: 10450632</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Biological and medical sciences ; Clinical outcomes ; Female ; Human ; Humans ; Individual differences ; Individuality ; Male ; Medical sciences ; Miscellaneous ; Outcome and Process Assessment (Health Care) ; Outpatient ; Personality Development ; Psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapeutic Processes ; Psychotherapies. Psychological and clinical counseling ; Psychotherapy ; Statistical Analysis ; Therapy ; Treatments</subject><ispartof>Journal of consulting and clinical psychology, 1999-08, Vol.67 (4), p.594-598</ispartof><rights>1999 American Psychological Association</rights><rights>1999 INIST-CNRS</rights><rights>Copyright American Psychological Association Aug 1999</rights><rights>1999, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a470t-d54d8b7991662b0ec65474ea15e06c6147afea78480d9d0f75ceb11d3c0eb18d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904,30978,30979,33202</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=1899009$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10450632$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hsu, Louis M</creatorcontrib><title>Caveats Concerning Comparisons of Change Rates Obtained With Five Methods of Identifying Significant Client Changes: Comment on Speer and Greenbaum (1995)</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>Various methods have been proposed to identify clients who have improved, have not changed, or have deteriorated in psychotherapy. D. D. Speer and P. E. Greenbaum (1995) compared empirically determined change rates (proportions of clients identified as improved, unchanged, or deteriorated) obtained with 5 of these methods, tested the hypothesis that 1 method would be more sensitive than the other 4 in detecting significant changes, and recommended 2 of the 5 methods. This comment draws attention to problems related to the meaning of their comparisons of change rates and to some implications of their recommendations. These problems include misinterpretation of formulas; use of methods with questionable standard errors; confounding of effects of methods with effects of norms, data sets, and risks of misclassifying patients who do not change; absence of valid external criteria of client changes; and excessive reliance on the Jacobson-Truax method for evaluation of 2-wave data.</description><subject>Biological and medical sciences</subject><subject>Clinical outcomes</subject><subject>Female</subject><subject>Human</subject><subject>Humans</subject><subject>Individual differences</subject><subject>Individuality</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Outpatient</subject><subject>Personality Development</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapeutic Processes</subject><subject>Psychotherapies. Psychological and clinical counseling</subject><subject>Psychotherapy</subject><subject>Statistical Analysis</subject><subject>Therapy</subject><subject>Treatments</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8BJ</sourceid><recordid>eNqF0kuP0zAQB_AIgdiy8AU4oAgQt5Rx4ucRRSystGglHoKb5dqT1qvUydrpSv32ONuKIiTgND785u_HuCieE1gSaMRbgLquAPiPJRdLumSKPigWRDWqqgkRD4vFL3BWPEnpBgAIB_a4OCNAGfCmXhSpNXdoplS2Q7AYgw_rvNyOJvo0hFQOXdluTFhj-dlMmMrr1WR8QFd-99OmvPB3WH7CaTO4e3rpMEy-288pX_w6-M5bE6ay7T3O5T4pPS0edaZP-OxYz4tvF--_th-rq-sPl-27q8pQAVPlGHVyJZQinNcrQMsZFRQNYQjcckKF6dAISSU45aATzOKKENdYyFW65rx4c8gd43C7wzTprU8W-94EHHZJc6W4lJL8FzLBRIY8w5d_wJthF0O-hM7naRoqpPoXqkl-dcpFk9GrvyHCiKQADWVZ1Qdl45BSxE6P0W9N3GsCev4Deh6xnkesudBU5z-Qm14co3erLbrfWg5Dz-D1EZhkTd9FE6xPJyeVAlAnZkajx7S3Jk7e9pi0teNpu5_LP8Pa</recordid><startdate>19990801</startdate><enddate>19990801</enddate><creator>Hsu, Louis M</creator><general>American Psychological Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>EOLOZ</scope><scope>FKUCP</scope><scope>IOIBA</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope></search><sort><creationdate>19990801</creationdate><title>Caveats Concerning Comparisons of Change Rates Obtained With Five Methods of Identifying Significant Client Changes</title><author>Hsu, Louis M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a470t-d54d8b7991662b0ec65474ea15e06c6147afea78480d9d0f75ceb11d3c0eb18d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Biological and medical sciences</topic><topic>Clinical outcomes</topic><topic>Female</topic><topic>Human</topic><topic>Humans</topic><topic>Individual differences</topic><topic>Individuality</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>Outpatient</topic><topic>Personality Development</topic><topic>Psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapeutic Processes</topic><topic>Psychotherapies. Psychological and clinical counseling</topic><topic>Psychotherapy</topic><topic>Statistical Analysis</topic><topic>Therapy</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hsu, Louis M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 01</collection><collection>Periodicals Index Online Segment 04</collection><collection>Periodicals Index Online Segment 29</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - West</collection><collection>Primary Sources Access (Plan D) - International</collection><collection>Primary Sources Access &amp; Build (Plan A) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Midwest</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Northeast</collection><collection>Primary Sources Access (Plan D) - Southeast</collection><collection>Primary Sources Access (Plan D) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Southeast</collection><collection>Primary Sources Access (Plan D) - South Central</collection><collection>Primary Sources Access &amp; Build (Plan A) - UK / I</collection><collection>Primary Sources Access (Plan D) - Canada</collection><collection>Primary Sources Access (Plan D) - EMEALA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - South Central</collection><collection>Primary Sources Access &amp; Build (Plan A) - International</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - International</collection><collection>Primary Sources Access (Plan D) - West</collection><collection>Periodicals Index Online Segments 1-50</collection><collection>Primary Sources Access (Plan D) - APAC</collection><collection>Primary Sources Access (Plan D) - Midwest</collection><collection>Primary Sources Access (Plan D) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Canada</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - EMEALA</collection><collection>Primary Sources Access &amp; Build (Plan A) - APAC</collection><collection>Primary Sources Access &amp; Build (Plan A) - Canada</collection><collection>Primary Sources Access &amp; Build (Plan A) - West</collection><collection>Primary Sources Access &amp; Build (Plan A) - EMEALA</collection><collection>Primary Sources Access (Plan D) - Northeast</collection><collection>Primary Sources Access &amp; Build (Plan A) - Midwest</collection><collection>Primary Sources Access &amp; Build (Plan A) - North Central</collection><collection>Primary Sources Access &amp; Build (Plan A) - Northeast</collection><collection>Primary Sources Access &amp; Build (Plan A) - South Central</collection><collection>Primary Sources Access &amp; Build (Plan A) - Southeast</collection><collection>Primary Sources Access (Plan D) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - APAC</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - MEA</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>PsycARTICLES (ProQuest)</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of consulting and clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hsu, Louis M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Caveats Concerning Comparisons of Change Rates Obtained With Five Methods of Identifying Significant Client Changes: Comment on Speer and Greenbaum (1995)</atitle><jtitle>Journal of consulting and clinical psychology</jtitle><addtitle>J Consult Clin Psychol</addtitle><date>1999-08-01</date><risdate>1999</risdate><volume>67</volume><issue>4</issue><spage>594</spage><epage>598</epage><pages>594-598</pages><issn>0022-006X</issn><eissn>1939-2117</eissn><coden>JCLPBC</coden><abstract>Various methods have been proposed to identify clients who have improved, have not changed, or have deteriorated in psychotherapy. D. D. Speer and P. E. Greenbaum (1995) compared empirically determined change rates (proportions of clients identified as improved, unchanged, or deteriorated) obtained with 5 of these methods, tested the hypothesis that 1 method would be more sensitive than the other 4 in detecting significant changes, and recommended 2 of the 5 methods. This comment draws attention to problems related to the meaning of their comparisons of change rates and to some implications of their recommendations. These problems include misinterpretation of formulas; use of methods with questionable standard errors; confounding of effects of methods with effects of norms, data sets, and risks of misclassifying patients who do not change; absence of valid external criteria of client changes; and excessive reliance on the Jacobson-Truax method for evaluation of 2-wave data.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>10450632</pmid><doi>10.1037/0022-006X.67.4.594</doi><tpages>5</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0022-006X
ispartof Journal of consulting and clinical psychology, 1999-08, Vol.67 (4), p.594-598
issn 0022-006X
1939-2117
language eng
recordid cdi_proquest_miscellaneous_69968881
source Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); EBSCOhost APA PsycARTICLES
subjects Biological and medical sciences
Clinical outcomes
Female
Human
Humans
Individual differences
Individuality
Male
Medical sciences
Miscellaneous
Outcome and Process Assessment (Health Care)
Outpatient
Personality Development
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapeutic Processes
Psychotherapies. Psychological and clinical counseling
Psychotherapy
Statistical Analysis
Therapy
Treatments
title Caveats Concerning Comparisons of Change Rates Obtained With Five Methods of Identifying Significant Client Changes: Comment on Speer and Greenbaum (1995)
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T02%3A16%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Caveats%20Concerning%20Comparisons%20of%20Change%20Rates%20Obtained%20With%20Five%20Methods%20of%20Identifying%20Significant%20Client%20Changes:%20Comment%20on%20Speer%20and%20Greenbaum%20(1995)&rft.jtitle=Journal%20of%20consulting%20and%20clinical%20psychology&rft.au=Hsu,%20Louis%20M&rft.date=1999-08-01&rft.volume=67&rft.issue=4&rft.spage=594&rft.epage=598&rft.pages=594-598&rft.issn=0022-006X&rft.eissn=1939-2117&rft.coden=JCLPBC&rft_id=info:doi/10.1037/0022-006X.67.4.594&rft_dat=%3Cproquest_cross%3E57578886%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-a470t-d54d8b7991662b0ec65474ea15e06c6147afea78480d9d0f75ceb11d3c0eb18d3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=614334789&rft_id=info:pmid/10450632&rfr_iscdi=true