Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Letter to the Editor   |    
Dr. McMain Replies
Shelley F. McMain, Ph.D.
Am J Psychiatry 2010;167:475-476. doi:10.1176/appi.ajp.2009.09101532r
View Author and Article Information

The author's disclosures accompany the original article.

Accepted February , 2010.

Copyright © American Psychiatric Association

text A A A

To the Editor: We disagree with Dr. Case's view that when no difference is found between two potentially active treatments, confidence intervals would inform the question of whether a study demonstrates that the treatments are equivalent. Confidence intervals could not be used to answer the question of equivalence because our investigation was not designed or powered for an equivalence study. The lack of statistical significance, even with narrow confidence intervals, should not be used to conclude equivalence. It should be used only to conclude lack of difference. We agree that additional information, particularly confidence intervals, would have been helpful within our original report. Because of space limitations, we omitted this information. However, we have now provided the confidence intervals as a data supplement. Finally, upon examining our results, even if the study were much larger and had sufficient power to detect a difference, that difference would not have been clinically important.

With respect to Dr. Case's question about group differences on baseline characteristics, our outcome analyses were based on global evaluation of efficacy and growth curve analyses and modeled for the possibility of between-group differences. No between-group differences at baseline were found on any variables.




CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe

Related Content
The American Psychiatric Publishing Textbook of Psychiatry, 5th Edition > Chapter 41.  >
APA Practice Guidelines > Chapter 0.  >
APA Practice Guidelines > Chapter 0.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 43.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 43.  >
Topic Collections
Psychiatric News
PubMed Articles